▪ ABSTRACT
Introduction:
Obesity is characterized by excess weight resulting from the accumulation of
body fat, characterized by a body mass index (BMI) equal to or above 30
kg/m2 . Currently, bariatric surgery is considered the most
effective method for controlling class III obesity (BMI>40
kg/m2 ) associated or not with comorbidities and for class II
obesity (BMI>35 kg/m2 ) with comorbidities.
Method:
This is an uncontrolled prospective cohort study and 30 patients will be
required, with the primary outcome being the difference between the
percentage of body fat before and after abdominal dermolipectomy in patients
after bariatric surgery.
Results:
30 patients were included in the study, of which 24 completed postoperative
control exams. When comparing the average percentage of total body fat,
total, visceral, and peripheral fat, there was no statistically significant
difference. Weight had a significant drop (p =0.024) and, as
expected, there was also a statistically significant decrease in BMI
(p =0.017).
Conclusion:
Patients benefit due to weight loss, improvement in comorbidities, and
increased self-esteem. However, many patients have the disadvantage of
having extensive sagging skin and this has a major impact on their physical
and emotional quality of life. We assessed the need for knowledge of body
fat before and after post-bariatric plastic surgery, to improve previous
results and provide the patient with possibilities to optimize the
prevention of future diseases.
Keywords: Obesity - Overweight - Weight loss - Body contouring - Body mass index - Electric
impedance - Bariatric surgery
Bibliographical Record
