scholarly journals Assessing Improvement in Quality of Life and Patient Satisfaction following Body Contouring Surgery in Patients with Massive Weight Loss: A Critical Review of Outcome Measures Employed

2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Shehab Jabir
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Patient Satisfaction ◽  
Body Contouring ◽  
Evidence Base ◽  
Massive Weight Loss ◽  
Patient Specific ◽  
Body Contouring Surgery ◽  
Patient Reported

Body contouring following massive weight loss is a rapidly expanding field in plastic surgery. However, healthcare payers are reluctant to fund such procedures, viewing them as purely cosmetic. This has resulted in a flurry of studies assessing quality of life (QoL) and patient satisfaction following body contouring surgery in this cohort of patients to establish an evidence base to support the idea that body contouring is as much (or even more) a functional procedure as it is cosmetic. However, the methods employed in these studies are seldom ideal, and hence the conclusions are unreliable. The gold standard to assess QoL and patient satisfaction is to use patient specific psychometrically validated patient reported outcome (PRO) measures. Developing such measures consists of a three-step process which includes a review of the current literature, qualitative patient interviews to determine what patients consider the most important, and expert opinion. This study aims to appraise the currently available literature on assessment of QoL and patient satisfaction in body contouring surgery patients. This will hopefully provide an understanding of methodological weaknesses in current studies and inform future investigators of the design of ideal instruments for assessing QoL and patient satisfaction in body contouring patients.

Avoidance and Correction of Deformities in Body Contouring

2021 ◽  
Vol 35 (02) ◽  
pp. 110-118
Author(s):  
Andrew M. Ferry ◽  
Edward Chamata ◽  
Rami P. Dibbs ◽  
Norman H. Rappaport
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
Secondary Intervention

AbstractBody contouring procedures are highly impactful because of their potential to improve a patient's quality of life. These procedures, particularly when performed on patients following massive weight loss, may require secondary intervention to treat residual contour abnormalities. Presently, there is a paucity of information in the literature detailing the avoidance and correction of body contouring deformities. Herein, we will discuss the management of patients seeking revisional body contouring procedures.

scholarly journals Body Image and Quality of Life in Post Massive Weight Loss Body Contouring Patients*

Obesity ◽  
2006 ◽  
Vol 14 (9) ◽  
pp. 1626-1636 ◽  
Author(s):  
Angela Y. Song ◽  
J. Peter Rubin ◽  
Veena Thomas ◽  
Jason R. Dudas ◽  
Kacey G. Marra ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Weight Loss ◽  
Body Image ◽  
Body Contouring ◽  
Massive Weight Loss

scholarly journals Long-Term Patient Satisfaction and Quality of Life After Breast-Conserving Therapy: A Prospective Study Using the BREAST-Q

2021 ◽  
Author(s):  
Ilona Stolpner ◽  
Jörg Heil ◽  
Fabian Riedel ◽  
Markus Wallwiener ◽  
Benedikt Schäfgen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Patient Satisfaction ◽  
Repeated Measures ◽  
Aesthetic Surgery ◽  
Well Being ◽  
Breast Conserving Therapy ◽  
Patient Reported

Abstract Background Poor patient-reported satisfaction after breast-conserving therapy (BCT) has been associated with impaired health-related quality of life (HRQOL) and subsequent depression in retrospective analysis. This prospective cohort study aimed to assess the HRQOL of patients who have undergone BCT using the BREAST-Q, and to identify clinical risk factors for lower patient satisfaction. Methods Patients with primary breast cancer undergoing BCT were asked to complete the BREAST-Q preoperatively (T1) for baseline evaluation, then 3 to 4 weeks postoperatively (T2), and finally 1 year after surgery (T3). Clinicopathologic data were extracted from the patients’ charts. Repeated measures analysis of variance (ANOVA) was used to determine significant differences in mean satisfaction and well-being levels among the test intervals. Multiple linear regression was used to evaluate risk factors for lower satisfaction. Results The study enrolled 250 patients. The lowest baseline BREAST-Q score was reported for “satisfaction with breast” (mean, 61 ± 19), but this increased postoperatively (mean, 66 ± 18) and was maintained at the 1 year follow-up evaluation (mean, 67 ± 21). “Physical well-being” decreased from T1 (mean, 82 ± 17) to T2 (mean, 28 ± 13) and did not recover much by T3 (mean, 33 ± 13), being the lowest BREAST-Q score postoperatively and in the 1-year follow-up evaluation. In multiple regression, baseline psychosocial well-being, body mass index (BMI), and type of incision were risk factors for lower “satisfaction with breasts.” Conclusion Both the aesthetic/surgery-related and psychological aspects are equally important with regard to “satisfaction with breasts” after BCT. The data could serve as the benchmark for future studies.

scholarly journals Body contouring surgery in a massive weight loss patient: An overview

2008 ◽  
Vol 41 (S 01) ◽  
pp. 114-129 ◽  
Author(s):  
Prabhat Shrivastava ◽  
Aggarwal Aditya ◽  
Khazanchi Rakesh Kumar
Keyword(s):  
Weight Loss ◽  
Positive Impact ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
The Body ◽  
Successful Outcome ◽  
Exciting Field ◽  
Body Contouring Surgery ◽  
Number Of Patients ◽  
The Individual

ABSTRACTThe number of patients with history of extreme overweight and massive weight loss (MWL) has risen significantly. Majority of patients are left with loose, ptotic skin envelopes, and oddly shaped protuberances, subsequent to weight loss. Redundant skin and fat can be seen anywhere on the body following MWL. This group of population presents many unique problems and challenges. Body contouring surgery after MWL is a new and exciting field in plastic surgery that is still evolving. Conventional approaches do not adequately cater to the needs of these patients. Complete history, detailed physical examination, clinical photographs and lab investigations help to plan the most appropriate procedure for the individual patient. Proper counseling and comprehensive informed consent for each procedure are mandatory. The meticulous and precise markings based on the procedure selected are the cornerstones to achieve the successful outcome. Lower body contouring should be performed first followed six months later by breast, lateral chest and arm procedures. Thighplasty is usually undertaken at the end. Body contouring operations are staged at few months′ intervals and often result in long scars. Staging is important as each procedure can have positive impact on adjacent areas of the body. Secondary procedures are often required. However, proper planning should lead to fewer complications and improved aesthetic outcome and patient satisfaction.

Body Contouring Surgery Improves Physical Activity in Patients After Massive Weight Loss—a Retrospective Study

2019 ◽  
Vol 30 (1) ◽  
pp. 146-153 ◽  
Author(s):  
Aijia Cai ◽  
Linda Maringa ◽  
Theresa Hauck ◽  
Anja M. Boos ◽  
Marweh Schmitz ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Retrospective Study ◽  
Body Contouring ◽  
Massive Weight Loss ◽  
Body Contouring Surgery
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