A Classification of Contour Deformities after Massive Weight Loss: Application of the Pittsburgh Rating Scale | Semantic Scholar (2025)

The Pittsburgh Rating Scale, first presented in 2004, was the first all-inclusive and validated measure of contour deformities after massive weight loss and is considered applicable and sufficiently universal in a variety of clinical settings.

Addressing the wide spectrum of deformities that affects the female breast after massive weight loss is important to facilitate communication with other plastic surgeons and in designing a plan to correct these deformities to achieve better aesthetic results.

Body contouring surgery reduces physical and psychological complaints after massive weight loss and positively influences quality of life.

Breast auto augmentation for breast reshaping in post bariatric patients is an ideal and long life techniquecomparable to other techniques used to address this issue.

An easy and reliable method to determine the horizontal and vertical coordinates of the male nipples is proposed based on the recently appreciated aesthetic value of the golden number Phi (ϕ).

Post-bariatric patients often mistake their preoperative condition and consider body contouring procedures as an aesthetic surgery treatment, which should never be compared to aesthetic surgery, and patients should be clearly informed about the complexity of body contouring procedures after massive weight loss.

The Pittsburgh Rating Scale is a validated measure of contour deformities after bariatric weight loss and may have applications in preoperative planning and evaluating surgical outcomes.

The described surgical approach provides excellent overall extremity contour with favorable scars while simultaneously addressing axillary contour deformities, suitable for patients with severe brachial ptosis and skin laxity, with relatively little lipomatous tissue.

Tight suture closure in full thigh abduction in the prone position results in improved treatment of significant saddlebag deformity and midthigh skin laxity in the massive weight loss patient.

The goal of this paper is to show how operating time can be shortened and the scar be correctly positioned by using precise preoperative markings.

From a study of the deformities of each layer of the abdominal wall, five types of abdominoplasties are categorized, aiming to sculpture the abdomen and treat each layer according to the deformity present in each patient.

It is concluded that belt lipectomy should be seriously considered for patients who present with circumferential truncal excess and for a select group of normal-weight patients and not recommended for the obese patient with excessive intraabdominal content.

A new technique that uses a mold to mark the incision in an italic double S-shape is developed and patients who underwent this surgery showed symmetrical and smaller scars with better results and minimal complications.

A new technique that uses a mold to mark the incision in an italic double S-shape is developed and patients who underwent this surgery showed symmetrical and smaller scars with better results and minimal complications.

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