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The 10th Anniversary of JCM-Post-bariatric Plastic Surgery: The State...
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The 10th Anniversary of JCM-Post-bariatric Plastic Surgery: The State of the Art of Body Contouring for 'Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine' Section

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine".

Deadline for manuscript submissions: closed (31 December 2022) | Viewed by 10467

Special Issue Editors

Dr. Roberto Cuomo

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Guest Editor
Plastic and Reconstructive Surgery Unit, Department of Medicine, Surgery and Neuroscience, University of Siena, 53100 Siena, Italy
Interests: plastic surgery; regenerative surgery; wound care; breast reconstruction; nipple–areola reconstruction; body-contouring surgery
Special Issues, Collections and Topics in MDPI journals
Dr. Payam Sadeghi

E-Mail Website
Guest Editor
1. Member of American Society of Plastic Surgeons (ASPS), Residents and Fellows Forum Candidate member of PSRC (Plastic Surgery Research Council), USA
2. Plastic Surgery Department, Cleveland Clinic, Cleveland, OH, USA
Interests: reconstructive plastic surgery; microsurgery; free flap; body contouring; abdominoplasty; panniculectomy; aesthetics

Special Issue Information

Dear Colleagues,

According to the WHO the percentage of overweight patients in the world is 39% (39% of men and 40% of women), while the percentage of obese patients (BMI>30) is 13% (11% of men and 15% of women).

In 2001, the WHO introduced the term "globesity" by combining the words globe and obesity with the purpose of defining and highlighting the ever-growing obesity epidemic. This trend led to the development and improvement of disciplines such as food science and bariatric surgery.

The improvement of surgical techniques for weight loss have led to the definition of "post-bariatric" population, that includes patients with large amount of skin needing of body reshape.

As a direct consequence post-bariatric plastic surgery is receiving a substantial input for standardization of procedures.

A lot of techniques have been described to obtain good results and many researchers are focused also on medical procedures to increase outcomes. Clarity is needed on this topic based on scientific evidences.

The role of plastic surgeon is crucial in order to "redefine" and "restore” (in terms of form and function) the ideal anthropomorphic proportions and geometries for the patient. A restoration of individual integrity and a redefinition of body harmony.

This Special Issue of Journal of clinical medicine entitled “Post bariatric plastic surgery: the state of the art of body contouring” welcomes the submission of basic or clinical original articles, as well as systematic reviews, meta-analyses, and overviews, that discuss limits and points of strenght of techniques for body contouring as well as innovations and evolutions in this field.

Dr. Roberto Cuomo
Dr. Payam Sadeghi
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Body Contouring
  • Abdominoplasty
  • Panniculectomy
  • Liposuction
  • Mastopexy
  • Lasers
  • Reduction Mammoplasty

Published Papers (4 papers)

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Research

12 pages, 1629 KiB  
Article
Status of Body Contouring Following Metabolic Bariatric Surgery in a Tertiary Hospital of Greece—Still a Long Way to Go
by Athanasios G. Pantelis, Georgios Vakis, Maria Kotrotsiou and Dimitris P. Lapatsanis
J. Clin. Med. 2023, 12(9), 3196; https://doi.org/10.3390/jcm12093196 - 29 Apr 2023
Cited by 1 | Viewed by 972
Abstract
Obesity is a disease rather than a state, and metabolic bariatric surgery (MBS) is its most effective treatment. Body contouring surgery (BCS) is an integral part of the continuum of care following MBS, provided that the body mass index (BMI) has stabilized for [...] Read more.
Obesity is a disease rather than a state, and metabolic bariatric surgery (MBS) is its most effective treatment. Body contouring surgery (BCS) is an integral part of the continuum of care following MBS, provided that the body mass index (BMI) has stabilized for an adequate period. This study is an attempt to capture the current status of BCS following MBS in Greece, based on data from one of the country’s highest-volume hospitals. We recruited patients from the Bariatric and Plastic-Reconstructive Surgery registries who had undergone both MBS and BCS and invited them to answer a structured questionnaire with components on demographics, safety and effectiveness of previous operations, quality of life (QoL), body image, social activity, sexual activity, and doctor–patient communication. Twenty-four patients participated in the survey (response rate 88.1%). The mean BMI pre-MBS was 43.8 kg/m2 and that pre-BCS was 28.6 kg/m2. Based on the Bariatric sub-cohort, only 2.5% of post-bariatric patients underwent BCS. The mean interval between MBS and BCS was 2.9 years. The distribution of patients by MBS was as follows: sleeve gastrectomy 8 (33.3%), gastric band 7 (29.2%), gastric bypass 5 (20.8%), and gastric plication 2 (8.3%). The distribution of patients by BCS was as follows: abdominoplasty 23 (94.7%), breast contouring 8 (33.3%), thigh contouring 3 (12.5%), and arm contouring 5 (20.8%). Most positive components (70.6%) regarding QoL were appraised by >80% of the participants, indicating overall satisfaction after BCS. Conversely, only 12.5% of negative components were endorsed by >20% of patients. In conclusion, BCS has a low prevalence after MBS, although it is related to an improved quality of life and body image. Full article
(This article belongs to the Special Issue The 10th Anniversary of JCM-Post-bariatric Plastic Surgery: The State of the Art of Body Contouring for 'Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine' Section)
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10 pages, 1982 KiB  
Article
One-Stage Immediate Alloplastic Breast Reconstruction in Large and Ptotic Breasts: An Institutional Algorithm
by Silvia Rampazzo, Noemi Spissu, Michela Pinna, Germana A. M. Sini, Emilio Trignano, Rita Nonnis, Claudia Sanna, Manuela Rodio, Matilde Tettamanzi and Corrado Rubino
J. Clin. Med. 2023, 12(3), 1170; https://doi.org/10.3390/jcm12031170 - 01 Feb 2023
Cited by 1 | Viewed by 1251
Abstract
Immediate implant-based breast reconstruction in patients with large and ptotic breasts may be challenging due to skin redundancy. The use of a reduction mammoplasty pattern for the mastectomy skin excision has proven to be a reliable option for these patients as it allows [...] Read more.
Immediate implant-based breast reconstruction in patients with large and ptotic breasts may be challenging due to skin redundancy. The use of a reduction mammoplasty pattern for the mastectomy skin excision has proven to be a reliable option for these patients as it allows for a better shape, projection, and symmetrization. This approach has been described in the literature for both one- and two-stage reconstruction with either sub- or pre-pectoral reconstruction with an acellular dermal matrix (ADM) or non-biological mesh. One-stage immediate breast reconstructions have a positive significant impact on patients’ psychosocial well-being and quality of life. The purpose of this paper is to describe an institutional algorithm that allows one to perform one-stage implant-based breast reconstructions in patients with large and ptotic breasts. Full article
(This article belongs to the Special Issue The 10th Anniversary of JCM-Post-bariatric Plastic Surgery: The State of the Art of Body Contouring for 'Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine' Section)
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18 pages, 1987 KiB  
Article
Post-Bariatric Plastic Surgery: Abdominoplasty, the State of the Art in Body Contouring
by Payam Sadeghi, Daniela Duarte-Bateman, Wanyan Ma, Ryan Khalaf, R’ay Fodor, Gorizio Pieretti, Feliciano Ciccarelli, Hamed Harandi and Roberto Cuomo
J. Clin. Med. 2022, 11(15), 4315; https://doi.org/10.3390/jcm11154315 - 25 Jul 2022
Cited by 15 | Viewed by 5196
Abstract
Due to the increased prevalence of obesity in the last decades, bariatric surgery has been on the rise in recent years. Bariatric surgery is a compelling option for weight loss in obese patients with severe obesity-related comorbidities or for whom lifestyle modifications have [...] Read more.
Due to the increased prevalence of obesity in the last decades, bariatric surgery has been on the rise in recent years. Bariatric surgery is a compelling option for weight loss in obese patients with severe obesity-related comorbidities or for whom lifestyle modifications have proven ineffective. Redundant skin following significant weight loss is a common occurrence affecting up to 96% of patients who undergo bariatric surgery, negatively impacting physical and psychosocial health and detracting from activities of daily living. Statistics of the American Society of Plastic Surgeons show that 46,577 body contouring procedures were performed after massive weight loss in the USA in a 2020 report. Abdominoplasty, a well-established cosmetic surgery procedure for improving body contour, is performed by removing excess skin and fat from the abdominal wall and thereby restoring musculofascial integrity and skin elasticity, resulting in a more ideal body shape and increasing quality of life. Although abdominoplasty is a safe procedure, it has been associated with a higher complication rate compared with other body-contouring procedures. Technologic advances over the past decade have been developed as non-invasive alternatives or adjunctive tools to surgery to enhance cosmetic results and minimize complications. New energy-based technologies may supplant invasive surgery for mild to moderate skin laxity and/or diminish the extent of surgery and resulting scars. Plastic surgeons play a significant role in improving the quality of life of patients who suffer from obesity and underwent bariatric surgery. We are deeply convinced, however, that the advancement of knowledge and research in this field will determine the introduction of new technologies and custom-made techniques. This advancement will reduce the complication rate with a rapid reintegration of the patient into the world of work and resumption of daily activities. Full article
(This article belongs to the Special Issue The 10th Anniversary of JCM-Post-bariatric Plastic Surgery: The State of the Art of Body Contouring for 'Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine' Section)
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9 pages, 1254 KiB  
Article
Microwave Therapy for Cellulite: An Effective Non-Invasive Treatment
by Luigi Bennardo, Irene Fusco, Cristina Cuciti, Claudia Sicilia, Benedetta Salsi, Giovanni Cannarozzo, Klaus Hoffmann and Steven Paul Nisticò
J. Clin. Med. 2022, 11(3), 515; https://doi.org/10.3390/jcm11030515 - 20 Jan 2022
Cited by 13 | Viewed by 4603
Abstract
Background: Cellulite represents a common cosmetic problem that affects nearly all women. This study aimed to evaluate microwave therapy’s effectiveness for cellulite treatment. Methods: In this study, 26 women showing severe or moderate cellulite underwent four sessions of microwave therapy on the buttocks [...] Read more.
Background: Cellulite represents a common cosmetic problem that affects nearly all women. This study aimed to evaluate microwave therapy’s effectiveness for cellulite treatment. Methods: In this study, 26 women showing severe or moderate cellulite underwent four sessions of microwave therapy on the buttocks and posterior thighs. The following assessments were performed at baseline and the three-month follow-up after the last treatment: the Cellulite Severity Scale (CSS), Nürnberger–Müller classification scale, photographic evaluation, and buttocks/posterior thighs circumference measurements. A Likert scale questionnaire was used to assess patient satisfaction at the 3-month follow-up. Results: The treatment positively affected the cellulite severity as confirmed by the Cellulite Severity Scale (CSS) and Nürnberger–Müller classification scale results. CSS showed a significant amelioration in cellulite severity between the initial assessment and the 3-month follow-up for the buttocks and posterior thighs, with total average scores that ranged from 10.7 ± 3.1 to 4.5 ± 1.8 (p < 0.01). The treatment also resulted in a remarkable improvement in comfort/satisfaction and a buttocks and posterior thighs circumference reduction. No serious adverse events were observed. Conclusions: Microwave therapy has proven to be a safe treatment for improving cellulite appearance and reducing body circumferences. Full article
(This article belongs to the Special Issue The 10th Anniversary of JCM-Post-bariatric Plastic Surgery: The State of the Art of Body Contouring for 'Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine' Section)
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