Useful Guide to Sub-pectoral Augmentation Mastopexy after massive weight loss | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 13 November 2023 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2023.245155.1311 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Saad Mohamed Saad Ibrahiem  
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| plastic surgery unit, faculty of medicine, Alexandria University, Alexandria city, Egypt | ||||
| 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. 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 26.6 kg/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. | ||||
| Keywords | ||||
| Augmentation mastopexy; MWLP; Bottoming out; Breast implant; Subpectoral | ||||
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