Aboul Fotouh, S. (2019). A Modified Superior Pedicle Technique for One-Stage Prosthetic Augmentation-Mastopexy in Post-Bariatric Surgery Patients. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), 159-163. doi: 10.21608/ejprs.2019.65175
Sherine M Aboul Fotouh. "A Modified Superior Pedicle Technique for One-Stage Prosthetic Augmentation-Mastopexy in Post-Bariatric Surgery Patients". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 1, 2019, 159-163. doi: 10.21608/ejprs.2019.65175
Aboul Fotouh, S. (2019). 'A Modified Superior Pedicle Technique for One-Stage Prosthetic Augmentation-Mastopexy in Post-Bariatric Surgery Patients', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(1), pp. 159-163. doi: 10.21608/ejprs.2019.65175
Aboul Fotouh, S. A Modified Superior Pedicle Technique for One-Stage Prosthetic Augmentation-Mastopexy in Post-Bariatric Surgery Patients. The Egyptian Journal of Plastic and Reconstructive Surgery, 2019; 43(1): 159-163. doi: 10.21608/ejprs.2019.65175
A Modified Superior Pedicle Technique for One-Stage Prosthetic Augmentation-Mastopexy in Post-Bariatric Surgery Patients
The Department of Plastic, Burn and Maxillofacial Surgery, Ain Shams University
Abstract
Background: Augmentation mastopexy in post-bariatric surgery patients is a combined challenge that may not be successfully addressed with traditional procedures. One stage augmentation mastopexy techniques poses a relatively high rate of complications and revisions. Pathological changes in post-bariatric surgery breasts make them more complicated. This necessitates modification of our techniques to overcome these problems and achieve long lasting esthetic results. Patients and Methods: Thirty five post-bariatric patients who underwent augmentation mastopexy using a modified superior pedicle technique and subpectoral implant placement were included in a retrospective study. The data collected involved: Pre-operative patients' age, body mass index (BMI), amount of weight reduction, grade of ptosis, standard preand post-operative photographs, patients' satisfaction, complications and rate of revisions. Results: This technique was successfully applied with good to excellent results, rated by 94% of the patients after an average follow up period of 14.3 months, 10% complication rate and 7.1% reoperation rate. Conclusion: The described technique provides long lasting aesthetic results for correction of post-bariatric breast deformity.
1- Albert L. and Daniel J.H.: Versitility of the superomedial pedicle in managing the massive weight loss breast: The rotation-advancement technique. Plast. Reconstr. Surg., 120: 1060-1068, 2007. 2- Spear S.: Augmentation/mastopexy (Surgeon beware). Plast. Reconstr. Surg., 112: 905, 2003. 3- Puckett C.L., Meyer V.H. and Reinisch J.F.: Crescent mastopexy and augmentation. Plast. Reconstr. Surg., 75: 533, 1985. 4- Stevens W.G., Freeman M.E., Stoker D.A., et al.: Onestage mastopexy with breast augmentation: A review of 321 patients. Plast. Reconstr. Surg., 120 (6): 1674-1679, 2007. 5- Khavanin N.B.S., Jordan S.W., Rambachan A.B.A. and Kim J.Y.S.: A systematic review of single-stage augmentation- mastopexy. Plast. Reconstr. Surg., 134 (5): 822- 931, 2014. 6- Regnault P.: Breast ptosis: Defintion and treatment. Clin. Plast. Surgery, 3: 193, 1976. 7- Lejour M.: Vertical mammaplasty with liposuction of the breast. Plast. Reconstr. Surg., 94 (1): 100-114, 1994. 8- Wong M.S.: Post-bariatric body contouring surgery after weight loss. Ann. Plast. Surg., 77: 553-559, 2016. 9- de Zwaan M., Georgiadou E., Stroh C.E., et al.: Body image and quality of life in patients with and without body contouring surgery following bariatric surgery: A comparison between pre- and post-surgery group. Front Pschol., 5: 1310, 2014. 10- Colwell A.S., Driscoll D. and Breuing K.N.: Mastopexy techniques after massive weight loss: An algorithmic approach and review of the literature. Annals of Plastic Surgery, 63 (1): 28-33, 2009. 11- Patel N.B. and Wong M.S.: Extended fasciocutaneous flaps fo autologous augmentation-mastopexy with upper body lift after massive weight loss. Ann. Past. Surg., 74: 541-545, 2015. 12- Rubin J.P.: Mastopexy in the massive weight loss patient: Dermal suspension and total parenchymal reshaping. Aesthetic Plast. Surg., 26: 14-22, 2006. 13- Spear S.L., Boehmler J.H. and Clemens M.W.: Augmentation/ mastopexy: A 3-year review of a single surgeons practice. Plast. Reconstr. Surg., 118 (7S): 136S-147S, 2006. 14- Hurwitz D.J. and Agha-Mohammadi S.: Post bariatric surgery breast reshaping: The spiral flap. Ann. Plast. Surg., 56: 481-486, 2006. 15- Cannon C.L. III and Linsey J.T.: Conservative augmentation and periareolar mastopexy reduces complication and treats a variety of breast types. A 5-year retrospective review of 100 consecutive patients. Ann. Plast. Surgery, 64: 516-521, 2010. 16- Calobrace M.B., Herdt D.R. and Cothron K.J.: Simultaneous augmentation/mastopexy: A retrospective 5-year review of 332 consecutive cases. Plast. Reconstr. Surg. 131-145, 2013. 17- Swanson E.: All seasons vertical augmentation mastopexy: A simple algorithm, clinical experience, and patientreported outcomes. Plast. Reconstr. Surg. Global Open. 4 (12): P e1170, 2016.