![]() ![]() Although widely performed, abdominoplasty carries the highest complication rate of all cosmetic procedures. No patient in either group developed problems with blood clots (venous thromboembolism), a more serious type of complication.Ībdominoplasty is the fifth most common cosmetic procedures in the United States, with nearly 130,000 procedures performed in 2017, according to ASPS statistics. Rates of other complications were also similar between groups, including infections, wound-healing problems (dehiscence), and blood collections under the skin (hematomas). ![]() However, the difference between groups was not statistically significant. Obese patients had a higher rate of fluid collections under the skin (seromas) requiring drainage: 22.5 versus 14.2 percent. However, all complication rates were similar between groups. For most patients in both groups, tummy tuck surgery was combined with liposuction.Īs in previous studies of abdominoplasty, there was a significant risk of complications. Obese patients were more likely to have high blood pressure otherwise, risk factors were similar between groups. The remaining 62 patients were classified as non-obese, average BMI 25 kg/m2.Ĭomplication rates were compared between groups, with an average follow-up time of close to one year. Twenty-one patients were classified as obese, based on an average body mass index (BMI) of 35 kilograms per square meter (kg/m2). The study included 82 patients who underwent abdominoplasty – a popular cosmetic surgery procedure to improve the appearance of the abdomen – over a seven-year period. Good Outcomes and Safety of Abdominoplasty in Patients with Obesity The findings help to alleviate concerns that obese patients are at higher risk of complications after tummy tuck. "Abdominoplasty, with or without concurrent liposuction, in obese patients is a safe and effective procedure with similar perioperative complication rates as the non-obese patient population," write ASPS Member Surgeon Laurence Glickman, MD, MSc, FACS, and colleagues of Long Island Plastic Surgical Group, Garden City, NY. "Tummy tuck" surgery (abdominoplasty) can be safely performed in obese patients, with no increase in complications compared to non-obese patients, reports a study in the April issue of Plastic and Reconstructive Surgery®, the official medical journal of the American Society of Plastic Surgeons (ASPS). ![]()
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