A Classification of Contour Deformities after Massive Weight Loss: Application of the Pittsburgh Rating Scale

ABSTRACT

Contour deformities after post-bariatric surgery weight loss are varied and often complex. Existing classification systems do not adequately address the various post-weight loss deformities that can occur in every part of the body. At the University of Pittsburgh, we have devised the Pittsburgh Rating Scale, a classification system that allows grading of 10 areas of the body on a four-point scale. The scale has been validated in a previous study. Currently, the scale is being applied during our initial assessment of the post-bariatric surgery weight loss patient. We have found that accurate classification can assist the surgeon in operative planning. The scale is useful in both classifying the individual deformities in a specific region and performing a comprehensive assessment.

KEYWORDS

Bariatric surgery - body contouring classification - weight loss - abdominoplasty - brachioplasty - buttocks - thighplasty

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