Document Detail

Aesthetic and functional satisfaction after monsplasty in the massive weight loss population.
MedLine Citation:
PMID:  22942115     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The mons region is often affected by massive weight loss (MWL), with descent of the pubic area and residual adiposity. Thinning and resuspension are often performed concomitantly with abdominal contouring procedures.
OBJECTIVES: Assess patient satisfaction, as well as functional and aesthetic results, after monsplasty in the MWL population.
METHODS: The authors identified 54 consecutive female MWL patients (≥50 lbs) who had undergone abdominal contouring and completed at least 3 months of follow-up as potential subjects. Subjects were asked to complete a Mons Satisfaction Survey, either by phone or in person. Demographic and procedural data were collected from our prospective registry. Descriptive statistics were calculated with significance set at P value <.05.
RESULTS: Thirty-one patients (57.8%) completed the survey. Average patient age was 46 ± 11.3 years. Mean maximum body mass index (BMI) was 52.0 ± 8.81 kg/m(2), mean current BMI was 31.0 ± 6.22 kg/m(2), and mean delta BMI was 20.7 ± 6.00 kg/m(2). Average pannus resection weight was 3.25 ± 2.03 kg. Visualization of the genitalia improved from 25.8% to 100% (P < .01). Patients rated the appearance of their mons as 3.18 ± 2.11 prior to surgery and 8.58 ± 1.73 after surgery (P < .001) on a scale of 1 to 10. Hygiene improved in 61.3% of patients, and sex life improved in 51.6%, with 32.3% of patients reporting increased genital sensitivity. Incontinence decreased from 22.6% to 12.9%, and 6 patients reported a change in urinary stream.
CONCLUSIONS: Monsplasty at the time of abdominal contouring yields significant improvement in patient satisfaction levels and functional scores. With proper incisional design, monsplasty can be performed safely during abdominal contouring with high patient satisfaction to improve both form and function of the pubic region.
Jacob M P Bloom; Emily Van Kouwenberg; Michael Davenport; Peter F Koltz; Robert B Shaw; Jeffrey A Gusenoff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Aesthetic surgery journal / the American Society for Aesthetic Plastic surgery     Volume:  32     ISSN:  1527-330X     ISO Abbreviation:  Aesthet Surg J     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-03     Completed Date:  2013-01-15     Revised Date:  2014-01-29    
Medline Journal Info:
Nlm Unique ID:  9707469     Medline TA:  Aesthet Surg J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  877-85     Citation Subset:  IM    
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MeSH Terms
Abdomen / surgery*
Body Mass Index
Data Collection
Follow-Up Studies
Genitalia, Female
Middle Aged
Patient Satisfaction*
Reconstructive Surgical Procedures / methods*
Retrospective Studies
Weight Loss*
Comment In:
Aesthet Surg J. 2013 Nov 1;33(8):1208-9   [PMID:  24335019 ]
Aesthet Surg J. 2013 Nov 1;33(8):1211   [PMID:  24335021 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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