{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:27:12Z","timestamp":1788827232028,"version":"build-2803163510"},"reference-count":30,"publisher":"Springer Science and Business Media LLC","issue":"24","license":[{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T00:00:00Z","timestamp":1756771200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Aesth Plast Surg"],"published-print":{"date-parts":[[2025,12]]},"DOI":"10.1007\/s00266-025-05176-1","type":"journal-article","created":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T15:46:03Z","timestamp":1756827963000},"page":"6905-6911","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Abdominoplasty After Weight Loss in Post-bariatric Surgery: An Optimized Surgery Procedure and Clinical Protocol\u2014A Large Single-center Study"],"prefix":"10.1007","volume":"49","author":[{"given":"Vincenzo","family":"Manfellotto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Cuomo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Giovanna","family":"Vastarella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5901-2659","authenticated-orcid":false,"given":"Marcello","family":"Molle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arianna","family":"Castiello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Armando","family":"Ciccarelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"D\u2019Addato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gorizio","family":"Pieretti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Feliciano","family":"Ciccarelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,9,2]]},"reference":[{"key":"5176_CR1","unstructured":"Rapporto Osserva Salute. Osservatorio Nazionale sulla salute nelle Regioni Italiane-Universit\u00e0 Cattolica del Sacro Cuore. 2022. Available at https:\/\/osservatoriosullasalute.it\/"},{"issue":"3","key":"5176_CR2","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1007\/s11695-022-06435-9","volume":"33","author":"P Gentileschi","year":"2023","unstructured":"Gentileschi P, Sensi B, Siragusa L, Sorge R, Rispoli E, Angrisani L, Galfrascoli E, Bianciardi E, Giusti MP, De Luca M, Zappa MA, SICOB Survey Collaborative Group. Evolution of bariatric surgery in Italy in the last 11 years: data from the SICOB yearly national survey. Obes Surg. 2023;33(3):930\u20137. https:\/\/doi.org\/10.1007\/s11695-022-06435-9.","journal-title":"Obes Surg"},{"issue":"9","key":"5176_CR3","doi-asserted-by":"publisher","first-page":"879","DOI":"10.1001\/jama.2020.12567","volume":"324","author":"DE Arterburn","year":"2020","unstructured":"Arterburn DE, Telem DA, Kushner RF, Courcoulas AP. Benefits and risks of bariatric surgery in adults: a review. JAMA. 2020;324(9):879\u201387. https:\/\/doi.org\/10.1001\/jama.2020.12567.","journal-title":"JAMA"},{"issue":"5","key":"5176_CR4","doi-asserted-by":"publisher","first-page":"533","DOI":"10.1016\/j.soard.2012.07.001","volume":"8","author":"JE Mitchell","year":"2012","unstructured":"Mitchell JE, Selzer F, Kalarchian MA, Devlin MJ, Strain GW, Elder KA, Marcus MD, Wonderlich S, Christian NJ, Yanovski SZ. Psychopathology before surgery in the longitudinal assessment of bariatric surgery-3 (LABS-3) psychosocial study. Surg Obes Relat Dis. 2012;8(5):533\u201341. https:\/\/doi.org\/10.1016\/j.soard.2012.07.001.","journal-title":"Surg Obes Relat Dis"},{"issue":"1","key":"5176_CR5","doi-asserted-by":"publisher","first-page":"71","DOI":"10.61186\/wjps.13.1.71","volume":"13","author":"ME Shehab","year":"2024","unstructured":"Shehab ME, Isa HM, Saleh LM, Alafeya ZA. Satisfaction and quality of life in patients who underwent post massive weight loss body contouring procedures: a tertiary center experience in Bahrain. World J Plast Surg. 2024;13(1):71\u201382. https:\/\/doi.org\/10.61186\/wjps.13.1.71.","journal-title":"World J Plast Surg"},{"issue":"8","key":"5176_CR6","doi-asserted-by":"publisher","first-page":"1178","DOI":"10.1007\/s11695-010-0120-4","volume":"20","author":"AS Colwell","year":"2010","unstructured":"Colwell AS. Current concepts in post-bariatric body contouring. Obes Surg. 2010;20(8):1178\u201382. https:\/\/doi.org\/10.1007\/s11695-010-0120-4.","journal-title":"Obes Surg"},{"issue":"3 Suppl","key":"5176_CR7","doi-asserted-by":"publisher","first-page":"287S","DOI":"10.1378\/chest.126.3_suppl.287S","volume":"126","author":"MN Levine","year":"2004","unstructured":"Levine MN, Raskob G, Beyth RJ, Kearon C, Schulman S. Hemorrhagic complications of anticoagulant treatment: the seventh ACCP conference on antithrombotic and thrombolytic therapy. Chest. 2004;126(3 Suppl):287S-310S. https:\/\/doi.org\/10.1378\/chest.126.3_suppl.287S.","journal-title":"Chest"},{"issue":"5","key":"5176_CR8","doi-asserted-by":"publisher","first-page":"1590","DOI":"10.1097\/01.prs.0000256070.37066.7e","volume":"119","author":"MA Shermak","year":"2007","unstructured":"Shermak MA, Chang DC, Heller J. Factors impacting thromboembolism after bariatric body contouring surgery. Plast Reconstr Surg. 2007;119(5):1590\u20136. https:\/\/doi.org\/10.1097\/01.prs.0000256070.37066.7e.","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"5176_CR9","doi-asserted-by":"publisher","first-page":"34","DOI":"10.1097\/00000637-199901000-00006","volume":"42","author":"VL Vastine","year":"1999","unstructured":"Vastine VL, Morgan RF, Williams GS, Gampper TJ, Drake DB, Knox LK, Lin KY. Wound complications of abdominoplasty in obese patients. Ann Plast Surg. 1999;42(1):34\u20139. https:\/\/doi.org\/10.1097\/00000637-199901000-00006.","journal-title":"Ann Plast Surg"},{"key":"5176_CR10","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2024.1337948","volume":"11","author":"C Cannistr\u00e0","year":"2024","unstructured":"Cannistr\u00e0 C, Lori E, Arapis K, et al. Abdominoplasty after massive weight loss. Safety preservation fascia technique and clinical outcomes in a large single series-comparative study. Front Surg. 2024;11: 1337948. https:\/\/doi.org\/10.3389\/fsurg.2024.1337948.","journal-title":"Front Surg"},{"issue":"2","key":"5176_CR11","first-page":"87","volume":"157","author":"L Har-Shai","year":"2018","unstructured":"Har-Shai L, Hayun Y, Barel E, Ad-El DD. Scarpa fascia and abdominal wall deep adipose compartment preservation in abdominoplasty-current clinical and anatomical review. Harefuah. 2018;157(2):87\u201390.","journal-title":"Harefuah"},{"issue":"12","key":"5176_CR12","doi-asserted-by":"publisher","first-page":"956","DOI":"10.7326\/0003-4819-115-12-956","volume":"115","author":"NIH conference","year":"1991","unstructured":"NIH conference, Consensus Development Conference Panel. Gastrointestinal surgery for severe obesity. Ann Intern Med. 1991;115(12):956\u201361.","journal-title":"Ann Intern Med"},{"issue":"9","key":"5176_CR13","doi-asserted-by":"publisher","first-page":"1066","DOI":"10.1345\/aph.19381","volume":"34","author":"MP Pai","year":"2000","unstructured":"Pai MP, Paloucek FP. The origin of the \u201cideal\u201d body weight equations. Ann Pharmacother. 2000;34(9):1066\u20139. https:\/\/doi.org\/10.1345\/aph.19381.","journal-title":"Ann Pharmacother"},{"key":"5176_CR14","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1097\/00006534-196710000-00012","volume":"40","author":"V Pitanguy","year":"1967","unstructured":"Pitanguy V. Abdominal lipectomy: an approach to it through an analysis of 300 consecutive cases. Plast Reconstr Surg. 1967;40:384\u201391.","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"5176_CR15","doi-asserted-by":"publisher","first-page":"500","DOI":"10.1097\/00006534-198304000-00009","volume":"71","author":"RC Savage","year":"1983","unstructured":"Savage RC. Abdominoplasty following gastrointestinal bypass surgery. Plast Reconstr Surg. 1983;71(4):500\u20139. https:\/\/doi.org\/10.1097\/00006534-198304000-00009.","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"5176_CR16","doi-asserted-by":"publisher","first-page":"517","DOI":"10.1097\/01.prs.0000227630.88566.74","volume":"118","author":"JI Spiegelman","year":"2006","unstructured":"Spiegelman JI, Levine RH. Abdominoplasty: a comparison of outpatient and inpatient procedures shows that it is a safe and effective procedure for outpatients in an office-based surgery clinic. Plast Reconstr Surg. 2006;118(2):517\u201324. https:\/\/doi.org\/10.1097\/01.prs.0000227630.88566.74.","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"5176_CR17","doi-asserted-by":"publisher","first-page":"316","DOI":"10.1093\/asj\/sjw192","volume":"37","author":"K Seretis","year":"2017","unstructured":"Seretis K, Goulis D, Demiri EC, Lykoudis EG. Prevention of seroma formation following abdominoplasty: a systematic review and meta-analysis. Aesthet Surg J. 2017;37(3):316\u201323. https:\/\/doi.org\/10.1093\/asj\/sjw192.","journal-title":"Aesthet Surg J"},{"key":"5176_CR18","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/S1090-820X(98)70073-1","volume":"18","author":"R Baroudi","year":"1998","unstructured":"Baroudi R, Ferreira C. Seroma: how to avoid it and how to treat it. Aesth Surg. 1998;18:439\u201341.","journal-title":"Aesth Surg"},{"issue":"3","key":"5176_CR19","doi-asserted-by":"publisher","first-page":"603","DOI":"10.1097\/00006534-199509000-00012","volume":"96","author":"T Lockwood","year":"1995","unstructured":"Lockwood T. High-lateral-tension abdominoplasty with superficial fascial system suspension. Plast Reconstr Surg. 1995;96(3):603\u201315. https:\/\/doi.org\/10.1097\/00006534-199509000-00012.","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"5176_CR20","first-page":"223","volume":"26","author":"JF Pascal","year":"2002","unstructured":"Pascal JF, Le Louarn C. Remodeling bodylift with high lateral tension. Aesthet Surg J. 2002;26(3):223\u201330.","journal-title":"Aesthet Surg J"},{"issue":"1","key":"5176_CR21","doi-asserted-by":"publisher","first-page":"212e","DOI":"10.1097\/PRS.0b013e3182365d65","volume":"129","author":"FX Nahas","year":"2012","unstructured":"Nahas FX, di Martino M, Ferreira LM. Fibrin glue as a substitute for quilting suture in abdominoplasty. Plast Reconstr Surg. 2012;129(1):212e\u20133e. https:\/\/doi.org\/10.1097\/PRS.0b013e3182365d65.","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"5176_CR22","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1097\/PRS.0b013e3181f95763","volume":"127","author":"RM Najera","year":"2011","unstructured":"Najera RM, Asheld W, Sayeed SM, Glickman LT. Comparison of seroma formation following abdominoplasty with or without liposuction. Plast Reconstr Surg. 2011;127(1):417\u201322. https:\/\/doi.org\/10.1097\/PRS.0b013e3181f95763.","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"5176_CR23","doi-asserted-by":"publisher","first-page":"192","DOI":"10.1016\/j.bjps.2014.10.004","volume":"68","author":"DJ Marsh","year":"2015","unstructured":"Marsh DJ, Fox A, Grobbelaar AO, Chana JS. Abdominoplasty and seroma: a prospective randomised study comparing scalpel and handheld electrocautery dissection. J Plast Reconstr Aesthet Surg. 2015;68(2):192\u20136. https:\/\/doi.org\/10.1016\/j.bjps.2014.10.004.","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"5176_CR24","doi-asserted-by":"publisher","DOI":"10.1093\/asjof\/ojae016","volume":"6","author":"CD Liao","year":"2024","unstructured":"Liao CD, Zhao K, Nikkhahmanesh N, Bui DT. Decreasing seroma incidence following abdominoplasty: a systematic review and meta-analysis of high-quality evidence. Aesthet Surg J Open Forum. 2024;6: ojae016. https:\/\/doi.org\/10.1093\/asjof\/ojae016.","journal-title":"Aesthet Surg J Open Forum"},{"issue":"2","key":"5176_CR25","doi-asserted-by":"publisher","first-page":"325e","DOI":"10.1097\/PRS.0b013e3182589adb","volume":"130","author":"T Chong","year":"2012","unstructured":"Chong T, Coon D, Toy J, Purnell C, Michaels J, Rubin JP. Body contouring in the male weight loss population: assessing gender as a factor in outcomes. Plast Reconstr Surg. 2012;130(2):325e-e330. https:\/\/doi.org\/10.1097\/PRS.0b013e3182589adb.","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"5176_CR26","doi-asserted-by":"publisher","first-page":"637","DOI":"10.1097\/PRS.0000000000004100","volume":"141","author":"DA Taylor","year":"2018","unstructured":"Taylor DA, Merten SL, Sandercoe GD, et al. Abdominoplasty improves low back pain and urinary incontinence. Plast Reconstr Surg. 2018;141(3):637\u201345. https:\/\/doi.org\/10.1097\/PRS.0000000000004100.","journal-title":"Plast Reconstr Surg"},{"issue":"15","key":"5176_CR27","doi-asserted-by":"publisher","first-page":"2872","DOI":"10.1007\/s00266-024-04094-y","volume":"48","author":"M Zaussinger","year":"2024","unstructured":"Zaussinger M, Kerschbaumer C, Schwartz B, Bachleitner K, Ehebruster G, Schmidt M. Influence of tranexamic acid in body contouring surgery: significant changes on complication rates after abdominoplasty. Aesthet Plast Surg. 2024;48(15):2872\u20138. https:\/\/doi.org\/10.1007\/s00266-024-04094-y.","journal-title":"Aesthet Plast Surg"},{"issue":"13","key":"5176_CR28","doi-asserted-by":"publisher","first-page":"2465","DOI":"10.1007\/s00266-024-03992-5","volume":"48","author":"C Wachtel","year":"2024","unstructured":"Wachtel C, Rothenberger J, Ederer IA, Souquet J, Rieger U. Systemic tranexamic acid for reduced postoperative blood loss and less bleeding complications in Fleur-de-lis abdominoplasty and apronectomy. Aesthet Plast Surg. 2024;48(13):2465\u201374. https:\/\/doi.org\/10.1007\/s00266-024-03992-5.","journal-title":"Aesthet Plast Surg"},{"issue":"11","key":"5176_CR29","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000005403","volume":"11","author":"JE Bayter-Mar\u00edn","year":"2023","unstructured":"Bayter-Mar\u00edn JE, Hoyos A, C\u00e1rdenas-Camarena L, et al. Effectiveness of tranexamic acid in the postoperative period in body contour surgery: randomized clinical trial. Plast Reconstr Surg Glob Open. 2023;11(11): e5403. https:\/\/doi.org\/10.1097\/GOX.0000000000005403.","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"5176_CR30","doi-asserted-by":"publisher","DOI":"10.1093\/asjof\/ojae077","volume":"6","author":"TE Habarth-Morales","year":"2024","unstructured":"Habarth-Morales TE, Isch E, Zavitsanos AP, et al. The use of tranexamic acid in breast reduction and abdominoplasty: a review of a multicenter federated electronic health record database. Aesthet Surg J Open Forum. 2024;6: ojae077. https:\/\/doi.org\/10.1093\/asjof\/ojae077.","journal-title":"Aesthet Surg J Open Forum"}],"container-title":["Aesthetic Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-025-05176-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00266-025-05176-1","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00266-025-05176-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T19:05:11Z","timestamp":1769713511000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00266-025-05176-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,2]]},"references-count":30,"journal-issue":{"issue":"24","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["5176"],"URL":"https:\/\/doi.org\/10.1007\/s00266-025-05176-1","relation":{},"ISSN":["0364-216X","1432-5241"],"issn-type":[{"value":"0364-216X","type":"print"},{"value":"1432-5241","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,2]]},"assertion":[{"value":"24 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 July 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 September 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflicts of interest to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Our local ethic committee exempt our study from review.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical Approval"}},{"value":"The datasets for this article are not publicly available due to concerns regarding participant\/patient anonymity. Requests to access the datasets should be directed to the corresponding author.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participant"}},{"value":"Written informed consent was obtained from the patients for the publication of this case article.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed Consent"}}]}}