Abstract：
BACKGROUND: Body contouring surgery (BCS) in adolescents, particularly following bariatric surgery, involves a complex array of ethical, psychological, and medical factors. This review focuses on adolescents who have experienced significant weight loss, often due to bariatric surgery, and subsequently require body contouring to address excess skin and soft tissue.
METHODS: A literature narrative review was conducted using PubMed and Google Scholar databases. Relevant articles were screened and selected based on their discussion of post-bariatric and massive weight loss body contouring surgeries in adolescents, focusing on prevalence, outcomes, and ethical considerations.
RESULTS: The prevalence of BCS among adolescents is rising, influenced by social media and societal perceptions of beauty. However, the percentage of adolescents receiving BCS after bariatric surgery remains low. Adolescents undergoing BCS experience improvements in physical functioning, body image, and psychological well-being. Complications, although common, are mostly minor. Ethical considerations include ensuring informed consent, assessing emotional maturity, managing patient expectations, and involving adolescents in decision-making. Comparative analysis reveals similar outcomes in adults and adolescents, but adolescents face unique ethical challenges related to autonomy, long-term effects, and ongoing physical and emotional development.
CONCLUSIONS: BCS in adolescents following bariatric surgery can lead to improved physical and psychological outcomes. However, the decision to undergo BCS must be carefully considered, taking into account the adolescent\'s maturity, expectations, and long-term well-being. Ethical considerations are paramount, emphasizing the need for informed consent, realistic expectations, and a multidisciplinary approach. Further research is needed to assess long-term outcomes and the specific ethical implications of BCS in adolescents compared to adults.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: A literature narrative review was conducted using PubMed and Google Scholar databases. Relevant articles were screened and selected based on their discussion of post-bariatric and massive weight loss body contouring surgeries in adolescents, focusing on prevalence, outcomes, and ethical considerations.
RESULTS: The prevalence of BCS among adolescents is rising, influenced by social media and societal perceptions of beauty. However, the percentage of adolescents receiving BCS after bariatric surgery remains low. Adolescents undergoing BCS experience improvements in physical functioning, body image, and psychological well-being. Complications, although common, are mostly minor. Ethical considerations include ensuring informed consent, assessing emotional maturity, managing patient expectations, and involving adolescents in decision-making. Comparative analysis reveals similar outcomes in adults and adolescents, but adolescents face unique ethical challenges related to autonomy, long-term effects, and ongoing physical and emotional development.
CONCLUSIONS: BCS in adolescents following bariatric surgery can lead to improved physical and psychological outcomes. However, the decision to undergo BCS must be carefully considered, taking into account the adolescent\'s maturity, expectations, and long-term well-being. Ethical considerations are paramount, emphasizing the need for informed consent, realistic expectations, and a multidisciplinary approach. Further research is needed to assess long-term outcomes and the specific ethical implications of BCS in adolescents compared to adults.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：
背景：青少年的身体轮廓手术（BCS），特别是在减肥手术之后，涉及一系列复杂的道德，心理,和医疗因素。这篇综述的重点是经历过显著体重减轻的青少年，通常是由于减肥手术，并随后需要身体轮廓处理多余的皮肤和软组织。
方法：使用PubMed和GoogleScholar数据库进行文献叙事综述。根据他们对青少年减肥后和大规模减肥身体轮廓手术的讨论，筛选和选择相关文章，专注于患病率，结果，和道德考虑。
结果：青少年中BCS的患病率正在上升，受社交媒体和社会对美的看法的影响。然而,减肥手术后接受BCS的青少年比例仍然很低.接受BCS的青少年在身体功能方面有改善，身体形象，和心理健康。并发症,虽然普通,大多是未成年人。伦理考虑包括确保知情同意，评估情绪成熟度，管理患者的期望，让青少年参与决策。比较分析显示成年人和青少年的结果相似，但是青少年面临着与自主相关的独特道德挑战，长期影响，以及持续的身体和情感发展。
结论：减肥手术后青少年的BCS可改善生理和心理预后。然而,必须仔细考虑接受BCS的决定，考虑到青少年的成熟度，期望,和长期福祉。伦理考虑是最重要的，强调知情同意的必要性，现实的期望，和多学科方法。与成年人相比，需要进一步的研究来评估长期结果和BCS在青少年中的具体伦理影响。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：使用PubMed和GoogleScholar数据库进行文献叙事综述。根据他们对青少年减肥后和大规模减肥身体轮廓手术的讨论，筛选和选择相关文章，专注于患病率，结果，和道德考虑。
结果：青少年中BCS的患病率正在上升，受社交媒体和社会对美的看法的影响。然而,减肥手术后接受BCS的青少年比例仍然很低.接受BCS的青少年在身体功能方面有改善，身体形象，和心理健康。并发症,虽然普通,大多是未成年人。伦理考虑包括确保知情同意，评估情绪成熟度，管理患者的期望，让青少年参与决策。比较分析显示成年人和青少年的结果相似，但是青少年面临着与自主相关的独特道德挑战，长期影响，以及持续的身体和情感发展。
结论：减肥手术后青少年的BCS可改善生理和心理预后。然而,必须仔细考虑接受BCS的决定，考虑到青少年的成熟度，期望,和长期福祉。伦理考虑是最重要的，强调知情同意的必要性，现实的期望，和多学科方法。与成年人相比，需要进一步的研究来评估长期结果和BCS在青少年中的具体伦理影响。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
