Postural Changes After Abdominoplasty in Morbid Obese Patients

Area of Science:

• Plastic surgery
• Obesity research
• Biomechanics

Background:

• Obesity leads to excess skin, functional limitations, and potential injuries.
• Plastic surgery aims to improve cosmetic, functional, and psychological outcomes post-weight loss.
• Postural stability is often compromised in obese individuals.

Purpose of the Study:

• To evaluate the impact of abdominoplasty on postural stability in obese patients.
• To assess changes in plantar pressure distribution and balance after surgery.
• To determine if weight loss surgery improves overall body mechanics.

Main Methods:

• 15 patients with class II obesity underwent abdominoplasty.
• Postural function was assessed preoperatively and 12 months postoperatively.
• Plantar pressure and stabilometric tests were conducted before and 3 months after surgery.

Main Results:

• Significant reductions in forefoot peak pressure, total plantar force, and plantar contact areas were observed.
• Dynamic pedobarography showed decreased pressure and contact on the first metatarsal.
• Stabilometric tests indicated reduced center of foot pressure displacement and speed, particularly with vision.

Conclusions:

• Dermolipectomies following weight loss significantly improve postural stability in obese individuals.
• Improved balance and reduced plantar pressure suggest enhanced physical function.
• The extent of tissue removed correlates with the degree of postural improvement.