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Bocchiotti et al. Plast Aesthet Res 2017;4:57-63 Plastic and
DOI: 10.20517/2347-9264.2016.111
Aesthetic Research

www.parjournal.net
Original Article Open Access

The experience performing extended

abdominoplasty in massive weight loss

patients

Maria A. Bocchiotti, Elisabetta Adelaide Baglioni, Stefano Bruschi, Luca Spaziante, Erind Ruka

Department of Reconstructive and Aesthetic Plastic Surgery, Cittadella Salute e dellaScienza Hospital, University of Turin, 10100 Turin, Italy.
Correspondence to: Dr. Erind Ruka, Department of Reconstructive and Aesthetic Plastic Surgery, Cittadella Salute e dellaScienza Hospital,
University of Turin, 10100 Turin, Italy. E-mail: erind549@hotmail.com

How to cite this article: Bocchiotti MA, Baglioni EA, Bruschi S, Spaziante L, Ruka E. The experience performing extended abdominoplasty in massive
weight loss patients. Plast Aesthet Res 2017;4:57-63.
Dr. Erind Ruka is an Italian-Albanian plastic reconstructive and aesthetic plastic surgeon. After finishing his surgical
training at the University of Turin in Turin, Italy, he started working in different countries all across Europe and relocated
in several plastic surgery departments. His main fields of interest are facial aesthetic and reconstructive surgery, breast
aesthetic and reconstructive surgery, wound repair and regenerative medicine. Furthermore, he has published as author
or co-author several papers in national and international scientific journals and acts as reviewer for several plastic
surgery journals.

ABSTRACT
Article history: Aim: The post-bariatric patients who undergo torsoplasty often incur postoperative
Received: 30-12-2016 complications that dilate their recovery time. The authors propose the technique of extended
Accepted: 07-04-2017 abdominoplasty, described in 2012 for aesthetic torso remodeling, in post-bariatric patients
Published: 21-04-2017 in order to reduce complications and hospitalization time. Methods: The authors performed
21 extended abdominoplasties and compared them with 21 torsoplasties in post-bariatric
Key words: patients during a 1-year period. Data studied was age, gender, duration of the procedure,
Post-bariatric, blood loss, complications and hospitalization duration. Results: Peri and postoperative
abdominoplasty, bleeding led to 3 cases of anemia necessitating blood transfusions in 14.3% of the second
torsoplasty, group; no blood transfusion was needed in the first group. No other major complications
complications, occurred during the postoperative period in both groups. Conclusion: The authors believe
body contouring, that extended abdominoplasty is a viable alternative to the torsoplasty in selected patients
body reshaping presenting a severe adipocutaneous circumferential laxity, as occurs in post-bariatric patients
with a significant weight loss.

INTRODUCTION increase in bariatric surgery procedures. Moreover,
bariatric surgery has demonstrated to improve or even
In the last years, the prevalence of obesity has to eradicate significant obesity-related comorbidities
increased in most industrialized countries. The including diabetes mellitus, hypertension, dyslipidemia,
[1]
rise on obesity prevalence has taken a concomitant and obstructive sleepapnea. [2-6]
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