Functional and Aesthetic Results of Post-Bariatric Body Contouring Surgery: Integrative Literature Review

Maria Izabella da Silva Giroldo, William Cassarotti Junior — Tue, 11 Mar 2025 00:00:00 -0300

Background: Bariatric surgery is an effective approach for the treatment of morbid obesity and its comorbidities, promoting significant weight loss and improved quality of life by altering gastrointestinal anatomy and/or restricting dietary capacity. However, rapid weight loss can cause excess skin and sagging, generating physical discomfort and a negative impact on self-esteem. To mitigate these effects, body contouring surgery (BSC) stands out as a therapeutic option, combining techniques such as abdominoplasty, brachioplasty, thigh lift and mastopexy to restore skin tone and provide additional aesthetic and psychological benefits.

Aim: To review the literature on the functional and aesthetic results of SCC.

Method: This exploratory study was conducted using the integrative literature review method with a focus on synthesizing clinical evidence. The search was carried out in the PUBMED database, using the following search strategy: ((post[title] OR after[title]) AND bariatric[title]) AND (contour*[title] AND surger*[title]) AND skin AND results), with a time cut-off of five years.

Results: Initially, 10 studies were identified which met the previously established search strategy. After reading the titles and abstracts, no articles were excluded.

Conclusion: In general, the evidence presented reinforces the importance of BCC as an intervention that is not only aesthetic, but fundamental for improving the quality of life of post-bariatric patients. The studies analyzed showed that, despite the significant desire for BCC, barriers such as high cost and lack of reimbursement limit access to the procedure.

Profile of breast cancer surgeries performed in a tertiary hospital in Sao Paulo State, Brazil

Tainá Aparecida Martin, Anastasio Berrettini Júnior — Thu, 06 Mar 2025 00:00:00 -0300

Background: Breast cancer is the most common neoplasm among women worldwide and represents one of the main causes of female mortality. Surgical treatment is one of the main therapeutic approaches and can vary between conservative and radical procedures, with or without breast reconstruction.

Aim: To describe the profile of breast cancer surgeries performed in a tertiary hospital in the interior of São Paulo.

Method: This is a descriptive, retrospective, cross-sectional study, based on an analysis of the medical records of patients seen by the Mastology and Breast Repair Surgery service at Hospital Universitário São Francisco, located in the city of Bragança Paulista - SP, Brazil, from January 2017 to January 2024. The surgery indication, the results of the preoperative anatomopathological examination, the type of surgery performed and whether or not oncoplasty was performed were evaluated. Of the 179 medical records analyzed, 93.3% of the patients underwent malignant surgery, with invasive ductal carcinoma being the most frequent diagnosis (88.3%). Quadrantectomy was the most common surgical procedure (61.5%), followed by mastectomy (36.9%). Oncoplasty was performed in only 14% of patients.

Conclusion: The data reflect current trends in the surgical treatment of breast cancer, with a predominance of conservative interventions and low adherence to oncoplastic techniques, which may be related to structural and informational factors.

Journal of Medical Residency Review

Functional and Aesthetic Results of Post-Bariatric Body Contouring Surgery: Integrative Literature Review

Profile of breast cancer surgeries performed in a tertiary hospital in Sao Paulo State, Brazil