Augmentation Mammaplasty by Reverse Abdominoplasty (AMBRA)

Zienowicz, Richard J.; Karacaoğlu, Ercan

doi:10.1097/prs.0b013e3181babd02

Cited by 23 publications

(19 citation statements)

References 14 publications

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“…3 In recent years, this technique has been used on patients with massive weight loss and could be combined with circumferential abdominoplasty to use the infraumbilical laxity 9 and also for breast augmentation. 10 The main advantages were excellent alternative in complex cases, avoidance of microsurgical technique for free tissue transfer, simplicity of the technique to execute, and an acceptable aesthetic outcome. It could be associated with other techniques such as autologous fat grafting, and it could contribute with significant bulk.…”

Section: Discussionmentioning

confidence: 99%

Reverse Abdominoplasty Advancement Flap: An Innovative Option in Breast Reconstruction in Post-Massive Weight Loss Patients

Asiry

Garrido

Chaput

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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Summary: With the increase in obesity in the world, we observe more and more bariatric surgeries. Simultaneously, the incidence of breast cancer increases. The reverse abdominoplasty has been essentially described to lift the upper part of the abdomen for the individual who has loose excess skin in the supraumbilical region. The application of reverse abdominoplasty flap has been extended beyond aesthetic procedures to breast reconstructive interventions. We present an innovative option of postbreast cancer reconstruction by reverse abdominoplasty advanced flap following massive weight loss.

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Section: Discussionmentioning

confidence: 99%

Reverse Abdominoplasty Advancement Flap: An Innovative Option in Breast Reconstruction in Post-Massive Weight Loss Patients

Asiry

Garrido

Chaput

et al. 2019

Plastic and Reconstructive Surgery - Global Open

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“…The extended superomedial technique is indicated whenever autoaugmentation is required using vascularized breast tissue to fill defects or provide additional volume in certain locations within the breast mound. Variousautoaugmentation techniques have been proposed in the literature, mainly in relation to management of the massive weight loss breast [4][5][6][7][8][9][10][11]. Hamdi et al described using excess lateral tissue based on the lateral intercostal artery perforators to autoaugment volume depleted breasts [6].…”

Section: Discussionmentioning

confidence: 99%

“…The use of local flaps and autoaugmentation techniques has subsequently become popular option to rotate tissue into areas of volume void. These can be taken either from within the breast mound or locally [4][5][6][7][8]. The superomedial pedicle is ideal for an extension type pedicle since the removal of tissue in the lower pole is often desired to allow glandular plication and breast shaping.…”

Section: Introductionmentioning

confidence: 99%

The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

Losken¹,

Funderburk²,

Duggal³

2013

MPS

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Many variations can be applied to traditional mammoplasty techniques to improve outcomes in certain situations. The purpose of this report was to demonstrate the indications and benefits of mammoplasty autoaugmentation using an extended superomedial pedicle. All patients who underwent transfer of an extended superopedicleto other parts of the breast for autoaugmentation were included. Indications were determined and outcomes were assessed. Forty-eight patients were included in the series. The average follow-up was 2.1 years. Indications were categorized into reconstruction of a partial mastectomy defect (oncoplastic group, n = 18), upper pole volume in the contralateral mastopexy (implant reconstruction group, n = 9), and volume improvement and suspension (massive weight loss group, n = 21). The overall complication rate was 15% (n = 7/48), with a revision rate of 10% (5/48). The extended superomedial pedicle is a reliable and versatile adjunct to regular mastopexy techniques for various indications. It gives us the ability to transfer vascularized tissue from the lower pole to areas that require autoaugmentation.The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques 24 Figure 5. Designing the extended superomedial pedicle for upper pole auto-augmentation to match an implant reconstruction after mastectomy. The extended superomedial pedicle is de-epithelialized to just about the IMF and rotated superiorly for augmentation. Pre-operative views before left mastectomy and reconstruction, and post-operatively after left implant reconstruction with right extended superomedial pedicle for upper pole auto-augmentation.

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“…This excess distal Plastic and Reconstructive Surgery • September 2010 reverse abdominoplasty tissue could be deepithelialized and used as an autoaugmentation flap, tucked under the breast mound to improve projection. 27 This could be either inferiorly or superiorly based, depending on the pedicle technique used, but does often require attention for exact positioning and reconstruction of the inframammary fold.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Breast Reshaping following Massive Weight Loss: Principles and Techniques

Losken¹

2010

Plastic and Reconstructive Surgery

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Management of the breast following massive weight loss for both reconstructive and aesthetic reasons poses unique challenges that are often inadequately addressed with traditional techniques. The breast mound is often unstable and deflated, with a loose inelastic skin envelope and ill-defined boundaries that blend into similar lateral chest wall, arm, and upper abdominal contour irregularities. Because this has become more common recently with the increasing prevalence of massive weight loss patients desiring body contouring, the purpose of this review was to discuss modifications to traditional breast techniques that have been proposed for these patients. It has become apparent that mammaplasty techniques in the massive weight loss patient should rely more on extensive glandular manipulation for shape preservation rather than relying on the skin envelope for shaping. Such techniques include parenchymal plication, suspension, and autoaugmentation. This will improve the likelihood of maintained shape and symmetry in an otherwise difficult patient population.

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Augmentation Mammaplasty by Reverse Abdominoplasty (AMBRA)

Cited by 23 publications

References 14 publications

Reverse Abdominoplasty Advancement Flap: An Innovative Option in Breast Reconstruction in Post-Massive Weight Loss Patients

Reverse Abdominoplasty Advancement Flap: An Innovative Option in Breast Reconstruction in Post-Massive Weight Loss Patients

The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

Breast Reshaping following Massive Weight Loss: Principles and Techniques

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