Surgical treatment of abdominoptosis after previous bariatric operations
https://doi.org/10.17238/2072-3180-2025-31-36
Abstract
Introduction. The rise of obesity in the 21st century has become a new challenge for doctors of various specialties around the world. Obesity, in addition to a pronounced cosmetic defect, is associated with a number of somatic diseases. Bariatric surgery is an effective treatment method. However, rapid weight loss leads to sagging subcutaneous fat and the formation of skin folds and aprons that require plastic surgery.
Purpose: to analyze the results of dermatopectomy operations performed in patients who had previously undergone bariatric surgical treatment.
Materials and methods. The multicenter retrospective study included 76 patients who underwent abdominoplasty in 2021-2024. All patients underwent bariatric surgery for obesity.
Results. Depending on the revealed abdominal configuration disorders, three types of operations were used: horizontal access with navel transfer, horizontal access with vertical component and navel transfer, and combined T-shaped access "big anchor". The number of complications in the postoperative period in patients after bariatric surgery in the anamnesis and rapid massive weight loss exceeds those after abdominoplasty without a burdened anamnesis.
Conclusion. Rapid weight loss after surgery leads to sagging skin and the formation of skin folds, which not only disrupt the appearance of the patient, but also make it difficult for self-care and predispose to the formation of purulent skin diseases. In order to avoid these complications, after weight stabilization, patients need to perform plastic surgery to restore the abdominal configuration.
About the Authors
R. A. Pakhomova
Rosbiotech
Russian Federation
Russian Federation
Pakhomova Regina Alexandrovna – MD, Head of the Department of Plastic Surgery
11, Volokolamsk Highway, Moscow, 125080
E. M. Biyaslanova
Rosbiotech
Russian Federation
Russian Federation
Biyaslanova Elmira Magomirzaevna – doctor, plastic surgeon, Time of Beauty Clinic, postgraduate student of the Department of Plastic Surgerylokolamsk Highway
11, Volokolamsk Highway, Moscow, 125080
A. S. Murtuzalieva
GBU RD "RCB № 2"
Russian Federation
Russian Federation
Murtuzalieva Anzirat Sultanmuradovna – candidate of Medical Sciences, surgeon of the highest category
Irina Yanina str., 13, Makhachkala, Republic of Dagestan, 367013
L. I. Folomeeva
Rosbiotech
Russian Federation
Russian Federation
Larisa Igorevna Folomeeva – Candidate of Medical Sciences, Associate Professor of the Department of Plastic Surgery
11, Volokolamsk Highway, Moscow, 125080
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Review
For citations:
Pakhomova R.A., Biyaslanova E.M., Murtuzalieva A.S., Folomeeva L.I. Surgical treatment of abdominoptosis after previous bariatric operations. Moscow Surgical Journal. 2025:31-36. (In Russ.) https://doi.org/10.17238/2072-3180-2025-31-36
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