Impact of Abdominoplasty on Quality of Life in Post-Bariatric and Non-Bariatric Patients: A Prospective Clinical Study

Abstract

Background: Global obesity rates have reached alarming levels. While bariatric surgery effectively helps with weight loss, it often leads to excess skin. This prompts many patients to seek body contouring procedures like abdominoplasty, which improves the quality of life (QoL) by positively impacting body image, self-esteem, and overall well-being. Objective: Evaluation of the outcomes and Qol following abdominoplasty in two groups: those who have undergone bariatric surgery (post-bariatric patients) and those who have achieved significant weight loss without bariatric surgery (non-bariatric patients). Patients and Methods: A non-randomized prospective cohort study was conducted from February 2023 over one year, involving 30 patients at Mansoura University Hospitals. They were divided into post-bariatric and non-bariatric groups (patients lost weight without surgery only with diet). Various abdominoplasty techniques, including traditional, mini-abdominoplasty, and belt lipectomy, were utilized. Preoperative assessments included medical history, physical examination, and laboratory investigations. Post-operative assessment Health-related quality of life (HRQOL) was evaluated utilizing the validated 15D instrument.Results: The study included 30 patients, mainly females. Both groups showed significant BMI reduction post-surgery. Group I (post-bariatric) had higher incidences of excess skin and fat accumulation compared to Group II (non-bariatric). Traditional abdominoplasty was the most common technique used. Seroma was the most frequent complication. Quality of life improvements were noted particularly in the post-bariatric group.Conclusion: Abdominoplasty significantly enhances QoL in both groups, though complications like seroma remain prevalent. The study highlights the need for personalized surgical approaches to optimize outcomes. Further research is necessary to refine techniques and improve patient care in diverse populations.