title: The prevalence of body contouring surgery after gastric bypass surgery.
abstract: BACKGROUND
  As bariatric surgery has become more popular, more patients are undergoing body contouring surgery after massive weight loss. Many of the surgical procedures performed on the massive weight loss patient are complex and labor-intensive. Therefore, the plastic surgery unit needs to be prepared for a patient's demand. Little literature is available on how frequently patients who have undergone gastric bypass surgery receive body contouring surgery.
  
  
  METHODS
  Two hundred fifty-two subjects (out of 425 who were mailed the questionnaire) who had undergone gastric bypass surgery between 2003 and 2009 completed the questionnaire, which obtained information on body image satisfaction and frequency of body contouring surgery after massive weight loss.
  
  
  RESULTS
  Of all patients, 74% desire a body contouring surgery after gastric bypass surgery. Fifty-three patients (21%) have undergone a total of 61 body contouring procedures. The most common were abdominoplasties (59%), followed by lower body lifts (20%). In contrast to a positive judgment of the general aspect of the body image satisfaction after massive weight loss, both genders are unsatisfied with body areas like abdomen/waist, breast, and thighs.
  
  
  CONCLUSIONS
  Paralleling the increasing use of bariatric surgery, there is a high demand for body contouring surgery. A huge disparity exists between the number of subjects who desire a body contouring surgery and those who actually received it.
authors.affiliation: Department of Surgery, Divison of Plastic and Reconstructive Surgery, Medical University of Vienna, General Hospital Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria. hugo.kitzinger@meduniwien.ac.at
authors.forename: Hugo B
authors.initials: HB
authors.lastname: Kitzinger
authors.forename: Sara
authors.initials: S
authors.lastname: Abayev
authors.forename: Anna
authors.initials: A
authors.lastname: Pittermann
authors.forename: Birgit
authors.initials: B
authors.lastname: Karle
authors.forename: Harald
authors.initials: H
authors.lastname: Kubiena
authors.forename: Arthur
authors.initials: A
authors.lastname: Bohdjalian
authors.forename: Felix B
authors.initials: FB
authors.lastname: Langer
authors.forename: Gerhard
authors.initials: G
authors.lastname: Prager
authors.forename: Manfred
authors.initials: M
authors.lastname: Frey
mesh_terms: D000005:Abdomen / Q000601:surgery; D001317:Austria / Q000453:epidemiology; D001828:Body Image; D001940:Breast / Q000601:surgery; D062109:Dermatologic Surgical Procedures; D005260:Female; D005500:Follow-Up Studies; D015390:Gastric Bypass / Q000009:adverse effects / Q000523:psychology / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000453:epidemiology / Q000523:psychology / Q000601:surgery*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D015995:Prevalence; D013518:Surgery, Plastic / Q000523:psychology / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D013848:Thigh / Q000601:surgery; D013997:Time Factors; D015431:Weight Loss