![]() There are many benefits of fleur-de-lis over traditional panniculectomy, even for medical necessity cases. Patients with BMI <30 had 10 complications compared with patients with BMI ≥30 had 15 complications. Six males (40%) had more complications compared with 18 females (15.7%) (P = 0.034). Twenty-two patients (17%) had complications, with 5 in the traditional group (17%) and 17 in the fleur-de-lis group (17%) (P = 1.0). Fifty-seven patients had additional procedures performed at the time of panniculectomy. Mean weight loss from bariatric surgery to panniculectomy was 58.2 kg, with an average body mass index (BMI) of 30. This is a retrospective chart review of 130 consecutive postbariatric surgery patients who had panniculectomy over a 2-year period at our institution.Ī total of 30 patients underwent a traditional panniculectomy and 100 patients had a fleur-de-lis panniculectomy. ![]() ![]() In these patients, many surgeons avoid the fleur-de-lis panniculectomy, despite the body contour aesthetic advantage, because of increased time, more scarring, and a perceived increase in complications. It may be also fraught with complications due to large incisions and potential for dead-space. Panniculectomy for symptomatic relief of rashes is commonly performed, but an isolated infraumbilical amputation-type panniculectomy is a highly unaesthetic procedure, leaving many patients deeply dissatisfied. Plastic surgeons are faced with increasing numbers of patients presenting for insurance-covered skin excision procedures following bariatric surgery. ![]()
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