Body contouring following massive weight loss is a rapidly expanding field in plastic surgery. However, healthcare payers are\r\nreluctant to fund such procedures, viewing them as purely cosmetic. This has resulted in a flurry of studies assessing quality of life\r\n(QoL) and patient satisfaction following body contouring surgery in this cohort of patients to establish an evidence base to support\r\nthe idea that body contouring is as much (or even more) a functional procedure as it is cosmetic. However, the methods employed\r\nin these studies are seldomideal, and hence the conclusions are unreliable. The gold standard to assess QoL and patient satisfaction\r\nis to use patient specific psychometrically validated patient reported outcome (PRO) measures. Developing suchmeasures consists\r\nof a three-step process which includes a review of the current literature, qualitative patient interviews to determine what patients\r\nconsider the most important, and expert opinion. This study aims to appraise the currently available literature on assessment of\r\nQoL and patient satisfaction in body contouring surgery patients. This will hopefully provide an understanding of methodological\r\nweaknesses in current studies and inform future investigators of the design of ideal instruments for assessing QoL and patient\r\nsatisfaction in body contouring patients.
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