title: Post-bariatric surgery satisfaction and body-contouring consideration after massive weight loss.
abstract: BACKGROUND
  Following a bariatric surgery and massive weight-loss, the outcome is usually sullied by consequences on the body's contour and redundant skin.
  
  
  OBJECTIVE
  We aimed to record the frequency of contour irregularities and quantify patients' satisfaction with appearance and anticipations from body contouring surgery.
  
  
  METHODS
  The ethical committee at King Abdulaziz University Hospital approved the study, and patients were consented. A cross-sectional study targeting the post-bariatric patients from May 2011 to April 2012 was conducted at our hospital. We used post-massive weight loss Satisfaction Questionnaire.
  
  
  RESULTS
  The total numbers of patients were 64 (51 women and 13 men), of which 57 patients (89.2%) developed sagging skin. Most patients were dissatisfied with their appearance after weight loss. The most common zones were the upper arms (50%) and abdomen (45%). Considerably more women (36.2%) than men (24%) were dissatisfied with certain body areas. The most noticeable expectation of patients from body contouring surgery was improved cosmetic appearance (65.6%) and self-confidence (64.1%). More women (70.58%) than men (46.15%) expected a better cosmetic appearance after body contouring (P = 0.003).
  
  
  CONCLUSIONS
  After bariatric surgery, sagging excess skin is an unsatisfactory problem. Therefore, body contouring surgery must be included in morbid obesity management.
authors.affiliation: Department of Surgery, Division of General Surgery, King Abdulaziz University, Jeddah, Saudi Arabia.
authors.forename: Saleh M
authors.initials: SM
authors.lastname: Aldaqal
authors.forename: Ahmad M
authors.initials: AM
authors.lastname: Makhdoum
authors.forename: Ali M
authors.initials: AM
authors.lastname: Turki
authors.forename: Basim A
authors.initials: BA
authors.lastname: Awan
authors.forename: Osama A
authors.initials: OA
authors.lastname: Samargandi
authors.forename: Hytham
authors.initials: H
authors.lastname: Jamjom
keywords: Bariatric surgery; Body contouring surgery; Expectation; Satisfaction; Weight loss