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PEER-REVIEW | LIPOSUCTION |


72% who gained weight and 82% who did not said they


would have it done again. There was no mention, however, comparing satisfaction rates considering actual BMIs.


An article assessing the improvement in the quality of


life and patient satisfaction following body contouring surgery was published in 2013 by Shehab Jabir7


.


Predominantly a psychological study, this research used an unbiased method to determine, among other things, patient satisfaction following body contouring surgery. Multiple questions were given to the patient without physician or technician bias added. The types of surgeries performed were mostly body contouring, such as lipectomy after massive weight loss. The questions, called ‘instruments’ for determining satisfaction and reaching expectations, determined that 61.5% of the results were in accordance with the patients’ expectations. Other studies sought to compare the percentage of


patients among different levels of satisfaction, for example comparing patients with different satisfaction ratings of ‘bad’, ‘okay’, ‘good’, or ‘very good’. Our study, however, averaged the satisfaction scores for each BMI in order to prove there is no statistical difference in these rates among high and low BMI categories, but did not include an analysis of the percentage of patients who rated their satisfaction scores as 1, 2, 3, 4, or 5. This comparison proved that there was no statistical difference in satisfaction among all BMIs. There are other factors that this study did not evaluate and may have some bearing on results. For example, does age have a bearing on satisfaction rates? Or does percentage of fat removed have a similar bearing on satisfaction rates? Further studies will be needed to elucidate that.


Conclusion Although conventional wisdom holds that high BMI patients would be less satisfied with liposuction than lower BMI patients, the findings in this sample refute this assertion. In fact, when considering BMI categories


38 


Although


conventional wisdom holds that high BMI patients would be less satisfied with liposuction than lower BMI patients, the findings in this sample refute this assertion.


Key points Previously it was


thought that only smaller BMI patients would ever be satisfied with their liposuction


The author and his


team felt that most high BMI patients were as satisfied with their liposuction as smaller BMI patients


The team’s study


compared high and low BMI patients’ satisfaction rates from their liposuction procedure


In a study of 740 high


(BMI>30) and 1086 low (BMI <30) BMI, patients were equally satisfied with their liposuction since the liposuction reached their expectations


January/February 2016 | prime-journal.com References


1. Lewis CM. Patient Selection: Psychological Aspects. In: Hetter GP, ed. Lipoplasty: The Theory and Practice of Blunt Suction Lipectomy. 1st ed. Boston/ Toronto: Little, Brown and Company; 1984: 91–94


2. Kuczmarski RJ, Flegal KM. Criteria for definition of overweight in transition: background and recommendations for the United States. Am J Clin Nutr 2000; 72: 1074–1081


3. Herhahn FT. Physical Evaluation and Informed Consent. In: Hetter GP, ed. Lipoplasty: The Theory and Practice of Blunt Suction Lipectomy. 1st ed. Boston/ Toronto: Little, Brown and Company; 1984:95–104


4. Swanson E. Prospective Outcome Study of 360 Patients Treated with Liposuction, Lipoabdominoplasty, and


Abdominoplasty. Plast Reconstr Surg 2012;129:965–978


5. Iverson RE, Pao VS. MOC-PS(SM) CME Article: Liposuction. Plast Reconstr Surg 2008;121: 1-11


6. Rohrich RJ, Broughton G, Horton B, Lipschitz A, Kenkel JM, Brown SA. The Key to Long-Term Success in Liposuction: A Guide for Plastic Surgeons and Patients. Plast Reconstr Surg 2004;114:1945-1952.


7. Jabir S. Assessing Improvement in Quality of Life and Patient Satisfaction following Body Contouring Surgery in Patients with Massive Weight Loss: A Critical Review of Outcome Measures Employed. Plastic Surgery International 2013; 2013: 1–12


ranging from 18 to 43, the satisfaction rates among these groups were not statistically different. It is possible that a more evenly distributed sample would yield different results. The study was performed using an unbiased electronic survey which was more accurate than a face- to-face biased interviewing process. How age, weight gain, diet, and exercise affect post-operative satisfaction are other factors that need to be researched.


Declaration of interest The author declares no potential


conflicts of interest with respect to the research, authorship, and publication of this article.


Acknowledgement The author would like to give special


thanks to Margret Fye who helped in the preparation of this manuscript


Funding The author received no financial support for the


research, authorship, and publication of this article Figure 1, Tables 1–2 © Michael Gellis


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