Multiple studies indicated a rising prevalence of obesity in the Arabian Gulf States. The percentage of overweight individuals ranges from 35% to 50% which is becoming one of the major health concerns in our region. Obesity has become one of the leading causes of preventable deaths.
Recently, demand on bariatric surgery has increased due to the marked advances and refinements in this field. With that, the demand on post massive weight loss body contouring has also risen. Body contouring procedures create a firmer, tighter, more rejuvenated appearance for patients who have lax, ptotic tissues. Such procedures include brachioplasty, upper back lift, breast lift abdominoplasty, Lower back lift, buttocks lift, and thigh lifts.
Techniques in body contouring have shifted to focus more on volumetric reconstruction and restoration of the body shape rather than simple lifting. Although bariatric surgery proved to reduce morbidity and mortality of morbidly obese patients, massive weight loss that results in overhanging and excessive skin laxity, and skin deformities has a negative impact on the patient’s quality of life.
It causes embarrassment and feelings of unattractiveness. Studies showed that lessthan 25% of bariatric surgeons discussed body contouring procedure with their patients before or after surgery. On the other hand, numerous studies have shown that improved quality of life after body contouring surgery in massive weight leads to weight stabilization.
In conclusion a multidisciplinary approach is needed in obesity surgery with early involvement of plastic surgery. A comprehensive team approach not only enhances post-surgery outcomes, it promotes reasonable expectations, patient satisfaction, and improved quality of life.