Upper body lift and breast reshaping with lateral chest wall perforator propeller flap following massive weight loss.
Adult
Bariatric Surgery
Body Contouring
/ methods
Body Mass Index
Female
Follow-Up Studies
Hematoma
/ surgery
Humans
Mammaplasty
/ methods
Middle Aged
Patient Satisfaction
Perforator Flap
/ surgery
Postoperative Complications
/ surgery
Reoperation
Thoracic Wall
/ surgery
Tissue and Organ Harvesting
Weight Loss
Augmentation mammaire autologue
Autologous breast augmention
Bariatric surgery
Bodylift supérieur
Breast reshaping
Chirurgie post-bariatrique
Lambeau perforant
Massive weight loss
Mastopexie
Mastopexy
Perforator flap
Perte de poids massive
Reconstruction mammaire
Upper body lift
Journal
Annales de chirurgie plastique et esthetique
ISSN: 1768-319X
Titre abrégé: Ann Chir Plast Esthet
Pays: France
ID NLM: 8305839
Informations de publication
Date de publication:
Feb 2020
Feb 2020
Historique:
received:
16
05
2019
accepted:
04
07
2019
pubmed:
28
7
2019
medline:
4
2
2021
entrez:
28
7
2019
Statut:
ppublish
Résumé
After massive weight loss (MWL), female patients often develop upper trunk laxity and severe breast deformities. Usually several procedures are required to address upper body contouring issues. To achieve better breasts and improve upper body contour, the authors employed a combined approach, associating lateral chest wall perforator propeller flaps with an upper bodylift (UBL). Between September 2015 and March 2017, nine post-bariatric patients underwent simultaneously an UBL and autologous augmentation breast reshaping with lateral chest wall perforator propeller flaps. The authors analyzed the clinical indications, results and complications of this procedure. Eighteen lateral perforator propeller flaps for autologous breast augmentation-mastopexy associated with an UBL were performed successfully. Mean pre-MWL body mass index (BMI) was 54.3±10.9kg/m After MWL, upper body deformities can be treated safely and reliably by a combined approach, associating an UBL and autologous lateral chest wall perforator flaps to provide more natural and durable breast shapes, as well as an upper circumferential reshaping.
Sections du résumé
BACKGROUND
BACKGROUND
After massive weight loss (MWL), female patients often develop upper trunk laxity and severe breast deformities. Usually several procedures are required to address upper body contouring issues.
OBJECTIVES
OBJECTIVE
To achieve better breasts and improve upper body contour, the authors employed a combined approach, associating lateral chest wall perforator propeller flaps with an upper bodylift (UBL).
METHODS
METHODS
Between September 2015 and March 2017, nine post-bariatric patients underwent simultaneously an UBL and autologous augmentation breast reshaping with lateral chest wall perforator propeller flaps. The authors analyzed the clinical indications, results and complications of this procedure.
RESULTS
RESULTS
Eighteen lateral perforator propeller flaps for autologous breast augmentation-mastopexy associated with an UBL were performed successfully. Mean pre-MWL body mass index (BMI) was 54.3±10.9kg/m
CONCLUSIONS
CONCLUSIONS
After MWL, upper body deformities can be treated safely and reliably by a combined approach, associating an UBL and autologous lateral chest wall perforator flaps to provide more natural and durable breast shapes, as well as an upper circumferential reshaping.
Identifiants
pubmed: 31350099
pii: S0294-1260(19)30107-4
doi: 10.1016/j.anplas.2019.07.006
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
44-53Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.