Psychological Assessment in Post-bariatric Plastic Surgery: A Scope Review

Abstract

Introduction

Obesity can have physical, psychological, and social consequences. Bariatric surgery may improve the patient's biopsychosocial condition. However, excess skin after rapid and significant weight loss may result in psychological distress. Plastic surgery, as the only procedure for excessive skin removal, can improve self-image and encourage weight control.

Objective

Through a scoping review, this study investigated whether the basic psychological assessment performed during screening by plastic surgeons can identify psychological distress in patients who wish to undergo plastic surgery after bariatric surgery.

Method

The study consisted of a bibliographic survey of articles published from 2013 to 2023 in Portuguese, English, and Spanish in the MEDLINE, Virtual Health Library (VHL), and Embase databases.

Results

In the search strategy, 48 articles met the inclusion criteria, and the study mentions 18 of these papers.

Conclusion

The psychological assessment performed during plastic surgery screening allows the identification of suffering from excessive skin after bariatric surgery and previous psychological suffering, facilitating the medical decision about whether or not to refer the patient for specialized psychological evaluation. This approach broadens the patient's understanding of the relationship between body and mind.

Keywords

bariatric surgery - body - body image - contouring - mental disorders - psychosocial functioning - surgery plastic

Authors' Contribution

ACM: data analysis, interpretation, or both, statistical analysis, conceptualization, study concept and design, methodology, writing – original draft preparation, writing – review and editing, visualization; DN: final manuscript approval, supervision, validation; VYS: supervision; SSS: data collection; LMA: statistical analysis.

Publikationsverlauf

Eingereicht: 24. März 2024

Angenommen: 30. April 2024

Artikel online veröffentlicht:
15. Juli 2025

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