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Abstract
Introduction: Obesity, classified as a chronic condition of multiple origins, has increased significantly in recent years, and bariatric surgery has emerged as an effective therapeutic strategy for the most severe cases, although it commonly results in excess skin and abdominal flaccidity. In view of this, post-bariatric abdominoplasty is an important surgical alternative whose indication and possible complications must be carefully analyzed to ensure safe procedures with good outcomes. Objective: To analyze and synthesize the scientific literature from the last 10 years on post-bariatric abdominoplasty, focusing on the criteria for surgical indication and the main associated complications. Methodology: This literature review analyzed studies on post-bariatric abdominoplasty, focusing on indication criteria and complications, with articles from the last 10 years (2015-2025) searched in the PubMed database using descriptors such as "abdominoplasty", "post-bariatric" and "risks and complications". Articles in Portuguese and English that addressed post-surgical complications were included, using combinations of descriptors such as “abdominoplasty” OR “abdominoplasties” AND “post” AND ‘bariatric’ OR “bariatrics” in English and Portuguese and manual analysis to select relevant studies. Of the 10 articles evaluated, 4 were selected for a qualitative analysis, synthesizing the main findings on the risks and impacts of this combined surgery. Conclusion: Analysis of the studies reveals that the majority of patients undergoing bariatric surgery experience significant health benefits, including cardiovascular improvement, metabolic control and remission of comorbidities, leading to the indication of abdominoplasty for body contouring. Despite being a generally safe intervention, post-bariatric abdominoplasty involves risks, so careful selection of candidates and post-operative monitoring are essential. In addition, adequate nutritional and psychological support is crucial to ensure successful recovery, reduce complications and improve patients' quality of life.
References
ANGRISANI, L. et al. Bariatric surgery worldwide 2013. Obesity Surgery, v. 25, p. 1822–1832, 2015. Disponível em: doi: 10.1007/s11695-015-1657-z
DALAEI, F.; DE VRIES, C. E. E.; POULSEN, L. et al. Body contouring surgery after bariatric surgery improves long-term health-related quality of life and satisfaction with appearance: an international longitudinal cohort study using the BODY-Q. Annals of Surgery, v. 279, n. 6, p. 1008–1017, 2024. Disponível em: doi: 10.1097/SLA.0000000000006244
DE PAEP K, Van Campenhout I, Van Cauwenberge S, Dillemans B. Post-bariatric Abdominoplasty: Identification of Risk Factors for Complications. Obes Surg. 2021;31(7):3203-3209. Disponível em: doi:10.1007/s11695-021-05383-0
GOMES, Elisa Mileni de Sá; CARVALHO, Karen Rodrigues Vieira; PEREIRA, Taynah Regianni Furtado; HILARINO, Larissa Veloso; MAGALHÃES, Letícia Ferreira Rezende; OLIVEIRA, Maria Clara Lemos; TEIXEIRA, Thaís Helen Costa; BURGARELLI, Giselle Lelis. As principais complicações em cirurgias plásticas em pacientes pós-bariátrica: uma revisão integrativa da literatura. Revista Brasileira de Cirurgia Plástica, v. 38, n. 3, p. 1–8, 2023. Disponível em: https://doi.org/10.5935/2177-1235.2023RBCP0733-PT
Faulconbridge LF, Wadden TA, Thomas JG, Jones-Corneille LR, Sarwer DB, Fabricatore AN. Changes in depression and quality of life in obese individuals with binge eating disorder: bariatric surgery versus lifestyle modification. Surg Obes Relat Dis. 2013 Sep-Oct;9(5):790-6. Disponível em: doi: 10.1016/j.soard.2012.10.010.
HERMAN CK, Hoschander AS, Wong A. Post-Bariatric Body Contouring. Aesthet Surg J. 2015;35(6):672-687. Disponível em: doi:10.1093/asj/sjv008
MECHANICK JI, Apovian C, Brethauer S, et al. Clinical practice guidelines for the perioperative nutrition, metabolic, and nonsurgical support of patients undergoing bariatric procedures - 2019 update: cosponsored by American Association of Clinical Endocrinologists/American College of Endocrinology, The Obesity Society, American Society for Metabolic & Bariatric Surgery, Obesity Medicine Association, and American Society of Anesthesiologists. Endocrine Practice, v. 25, n. 12, p. 1346–1359, 2019. Disponível em: doi: 10.4158/GL-2019-0406.
RAJABI MR, Rezaei M, Abdollahi A, et al. Long-term systemic effects of metabolic bariatric surgery: A multidisciplinary perspective. Heliyon. 2024;10(14):e34339. Published 2024 Jul 11. Disponível em: doi:10.1016/j.heliyon.2024.e34339
SANTIAGO JUNIOR, Eurico Arteaga; ANDRIGHETTI, Thais Conte Dias Bencini; MERONI, Matheus Lucena Miranda; NOLASCO, Thays Favaro Fernandes; CONTENTE, Rodrigo; SOUZA, Carolina Lacerda. As principais técnicas utilizadas de abdominoplastia em pacientes pós-bariátricos após massiva perda de peso: revisão sistemática. Revista Brasileira de Cirurgia Plástica, v. 38, n. 1, p. e0610, 2023. Disponível em: https://doi.org/10.5935/2177-1235.2023RBCP0610-PT
SARWER, D. B.; FABRICATORE, A. N. Psychiatric considerations of the massive weight loss patient. Clinics in Plastic Surgery, v. 35, n. 1, p. 1–10, 2008. Disponível em: doi: 10.1016/j.cps.2007.08.006
SCHLOSSHAUER T, Kiehlmann M, Jung D, Sader R, Rieger UM. Post-Bariatric Abdominoplasty: Analysis of 406 Cases With Focus on Risk Factors and Complications. Aesthet Surg J. 2021;41(1):59-71. Disponível em: doi:10.1093/asj/sjaa067
WORLD HEALTH ORGANIZATION. Obesity and overweight – fact sheet. 2024. Disponível em: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight. Acesso em: 16 abr. 2025.
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Copyright (c) 2025 Lucia Nicchole Kalena De Melo Ribeiro Roque, Karen Martins Quintão, Renata de Sousa Vinhal, Wilcéia Aparecida Souza da Silva , Paola Polis Vargas, Gabriela Vieira Silva
