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Deprecated: Implicit conversion from float 245.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Plast+Reconstr+Surg 2014 ; 134 (6): 888e-94e Nephropedia Template TP
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Classifying Severity of Abdominal Contour Deformities After Weight Loss to Aid in Patient Counseling: A Review of 1006 Cases #MMPMID25415111
Zammerilla LL; Zou RH; Dong ZM; Winger DG; Rubin JP; Gusenoff JA
Plast Reconstr Surg 2014[Dec]; 134 (6): 888e-94e PMID25415111show ga
Background: Prior to massive weight loss (MWL), many patients wonder about their future abdominal contour. Abdominal contour deformities after MWL are highly variable, ranging from a mild upper protuberance to multiple rolls. Correction of these deformities is challenging and may require advanced surgical techniques. The incidence of patients presenting with various abdominal deformities and the factors influencing these deformities are not well defined, but could aid patients undergoing weight loss. Methods: All MWL patients presenting for abdominal contouring from 2002?2012 were reviewed, and abdomens were graded using a modified Pittsburgh Rating Scale. Data collected for each patient included BMI indices, history of bariatric surgery, and type of abdominal contouring surgery. Results: 1006 patients were evaluated with a mean age of 44.2 years ± 10.5 years. The mean MaximumBMI was 51.7 kg/m2±9.6 kg/m2, mean CurrentBMI was 30.0 kg/m2±6.4 kg/m2, and mean DeltaBMI was 21.7 kg/m2±7.0 kg/m2. 64% had a high-grade deformity. Patients with larger DeltaBMIs had higher deformity grades (p < 0.001). Patients with higher deformity grades were more likely to undergo a fleur-de-lis abdominoplasty (p < 0.001). Conclusions: Most patients presenting for body contouring after MWL have high-grade abdominal deformities with multiple rolls. DeltaBMI is positively correlated with deformity grade and more aggressive abdominal contouring procedures. Patients interested in MWL should be counseled that, depending on desire for eventual outcomes, more complex procedures may be required to correct the resultant abdominal deformity. Level of Evidence: Therapeutic, III.