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Semin Plast Surg 2006; 20(1): 024-029
DOI: 10.1055/s-2006-932446
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

A Classification of Contour Deformities after Massive Weight Loss: Application of the Pittsburgh Rating Scale

Angela Y. Song1 , Jim P. O'Toole1 , Raymond D. Jean2 , Dennis J. Hurwitz3 , Madelyn H. Fernstrom4 , John A. Scott4 , J. Peter Rubin1
  • 1Division of Plastic Surgery, Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
  • 2Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania
  • 3Private Practice
  • 4Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
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Publication History

Publication Date:
26 January 2006 (online)

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ABSTRACT

Contour deformities after post-bariatric surgery weight loss are varied and often complex. Existing classification systems do not adequately address the various post-weight loss deformities that can occur in every part of the body. At the University of Pittsburgh, we have devised the Pittsburgh Rating Scale, a classification system that allows grading of 10 areas of the body on a four-point scale. The scale has been validated in a previous study. Currently, the scale is being applied during our initial assessment of the post-bariatric surgery weight loss patient. We have found that accurate classification can assist the surgeon in operative planning. The scale is useful in both classifying the individual deformities in a specific region and performing a comprehensive assessment.

KEYWORDS

Bariatric surgery - body contouring classification - weight loss - abdominoplasty - brachioplasty - buttocks - thighplasty

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J. Peter RubinM.D. 

Division of Plastic Surgery, University of Pittsburgh

3550 Terrace Street, 6B Scaife Hall 680, Pittsburgh, PA 15261

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