# Intentions in reconstructive plastic surgery among post-bariatric patients in Brazil’s public health service

## TL;DR

This study explores why post-bariatric surgery patients in Brazil want reconstructive surgery, finding that body image and education level are key factors.

## Contribution

The study identifies specific body areas and factors influencing reconstructive surgery interest in a public healthcare setting.

## Key findings

- 90.7% of post-bariatric patients expressed interest in reconstructive surgery.
- Abdomen and breasts were the most desired areas for surgery.
- Education level and sexual function influenced surgical interest more than weight loss.

## Abstract

To evaluate post-bariatric patients’ intentions to undergo reconstructive plastic surgery in Brazil’s public health system.

This cross-sectional study, conducted between May 2022 and February 2023, contacted 539 post-bariatric patients (≥ one year post surgery) via telephone, of whom 150 completed an online survey. Participants assessed their interest in reconstructive surgery and completed the validated Body-Q instrument to evaluate body image, sexual function, and related outcomes.

Most respondents were female (88%) and married (68%), with an average age of 43 years old. The preoperative and postoperative body mass indices were 44.5 and 28.1, respectively, with an average weight loss of 44 ± 12.8 kg. A total of 90.7% expressed interest in reconstructive surgery, particularly for the abdomen (75.3%) and breasts (68%). Lower education level was linked to higher aesthetic expectations (p = 0.014). Patients interested in arm surgery had significantly lower sexual function scores (p = 0.006). There was no significant correlation between total weight loss and surgical interest.

Post-bariatric patients in Brazil’s public healthcare system showed a high demand for reconstructive surgery, with education level and body satisfaction influencing interest more than weight loss. Targeted counseling may help align expectations and enhance post-bariatric care for patients.