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Published on: September 28, 2019
Body contouring after biliopancreatic diversion
Franco Migliori1, Cristina Rosati, Gabriele D'Alessandro
1Plastic Surgery and Burn Unit, San Martino University Hospital, Genova, Italy. franco.migliori@hsanmartino.it
Obesity Surgery
|January 16, 2007
Summary
Body contouring plastic surgery effectively improves quality of life for patients post-biliopancreatic diversion (BPD). Despite challenges, patients report high satisfaction and positive outlooks after cosmetic procedures like abdominoplasty and brachioplasty.
Area of Science:
- Plastic Surgery
- Bariatric Surgery Outcomes
- Body Contouring
Background:
- 176 patients underwent body contouring plastic surgery after biliopancreatic diversion (BPD) between Nov 2001 and Mar 2006.
- Patients experienced significant weight loss ranging from 30-100 kg prior to surgery.
- Procedures targeted arms, breasts, abdomen, thighs, and included torsoplasty.
Purpose of the Study:
- To evaluate the outcomes of body contouring plastic surgery in patients who have undergone biliopancreatic diversion (BPD).
- To assess the impact of cosmetic surgery on the quality of life and psychological well-being of post-bariatric patients.
Main Methods:
- Biliopancreatic diversion (BPD) is a malabsorptive bariatric procedure leading to substantial weight loss.
- Specific surgical techniques were employed: brachioplasty, reduction mammaplasty/mastopexy, thigh-lift, abdominoplasty, and torsoplasty.
- Liposuction was deemed unsuitable due to BPD-induced histological changes; arteriographic studies were used to assess anatomical alterations.
Main Results:
- Metabolic discrepancies post-BPD necessitate careful postoperative management.
- A higher incidence of systemic and local complications was observed, particularly in the abdominal wall.
- Preoperative arteriographic studies were conducted to evaluate anatomical alterations.
Conclusions:
- Body contouring surgery can yield satisfactory results and improve quality of life in BPD patients, despite surgical limitations.
- All patients reported enhanced positive thinking post-surgery.
- Patients expressed high satisfaction and a propensity for further body-contouring procedures.
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