Using the BODY-Q to Understand Impact of Weight Loss, Excess Skin, and the Need for Body Contouring following Bariatric Surgery

IntroductionMorbid obesity is accompanied by impairment of the body image. Bariatric surgery is seen like a solution for the problems concerning body image. An element that contributes to disillusions with the results is when patients realize that their bodies, even though thinner, still maintain the sequel of obesity, flaccidity and excess skin. Once weight loss has been achieved, the body image is not infrequently cosmetically unacceptable. To complete treatment, body contouring procedures are performed.Aim of this studyTo understand the emotional meaning of body contouring after bariatric surgery.MethodClinical-qualitative method, semi-directed interviews with open-ended questions.ResultsShame that had previously been attributed to obesity is attributed to the sequel of obesity that contributes to the frustrated expectations of having a beautiful and healthy body. The risk of isolation and lose interest to fulfil the objectives of surgery is great. Plastic surgery takes the place occupied by bariatric surgery, that is, the hope of achieving acceptance.ConclusionBody contouring following significant weight loss can re-establish a good psychosocial functioning because of the perception of improved body image. The plastic surgery is accompanied by a substantial normalization of the self esteem. It could gradually lead to the cessation of distressing and pathological body-related behaviour. The psychosocial benefits of plastic surgery are: increase self-esteem, improved self-confidence, more intense social activities, better interpersonal relationships, relief from depression and anxiety, improvement in emotional stability, better relationship with colleagues and partner, less stigmatization, better sexual performance and fewer physical limitations during sexual intercourse.

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Body contouring following massive weight loss

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1699475 ◽

2011 ◽

Vol 44 (01) ◽

pp. 014-020

Author(s):

Vijay Langer ◽

Amitabh Singh ◽

Al S. Aly ◽

Albert E. Cram

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Weight Gain ◽

Body Contouring ◽

Psychological Trauma ◽

Massive Weight Loss ◽

The Body ◽

Plastic Surgeon

ABSTRACTObesity is a global disease with epidemic proportions. Bariatric surgery or modified lifestyles go a long way in mitigating the vast weight gain. Patients following these interventions usually undergo massive weight loss. This results in redundant tissues in various parts of the body. Loose skin causes increased morbidity and psychological trauma. This demands various body contouring procedures that are usually excisional. These procedures are complex and part of a painstaking process that needs a committed patient and an industrious plastic surgeon. As complications in these patients can be quite frequent, both the patient and the surgeon need to be aware and willing to deal with them.

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Invited Discussion on: Body Contouring Surgery Improves Weight Loss after Bariatric Surgery—A Systematic Review and Meta-analysis

Aesthetic Plastic Surgery ◽

10.1007/s00266-020-02062-w ◽

2021 ◽

Author(s):

Fabio Xerfan Nahas

Keyword(s):

Systematic Review ◽

Bariatric Surgery ◽

Weight Loss ◽

Meta Analysis ◽

Body Contouring ◽

Body Contouring Surgery

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Body Contouring After Weight Loss: The Plastic-Bariatric Surgery Symbiosis

Aesthetic Plastic Surgery ◽

10.1007/s00266-005-0217-7 ◽

2006 ◽

Vol 30 (3) ◽

pp. 374-376 ◽

Cited By ~ 15

Author(s):

A. Araco ◽

G. Gravante ◽

F. Araco ◽

D. Delogu ◽

V. Filingeri ◽

...

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Body Contouring

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Body contouring surgery in a massive weight loss patient: An overview

Indian Journal of Plastic Surgery ◽

10.1055/s-0039-1700482 ◽

2008 ◽

Vol 41 (S 01) ◽

pp. 114-129 ◽

Cited By ~ 4

Author(s):

Prabhat Shrivastava ◽

Aggarwal Aditya ◽

Khazanchi Rakesh Kumar

Keyword(s):

Weight Loss ◽

Positive Impact ◽

Body Contouring ◽

Massive Weight Loss ◽

The Body ◽

Successful Outcome ◽

Exciting Field ◽

Body Contouring Surgery ◽

Number Of Patients ◽

The Individual

ABSTRACTThe number of patients with history of extreme overweight and massive weight loss (MWL) has risen significantly. Majority of patients are left with loose, ptotic skin envelopes, and oddly shaped protuberances, subsequent to weight loss. Redundant skin and fat can be seen anywhere on the body following MWL. This group of population presents many unique problems and challenges. Body contouring surgery after MWL is a new and exciting field in plastic surgery that is still evolving. Conventional approaches do not adequately cater to the needs of these patients. Complete history, detailed physical examination, clinical photographs and lab investigations help to plan the most appropriate procedure for the individual patient. Proper counseling and comprehensive informed consent for each procedure are mandatory. The meticulous and precise markings based on the procedure selected are the cornerstones to achieve the successful outcome. Lower body contouring should be performed first followed six months later by breast, lateral chest and arm procedures. Thighplasty is usually undertaken at the end. Body contouring operations are staged at few months′ intervals and often result in long scars. Staging is important as each procedure can have positive impact on adjacent areas of the body. Secondary procedures are often required. However, proper planning should lead to fewer complications and improved aesthetic outcome and patient satisfaction.

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Effects of Bariatric Surgery on Depression: Role of Body Image

Obesity Surgery ◽

10.1007/s11695-020-05057-3 ◽

2020 ◽

Author(s):

Simone C. Behrens ◽

Konrad Lenhard ◽

Florian Junne ◽

Katrin Ziser ◽

Jessica Lange ◽

...

Keyword(s):

Bariatric Surgery ◽

Body Image ◽

Depressive Symptoms ◽

Psychosocial Functioning ◽

Body Contouring ◽

The Body ◽

Negative Evaluation ◽

Psychological Interventions ◽

Patient Health

Abstract Background It has been suggested that psychosocial functioning improves after bariatric surgery, but the mechanism of this effect remains unclear. We propose that body image mediates the association between %EWL and improvement in depressive symptoms. Materials and Methods To investigate this hypothesis, we conducted a mediation analysis in longitudinal data from 52 patients after LSG. Results %EWL had no direct effect on depressive symptoms as assessed through the patient health questionnaire (PHQ-9), but a small indirect effect that was mediated through negative evaluation of the body (BIQ-20). Conclusions We interpret this observation in the context of complex individual etiologies of obesity and argue for a stronger focus on psychological interventions in aftercare regimes. This may be specifically relevant for patients with eating disorders or a desire for body contouring surgery.

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Body Contouring Surgery Improves Weight Loss after Bariatric Surgery: A Systematic Review and Meta-Analysis

Aesthetic Plastic Surgery ◽

10.1007/s00266-020-02016-2 ◽

2020 ◽

Cited By ~ 1

Author(s):

Rawan ElAbd ◽

Osama A. Samargandi ◽

Khalifa AlGhanim ◽

Salma Alhamad ◽

Sulaiman Almazeedi ◽

...

Keyword(s):

Systematic Review ◽

Bariatric Surgery ◽

Weight Loss ◽

Meta Analysis ◽

Body Contouring ◽

Body Contouring Surgery

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Understanding bariatric surgery to support patients in primary care

Practice Nursing ◽

10.12968/pnur.2019.30.10.482 ◽

2019 ◽

Vol 30 (10) ◽

pp. 482-490

Author(s):

Jenny Abraham ◽

Neha Shah ◽

Fridi Levine ◽

Yitka Graham

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Metabolic Diseases ◽

Polycystic Ovary ◽

Signs And Symptoms ◽

World Health ◽

Alcoholic Fatty Liver ◽

Practice Nurses ◽

Excess Skin ◽

Nutritional Monitoring

The relatively new field of bariatric surgery is increasingly used as an option to address issues linked to obesity. Practice nurses must understand how they can manage patients who have undergone these procedures Obesity is steadily rising, with 64% of adults in England in 2017 being classified as overweight or obese. Obesity is strongly linked to metabolic diseases such as cardiovascular disease, type 2 diabetes mellitus (T2DM), non-alcoholic fatty liver disease (NAFLD), polycystic ovary syndrome (PCOS), musculoskeletal and respiratory disorders, cancer as well as psychological illness ( World Health Organization (WHO), 2018 ). Therefore every opportunity should be taken to support patients to lose weight and maintain weight loss. Practice nurses are in a unique and pivotal position to guide patients in a variety of options to assist in their weight loss. Bariatric surgery in England is relatively new, with its usage having increased dramatically in the last 10 years. Practice nurses require knowledge of bariatric surgery to undertake their role effectively. This article provides information to assist practice nurses in providing care and support to patients who have had a surgical intervention. This paper also highlights signs and symptoms of physical and psychological complications including pregnancy and excess skin and recommended action and advice including nutritional monitoring and supplementation.

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Nutritional Support for Bariatric Surgery Patients: The Skin beyond the Fat

Nutrients ◽

10.3390/nu13051565 ◽

2021 ◽

Vol 13 (5) ◽

pp. 1565

Author(s):

Paolo Toninello ◽

Alvise Montanari ◽

Franco Bassetto ◽

Vincenzo Vindigni ◽

Antonio Paoli

Keyword(s):

Bariatric Surgery ◽

Weight Loss ◽

Postoperative Period ◽

Body Contouring ◽

Massive Weight Loss ◽

Water Soluble ◽

Nutritional Deficiencies ◽

Multivitamin Supplementation ◽

Bariatric Patients ◽

The Aesthetic

Body contouring surgery after the massive weight loss due to bariatric surgery deals with different kinds of complications. The aim of this review is to analyze the role that some nutrients may play in tissue healing after surgery, thus helping plastic surgeons to improve the aesthetic and health outcomes in massive weight loss patients under a multidisciplinary approach. As a matter of fact, preoperative nutritional deficiencies have been shown for vitamins and minerals in a large percentage of post-bariatric patients. Preoperative deficiencies mainly concern iron, zinc, selenium, and vitamins (both fat-soluble and water-soluble), but also total protein. During the postoperative period, these problems may increase because of the patients’ very low intake of vitamins and minerals after bariatric surgery (below 50% of the recommended dietary allowance) and the patients’ low compliance with the suggested multivitamin supplementation (approximately 60%). In the postoperative period, more attention should be given to nutritional aspects in regard to the length of absorptive area and the percentage of weight loss.

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