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The Age Factor in Postbariatric Body Contouring Surgery Outcome
Ehud Fliss1, Sharon Manheim1, Tariq Zoabi1
1From the Department of Plastic and Reconstructive Surgery and Department of Gastroenterology and Liver Diseases, Tel Aviv Sourasky Medical Center, affiliated with the Sackler School of Medicine, Tel Aviv University.
Plastic and Reconstructive Surgery
|February 23, 2022
Summary
Older patients undergoing postbariatric plastic surgery face higher complication risks. While age over 60 is a risk factor for readmission, it
Area of Science:
- Plastic Surgery
- Geriatric Medicine
- Bariatric Surgery Outcomes
Background:
- Aging populations increase demand for postbariatric body contouring.
- The influence of advanced age on surgical outcomes is not well understood.
Purpose of the Study:
- To evaluate the impact of patient age on outcomes following postbariatric body contouring plastic surgery.
- To identify age-related risk factors for adverse surgical outcomes.
Main Methods:
- Retrospective cohort study of 317 postbariatric plastic surgery patients.
- Patients stratified into three age groups for comparative analysis.
- Multivariate logistic regression used to assess age as an independent risk factor.
Main Results:
- Patients aged 60+ had higher BMI and comorbidities (hypertension, dyslipidemia, diabetes).
- Older patients experienced significantly higher rates of minor and major complications, including surgical site infections and hematomas.
- Increasing age was a risk factor for major complications, reoperation, and readmission.
Conclusions:
- Advanced age is a risk factor for adverse outcomes in postbariatric plastic surgery.
- Age 60 and above is an independent risk factor specifically for readmission.
- Findings assist surgeons in patient selection and consultation for body contouring procedures.
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