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Reporting Weight Trends Following Body Contouring Surgery: A Systematic Review
Joshua T. Henderson, MD
Zachary A. Koenig, BS
Kerri M. Woodberry, MD, MBA
West Virginia University, Department of Surgery, Division of Plastic Surgery
2021-02-03
Presenter: Joshua T. Henderson, MD
Affidavit:
This entire project is the original work of the resident
Director Name: Kerri M. Woodberry
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Aesthetics
Intro:
Previous analyses of weight maintenance following body contouring surgery are confounded by inclusion of multiple body areas, limited by gender-specific studies, and plagued by inconsistent measurements with varying reference timeframes. The aim of this study was to highlight the need for more consistent reporting among original studies.
Methods:
A systematic review of the literature was performed to collect all reported data sets of weight control in the trunk-based body contouring population. Inclusion criteria were: 1) original reports, 2) minimum three-month follow-up, 3) trunk-based body contouring procedures (panniculectomy, abdominoplasty and circumferential belt lipectomy). Follow-up duration, reference point for weight change, and methods of weight analysis were assessed for each study.
Results:
Fourteen studies reporting original data of weight control in 1,037 trunk-based body contouring patients met criteria for review. Mean follow-up time was 49.7 months and 17.2 months in postbariatric and non-bariatric studies, respectively. Ten studies reported weight trend by total weight (TW, kg) change and four by BMI change. Three studies further presented percent TW (%TW) change, or the quantity of weight lost compared to the individual's starting weight. Pooled TW change among postbariatric patients differed significantly depending on reference time (date of body contouring surgery vs date of bariatric surgery, 0.71 kg/yr vs -8.72 kg/yr, p <0.05).
Conclusions:
Consistent and reliable analysis of weight maintenance following body contouring surgery is best accomplished by reporting the trend in %TW change and the associated change over time (%TW/yr). For postbariatric patients, separate measurements should be calculated for varying reference times.
