title: Quality-of-Life assessment after medial thighplasty in patients following massive weight loss.
abstract: BACKGROUND
  The improvement of medial thighplasty techniques has greatly reduced the morbidity of these interventions and participated in their democratization among surgeons and patients. The aim of this study was to evaluate the beneficial effect of medial thighplasty on quality of life in patients following massive weight loss.
  
  
  METHODS
  The quality of life following massive weight loss after diet or bariatric surgery of 21 patients was measured using the Moorehead-Ardelt Quality of Life Questionnaire. Patients who underwent medial thighplasty following a percentage of weight loss greater than 20 percent of the body weight were included.
  
  
  RESULTS
  The mean age of the patients was 49.9 ± 8.7 years. The average pre-medial thighplasty body mass index was 28.4 ± 4.8 kg/m and the average weight loss before surgery was 46 ± 17.1 kg. In our study, medial thighplasty improved the quality of life of patients (mean quality-of-life scores, 1.49 ± 1.3; e.g., self-esteem, physical status, social life, and improved labor conditions of patients). However, the quality of the sex life of the patient was not improved by this operation. No difference was found in quality-of-life results between patients according to the number of months since they had undergone surgery (p = 0.7252).
  
  
  CONCLUSIONS
  Medial thighplasty improves the aesthetic and functional outcome of the thigh. The authors report, for the first time, that medial thighplasty improves quality of life of patients with massive weight loss. With the worldwide development of obesity, this study demonstrated that the operation should be widely proposed to patients with massive weight loss to improve quality of life.
  
  
  METHODS
  Therapeutic, V.
authors.affiliation: Rennes and Toulouse, France From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes1; SITI Laboratory, INSERM U917, University of Rennes 1; STROMALab and the Etablissement Français du Sang Midi-Pyrénées; the Department of Plastic, Reconstructive and Aesthetic Surgery, Rangueil Hospital, Université Paul Sabatier.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Bertheuil
authors.forename: Sophie
authors.initials: S
authors.lastname: Thienot
authors.forename: Benoit
authors.initials: B
authors.lastname: Chaput
authors.forename: Audrey
authors.initials: A
authors.lastname: Varin
authors.forename: Eric
authors.initials: E
authors.lastname: Watier
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D019651:Plastic Surgery Procedures; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013848:Thigh / Q000601:surgery*; D015431:Weight Loss