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CC BY 4.0 · Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39(03): 217712352024rbcp0909pt
DOI: 10.5935/2177-1235.2024RBCP0909-PT
Artigo Original

Impact of plastic surgery on body composition after bariatric surgery

Article in several languages: português | English

Authors

  • MATHEUS PICCOLI MARTINI 

    1   Hospital São Lucas da PUCRS, Division of Obesity and Metabolic Syndrome, Porto Alegre, RS, Brasil.

  • CLÁUDIO CORA MOTTIN 

    1   Hospital São Lucas da PUCRS, Division of Obesity and Metabolic Syndrome, Porto Alegre, RS, Brasil.

  • GUILHERME PEREIRA SMANIOTTO 

    2   Hospital São Lucas da PUCRS, Division of Plastic Surgery, Porto Alegre, RS, Brasil.

  • MATEUS DAL CASTEL 

    3   Hospital Geral, Division of Surgery, Caxias do Sul, RS, Brasil.
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▪ ABSTRACT

Introduction:

Obesity is characterized by excess weight resulting from the accumulation of body fat, characterized by a body mass index (BMI) equal to or above 30 kg/m2. Currently, bariatric surgery is considered the most effective method for controlling class III obesity (BMI>40 kg/m2) associated or not with comorbidities and for class II obesity (BMI>35 kg/m2) with comorbidities.

Method:

This is an uncontrolled prospective cohort study and 30 patients will be required, with the primary outcome being the difference between the percentage of body fat before and after abdominal dermolipectomy in patients after bariatric surgery.

Results:

30 patients were included in the study, of which 24 completed postoperative control exams. When comparing the average percentage of total body fat, total, visceral, and peripheral fat, there was no statistically significant difference. Weight had a significant drop (p=0.024) and, as expected, there was also a statistically significant decrease in BMI (p=0.017).

Conclusion:

Patients benefit due to weight loss, improvement in comorbidities, and increased self-esteem. However, many patients have the disadvantage of having extensive sagging skin and this has a major impact on their physical and emotional quality of life. We assessed the need for knowledge of body fat before and after post-bariatric plastic surgery, to improve previous results and provide the patient with possibilities to optimize the prevention of future diseases.

Keywords:

Obesity - Overweight - Weight loss - Body contouring - Body mass index - Electric impedance - Bariatric surgery

Institution: Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul (HSL/PUCRS), Porto Alegre, RS, Brazil.




Publication History

Received: 27 November 2023

Accepted: 30 April 2024

Article published online:
22 May 2025

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
MATHEUS PICCOLI MARTINI, CLÁUDIO CORA MOTTIN, GUILHERME PEREIRA SMANIOTTO, MATEUS DAL CASTEL. Impacto da cirurgia plástica na composição corporal pós-cirurgia bariátrica. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: 217712352024rbcp0909pt.
DOI: 10.5935/2177-1235.2024RBCP0909-PT