Quality of Life and Concurrent Procedures in Truncal Body Contouring Patients: A Single-Center Retrospective Study

• Published in: Aesthetic plastic surgery Vol. 45; no. 4; pp. 1620 - 1627
• Main Authors: Elfanagely, Omar, Mauch, Jaclyn T., Mellia, Joseph A., Byrnes, Yasmeen M., Othman, Sammy, Messa IV, Charles A., Fischer, John P.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.08.2021; Springer Nature B.V
• Subjects: Abdominoplasty; Adult; Aged; Body Contouring; Evidence-based medicine; Female; Humans; Male; Medicine; Medicine & Public Health; Middle Aged; Original Article; Otorhinolaryngology; Plastic Surgery; Quality of Life; Retrospective Studies; Treatment Outcome; Plastic surgery; Concurrent procedures; Post-bariatric weight loss; Truncal body contouring; Quality of life
• ISSN: 0364-216X; 1432-5241
• DOI: 10.1007/s00266-021-02129-2

Background Body contouring procedures provide patients with a meaningful improvement in health-related quality of life (QoL). We aim to compare the difference between the QoL in patients undergoing a single post-bariatric abdominal body contouring procedure (BCP) and those undergoing two or more concurrent procedures. Methods and Materials Patients evaluated for post-bariatric BCP were identified and administered the BODY-Q © . Patient demographics, clinical and operative characteristics, surgical outcomes, cost data, and absolute change in QoL scores were analyzed using descriptive statistics, chi-square, and Mann–Whitney U-test, between patients who underwent single (SP), double (DP), or triple (TP) concurrent procedures. Results A total of 45 patients were included. The median age was 52 years old ([IQR] ± 13). The majority were female (71.1%) and African-American (55.5%). The most common single procedure was panniculectomy (75%). Surgical site occurrences, readmissions, and the complication composite outcome did not differ between groups (p>0.05). No difference was seen between SP and DP QoL score (p>0.05). The DP had a statistically lower net QoL score compared with TP cohort in four domains. The SP had a statistically lower net QoL score compared with the TP in three domains. Average total cost for patients receiving an SP was $8,048.44, compared with $19,063.94 for DP (p<0.01), and $19,765.02 for TP (p>0.05). Conclusions Body contouring procedures are associated with improvements in QoL irrespective of the number of concurrent procedures. Further improvement in psychological well-being occurs for patients who proceed with double concurrent procedures, albeit with an increase in cost. Level of Evidence IV This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .