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American Association of Plastic Surgeons

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The Positive Impact Of Body Contouring Procedures On Quality Of Life
Arturo J. Rios-Diaz, MD, Omar Elfanagely, MD, Jessica R. Cunning, BS, MBA, Charles A. Messa, IV, MD, Martin Morris, BS, Cutler Whitely, BS, Robyn B. Broach, PhD, John P. Fischer, MD, MPH.
University of Pennsylvania, Philadelphia, PA, USA.

Purpose: Body contouring procedures (BCP) are increasing in popularity among patients with excess skin after weight loss whose health-related quality of life (QoL) is affected. We aimed to quantify the quality of life benefit of BCP and to examine if the benefit differs based on obesity classification.
Methods: We identified patients undergoing BCP between 2018-2019. QoL was assessed using the Body-Q survey at preoperative and postoperative visits. Patient characteristics and surgical outcomes were analyzed using descriptive statistics. Paired Wilcoxon signed-rank tests compared preoperative vs. postoperative QoL scores (0-100). Subgroup analyses were performed to determine QoL differences by obesity class: Class 1-2 (BMI=30-39.9kg/m2) vs. Class 3 (BMI>40kg/m2).
Results: Thirty-five patients completed both surveys. The majority underwent panniculectomy or abdominoplasty (94%), were 50 years-old (IQR 41-55), Black (51.4%), privately insured (68.6%), covered by insurance (82.9%), obese (BMI>30 77.1%), and had history of bariatric surgery (85.7%). Surgical site occurrence (SSO) rate was 40%. Postoperative QoL improved in 10/10 Body-Q domains (Figure) and was not impacted by SSOs (infections, hematoma, seroma, delayed healing, etc.) in any domain (p>0.05). Obesity classification did not affect the change in QoL (Class 1-2 vs. Class 3, p>0.05)
Conclusions: QoL dramatically improves after BCP regardless of the obesity classification. This benefit extends across physical, psychosocial and sexual well-being and does not seem to be impacted by complications.


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