Augmentation mastopexy after bariatric surgery: evaluation of patient satisfaction and surgical results.

Abstract

We conducted this prospective study to evaluate the satisfaction of patients and the surgical results obtained. METHODSPatients (n=20, 100% women, mean age 39.9 years, range 21-63) underwent augmentation mastopexy in a single operative time. All had undergone malabsorptive-restrictive bariatric surgery by the technique of Fobi-Capella 4 , between 19 and 96 months before plastic surgery, showed stable weight for a minimum of 12 months and had not had other plastic surgery before.The average height of patients was 1.63m(1.56-1.70); the average pre-bariatric surgery body weight was 116.5kg (100-135); and the average pre-plastic surgery body weight was 68kg (57.5-78).The mastopexies with inclusion of breast implants were not associated with other surgeries and were performed by the same surgical team, at the same institution, over a period of seven months. Patient satisfaction assessmentWe invited the twenty patients to participate in semi-structured psychological interviews in the preoperative period and six months postoperatively. The interviews were applied by a single psychologist in a suitable environment, when patients were assured that nothing Original Article 160-164A B S T R A C T Objective: to evaluate patient satisfaction and surgical results obtained after mastopexy with breast implant inclusion. Methods: we conducted a prospective study of 20 consecutive female patients with a mean age of 39.9 years, submitted to augmentation mastopexy.We applied semi-directed psychological interviews pre and postoperatively. The answers to the evaluations were tabulated, categorized, and allowed patient satisfaction analysis. We evaluated surgical results through photographic analysis of three independent plastic surgeons, in the pre and postoperative periods, when scores were attributed to the following items: breasts shape, breasts volume, breasts symmetry, nipple-areolar complex position, and scar quality and extent. Results: nineteen patients (95%) RESULTSThe interviews showed a positive interference of breasts plastic surgery in various sectors of the patients' life, as shown in Table 1.Statistical analysis, by applying the McNemar test (Table 2), showed inferential results that proved a statistically larger percentage of patients satisfied after breast surgery (95%) when compared with the time prior to surgery (25% -p < 0.001).The volume of the breast implants ranged between 200 and 280 ml, with a mean of 236ml. The volume of 240ml was the most used, for eight patients. The mean operative time was 229 minutes, ranging between 170 and 300. Surgical interventions were not carried out before the postoperative results evaluation. The results were rated on average as good or excellent in 65% of patients, and bad in 8.4% (Table 3). Cintra Júnior Augmentation mastopexy after bariatric surgery: evaluation of patient satisfaction and surgical results 160-164 Figure 1. Mastopexy with inclusion of breast implants (volume: 240ml). Preoperative: A) anterior view; B) obliquely right; C) right profile. Postoperative: D) right...

A Comparison of 28 Published Augmentation/Mastopexy Techniques Using Photographic Measurements

“…When possible, publications with suitable photographs for measurements 8 – 13 , 15 , 16 , 22 – 45 were categorized into 5 groups: vertical 13 , 29 , 31 , 33 , 40 , 44 ; periareolar 8 , 23 – 25 , 28 , 30 , 39 ; inverted-T, central mound 9 , 10 , 12 , 15 , 34 , 36 , 41 , 43 ; inverted-T, superior or superomedial pedicle 11 , 32 , 42 ; and inverted-T, inferior pedicle. 27 , 35 , 37 , 38 An “all procedures” group was included (Tables 1 and 2 ).…”