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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Body Contouring Surgery: Our 5 Years Experience</title><author><name sortKey="Zerini, Irene" sort="Zerini, Irene" uniqKey="Zerini I" first="Irene" last="Zerini">Irene Zerini</name></author><author><name sortKey="Sisti, Andrea" sort="Sisti, Andrea" uniqKey="Sisti A" first="Andrea" last="Sisti">Andrea Sisti</name></author><author><name sortKey="Barberi, Laura" sort="Barberi, Laura" uniqKey="Barberi L" first="Laura" last="Barberi">Laura Barberi</name></author><author><name sortKey="Cuomo, Roberto" sort="Cuomo, Roberto" uniqKey="Cuomo R" first="Roberto" last="Cuomo">Roberto Cuomo</name></author><author><name sortKey="Tassinari, Juri" sort="Tassinari, Juri" uniqKey="Tassinari J" first="Juri" last="Tassinari">Juri Tassinari</name></author><author><name sortKey="Grimaldi, Luca" sort="Grimaldi, Luca" uniqKey="Grimaldi L" first="Luca" last="Grimaldi">Luca Grimaldi</name></author><author><name sortKey="D Niello, Carlo" sort="D Niello, Carlo" uniqKey="D Niello C" first="Carlo" last="D Niello">Carlo D Niello</name></author><author><name sortKey="Nisi, Giuseppe" sort="Nisi, Giuseppe" uniqKey="Nisi G" first="Giuseppe" last="Nisi">Giuseppe Nisi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27257579</idno><idno type="pmc">4874293</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874293</idno><idno type="RBID">PMC:4874293</idno><idno type="doi">10.1097/GOX.0000000000000636</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000558</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000558</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Body Contouring Surgery: Our 5 Years Experience</title><author><name sortKey="Zerini, Irene" sort="Zerini, Irene" uniqKey="Zerini I" first="Irene" last="Zerini">Irene Zerini</name></author><author><name sortKey="Sisti, Andrea" sort="Sisti, Andrea" uniqKey="Sisti A" first="Andrea" last="Sisti">Andrea Sisti</name></author><author><name sortKey="Barberi, Laura" sort="Barberi, Laura" uniqKey="Barberi L" first="Laura" last="Barberi">Laura Barberi</name></author><author><name sortKey="Cuomo, Roberto" sort="Cuomo, Roberto" uniqKey="Cuomo R" first="Roberto" last="Cuomo">Roberto Cuomo</name></author><author><name sortKey="Tassinari, Juri" sort="Tassinari, Juri" uniqKey="Tassinari J" first="Juri" last="Tassinari">Juri Tassinari</name></author><author><name sortKey="Grimaldi, Luca" sort="Grimaldi, Luca" uniqKey="Grimaldi L" first="Luca" last="Grimaldi">Luca Grimaldi</name></author><author><name sortKey="D Niello, Carlo" sort="D Niello, Carlo" uniqKey="D Niello C" first="Carlo" last="D Niello">Carlo D Niello</name></author><author><name sortKey="Nisi, Giuseppe" sort="Nisi, Giuseppe" uniqKey="Nisi G" first="Giuseppe" last="Nisi">Giuseppe Nisi</name></author></analytic><series><title level="j">Plastic and Reconstructive Surgery Global Open</title><idno type="eISSN">2169-7574</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Ellison, Jm" uniqKey="Ellison J">JM Ellison</name></author><author><name sortKey="Steffen, Kj" uniqKey="Steffen K">KJ Steffen</name></author><author><name sortKey="Sarwer, Db" uniqKey="Sarwer D">DB. Sarwer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Grieco, M" uniqKey="Grieco M">M Grieco</name></author><author><name sortKey="Grignaffini, E" uniqKey="Grignaffini E">E Grignaffini</name></author><author><name sortKey="Simonacci, F" uniqKey="Simonacci F">F Simonacci</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Herman, Ck" uniqKey="Herman C">CK Herman</name></author><author><name sortKey="Hoschander, As" uniqKey="Hoschander A">AS Hoschander</name></author><author><name sortKey="Wong, A" uniqKey="Wong A">A. Wong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Poulsen, L" uniqKey="Poulsen L">L Poulsen</name></author><author><name sortKey="Roessler, Kk" uniqKey="Roessler K">KK Roessler</name></author><author><name sortKey="Rose, M" uniqKey="Rose M">M Rose</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sieffert, Mr" uniqKey="Sieffert M">MR Sieffert</name></author><author><name sortKey="Fox, Jp" uniqKey="Fox J">JP Fox</name></author><author><name sortKey="Abbott, Le" uniqKey="Abbott L">LE Abbott</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sioka, E" uniqKey="Sioka E">E Sioka</name></author><author><name sortKey="Tzovaras, G" uniqKey="Tzovaras G">G Tzovaras</name></author><author><name sortKey="Katsogridaki, G" uniqKey="Katsogridaki G">G Katsogridaki</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tremp, M" uniqKey="Tremp M">M Tremp</name></author><author><name sortKey="Delko, T" uniqKey="Delko T">T Delko</name></author><author><name sortKey="Kraljevi, M" uniqKey="Kraljevi M">M Kraljević</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Valente, Ds" uniqKey="Valente D">DS Valente</name></author><author><name sortKey="Padoin, Av" uniqKey="Padoin A">AV. Padoin</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="brief-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Plast Reconstr Surg Glob Open</journal-id><journal-id journal-id-type="iso-abbrev">Plast Reconstr Surg Glob Open</journal-id><journal-id journal-id-type="publisher-id">GOX</journal-id><journal-title-group><journal-title>Plastic and Reconstructive Surgery Global Open</journal-title></journal-title-group><issn pub-type="epub">2169-7574</issn><publisher><publisher-name>Wolters Kluwer Health</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27257579</article-id><article-id pub-id-type="pmc">4874293</article-id><article-id pub-id-type="art-access-id">00037</article-id><article-id pub-id-type="doi">10.1097/GOX.0000000000000636</article-id><article-categories><subj-group subj-group-type="heading"><subject>SICPRE Meeting Proceedings</subject></subj-group></article-categories><title-group><article-title>Body Contouring Surgery: Our 5 Years Experience</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Zerini</surname><given-names>Irene</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Sisti</surname><given-names>Andrea</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Barberi</surname><given-names>Laura</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Cuomo</surname><given-names>Roberto</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Tassinari</surname><given-names>Juri</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Grimaldi</surname><given-names>Luca</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>D’Aniello</surname><given-names>Carlo</given-names></name><degrees>MD</degrees></contrib><contrib contrib-type="author"><name><surname>Nisi</surname><given-names>Giuseppe</given-names></name><degrees>MD</degrees></contrib><aff>From the Plastic Surgery Division, General and Specialist Surgery Department, University of Siena, Siena, Italy.</aff></contrib-group><author-notes><corresp id="c1">Irene Zerini, MD, Plastic Surgery Division, General and Specialist Surgery Department, University of Siena, viale Bracci 2, 53100 Siena, Italy, E-mail: <email xlink:href="irene.zerini@gmail.com">irene.zerini@gmail.com</email></corresp></author-notes><pub-date pub-type="collection"><month>3</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>18</day><month>3</month><year>2016</year></pub-date><volume>4</volume><issue>3</issue><elocation-id>e649</elocation-id><permissions><copyright-statement>Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.</copyright-statement><copyright-year>2016</copyright-year><license license-type="open-access"><license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND)</ext-link>, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.</license-p></license></permissions><self-uri xlink:type="simple" xlink:href="gox-4-e649.pdf"></self-uri><custom-meta-group><custom-meta><meta-name>OPEN-ACCESS</meta-name><meta-value>TRUE</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec sec-type="intro"><title>INTRODUCTION</title><p>An increasing number of patients undergo bariatric surgery that leads to functional and aesthetic sequelae related to a rapid and massive weight loss, namely, skin and fat excess. These patients undergo body contouring surgery (BCS) to improve health, mobility, appearance, and psychological adjustment. However, these procedures are associated with a significant number of complications.<sup><xref rid="R1" ref-type="bibr">1</xref>–<xref rid="R8" ref-type="bibr">8</xref></sup> The purpose of this study was to report our experience on BCS in the last 5 years and to investigate the related complications.</p></sec><sec sec-type="methods"><title>METHODS</title><p>The records of all patients who underwent a BCS at a local hospital during the last 5 years (2010–2014) were reported. All procedures were performed by 1 of 4 board-certified plastic surgeons. Surgeons included in the study had been practicing in the community for variable lengths of time ranging from 10 to 33 years.</p><p>Data collection was performed through analysis of the medical records for each patient, including age, sex, weight, height, body mass index (BMI) and weight loss before surgery, and complications that eventually occurred. The history of bariatric surgery and reports of diabetes, high blood pressure, pregnancies, and smoking were sought.</p></sec><sec sec-type="results"><title>RESULTS</title><p>Our series included 335 patients who underwent surgery to improve the aesthetic appearance and functional outcome of their thighs, abdomen, upper arms, hips, and breast. One hundred eighty-one patients underwent abdominoplasty, 42 brachioplasty, 46 medial thigh lift, 10 combined abdominoplasty and medial thighplasty, 4 hip lifts, 4 augmentation mammoplasty with implants (Figs. <xref ref-type="fig" rid="F1">1</xref>, <xref ref-type="fig" rid="F2">2</xref>), and 48 autologous augmentation mastopexy (Table <xref ref-type="table" rid="T1">1</xref>). The mean age of the patients was 41.5 ± 10.4 years. The mean BMI was 28 ± 3.2 kg/m<sup>2</sup>, and the average weight loss before the operation was 38.3 ± 11.9 kg (range, 11–105 kg). Bariatric surgery has been performed for 47.2% of our patients, through either laparoscopic adjustable gastric banding or gastric bypass. The mean drainage duration was 2.3 ± 2 days, and the mean follow-up period was 12.5 ± 3 months (range, 6–24 months). Eighty-five patients (25.37%) reported at least 1 complication. The most frequent complications were bleeding (42 patients, 12.53%), seroma (24 patients, 7.16%), wound dehiscence (13 patients, 3.88%), scar migration, wound infection, and partial skin necrosis. We reported no cases of large necrosis, deep vein thrombosis, pulmonary embolism, lymphedema, or any vulvar problems.</p><table-wrap id="T1" position="float"><label>Table 1.</label><caption><p>Body Contouring Procedures Performed in the Last 5 Years (2010–2014)</p></caption><graphic xlink:href="gox-4-e649-g001"></graphic></table-wrap><fig id="F1" position="float"><label>Fig. 1.</label><caption><p>View of a 32-year-old female patient before BCS.</p></caption><graphic xlink:href="gox-4-e649-g002"></graphic></fig><fig id="F2" position="float"><label>Fig. 2.</label><caption><p>View of the same patient after brachioplasty, abdominoplasty, and augmentation mammoplasty with breast implants.</p></caption><graphic xlink:href="gox-4-e649-g003"></graphic></fig><p>A higher complication rate was associated with a higher BMI, history of bariatric surgery, diabetes, and smoking history.</p></sec><sec sec-type="conclusions"><title>CONCLUSIONS</title><p>In our experience, plastic surgery that deals with the body contouring after major weight loss is accompanied by a high percentage of minor complications. Patients who have undergone bariatric surgery or who have a high BMI at the time of surgery undergo a higher percentage of complications. Diabetes and smoking were found to be risk factors for the occurrence of wound dehiscence and seroma. Despite these complications, the majority of patients reported satisfactory BCS outcomes. However, the appropriate management of expectations before surgery is mandatory.</p></sec></body><back><fn-group><fn fn-type="other"><p>Presented at the 64th Annual Meeting of the SICPRE, September 17–19, 2015, Milan, Italy.</p></fn><fn fn-type="other"><p><bold>SICPRE</bold>: La SICPRE, Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica, national meeting, in Milano, Italy on September 17–19, 2015.</p></fn><fn fn-type="conflict"><p><bold>Disclosure:</bold> The authors have no financial interest to declare in relation to the content of this article. 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