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Aesthetic abdominoplasty has a positive impact on quality of life prospectively

  • Nikolaos A. Papadopulos
    Correspondence
    Corresponding author. Department of Plastic Surgery and Hand Surgery University Hospital Rechts der Isar, Munich Technical University, Ismaningerstrasse 22, 81675 Munich, Germany, and Department of Plastic Surgery and Burns, Alexandroupoli University Hospital, Democritus University of Thrace, GR-68100 Alexandroupoli, Greece
    Affiliations
    Department of Plastic Surgery & Hand Surgery University Hospital Rechts der Isar, Munich Technical University, Munich, Germany

    Department of Plastic Surgery, Alexandroupoli University Hospital, Democritus University of Thrace, Alexandroupoli, Greece
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  • Anna C. Meier
    Affiliations
    Department of Plastic Surgery & Hand Surgery University Hospital Rechts der Isar, Munich Technical University, Munich, Germany
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  • Gerhard Henrich
    Affiliations
    Department of Psychosomatic Medicine and Psychotherapy, Munich Technical University, Munich, Germany
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  • Peter Herschbach
    Affiliations
    Roman Herzog Comprehensive Cancer Center, Department of Psychosomatic Medicine and Psychotherapy, Munich Technical University, Munich, Germany
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  • Laszlo Kovacs
    Affiliations
    Department of Plastic Surgery & Hand Surgery University Hospital Rechts der Isar, Munich Technical University, Munich, Germany
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  • Hans-Günther Machens
    Affiliations
    Department of Plastic Surgery & Hand Surgery University Hospital Rechts der Isar, Munich Technical University, Munich, Germany
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  • Markus Klöppel
    Affiliations
    Aesthetic Surgery & Medicine, MediCenter Munich Solln, Munich, Germany
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Published:December 17, 2018DOI:https://doi.org/10.1016/j.bjps.2018.12.020

      Summary

      Background

      In our previous retrospective study, we detected an increased quality of life after aesthetic abdominoplasty. In this survey, we analyzed quality of life, self-esteem, emotional stability, and mental health before and after aesthetic abdominoplasty prospectively.

      Methods

      Twenty-two female patients were surveyed before and six months after their surgeries. The testing instrument consisted of a self-developed indication-specific questionnaire and four standardized tests (Questions on Life Satisfaction plus a specified part body image, Rosenberg Self-Esteem Scale, Freiburg Personality Inventory, and Patient Health Questionnaire-4).

      Results

      Significantly increased values were found concerning feeling comfortable in swimwear in front of the mirror or the sexual partner and at social or professional activities (each p=0.000). Women had less problems doing sports (p=0.029) and felt more feminine (p=0.012). Sum scores of general life satisfaction (p=0.016) and scores of the items leisure activity (p=0.003), relaxing abilities (p=0.002), and sexuality (p=0.046) showed significant improvements. The body image improved in general (p=0.010) and in particular in the items abdomen, hips, and waist (each p=0.000). Emotional stability increased significantly (p=0.029). We detected a mild mental depression in 27% and a moderate depression in 32% of our patients before surgery. Depressive disorders were significantly reduced (p=0.004) down to mild depression in 18% and moderate depression in 9% of the patients.

      Conclusion

      Positive results for quality of life shown in the retrospective study were confirmed. Abdominoplasty improves general life satisfaction and satisfaction with health and outer appearance and increases emotional stability. Depressive patients showed a significant improvement after aesthetic abdominoplasty.

      Keywords

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