Aesthetic surgery as a method of correcting the figure of patients after bariatric surgery
https://doi.org/10.17238/2072-3180-2025-1-133-141
Abstract
Introduction. Over the past 50 years, bariatric surgery methods have been increasingly used to treat obesity. However, a marked decrease in body weight leads to a sharp loss of subcutaneous fat and the formation of hanging skin folds, the so-called "aprons", which forces patients to seek help from plastic surgeons in order to correct this pathology.
The purpose of this study is to identify the frequency of patients seeking help from plastic surgeons and to evaluate the results two years after performing plastic surgery.
Materials and methods. In the course of a retrospective study, 154 patient medical records were analyzed and clinical observation was performed.
Research results and discussion. To optimize the study, all patients were distributed according to the degree of obesity before bariatric surgery, by age and group affiliation. The analysis of postoperative complications in the immediate postoperative period, long-term results of scar condition and patient satisfaction with aesthetic operations performed was carried out.
Conclusion. Performing aesthetic correction after bariatric surgery is the method of choice for restoring the patient's mental and physical comfort.
About the Authors
R. A. PakhomovaRussian Federation
Pakhomova Regina Alexandrovna, MD, Head of the Department of Plastic Surgery
11, Volokolamsk Highway, Moscow, Russia, 125080
E. M. Arslanova
Russian Federation
Biyaslanova Elmira Magomirzaevna, doctor, plastic surgeon, Time of Beauty Clinic, postgraduate student of the Department of Plastic Surgery
11, Volokolamsk Highway, Moscow, Russia, 125080
A. S. Murtuzalieva
Russian Federation
Murtuzalieva Anzirat Sultanmuradovna, Candidate of Medical Sciences, surgeon of the highest category
Makhachkala. Irina Yanina str., 13, Makhachkala, Republic of Dagestan, 367013
S. V. Fedotov
Russian Federation
Fedotov Stanislav Viktorovich, surgeon
105082, Russia, Moscow, Baumanskaya, 1-3
References
1. Polyakov A.A., Solovyov A.O., Bessonov K.A., Vorobyeva A.A. Modern concepts of bariatric surgery as a method of treating obesity. Evidencebased Gastroenterology, 2023, № 12(3), pp. 79–87. (In Russ.)
2. Balandov S.G., Vasilevsky D.I., Anisimova K.A., Hamid Z.M., Shkredov D.V. Principles of choosing bariatric interventions (literature review). Scientific notes of the First St. Petersburg State Medical University named after academician I. P. Pavlov, 2020, № 27(4), рр. 38–45. (In Russ.) https://doi.org/10.24884/1607-4181-2020-27-4-38-45
3. Yershova E.V., Troshina E.A. The use of bariatric surgery in type 2 diabetes mellitus: to help a practical doctor. Obesity and metabolism, 2016, № 13(1), рр. 50–56. (In Russ.) https://doi.org/10.14341/OMET2016150-56
4. Koliaki C., Liatis S., le Roux C.W., Kokkinos A. The role of bariatric surgery to treat diabetes: current challenges and perspectives. BMC Endocr Disord, 2017, № 17, рр. 50. https://doi.org/10.1186/s12902-017-0202-6
5. Marinicheva I.G., Manturova N.E., Ganshin I.B., Sidorenkov D.A. Variants of abdominoplasty in patients with a BMI of up to 28 kg/m2 . Plastic surgery and aesthetic medicine, 2022, № (4), рр. 41–48. (In Russ.)
6. Agapov D.G. Modern aspects of abdominoplasty. Sciences of Europe, 2017, № 17, pp. 16–20. (In Russ.)
7. Martinez-Teixido L.., Serra-Mestre J.M., Serra-Renom J.M. A new technique for creating a neo-umbilicus in abdominoplasty. J Plast Reconstr Aesthet Surg., 2017, Dec; № 70(12), рр. 1760–1767. https://doi.org/10.1016/j.bjps.2017.07.009
8. Bertheuil N., Chaput B., Bergeat D., Morvan C., Mocquard C., Watier E. The Lipo-Body Lift: Operative Technique. Plast Reconstr Surg Glob Open, 2019, Feb 25; № 7(2), рр. e2156. https://doi.org/10.1097/GOX.0000000000002156
9. Bordan N.S., Yashkov Yu.I., Ilchenko F.N. The concept of multipurpose abdominoplasty in bariatric patients. Tauride Medical and Biological Bulletin, 2017, volume 20, № 4, pp. 33–38. (In Russ.)
10. Ferrario F., Gabriel N., Girard P. Medial Thigh Lift in the Massive Weight Loss Population: The Rennes University Center Experience. Journal of Plastic Reconstructive & Aesthetic Surgery, 2024, December, рр. 101. https://doi.org/10.1016/j.bjps.2024.12.006
11. Gnipov P.A., Baindurashvili A.G., Brazol M.A. Using the Vancouver scale to evaluate individual cosmetic results of surgical treatment of children with deep neck burns. Russian Bulletin of Pediatric Surgery, Anesthesiology and Intensive Care, 2021, vol. 11, № 4, pp. 475–484. (In Russ.) https://doi.org/10.17816/psaic1004
12. Finlay V., Burrows S., Burmaz M. Increased burn healing time is associated with higher Vancouver Scar. Scale score. Scars, Burns & Healing, 2017, № 3, рр. 1–10. https://doi.org/10.1177/2059513117695324
Review
For citations:
Pakhomova R.A., Arslanova E.M., Murtuzalieva A.S., Fedotov S.V. Aesthetic surgery as a method of correcting the figure of patients after bariatric surgery. Moscow Surgical Journal. 2025;(1):133-141. (In Russ.) https://doi.org/10.17238/2072-3180-2025-1-133-141