Quality of life following aesthetic liposuction: A prospective outcome study

Nikolaos A. Papadopulos, Mara J. Kolassa, Gerhard Henrich, Peter Herschbach, Laszlo Kovacs, Hans Günther Machens, Markus Klöppel

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14 Scopus citations


Background: The authors’ previous research suggested the hypothesis that aesthetic surgery in general has a positive impact on quality of life (QoL). This prospective study aimed to investigate the indication-specific effect on QoL in patients undergoing aesthetic liposuction. To our knowledge, no other prospective study has been conducted using standardised and validated questionnaires with a comparable return rate and sample size. Methods: Sixty-four patients underwent aesthetic liposuction. Forty-two patients met the inclusion criteria, and 38 of them answered one set of questionnaires preoperatively and the follow-up set at six months post-operatively. The testing instrument included a self-developed, indication-specific questionnaire and four standardised and validated questionnaires with German norm data available: Questions on Life Satisfaction, Modules (FLZM, German version), the Freiburg Personality Inventory-Revised (FPI-R), the Rosenberg Self-Esteem Scale (RSES) and the Patient Health Questionnaire (PHQ-4). Results: Our self-developed indication-specific questionnaire showed high satisfaction with the postoperative results. The FLZM demonstrated significant improvements for all modules, concerning life in general (p = 0.02), health (p = 0.04) and body image (p = 0.02). Moreover, the FPI-R revealed a significant improvement in emotional stability (p < 0.01). Moreover, the PHQ-4 showed a significant reduction in overall psychological distress (p = 0.03) and anxiety (p = 0.01). Conclusion: Liposuction had significant impact on QoL. The surgery led to a higher satisfaction not only with the result of intervention and the outer appearance specifically but also with life and the state of health generally. It improved emotional stability and reduced anxiety. Therefore, the authors’ hypothesis in a previous research was confirmed for this specific indication prospectively.

Original languageEnglish
Pages (from-to)1363-1372
Number of pages10
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Issue number8
StatePublished - Aug 2019
Externally publishedYes


  • Aesthetic liposuction
  • Body image
  • Health satisfaction
  • Life satisfaction
  • Quality of life


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