Can you lose weight after a Panniculectomy?

Conclusions. Patients who underwent a panniculectomy tended to lose weight postoperatively, particularly those who had not undergone previous bariatric surgery. Complications were not uncommon, especially in patients with a smoking history.

journals.lww.com - Evaluating Outcomes and Weight Loss After Panniculectomy

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How many 50 doses are in an Ozempic pen?

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Objective

The objective of this study was to evaluate long-term outcomes and weight loss after panniculectomy.

Methods

A retrospective chart review study was performed on 225 consecutive patients who had undergone panniculectomy from 2002 and 2020. Demographic variables including smoking status, medical comorbidities, and prior history of weight loss/bariatric surgery were collected for 173 patients. Preoperative and postoperative body mass index (BMI) were calculated in addition to postoperative outcomes.

Results

The study population was 85% female with a mean age of 57 years and an average follow-up of 3.9 years. Relevant comorbidities included obesity (88%), hypertension (65%), diabetes (37%), and smoking (8%), and the majority (53%) of patients had undergone prior bariatric surgery. The overall complication rate was 40%. Twenty percent of patients required reoperation or readmission, and 20% had minor complications addressed in an outpatient setting. Patients who had higher preoperative BMI experienced a significant long-term reduction in BMI. In addition, patients who did not undergo prior bariatric surgery tended to lose weight more often and by larger amounts than patients who had prior bariatric surgery (71.6% vs 57.6, P = 0.023). Complications were not uncommon and included infection (17%), delayed wound healing (16%), seroma (8%), and hematoma (3%). Patients who had prior bariatric surgery were at reduced risk of any complication (P = 0.012). Smoking increased the incidence of infection (38.5% of smokers vs 15.6% of nonsmokers, P = 0.039). Concomitant hernia repair increased the risk of overall complications (64.3% vs 35.9%, P = 0.003) and delayed wound healing (39.2% vs 11.7%, P < 0.001). In the subgroup of patients who did not lose weight, a panniculus weight greater than 5 kg was associated with an increased complication rate (61.5% vs 27%, P = 0.03).

Conclusions

Patients who underwent a panniculectomy tended to lose weight postoperatively, particularly those who had not undergone previous bariatric surgery. Complications were not uncommon, especially in patients with a smoking history. Prior bariatric surgery patients had a significant decrease in postoperative complications but tended to lose less weight after panniculectomy than those without prior bariatric surgery. Concomitant hernia repair put patients at an increased risk of complications.

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How is a plus size tummy tuck done?

embracescartherapy.com - Plus Size Tummy Tuck - embrace Scar Therapy

Having confidence in your own skin is priceless, and a plus size tummy tuck is an invaluable tool to help you get there. In this post, we'll answer all of your questions regarding plus size tummy tucks, including the benefits and risks, the recovery process, and more.

What is a Plus Size Tummy Tuck?

A plus size tummy tuck, sometimes called a high BMI tummy tuck or an overweight tummy tuck, is a procedure where a plastic surgeon removes excess fat and skin from the abdominal area. When extra fat and skin are removed, the abdominal muscles can begin to tighten, and as a result, reveal a slimmer, smaller stomach. The process for a plus size tummy tuck is similar to a traditional abdominoplasty, but more fat is generally removed during a plus size procedure.

Candidates for a Plus Size Tummy Tuck

You may be a good candidate for an overweight tummy tuck if:

You have a BMI of 30 or less

Are within 20-30 pounds of your goal weight

You are healthy and do not have a medical condition(s) that may increase your risk of complications

You are devoted to living a healthy lifestyle

You do not plan to get pregnant

Talk to your doctor about their specific criteria to assess whether you're considered a suitable candidate for the procedure.

Benefits of a Plus Size Tummy Tuck

The benefits of having a high BMI tummy tuck vary from person to person, but may include:

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