title: C-reactive protein decrease after postbariatric abdominoplasty.
abstract: In a prospective study, indices of glucose homeostasis, lipid profile, and systemic inflammation were monitored after an aesthetic abdominoplasty, aiming to scrutinize the possible metabolic benefits for abdominal fat removal. Premenopausal females with substantial weight loss (N=40) undergoing circumferential abdominoplasty (index group, n=20) or augmentation mammoplasty with mastopexy (controls, n=20) were recruited. All of them originally underwent Roux-en-Y gastric bypass. Variables included BMI, white blood cell count, C-reactive protein, hemoglobin, total cholesterol and fractions, triglycerides, glucose, and HbA1c. Follow-up reached 20.3 ± 13.6 months for index cases and 29.5 ± 17.4 months for controls. The metabolic and inflammatory indices improved after the bariatric surgery. Subsequent monitoring indicated a stable body weight and biochemical profile in both groups. The exceptions were HDL cholesterol and C-reactive protein, which respectively increased and diminished after the abdominoplasty, consistent with an inflammatory and metabolic advantage for this operation. This is the first long-term study in a weight-stable population to point out such a pattern after abdominoplasty.
authors: Plastic Surgery Service, Hospital das Clinicas, Sao Paulo, Sao Paulo, 05403-900, Brazil.
authors: Wilson
authors: W
authors: Cintra
authors: Miguel
authors: M
authors: Modolin
authors: Joel
authors: J
authors: Faintuch
authors: Rolf
authors: R
authors: Gemperli
authors: Marcus C
authors: MC
authors: Ferreira
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D015992:Body Mass Index; D002097:C-Reactive Protein / Q000378:metabolism*; D008076:Cholesterol, HDL / Q000097:blood; D005260:Female; D015390:Gastric Bypass; D005947:Glucose / Q000378:metabolism; D006454:Hemoglobins / Q000032:analysis; D006801:Humans; D050152:Intra-Abdominal Fat / Q000601:surgery*; D007958:Leukocyte Count; D050356:Lipid Metabolism; D016462:Mammaplasty; D009767:Obesity, Morbid / Q000601:surgery; D017697:Premenopause; D019651:Plastic Surgery Procedures; D014280:Triglycerides / Q000097:blood
chemical_list: D001786:Blood Glucose; D008076:Cholesterol, HDL; D006454:Hemoglobins; D014280:Triglycerides; D002097:C-Reactive Protein; D005947:Glucose