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Background: Male breast deformity after massive weight loss represent an embarrassing situation for male. Material and Methods:This study included 20 patients with massive weight loss after bariatric surgery. They underwent mastectomy and free nipple grafting technique in a simple and quick procedures. Satisfactory aesthetic outcome could be achieved. Minor complications were recorded.In Conclusion: Free nipple grafting is a straight forward technique that can be applied safely in severe cases with severe forms of pseudogynecomastia after massive weight loss.

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Background: Since the development of the meshed skin grafts and the availability of different meshing expansion sizes, the sizes of the meshed skin grafts interstices like all open wounds became a problem because they increase the metabolic needs and put the patients at the risk of infection. The amniotic membrane satisfies most of the criteria for an ideal biological wound dressing to solve such a problem.

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