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Introduction <p>The growing popularity of bariatric surgery has resulted in a rising demand for body contouring procedures to address excess skin and reshape the body after massive weight loss (MWL). Performing multiple procedures in a single operative session may shorten the overall recovery period and enhance patient satisfaction. The aim of this study was to present our outcomes with combined body contouring procedures in post-MWL patients, evaluate long-term aesthetic results, and compare our findings with outcomes reported in the literature.</p> Material and Methods <p>A total of 75 patients who experienced significant weight loss underwent multiple combined body contouring surgery from May 2018–May 2024. Each patient received two or three procedures as a single stage. The surgical interventions included lower trunk lift with or without gluteal autoaugmentation, upper trunk lift (brachioplasty combined with mastopexy or gynecomastia correction), and thigh lift. Patient satisfaction was assessed six months postoperatively using a structured questionnaire.</p> Results <p>Patients ranged in age from 17 to 58 years, with a mean age of 32 years. The overall complication rate was low: minor wound dehiscence occurred in 9.33% of cases (n=7), seroma formation in 8% (n=6), wound infection in 5.33% (n=4), and hematoma in 2.66% (n=2), the latter requiring readmission. No operative time exceeded 4.5 hours. Patient-reported satisfaction with aesthetic outcomes was high across all domains assessed.</p> Conclusion <p>Patient satisfaction with multiple combined body contouring procedures following MWL was good/excellent. Performing these surgeries in a single stage proved to be efficient and well-tolerated. Successful outcomes require careful patient selection, detailed surgical planning, and seamless multidisciplinary collaboration to minimize complications and optimize recovery<i>.</i></p> Level of Evidence IV <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

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Outcome of Multiple Combined Post-bariatric Surgery in Massive Weight Loss Patients

  • 期刊论文

  • 发表日期：

    2026年5月26日

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  • Mufid Burgic,
  • Anadi Begic,
  • Adi Rifatbegovic,
  • Musfaha Burgic,
  • Fadil Umihanic

摘要

Introduction

The growing popularity of bariatric surgery has resulted in a rising demand for body contouring procedures to address excess skin and reshape the body after massive weight loss (MWL). Performing multiple procedures in a single operative session may shorten the overall recovery period and enhance patient satisfaction. The aim of this study was to present our outcomes with combined body contouring procedures in post-MWL patients, evaluate long-term aesthetic results, and compare our findings with outcomes reported in the literature.

Material and Methods

A total of 75 patients who experienced significant weight loss underwent multiple combined body contouring surgery from May 2018–May 2024. Each patient received two or three procedures as a single stage. The surgical interventions included lower trunk lift with or without gluteal autoaugmentation, upper trunk lift (brachioplasty combined with mastopexy or gynecomastia correction), and thigh lift. Patient satisfaction was assessed six months postoperatively using a structured questionnaire.

Results

Patients ranged in age from 17 to 58 years, with a mean age of 32 years. The overall complication rate was low: minor wound dehiscence occurred in 9.33% of cases (n=7), seroma formation in 8% (n=6), wound infection in 5.33% (n=4), and hematoma in 2.66% (n=2), the latter requiring readmission. No operative time exceeded 4.5 hours. Patient-reported satisfaction with aesthetic outcomes was high across all domains assessed.

Conclusion

Patient satisfaction with multiple combined body contouring procedures following MWL was good/excellent. Performing these surgeries in a single stage proved to be efficient and well-tolerated. Successful outcomes require careful patient selection, detailed surgical planning, and seamless multidisciplinary collaboration to minimize complications and optimize recovery.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.