Biopsychosocial factors that influence post-bariatric patients to undergo body contouring surgery

Main Article Content

Havanna Florentino Pereira
Fabíola Gabriellen de Barros Brito
Milena Nunes Alves de Sousa

Abstract

Objective: To assess what causes psychosocial changes that lead post-bariatric patients to undergo body contouring surgery. Methods: This is an integrative literature review based on research in the Portal Capes, Science Direct and Scientific Electronic Library Online (SciELO) databases. To this end, the Health Sciences Descriptors (DeCS) were used: "Obesity", "Bariatric Surgery" and "Plastic Surgery" combined using the Boolean operator "AND". The studies that answered the guiding question of this review, published between 2018 and 2022, in the languages: english or portuguese and texts type article were adopted. Repeated studies in more than one database and those that did not follow the central theme were removed. In the end, 16 articles were used. Results: The findings that indicated psychic changes in post-bariatric patients were: excess fat tissue, excess skin, excess breasts, body image disorder, low self-esteem and depression. All of this can lead them to seek body contouring surgeries sometime after bariatric surgery. Final considerations: The factors that cause psychosocial changes that lead post-bariatric patients to undergo body contouring surgery are related to two main groups: the physical and the psychics.

Article Details

How to Cite
PereiraH. F., BritoF. G. de B., & SousaM. N. A. de. (2023). Biopsychosocial factors that influence post-bariatric patients to undergo body contouring surgery. Electronic Journal Collection Health, 23(1), e11640. https://doi.org/10.25248/reas.e11640.2023
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Revisão Bibliográfica

References

1. BASCARANE S, et al. Psychiatric Assessment and Management of Clients Undergoing Cosmetic Surgery: Overview and Need for an Integrated Approach. Indian journal of plastic surgery, 2021; 54(1):8-19.

2. BENNETT KG, et al. Persistent Opioid Use and High-Risk Prescribing in Body Contouring Patients. Plast Reconstr Surg, 2019; 143(1): 87-96.

3. BRITO IM, et al. Abdominoplasty and Patient Safety: The Impact of Body Mass Index and Bariatric Surgery on Complications Profile. Aesth Plast Surg, 2020; 44:1615-1624.

4. BUER L, et al. Comparing bariatric surgery patients who desire, undergo, or do not desire body contouring surgery: a 5-year prospective study of body image and mental health. Obes Surg, 2022; 32:2952-2959.

5. CHRISTOPHER NA, et al. A comparative analysis of fleur-de-lis and traditional panniculectomy after bariatric surgery. Aesth Plast Surg, 2021; 45:2208-2219.

6. CINTRA JUNIOR W, et al. Post-bariatric body contouring surgery: analysis of complications in 180 consecutive patients. Revista do Colégio Brasileiro de Cirurgiões, 2021; 48.

7. DERDERIAN SC, et al. Body contouring in adolescents after bariatric surgery. Surgery for Obesity and Related Diseases, 2020a; 16(1):137-142.

8. DERDERIAN SC, et al. Excess skin problems among adolescents after bariatric surgery. Surgery for Obesity and Related Diseases, 2020b; 16(8):993-998.

9. EL ABD R, et al. Body contouring surgery improves weight loss after bariatric surgery: a systematic review and meta-analysis. Aesth Plast Surg, 2021; 45:1064-1075.

10. GEBRAN SG, et al. Panniculectomy at the time of bariatric surgery: a propensity score-matched analysis of outcomes in the MBSAQIP database. Surgery for Obesity and Related Diseases, 2021; 17(1):177-184.

11. GIULIANI NR, et al. Estudo prospectivo da resposta inflamatória em pacientes submetidas à abdominoplastia pós-cirurgia bariátrica. Revista Brasileira de Cirurgia Plástica, 2021; 36(2):129-133.

12. LAZZATI A, et al. Plastic surgery in bariatric patients: a nationwide study of 17,000 patients on the national administrative database. Surgery for Obesity and Related Diseases, 2018; 14(5):646-651.

13. MACEDO JLS de, et al. What Is the Impact of Residual Obesity on the Risk for Postoperative Body-Contouring Surgery Complications in Postbariatric Patients? OBES SURG, 2020; 30:4149–4154.

14. MACEDO JLS de, et al. The Impact of the Weight of Removed Tissue on the Development of Postoperative Complications in Patients Undergoing Abdominoplasty after Gastric Bypass. OBES SURG, 2021; 31:2324-2329.

15. MAROUF A e MORTADA H. Complications of Body Contouring Surgery in Postbariatric Patients: A Systematic Review and Meta-Analysis. Aesth Plast Surg, 2021; 45:2810-2820.

16. MATOS JC, et al. Contraste entre o tratamento cirúrgico da obesidade e cirurgias plásticas pós-bariátricas. Revista Brasileira de Cirurgia Plástica, 2022; 37(2).

17. OCKELL J, et al. Physical measurements and patients' perception of excess skin on the arms and thighs before and after bariatric surgery. Eur J Plast Surg, 2022; 45:631-640.

18. PARDO JC, et al. Searching for the Best Way to Assess the Risk of Thrombosis in Aesthetic Plastic Surgery; The Role of the Caprini/Pannucci Score. Aesthetic Plastic Surgery, 2019; 43(5):1387-1395.

19. PAUL MA, et al. The long-term effect of body contouring procedures on quality of life in morbidly obese patients after bariatric surgery. PLoS ONE, 2020; 15(2).

20. PROCZKO M, et al. Evolution of the body image perception of people with obesity on the pathway from bariatric surgery to body contouring lift surgery. Journal of Plastic, Reconstructive & Aesthetic Surgery, 2022; 75(2):860-869.

21. RHEMTULLA IA, et al. Improvement in racial disparity among patients undergoing panniculectomy after bariatric surgery. The American Journal of Surgery, 2019; 218(1):37-41.

22. ROSA SC, et al. Anthropometric and clinical profiles of post-bariatric patients submitted to procedures in plastic surgery. Revista do Colégio Brasileiro de Cirurgiões, 2018; 45.

23. ROSA SC, et al. What Is the Impact of Comorbidities on the Risk for Postoperative Body-Contouring Surgery Complications in Postbariatric Patients? Obesity Surgery, 2019; 29(2): 552-559.

24. SILVA GM da, et al. Obesidade como fator agravante da COVID-19 em adultos hospitalizados: revisão integrativa. Acta Paulista de Enfermagem, 2021; 34.

25. SOCIEDADE BRASILEIRA DE CIRURGIA BARIÁTRICA E METABÓLICA. Indicações ao paciente: Quem pode fazer? São Paulo, 2017. Disponível em: https://www.sbcbm.org.br/quem-pode-fazer/.

26. TONATTO FILHO AJ, et al. Dermolipectomias após procedimentos bariátricos no Sistema Público de Saúde: um longo caminho a percorrer. Revista Brasileira de Cirurgia Plástica, 2022; 37(1):53-59.

27. VINDIGNI V, et al. The Posterior Arm Flap for Reshaping the Postbariatric Breast. Plastic and reconstructive surgery, 2019; 7(9)