ABSTRACT
Contour deformities after post-bariatric surgery weight loss are varied and often
complex. Existing classification systems do not adequately address the various post-weight
loss deformities that can occur in every part of the body. At the University of Pittsburgh,
we have devised the Pittsburgh Rating Scale, a classification system that allows grading
of 10 areas of the body on a four-point scale. The scale has been validated in a previous
study. Currently, the scale is being applied during our initial assessment of the
post-bariatric surgery weight loss patient. We have found that accurate classification
can assist the surgeon in operative planning. The scale is useful in both classifying
the individual deformities in a specific region and performing a comprehensive assessment.
KEYWORDS
Bariatric surgery - body contouring classification - weight loss - abdominoplasty
- brachioplasty - buttocks - thighplasty
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J. Peter RubinM.D.
Division of Plastic Surgery, University of Pittsburgh
3550 Terrace Street, 6B Scaife Hall 680, Pittsburgh, PA 15261
