Does abdominoplasty intensify the metabolic effect of bariatric surgery?

Lior Leibou*, Tomer Perlok, Rivi Haiat Factor, Eyal Leibovitz, Jacob Frand, Stav Leibou, Dror Sadan, Mordechai Shimonov

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: The effect of weight reduction following bariatric surgery is already well known. Objectives: To investigate the effects of abdominoplasty on metabolic markers indicative of weight loss. Methods: The authors prospectively enrolled consecutive obese patients after laparoscopic sleeve gastrectomy. They were candidates for post-bariatric surgery abdominoplasty. The authors measured metabolic markers one day prior to surgery, 24 hours after, and 3 months following surgery. They recorded medical and demographic parameters. Results: Sixteen patients were recruited for participation in the study. Mean age was 47 years and 88% of the patients were female. Bariatric surgery achieved a mean decline in body mass index of 13.8 kg/m2. All patients underwent abdominoplasty. Leptin and insulin levels were slightly increased at 3 months postoperative. No significant changes were observed in glucose, hemoglobin, or triglycerides throughout the study. Conclusions: In a cohort of obese patients undergoing laparoscopic sleeve gastrectomy followed by abdominoplasty, no significant changes were noted in a patient’s metabolic profiles. The results suggest that abdominoplasty has no effect on the metabolic markers tested in contrast to other reports; however, the cosmetic, behavioral, and psychological advantages of abdominoplasty are well established.

Original languageEnglish
Pages (from-to)374-377
Number of pages4
JournalIsrael Medical Association Journal
Issue number6
StatePublished - Jun 2020


  • Abdominoplasty
  • Bariatric surgery
  • Body mass index (BMI)
  • Leptin
  • Metabolic markers


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