TY - JOUR
T1 - Simple reshaping of the breast in massive weight loss patients
T2 - Promising preliminary results
AU - Ikander, Peder
AU - Gad, Dorte
AU - Gunnarsson, Gudjon Leifur
AU - Boljanovic, Slaven
AU - Salzberg, Andrew
AU - Sørensen, Jens Ahm
AU - Thomsen, Jørn Bo
N1 - Publisher Copyright:
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2017
Y1 - 2017
N2 - Background: The challenging breast reshaping after massiveweight loss (MWL) has been increasingly performed as the number of bariatric surgery procedures increase worldwide. The breasts often appear wide, lateralized, and deflated, with significant ptosis. Objectives: The aim of this article is to share our initial experience using the lower pole subglandular advancement mastoplasty (LOPOSAM) technique to reshape the breasts inMWL patients and to elaborate the technical details and simplicity of the method in the attached video. Materials and Methods:We performed 30 LOPOSAMprocedures in 15MWL women aged 24 to 63 years from February to September 2015. We used a wise pattern mark-up and a superior based pedicle for the relocation of the nipple areola complex. The key step for the autoaugmentation was an inferior and central mound based parabola-shaped flap, which was placed in a subglandular pocket to reshape the breast and lift the inframammary crease. Results: Themedian operation time for the LOPOSAM procedurewas 81 minutes (range, 35-160 minutes) by 2 surgeons. The median weight loss was 64 kg (range, 45-103) and 22 body mass index units (range, 16-33) per patient. The median follow-up was 240 days (range, 105 Powered by Editorial Manager and ProduXion Manager from Aries Systems Corporation to 345). The surgical goal was achieved in all cases. Four complications occurred in 3 patients, 1 major, a hematomarequiring surgery and 3minorwound dehiscence. The self-reported patient satisfaction was high, 13 were very satisfied with the result, 1 satisfied, and 1 less satisfied. Conclusions: The LOPOSAMtechnique is quick and simple to perform, and the preliminary results are promising. However, a longer follow-up is needed to confirm this.
AB - Background: The challenging breast reshaping after massiveweight loss (MWL) has been increasingly performed as the number of bariatric surgery procedures increase worldwide. The breasts often appear wide, lateralized, and deflated, with significant ptosis. Objectives: The aim of this article is to share our initial experience using the lower pole subglandular advancement mastoplasty (LOPOSAM) technique to reshape the breasts inMWL patients and to elaborate the technical details and simplicity of the method in the attached video. Materials and Methods:We performed 30 LOPOSAMprocedures in 15MWL women aged 24 to 63 years from February to September 2015. We used a wise pattern mark-up and a superior based pedicle for the relocation of the nipple areola complex. The key step for the autoaugmentation was an inferior and central mound based parabola-shaped flap, which was placed in a subglandular pocket to reshape the breast and lift the inframammary crease. Results: Themedian operation time for the LOPOSAM procedurewas 81 minutes (range, 35-160 minutes) by 2 surgeons. The median weight loss was 64 kg (range, 45-103) and 22 body mass index units (range, 16-33) per patient. The median follow-up was 240 days (range, 105 Powered by Editorial Manager and ProduXion Manager from Aries Systems Corporation to 345). The surgical goal was achieved in all cases. Four complications occurred in 3 patients, 1 major, a hematomarequiring surgery and 3minorwound dehiscence. The self-reported patient satisfaction was high, 13 were very satisfied with the result, 1 satisfied, and 1 less satisfied. Conclusions: The LOPOSAMtechnique is quick and simple to perform, and the preliminary results are promising. However, a longer follow-up is needed to confirm this.
KW - Breast
KW - Footprint
KW - Mammaplasty
KW - Massive weight loss
KW - Mastoplasty
UR - http://www.scopus.com/inward/record.url?scp=84978056051&partnerID=8YFLogxK
U2 - 10.1097/SAP.0000000000000816
DO - 10.1097/SAP.0000000000000816
M3 - Article
C2 - 27387470
AN - SCOPUS:84978056051
SN - 0148-7043
VL - 78
SP - 145
EP - 148
JO - Annals of Plastic Surgery
JF - Annals of Plastic Surgery
IS - 2
ER -