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Updated: Jul 9, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

Back contouring in weight loss patients.

Berish Strauch¹, Christine Rohde, Mitesh K Patel

¹New York, N.Y. From the Department of Plastic and Reconstructive Surgery, Albert Einstein College of Medicine and Montefiore Medical Center.

Plastic and Reconstructive Surgery

|November 28, 2007

Summary

This study presents a systematic surgical approach to address excess back tissue in post-bariatric surgery patients, significantly improving body contour and patient satisfaction.

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Area of Science:

Plastic Surgery
Body Contouring
Post-Bariatric Surgery

Background:

Traditional body contouring after bariatric surgery often neglects the back.
Residual excess skin and folds on the back lead to unsatisfactory outcomes.

Purpose of the Study:

To present a classification system and surgical technique for correcting excess back tissue.
To improve body contour in post-bariatric patients by addressing the back.

Main Methods:

Utilized modifications of mammaplasty/mastopexy and circumferential abdominoplasty.
Employed direct excision techniques for back tissue removal.
Developed a systematic classification and treatment approach.

Main Results:

The described surgical modifications effectively eliminate back skin folds.
Achieved uniform patient satisfaction with low morbidity.
Significant improvement in overall body contour was observed.

Conclusions:

A systematic approach is crucial for managing back roll deformities in post-bariatric patients.
The surgical technique offers a favorable tradeoff between scarring and aesthetic improvement.
High patient acceptance and satisfaction were reported.