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Age as a Risk Factor in Abdominoplasty
Rafael A Couto1, Gregory A Lamaris1, Todd A Baker1
1Department of Plastic Surgery, Cleveland Clinic, Cleveland, OH, USA.
Aesthetic Surgery Journal
|March 24, 2017
Summary
This study found that older patients (≥60 years) have similar abdominoplasty complication rates to younger patients (≤59 years). Age is not a significant risk factor for abdominoplasty complications when proper patient selection is used.
Area of Science:
- Plastic Surgery
- Geriatric Medicine
- Patient Safety
Background:
- Previous studies suggested age as a potential risk factor for abdominoplasty.
- These studies focused only on short-term, major complications.
- A comprehensive analysis of age and abdominoplasty outcomes was lacking.
Purpose of the Study:
- To compare abdominoplasty safety in elderly versus younger patients.
- To determine complication rates across major, minor, local, and systemic categories.
- To evaluate both short-term and long-term complications.
Main Methods:
- Retrospective review of abdominoplasty procedures (2010-2015).
- Patients divided into two groups: ≤59 years and ≥60 years.
- Analysis of major, minor, local, and systemic complications, demographics, comorbidities, and perioperative details.
Main Results:
- 129 patients included: 43 elderly (median age 65.0) and 86 younger (median age 41.5).
- No statistically significant differences in major, minor, local, or systemic complications between groups.
- Elderly patients had higher ASA scores, BMI, and comorbidity counts.
Conclusions:
- Abdominoplasty is safe in elderly patients when properly selected.
- Age is not an independent risk factor for abdominoplasty complications.
- Further research may explore long-term outcomes in diverse elderly populations.
