Useful Guide to Subpectoral Augmentation Mastopexy after Massive Weight Loss | ||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||
| Article 7, Volume 48, Issue 2, April 2024, Pages 129-137 PDF (759.93 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejprs.2024.352134 | ||
| Author | ||
| Saad Mohamed Saad Ibrahiem* | ||
| The Department of Plastic Surgery, Reconstructive Surgery and Burn Management, Faculty of Medicine, Alexandria University | ||
| Abstract | ||
| Background: The extent of breast ptosis and deformity after massive weight loss is severe and the treatment of this problem is challenging. Recently, there has been a great deal of interest and several studies on augmentation mastopexy in this unique patient population due to the large number of patients who present after bariatric surgery. Objective: This study aims to describe a useful guide for a single-stage augmentation mastopexy that combines the benefits of the submuscular plane with a superior dermoglandular flap for massive weight loss patients (MWLP) with grade 3 breast ptosis. Methods: A retrospective cohort included 54 MWLP with grade 3 breast ptosis (nipple below the inframammary fold and lowest part of the breast) who underwent single-stage augmentation mastopexy between January 2016 and December 2020. Results: The mean age of the patients was 32.4 years (range: 20 to 50 years), the mean current BMI was 26.6kg/m2, and the mean follow-up time was 22 months (range: 13 to 56 months). The patients reported outcome of the BREAST -Q scales were as follows: Physical well-being (89.3), sexual well-being (88.6), and psychosocial well-being (89.3). The overall incidence of complications was of 18.52%. Mild wound healing problems in 6 patients. Reoperation in 4 cases (7.4%) due to implant malposition within 6 months postoperatively. Conclusion: The study results showed that single stage augmentation mastopexy should be limited to patients with good breast symmetry and patients who desire rational volume augmentation. | ||
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