Body contouring after bariatric surgery helps obese patients keep the weight off

October 11, 2014

Patients who have plastic surgery to reshape their bodies after bariatric procedures are able to maintain "significantly greater" weight loss than those who do not have surgery, according to a new study by Henry Ford Hospital researchers.

"As plastic and reconstructive surgeons, we are encouraged by the idea that improved body image can translate into better long-term maintenance of a healthier weight, and possibly a better quality of life for our patients," says Donna Tepper, M.D., a Henry Ford plastic surgeon and senior author of the study.

Study results will be presented Oct. 11 at the annual conference of the American Society of Plastic Surgeons in Chicago.

Used to help lose weight, includes several types of procedures that limit the amount of food the stomach can hold, including removal of a portion of the stomach or constricting it with a gastric band. Such weight loss can be significant, and result in a lower risk of diabetes and heart disease.

"Bariatric has a measurably significant positive impact on patient illness and death," Dr. Tepper says. "However, even with the technical and safety advancements we've seen in these procedures, their long-term success may still be limited by recidivism.

"There is a high incidence of patients who regain weight after the surgery."

The new study followed 94 patients who underwent bariatric surgery at Henry Ford from 2003 through 2013.

Of those, 47 subsequently had body recontouring procedures.

Some previously obese patients opt for – such as face or breast lift, so-called "tummy tuck" or lifts of sagging upper arms, thighs or buttocks – to remove inelastic excess skin and tissue after substantial weight loss and to reshape or recontour their bodies.

The Henry Ford researchers recorded each patient's Body Mass Index, or BMI – a weight-to-height ratio used to determine degrees of obesity – both before their bariatric surgery and 2.5 years after the procedure.

"Of the who underwent contouring surgery, the average decrease in BMI was 18.24 at 2.5 years, compared to a statistically significant 12.45 at 2.5 years for those who did not have further surgery," Dr. Tepper explains.

While these findings suggest that aesthetic procedures following bariatric surgeries may contribute to improving their long-term results, Dr. Tepper says future studies will look at changes in BMI after five years, as well as how different types of contouring procedures may maintain .

Explore further: Body contouring improves long-term weight control after gastric bypass

Related Stories

Body contouring improves long-term weight control after gastric bypass

October 1, 2013
Body contouring surgery to remove excess skin improves long-term weight control in patients after gastric bypass surgery, reports a study in the October issue of Plastic and Reconstructive Surgery, the official medical journal ...

Massive weight loss increases risk of complications in body-shaping surgery

September 25, 2014
Patients who lost more than 100 pounds and those who shed weight through bariatric surgery had the highest risk of complications from later surgical procedures to reshape their leaner bodies, a new study from UT Southwestern ...

Gastric bypass bests banding for weight loss, diabetes, high blood pressure and cholesterol control

September 25, 2014
Gastric bypass surgery has better outcomes than gastric banding for long-term weight loss, controlling type 2 diabetes and high blood pressure, and lowering cholesterol levels, according to a new review by UT Southwestern ...

Study finds change in type of procedure most commonly used for bariatric surgery

September 2, 2014
In an analysis of the type of bariatric surgery procedures used in Michigan in recent years, sleeve gastrectomy (SG) surpassed Roux-en-Y gastric bypass (RYGB) in 2012 as the most common procedure performed for patients seeking ...

For gastric bypass patients, percent of weight loss differs by race/ethnicity, study finds

June 23, 2014
Non-Hispanic white patients who underwent a gastric bypass procedure lost slightly more weight over a three-year period than Hispanic or black patients, according to a Kaiser Permanente study published in the journal Surgery ...

Weight loss surgery also safeguards obese people against cancer

June 4, 2014
Weight loss surgery might have more value than simply helping morbidly obese people to shed unhealthy extra pounds. It reduces their risk of cancer to rates almost similar to those of people of normal weight. This is the ...

Recommended for you

Parents modeling healthy behaviors leads to markedly better outcomes for children

December 13, 2017
When trying to help children lose weight, involving a parent in the treatment makes the entire family healthier, researchers at Washington University School of Medicine in St. Louis have shown.

'Obesity paradox' not found when measuring new cases of cardiovascular disease

December 7, 2017
Although obesity is a well-known risk factor for getting cardiovascular disease, a controversial body of research suggests that obesity may actually be associated with improved survival among people who have cardiovascular ...

Harmful effects of being overweight underestimated

December 1, 2017
The harmful effects of being overweight have been underestimated, according to a new study that analysed body mass index (BMI), health and mortality data in around 60,000 parents and their children, to establish how obesity ...

More than half of US children will have obesity as adults if current trends continue

November 29, 2017
If current trends in child obesity continue, more than 57% of today's children in the U.S. will have obesity at age 35, according to a new study from Harvard T.H. Chan School of Public Health.

Exercise alone does not lead to weight loss in women—in the medium term

November 23, 2017
Knowing whether or not exercise causes people to lose weight is tricky. When people take up exercise, they often restrict their diet – consciously or unconsciously – and this can mask the effects of the exercise. In our ...

Mindfulness training shows promise for maintaining weight loss

November 23, 2017
Can mindfulness training help overweight people shed pounds and keep them off? McGill University researchers surveyed the growing body of studies investigating that question, and came away encouraged.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.