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Bocchiotti et al. Extended abdominoplasty in massive weight loss patients

Figure 2: A male patient who underwent vertical banded gastroplasty. Weight loss: 115 kg, from 200 to 85 kg. Upper row, from left to right:
pre-operative frontal view, left 2/3° view, left lateral view, right 2/3° view, right lateral view. Lower row, 8 months after surgery (extended
abdominoplasty), from left to right: post-operative frontal view, left 2/3° view, left lateral view, right 2/3° view, right lateral view

Figure 3: A female patient who underwent vertical banded gastroplasty. Weight loss: 130 kg, from 198 to 68 kg. Upper row, from left to
right: left lateral view, left 2/3° view, pre-operative frontal view, right 2/3° view, right lateral view, back view. Lower row, 8 months after
surgery (extended abdominoplasty), from left to right: left lateral view, left 2/3° view, pre-operative frontal view, right 2/3° view, right lateral
view, back view

Eight males [Figure 2] and 13 females [Figures 3 and 4] (26.5-108 kg). The average BMI at the time of surgery
underwent extended abdominoplasty. The mean age was 27.3 kg/m . Mean weight of skin and fat tissue
2
was 46.8 years (30-63 years), and the average weight removed was 3,460.9 g (1,780-8,930 g), mean
loss after bariatric surgery was 69.4 kg (28-115 kg). operative time was 4 h and 30 min (2 h and 45 min-6 h
The average BMI at the time of surgery was 28.6 kg/m . and 20 min) and the mean peri-operative blood loss
2
Mean weight of skin and fat tissue removed was 3,430 g was 1,085.4 mL. The patients remained hospitalized
(1,750-8,960 g), mean operative time was 3 h and 30 min for 12.5 days, while the mean follow-up was 14 months.
(2 h and 15 min-5 h) and the mean peri-operative blood
loss was 628.6 mL. The patients remained hospitalized The comparison between extended abdominoplasty (ex)
for 7.8 days, while the mean follow-up was 14 months. and torsoplasty (tp) gave the following results regarding
blood loss (ex: 628.6 mL-tp: 1,085.4 mL, P = 0.049),
Seven males and 14 females underwent torsoplasty. transfusion rate (ex: 0%-tp: 27.3%), operation length
The mean age was 45.2 years (30-61 years), and the (ex: 3 h 30 s-tp: 4 h 30 s, P < 0.001) and hospitalization
average weight loss after bariatric surgery was 61.8 kg days (ex: 7.8-tp: 12.5, P = 0.002) [Table 2].
60 Plastic and Aesthetic Research ¦ Volume 4 ¦ April 21, 2017