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American Association of Plastic Surgeons

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Analysis Of Body Contouring And Sustained Weight Loss After Bariatric Surgery In Minority Patients: A Seven Year Retrospective Review
Nicolas Greige, B.S.1, George N. Kamel, M.D.2, Kayla Leibl, M.D.1, Joshua Jacobson, M.D.1, Evan S. Garfein, M.D.1, Katie E. Weichman, M.D.1, Teresa Benacquista, M.D.1.
1Albert Einstein College of Medicine, Montefiore Medical Center, Division of Plastic Surgery, Bronx, NY, USA, 2University of California, San Diego, Division of Plastic Surgery, San Diego, CA, USA.

PURPOSE
Previous studies have demonstrated the positive impact of body contouring procedures as adjuncts to bariatric surgery in sustaining weight loss, but these studies described a narrow patient cohort. It was our objective to evaluate the impact of post bariatric body contouring procedures on sustained weight loss in minority patients.
METHODS
Patients that underwent sleeve gastrectomy or gastric bypass at our institution from 2009-2012 were reviewed and divided into three groups: (1) those that underwent body contouring procedures, (2) those that had consultation for body contouring but did not undergo a procedure, and (3) those without consultation. Patient demographics, body mass indices (BMIs), and excess body weight loss (EBWL) were compared between groups.
RESULTS
774 patients were analyzed with an average pre-bariatric BMI of 47.17.7 kg/m2. 30% of patients identified as Black and 63% as Hispanic. EBWL was significantly greater in Group 1 than Group 3 over 7 years (mean difference =16.4%, p<0.001), and significantly greater in Group 1 than Group 2 for post-operative years 2-5 (mean difference =6.9%, p<0.05). Sustained weight loss was regressed on group number while adjusting for age, sex, and race. In the sleeve gastrectomy group, neither body contouring (B=2.5, p=0.24) nor plastic surgery consultation (B=-1.0, p=0.56) were significantly associated with sustained weight loss; in the gastric bypass group, body contouring significantly contributed toward sustained weight loss (B=-3.5, p=0.01) whereas plastic surgery consultation did not (B=-2.5, p=0.054).
CONCLUSIONS
Body contouring significantly improved sustained weight loss in minority patients that underwent gastric bypass but not sleeve gastrectomy.


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