{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T01:28:34Z","timestamp":1755221314406,"version":"3.43.0"},"reference-count":39,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"crossref","award":["88887.850110\/2023-00"],"award-info":[{"award-number":["88887.850110\/2023-00"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Cir. Bras."],"abstract":"<jats:p>ABSTRACT  Purpose: To evaluate post-bariatric patients\u2019 intentions to undergo reconstructive plastic surgery in Brazil\u2019s public health system.  Methods: This cross-sectional study, conducted between May 2022 and February 2023, contacted 539 post-bariatric patients (\u2265 one year post surgery) via telephone, of whom 150 completed an online survey. Participants assessed their interest in reconstructive surgery and completed the validated Body-Q instrument to evaluate body image, sexual function, and related outcomes.  Results: Most respondents were female (88%) and married (68%), with an average age of 43 years old. The preoperative and postoperative body mass indices were 44.5 and 28.1, respectively, with an average weight loss of 44 \u00b1 12.8 kg. A total of 90.7% expressed interest in reconstructive surgery, particularly for the abdomen (75.3%) and breasts (68%). Lower education level was linked to higher aesthetic expectations (p = 0.014). Patients interested in arm surgery had significantly lower sexual function scores (p = 0.006). There was no significant correlation between total weight loss and surgical interest.  Conclusion: Post-bariatric patients in Brazil\u2019s public healthcare system showed a high demand for reconstructive surgery, with education level and body satisfaction influencing interest more than weight loss. Targeted counseling may help align expectations and enhance post-bariatric care for patients.<\/jats:p>","DOI":"10.1590\/acb405725","type":"journal-article","created":{"date-parts":[[2025,8,8]],"date-time":"2025-08-08T13:20:40Z","timestamp":1754659240000},"source":"Crossref","is-referenced-by-count":0,"title":["Intentions in reconstructive plastic surgery among post-bariatric patients in Brazil\u2019s public health service"],"prefix":"10.1590","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7459-951X","authenticated-orcid":false,"given":"Priscila Chiarello de Souza Pinto","family":"Abdalla","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3620-055X","authenticated-orcid":false,"given":"Juan Carlos Montano","family":"Pedroso","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9403-8971","authenticated-orcid":false,"given":"Rafael Cau\u00ea","family":"Katayama","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0395-6799","authenticated-orcid":false,"given":"Sarhan Sydney","family":"Saad","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6000-7023","authenticated-orcid":false,"given":"Gabriel de Almeida Arruda","family":"Felix","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2362-4644","authenticated-orcid":false,"given":"Mar\u00edlia","family":"Baeninger","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5913-7114","authenticated-orcid":false,"given":"Alfredo","family":"Gragnani","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil; Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Obesity and overweight","year":"2024"},{"key":"ref2","series-title":"Pesquisa do IBGE mostra aumento da obesidade em adultos em 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practices in Brazil","volume":"31","author":"Jarrin AE","year":"2012","journal-title":"Med Anthropol"},{"issue":"7","key":"ref39","doi-asserted-by":"crossref","first-page":"2361","DOI":"10.1007\/s40519-020-01085-1","article-title":"Preoperative body-related emotional distress and culture as predictors of outcomes of bariatric surgery","volume":"26","author":"Geller S","year":"2021","journal-title":"Eat Weight Disord"}],"container-title":["Acta Cir\u00fargica 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