Inframammary Fold Repositioning in Mastopexy for Massive Weight Loss Patients | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 01 September 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2025.388528.1427 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed H. Elghazaly  1; Sameh Elghamry Elshawadfy2
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| 1Plastic and Reconstructive Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt. | ||||
| 2Ass. Professor of plastic and reconstructive surgery, Tanta University, Tanta, Egypt. | ||||
| Abstract | ||||
| Background: Massive weight loss (MWL) patients frequently appear with significant challenges in breast aesthetics due to extensive skin redundancy, loss of dermal elasticity, and diminished inframammary support. Objective: This work evaluated the impact of the inframammary fold (IMF) repositioning on mastopexy outcomes in MWL patients. Patients and Methods: This randomized clinical open-label study was executed on 30 women, aged 30-65 years, with moderate/severe breast ptosis who underwent mastopexy. Patients were assigned into two groups: Group I received IMF repositioning following previous mastopexy, while Group II received primary mastopexy with concurrent IMF repositioning. Postoperative follow-up was conducted at 6 and 8 months. Results: nipple-to-IMF distance stretch at 6 months and 8 months and NAC elevation were significantly lower in group II than group I (P | ||||
| Keywords | ||||
| Mastopexy; Inframammary Fold; Massive Weight Loss; Breast Aesthetics; BREAST Q | ||||
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