Prevalence of Skin Changes and Their Management After Bariatric Surgery: A Prospective Study at International Metabolic and Bariatric Center

Numerous skin disorders, including ulcerated necrobiosis lipoidica diabeticorum, hidradenitis suppurativa, intertrigo, and psoriasis, have shown improvement post-bariatric surgery. On the other hand, there have been reports of the occurrence of unfavourable skin disorders, most of which are related to nutritional deficiencies, such as those of iron, folic acid, vitamins, and trace elements. Objectives: To determine the prevalence of skin changes and diseases following bariatric surgery at our centre and their management strategies. Methods: This longitudinal study was carried out from April 2021 to March 2023. Patients were eligible for inclusion if they were aged 18 years or older, and had undergone one of the following bariatric procedures: sleeve gastrectomy, Roux-en-Y gastric bypass, or mini gastric bypass. Baseline clinical and demographic information was documented, At frequent follow-up intervals postoperative data were collected to record any new onset or changes in skin problems. Results: A total of 1656 patients who had undergone bariatric surgery were included. During the 12-month follow-up period, 1292 (78%) of patients experienced skin changes. Excess skin was the most prevalent type of skin alteration, affecting 1026 (62%) of patients, especially in the arms 745 (45%) and abdomen 1159 (70%). Conclusions: It was concluded that significant dermatological challenges are faced by patients post bariatric surgery and a holistic and multidisciplinary approach should be incorporated in managing these issues. By addressing both aesthetic and functional concerns, healthcare providers can enhance patients’ overall satisfaction and quality of life.