Breast Contouring in Postbariatric Patients: A Technique Selection Algorithm

Migliori, Franco; Gabrielli, Armando; Rizzo, Roberto; Cervetti, Gian Giacomo Serra

doi:10.1007/s11695-009-0058-6

Cited by 12 publications

(7 citation statements)

References 11 publications

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“…In our study, 2 patients underwent breast reduction vertical technique and they had a good projection of the breast and good satisfactory result with no major complications were recorded and we agree with Hurwitz study. We do not recommend liposuction in post bariatric breast except in case of close observation and monitoring for at least 24 hours post-operative, because this can leads to severe bleeding from hypertrophied blood vessels which became hypertrophied during weight gain and did not decrease in size after weight loss, we disagree with Akyurek study [3].…”

Section: Discussionmentioning

confidence: 88%

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Evaluation of Deformities, Procedures and Cosmetic Outcomes of Post-Bariatric Mammoplasty

Gharib

Alsaka

Nasser

et al. 2020

The Egyptian Journal of Plastic and Reconstructive Surgery

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Objectives: The aim of this work is to evaluate the different modalities of post-bariatric breast reshaping in females and their aesthetic outcomes and rate of complications.Background: The post-bariatric breast is a real problem after massive weight loss especially in females. Different modalities for the reshaping of post-bariatric breast were used. Patients and Methods:This a prospective cohort study statistical technique, descriptive statistics as numbers and percentages were used, conducted over 20 post-bariatric breast patients requesting breast contouring in the period from January 2016 to January 2019. Operations were done in Menoufia University and Railways Hospitals. Patient's age ranged from 21-49 years. A total of 20 procedures were performed; reduction mammoplasty in 5 patients, auto augmentation in 8 patients, augmentation mastopexy in 5 patients, and implant augmentation in 2 patients.Results: Patient's satisfaction was measured by aesthetic rating scale as follow; 1-Very satisfied, 2-Satisfied, 3-Fair, and 4-Dissatisfied regarding improvement in size, shape, and quality of scar. 14 patients were very satisfied (70%), 4 patients were satisfied (20%), and 2 patients were fairly satisfied (10%). And out of the 20 patients, the overall complication rate was 30%.Conclusion: Breast auto augmentation for breast reshaping in post bariatric patients is an ideal and long life technique comparable to other techniques used to address this issue.

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Section: Discussionmentioning

confidence: 88%

“…Breast deformities in post-bariatric surgeries are different from those of non surgical post bari-atric histologically [3]. The post bariatric breast is characterized by excess inelastic skin, ptosis, loss of upper pole fullness, medialization of the nipples, volume depletion, and the presence of the lateral chest wall rolls [4].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Deformities, Procedures and Cosmetic Outcomes of Post-Bariatric Mammoplasty

Gharib

Alsaka

Nasser

et al. 2020

The Egyptian Journal of Plastic and Reconstructive Surgery

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“…Various augmentation mastopexy techniques have been described to improve breast shape and increase their volume [5][6][7]. They are considered difficult to plan with results that are not easy to predict [8][9][10]. In our case, the placement of the breast flaps made it possible to reshape the breast sufficiently and to postpone classic mastopexy with its incumbent periareolar scars.…”

Section: Discussionmentioning

confidence: 92%

Augmentation mammaplasty by superolateral thoracic flap: a case report

2021

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Background The lateral chest wall is intimately associated with the esthetics of the breast. Patients with massive weight loss often have excess skin and fat in the lateral thoracic region causing functional, esthetic, and psychological discomfort. In addition, the breasts exhibit extreme ptosis after weight loss due to a reduction in volume and projection that is exacerbated by qualitative changes in the skin, with loss of its natural elasticity. This article describes a reliable new technique for simultaneous autologous breast augmentation and lateral thoracic dermolipectomy to provide autologous tissue for breast augmentation and simultaneous rejuvenation of the chest wall. Case presentation A 30-year-old Caucasian woman who had lost 58 kg after bariatric surgery had major skin excess sequelae combined with major breast ptosis. She wanted to correct her brachial and lateral thoracic skin and fat excess, as well as rejuvenate her breasts. The lateral thoracic panicle present was harvested and transposed in the retroglandular plane to perform autologous breast augmentation with lateral thoracic dermolipectomy. Results The patient was totally healed and complication-free at day 15. Both esthetic results and patient satisfaction were good at 6 months post-surgery. Conclusions Superolateral thoracic flap augmentation mammaplasty during thoracic dermolipectomy is a simple and safe procedure for selected patients. Durable and natural autologous breast augmentation may be achieved in a single step without the need for a breast implant, while rejuvenating the thoracic region.

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“…The histological alterations confer the highest clinical consequences to this area: highest degrees of true ptosis, deflated and flattened glands, and totally inelastic covering tissues. (36) MWL is a significant risk factor for wound complications in the body contouring population. Method and amount of weight loss are also significant factors in predicting complications.…”

Section: Discussionmentioning

confidence: 99%

Superior Pedicle Mammaplasty without Parenchymal Incisions after Massive Weight Loss

D’Aniello

Cuomo

Grimaldi

et al. 2016

Journal of Investigative Surgery

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Breast Contouring in Postbariatric Patients: A Technique Selection Algorithm

Abstract: Referring to this strategy algorithm, choices 2 and 3 appear to be the more frequently applied and better fitted to cover the majority of M.W.L. breast defects. In the future, the birth and the rise of new mammary implant concepts and technologies could completely change this algorithm.

Cited by 12 publications

References 11 publications

Evaluation of Deformities, Procedures and Cosmetic Outcomes of Post-Bariatric Mammoplasty

Evaluation of Deformities, Procedures and Cosmetic Outcomes of Post-Bariatric Mammoplasty

Augmentation mammaplasty by superolateral thoracic flap: a case report

Superior Pedicle Mammaplasty without Parenchymal Incisions after Massive Weight Loss

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