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Guideline

UK Commissioning guide: Massive Weight Loss Body Contouring

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Last updated:15th Jun 2018

This document is about guidance for commissioning reconstructive procedures, post massive weight loss and is based on the best available evidence.

Body contouring surgery is reconstructive surgery following massive weight loss. In 2014, 58-60% of all adults aged 16 years and over were overweight or obese.
Women are more likely to be morbidly obese than men, across all age groups. 3.6% of women were morbidly obese in 2014, compared to 1.8% of men.

Weight loss surgery or bariatric surgery is commissioned nationally across England. In adults with a BMI of more than 40kg/m2 (or more than 35kg/m2 with co-morbidities) in whom surgical intervention is considered appropriate, bariatric surgery is recommended as a treatment option in the National Institute for Health and Clinical Excellence (NICE) guidelines.

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