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Safety of Aesthetic Surgery in the Overweight Patient: Analysis of 127,961 Patients

, : Safety of Aesthetic Surgery in the Overweight Patient: Analysis of 127,961 Patients. Aesthetic Surgery Journal 36(6): 718-729

Nearly 70% of US adults are overweight or obese (body mass index, BMI ≥ 25 kg/m(2)), and more such patients are seeking aesthetic surgery. Previous studies have evaluated surgical risk in obese (BMI ≥ 30) or morbidly obese (BMI ≥ 40) patients, with mixed results. This study evaluates BMI 25 to 29.9 and BMI ≥ 30 as independent risk factors of major complications following aesthetic surgery in a large, prospective, multi-center database. A prospective cohort of patients undergoing aesthetic surgery between 2008 and 2013 was identified from the CosmetAssure database (Birmingham, AL). BMI was evaluated as a risk factor for major complications, defined as complications requiring an emergency room visit, hospital admission, or reoperation within 30 days of the procedure. Multivariate analysis controlled for variables including age, gender, smoking, diabetes, combined procedures, and type of surgical facility. Of the 127,961 patients, 36.2% had BMI ≥ 25. Overweight patients were more likely to be male (12.5%), diabetic (3.3%), nonsmokers (92.8%), or have multiple procedures (41%). Complication rate steadily increased with BMI: 1.4% (BMI < 18.5); 1.6% (18.5-24.9); 2.3% (25-29.9); 3.1% (30-39.9); 4.2% (≥40). Infection (0.8%), venous thromboembolism (VTE, 0.4%), and pulmonary dysfunction (0.2%) were twice as common among overweight patients. Incidence of hematoma was similar in the two groups (0.9%). Complications following abdominoplasty (3.5%), liposuction (0.9%), lower body lift (8.8%), or combined breast and body procedures (4.2%) were significantly higher in overweight patients. On multivariate analysis, being overweight (BMI 25-29.9) or obese (BMI ≥ 30) were independent predictors of any complication (Relative Risk, RR 1.17 and 1.51), especially infection (RR 1.63 and 2.73), and VTE (RR 1.67 and 2.56). Overweight (BMI 25-29.9) and obesity (BMI ≥ 30) are both independent risk factors for post-operative infection and VTE in aesthetic surgery. LEVEL OF EVIDENCE 2: Risk.


PMID: 26895958

DOI: 10.1093/asj/sjv268

Other references

Azare, J.; Cohen, D.; Flescher, E., 1997: Non-steroidal anti-inflammatory drugs protect human T lymphoma cells against apoptosis induced by anti-cancer drugs. Proceedings of the American Association for Cancer Research Annual Meeting 38(0): 94

Stout, C.E., 1999: Negotiating the technology maze. Behavioral Healthcare Tomorrow 8(1): 58-9, 62-4

Pyrak Nolte Laura J.; Myer Larry R.; Cook Neville G.W., 1990: Transmission of seismic waves across single natural fractures. The complete solutions for seismic wave reflection, conversion, and transmission across a displacement and velocity discontinuity between two half-spaces with different densities and elastic properties are derived for all angles of the incident wa...

Morrison, Frank O., 1957: The ratio of the width to the length of the second abdominal sternite of the house fly. Measurements were made of adults of both sexes from 19 different laboratory cultures from widely separated insecticide testing laboratories in order to check on any correlation which might exist between this ratio and DDT-resistance. The ratio var...

Morton R.A., 2000: Geoindicators of coastal change in the humid tropics. International Geological Congress, Abstracts = Congres Geologique International, Resumes 31: (unpaginated

Adams, E.W.; Slaughter, L.J., 1970: A canine venereal tumor with metastasis to the brain. A naturally occurring malignant canine venereal tumour in the vagina of a mature collie dog did not regress following surgical intervention. The tumour progressed fatally over a period of 5 weeks and metastasized to the inguinal and iliac lymph no...

Chapman, Peter M., 1993: What is the pollution status of North Sea sediments. Canadian Technical Report of Fisheries and Aquatic Sciences, 1942: 375-396

Nieman, D.C.; Shanely, R.Andrew.; Luo, B.; Dew, D.; Meaney, M.Pat.; Sha, W., 2014: A commercialized dietary supplement alleviates joint pain in community adults: a double-blind, placebo-controlled community trial. The purpose of this study was to assess the effect of 8-weeks ingestion of a commercialized joint pain dietary supplement (Instaflex™ Joint Support, Direct Digital, Charlotte, NC) compared to placebo on joint pain, stiffness, and function in adu...

Frymier, J.S.; Reed, T.D.; Fletcher, S.A.; Csonka, L.N., 1997: Characterization of transcriptional regulation of the kdp operon of Salmonella typhimurium. The transcriptional control of the kdpFABC (K+ transport) operon of Salmonella typhimurium was characterized with a lacZ fusion. The kdpFABC operon of this organism was induced by K+ limitation and high osmolality, and osmotic induction was antago...

Scott, M.L.; Desai, I.D., 1964: The relative sparing effect of selenium upon the requirement of the D-and L-epimers of -tocopheryl acetate for prevention of muscular dystrophy. Poultry Sci 43(5): 1360