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Clarifying Weight Control in the Postbariatric Body Contouring Population
Joshua T. Henderson, MD
Zachary A. Koenig, BS
Kerri M. Woodberry, MD, MBA
West Virginia University
2022-01-14
Presenter: Joshua T Henderson
Affidavit:
To whom It may concern:
This research has not been published elsewhere not presented at a major meeting.
Kerri Woodberry, MD, MBA, FACS
Director Name: Kerri M Woodberry
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Aesthetics
Once patients achieve their maximum weight loss following bariatric surgery (BS), there is a trend of weight regain, reportedly as high as 26.8% of weight lost following BS. Neither the long-term effects of BS nor the addition of BC have been studied in our geographic region.
This was a retrospective review of postbariatric patients who underwent trunk-based BC from 1/1/2009 through 7/31/2020. Twelve-months follow-up following BC surgery was required for inclusion. Each patient's weight was assessed prior to BS, prior to BC, and at the time of last follow-up. Endpoint total weight loss, %TWL and %EWL were compared with published rates for postbariatric body contouring (PBC) patients.
Fifty-eight postbariatric patients underwent trunk-based BC. Average follow-up was 113.2 172.7 months from BS and 38.1 18.7 months from BC. At endpoint follow-up, the cohort experienced %TWL and %EWL of 26.24 9.06% and 55.78 22.77%, respectively. Compared to their own weight loss prior to BC, the addition of BC surgery did not produce an additional decrease in weight (29.24 10.61 %TWL, p=0.10; 62.56 23.94 %EWL, p=0.12). Once nadir weight loss was attained, PBC patients regained 20.51 26.28% of maximum weight lost.
This is the longest follow-up of any similar series evaluating weight control in PBC patients. Although the %TWL and %EWL of our PBC patients are less than what has been reported in the literature, the weight regain is less than would be expected if they did not undergo BC.
