{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:57:15Z","timestamp":1790204235346,"version":"4.1.0"},"reference-count":43,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2021,3,8]],"date-time":"2021-03-08T00:00:00Z","timestamp":1615161600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Abdominal body contouring procedures are associated with the highest rates of complications among all aesthetic procedures. Patient selection and optimization of surgical variables are crucial in reducing morbidity and complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The purpose of this single-institution study was to assess complication rates, and to evaluate BMI, operative time, and history of bariatric surgery as individual risk factors in abdominal body contouring surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective chart review was performed of all patients who underwent abdominoplasty, circumferential lower body lift, fleur-de-lis panniculectomy (FDL), and circumferential FDL between August 2014 and February 2020. Endpoints were the incidence of venous thromboembolism, bleeding events, seroma, infection, wound complications, and reoperations. Univariate statistical analysis and multivariate logistic regressions were performed. Covariates in the multivariate logistic regression were BMI, procedure time, and history of bariatric surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 632 patients were included in the study. Univariate analysis revealed that longer procedure time was associated with infection (P\u2005=\u20050.0008), seroma (P\u2005=\u20050.002), necrosis\/dehiscence (P\u2005=\u20050.01), and reoperation (P\u2005=\u20050.002). These associations persisted following multivariate analyses. There was a trend toward history of bariatric surgery being associated with minor reoperation (P\u2005=\u20050.054). No significant increase in the incidence of major reoperation was found in association with overweight or obese patient habitus, history of bariatric surgery, or prolonged procedure time. BMI was not found to be an individual risk factor for morbidity in this patient population.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In abdominal body contouring surgery, surgery lasting longer than 6 hours is associated with higher incidence of seroma and infectious complications, as well as higher rates of minor reoperation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of Evidence: 4<\/jats:title>\n                  <jats:p\/>\n               <\/jats:sec>","DOI":"10.1093\/asj\/sjab123","type":"journal-article","created":{"date-parts":[[2021,3,11]],"date-time":"2021-03-11T05:14:51Z","timestamp":1615439691000},"page":"NP1044-NP1052","source":"Crossref","is-referenced-by-count":18,"title":["The Effect of Obesity, Bariatric Surgery, and Operative Time on Abdominal Body Contouring Outcomes"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2713-0169","authenticated-orcid":false,"given":"Vasileios","family":"Vasilakis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey L","family":"Lisiecki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bill G","family":"Kortesis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurav","family":"Bharti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph P","family":"Hunstad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2021,3,8]]},"reference":[{"issue":"6","key":"2022112818194458900_CIT0001","doi-asserted-by":"crossref","first-page":"1411","DOI":"10.1097\/PRS.0b013e3182a806b3","article-title":"Complications in body contouring procedures: an analysis of 1797 patients from the 2005 to 2010 American College of Surgeons National Surgical Quality Improvement Program databases","volume":"132","author":"Fischer","year":"2013","journal-title":"Plast Reconstr Surg."},{"issue":"5","key":"2022112818194458900_CIT0002","doi-asserted-by":"crossref","first-page":"597e","DOI":"10.1097\/PRS.0000000000001700","article-title":"Abdominoplasty: risk factors, complication rates, and safety of combined procedures","volume":"136","author":"Winocour","year":"2015","journal-title":"Plast Reconstr Surg."},{"issue":"3","key":"2022112818194458900_CIT0003","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1097\/01.sap.0000239806.43438.54","article-title":"Analysis of complications from abdominoplasty: a review of 206 cases at a university hospital","volume":"58","author":"Neaman","year":"2007","journal-title":"Ann Plast Surg."},{"issue":"3","key":"2022112818194458900_CIT0004","doi-asserted-by":"crossref","first-page":"403e","DOI":"10.1097\/PRS.0b013e31827c6fc3","article-title":"Outcomes of traditional cosmetic abdominoplasty in a community setting: a retrospective analysis of 1008 patients","volume":"131","author":"Neaman","year":"2013","journal-title":"Plast Reconstr Surg."},{"issue":"10","key":"2022112818194458900_CIT0005","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1093\/asj\/sjz089","article-title":"Surgical site infections in aesthetic surgery","volume":"13","author":"Kaoutzanis","year":"2019","journal-title":"Aesthet Surg J"},{"issue":"5","key":"2022112818194458900_CIT0006","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.1097\/01.prs.0000256070.37066.7e","article-title":"Factors impacting thromboembolism after bariatric body contouring surgery","volume":"119","author":"Shermak","year":"2007","journal-title":"Plast Reconstr Surg."},{"issue":"3","key":"2022112818194458900_CIT0007","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1097\/SAP.0b013e3181e35c64","article-title":"Prevention of venous thromboembolism in body contouring surgery: a national survey of 596 ASPS surgeons","volume":"66","author":"Clavijo-Alvarez","year":"2011","journal-title":"Ann Plast Surg."},{"issue":"5","key":"2022112818194458900_CIT0008","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1097\/PRS.0000000000000088","article-title":"Evidence-based medicine: abdominoplasty","volume":"133","author":"Hurvitz","year":"2014","journal-title":"Plast Reconstr Surg."},{"issue":"2","key":"2022112818194458900_CIT0009","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1097\/PRS.0b013e31817d54a9","article-title":"Brachioplasty and concomitant procedures after massive weight loss: a statistical analysis from a prospective registry","volume":"122","author":"Gusenoff","year":"2008","journal-title":"Plast Reconstr Surg."},{"key":"2022112818194458900_CIT0010","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1097\/SAP.0b013e318166d351","article-title":"The effect of weight loss surgery and body mass index on wound complications after abdominal contouring operations","volume":"61(3)","author":"Greco","year":"2008","journal-title":"Ann Plast Surg"},{"issue":"6","key":"2022112818194458900_CIT0011","doi-asserted-by":"crossref","first-page":"416","DOI":"10.3109\/2000656X.2012.717898","article-title":"Complications of abdominoplasty after weight loss as a result of bariatric surgery or dieting\/postpregnancy","volume":"46","author":"Staalesen","year":"2012","journal-title":"J Plast Surg Hand Surg."},{"issue":"4","key":"2022112818194458900_CIT0012","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1177\/1090820X14528208","article-title":"The effect of massive weight loss status, amount of weight loss, and method of weight loss on body contouring outcomes","volume":"34","author":"Constantine","year":"2014","journal-title":"Aesthet Surg J."},{"issue":"6","key":"2022112818194458900_CIT0013","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1093\/asj\/sjv008","article-title":"Post-bariatric body contouring","volume":"35","author":"Herman","year":"2015","journal-title":"Aesthet Surg J."},{"issue":"5","key":"2022112818194458900_CIT0014","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1097\/PRS.0000000000003816","article-title":"Impact of patient subtype and surgical variables on abdominoplasty outcomes: a 12-year Massachusetts General Hospital experience","volume":"140","author":"Seth","year":"2017","journal-title":"Plast Reconstr Surg."},{"key":"2022112818194458900_CIT0015","article-title":"Estimate of bariatric surgery numbers, 2011-2018.","author":"American Society for Metabolic and Bariatric Surgery."},{"issue":"1","key":"2022112818194458900_CIT0016","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1093\/asj\/sjv117","article-title":"Rivaroxaban for venous thromboembolism prophylaxis in abdominoplasty: a multicenter experience","volume":"36","author":"Hunstad","year":"2016","journal-title":"Aesthet Surg J."},{"key":"2022112818194458900_CIT0017","doi-asserted-by":"crossref","DOI":"10.1093\/asj\/sjz274","article-title":"Safety of rivaroxaban for postoperative venous thromboembolism prophylaxis following abdominal body contouring surgery: 600 patients","author":"Vasilakis","year":"2020","journal-title":"Aesthet Surg J"},{"key":"2022112818194458900_CIT0018","author":"World Medical Association."},{"issue":"2-3","key":"2022112818194458900_CIT0019","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1016\/j.disamonth.2005.02.003","article-title":"Thrombosis risk assessment as a guide to quality patient care","volume":"51","author":"Caprini","year":"2005","journal-title":"Dis Mon."},{"issue":"5","key":"2022112818194458900_CIT0020","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1177\/1090820X11412487","article-title":"Abdominoplasty with thorough concurrent circumferential abdominal tumescent liposuction","volume":"31","author":"Hunstad","year":"2011","journal-title":"Aesthet Surg J."},{"issue":"4","key":"2022112818194458900_CIT0021","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1097\/PRS.0000000000004819","article-title":"Abdominoplasty with circumferential liposuction: a review of 1000 consecutive cases","volume":"142","author":"Sozer","year":"2018","journal-title":"Plast Reconstr Surg."},{"issue":"6","key":"2022112818194458900_CIT0022","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1093\/asj\/sjv268","article-title":"Safety of aesthetic surgery in the overweight patient: analysis of 127,961 patients","volume":"36","author":"Gupta","year":"2016","journal-title":"Aesthet Surg J"},{"issue":"3","key":"2022112818194458900_CIT0023","first-page":"337","article-title":"Venous thromboembolism in the cosmetic patient: analysis of 129,007 patients","volume":"37","author":"Winocour","year":"2017","journal-title":"Aesthet Surg J"},{"issue":"4","key":"2022112818194458900_CIT0024","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1097\/PRS.0000000000006018","article-title":"Abdominoplasty in the overweight and obese population: outcomes and patient satisfaction","volume":"144","author":"Hammond","year":"2019","journal-title":"Plast Reconstr Surg."},{"issue":"6","key":"2022112818194458900_CIT0025","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1097\/PRS.0000000000003392","article-title":"Safety of outpatient circumferential body lift: evidence from 42 consecutive cases","volume":"139","author":"Makipour","year":"2017","journal-title":"Plast Reconstr Surg."},{"issue":"3","key":"2022112818194458900_CIT0026","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/PRS.0000000000003605","article-title":"Patient-reported outcomes in weight loss and body contouring surgery: a cross-sectional analysis using the BODY-Q","volume":"140","author":"Poulsen","year":"2017","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"2022112818194458900_CIT0027","doi-asserted-by":"crossref","first-page":"1361","DOI":"10.1097\/PRS.0b013e318273e5f5","article-title":"Evaluation of the weight loss patient presenting for plastic surgery consultation","volume":"130","author":"Bossert","year":"2012","journal-title":"Plast Reconstr Surg."},{"key":"2022112818194458900_CIT0028","first-page":"197232","article-title":"Abdominoplasty improves quality of life, psychological distress, and eating disorder symptoms: a prospective study","volume":"2014","author":"Saariniemi","year":"2014","journal-title":"Plast Surg Int."},{"key":"2022112818194458900_CIT0029","doi-asserted-by":"crossref","first-page":"1731","DOI":"10.1016\/j.soard.2015.09.009","article-title":"Weight loss is higher among patients who undergo body contouring procedures after bariatric surgery","volume":"12(9)","author":"Froylich","year":"2016","journal-title":"Surg Obes Relat Dis"},{"issue":"1","key":"2022112818194458900_CIT0030","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1097\/PRS.0000000000004461","article-title":"Using the BODY-Q to understand impact of weight loss, excess skin, and the need for body contouring following bariatric surgery","volume":"142","author":"Klassen","year":"2018","journal-title":"Plast Reconstr Surg."},{"issue":"9","key":"2022112818194458900_CIT0031","doi-asserted-by":"crossref","first-page":"989","DOI":"10.1093\/asj\/sjz274","article-title":"Postoperative venous thromboembolism prophylaxis utilizing enoxaparin does not increase bleeding complications after abdominal body contouring surgery","volume":"44","author":"Vasilakis","year":"2020","journal-title":"Aesthet Surg J"},{"issue":"5","key":"2022112818194458900_CIT0032","doi-asserted-by":"crossref","first-page":"1590","DOI":"10.1097\/01.prs.0000256070.37066.7e","article-title":"Factors impacting thromboembolism after bariatric body contouring surgery","volume":"119","author":"Shermak","year":"2007","journal-title":"Plast Reconstr Surg"},{"issue":"6","key":"2022112818194458900_CIT0033","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1097\/SLA.0b013e3182519ccf","article-title":"Identifying patients at high risk for venous thromboembolism requiring treatment after outpatient surgery","volume":"255","author":"Pannucci","year":"2012","journal-title":"Ann Surg"},{"issue":"2","key":"2022112818194458900_CIT0034","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1001\/jamasurg.2014.1841","article-title":"Surgical duration and risk of venous thromboembolism","volume":"150","author":"Kim","year":"2015","journal-title":"JAMA Surg"},{"issue":"1","key":"2022112818194458900_CIT0035","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1016\/j.cps.2018.08.013","article-title":"Common complications and management after massive weight loss patient safety in plastic surgery","volume":"46","author":"Beidas","year":"2019","journal-title":"Clin Plast Surg."},{"issue":"2","key":"2022112818194458900_CIT0036","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/j.asj.2008.01.005","article-title":"Nutritional and psychological considerations after bariatric surgery","volume":"28","author":"Song","year":"2008","journal-title":"Aesthet Surg J."},{"issue":"6","key":"2022112818194458900_CIT0037","doi-asserted-by":"crossref","first-page":"1901","DOI":"10.1097\/PRS.0b013e31818d20d6","article-title":"Potential impacts of nutritional deficiency of postbariatric patients on body contouring surgery","volume":"122","author":"Agha-Mohammadi","year":"2008","journal-title":"Plast Reconstr Surg."},{"issue":"5","key":"2022112818194458900_CIT0038","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1007\/s00266-010-9522-x","article-title":"Enhanced recovery after body-contouring surgery: reducing surgical complication rates by optimizing nutrition","volume":"34","author":"Agha-Mohammadi","year":"2010","journal-title":"Aesthetic Plast Surg."},{"issue":"4","key":"2022112818194458900_CIT0039","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1097\/PRS.0b013e3181d0aa13","article-title":"Prospective assessment of nutrition and exercise parameters before body contouring surgery: optimizing attainability in the massive weight loss population","volume":"125","author":"Koltz","year":"2010","journal-title":"Plast Reconstr Surg."},{"key":"2022112818194458900_CIT0040","doi-asserted-by":"crossref","first-page":"1060","DOI":"10.1097\/01.prs.0000242493.11655.68","article-title":"Does quilting suture prevent seroma in abdominoplasty?","volume":"119(3)","author":"Nahas","year":"2007","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"2022112818194458900_CIT0041","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1093\/asj\/sju103","article-title":"Use of quilting sutures during abdominoplasty to prevent seroma formation: are they really effective?","volume":"35","author":"Sforza","year":"2015","journal-title":"Aesthet Surg J."},{"issue":"5","key":"2022112818194458900_CIT0042","first-page":"613","article-title":"Progressive tension sutures in abdominoplasty: a review of 597 consecutive cases","volume":"32","author":"Pollock","year":"2012","journal-title":"Aesth Surg J"},{"issue":"4","key":"2022112818194458900_CIT0043","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1093\/asj\/sjw241","article-title":"Drainless abdominoplasty using barbed progressive tension sutures","volume":"37","author":"Isaac","year":"2017","journal-title":"Aesthet Surg J."}],"container-title":["Aesthetic Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/asj\/advance-article-pdf\/doi\/10.1093\/asj\/sjab123\/36510115\/sjab123.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/41\/8\/NP1044\/47371106\/sjab123.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asj\/article-pdf\/41\/8\/NP1044\/47371106\/sjab123.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T18:21:54Z","timestamp":1669659714000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asj\/article\/41\/8\/NP1044\/6161517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,8]]},"references-count":43,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,3,8]]},"published-print":{"date-parts":[[2021,7,14]]}},"URL":"https:\/\/doi.org\/10.1093\/asj\/sjab123","relation":{},"ISSN":["1090-820X","1527-330X"],"issn-type":[{"value":"1090-820X","type":"print"},{"value":"1527-330X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,8,1]]},"published":{"date-parts":[[2021,3,8]]}}}