Extended Fasciocutaneous Flaps for Autologous Augmentation Mastopexy With Upper Body Lift After Massive Weight Loss

Abstract

Massive weight loss patients frequently present with breast volume loss and ptotic upper body soft tissue excess. Simultaneous mastopexy augmentation can be safely and reliably performed using extended fasciocutaneous flaps to autologously may be placed in aesthetically acceptable locations. Patients undergoing mUBLs with midaxillary line donor scars may conceal them with arms at their sides. Patients choosing back donor scars may conceal them within the bra line while having greater volumes available for augmentation. As is true with all flaps, one should assess distal tip perfusion before final inset, especially when using a flap extending to the midline back.

Lateral intercostal artery perforator (LICAP) flap for breast volume augmentation: Applications for oncoplastic and massive weight loss surgery

“…reported 7 patients with 3 wound healing issues that resolved with nonoperative management and 1 hematoma requiring surgical intervention. 16 Similarly, our study noted a total of 4 cases of minor wound healing issues that resolved with local wound care. The donor scars of our extended LICAP have the advantage of lying along the bra-line resulting in an aesthetically acceptable scar.…”

“…has attempted an extended version. 16 Kwei et al. provided the first multi-patient series using the LICAP flap for MWL breast autoaugmentation and reported no complications in all five patients.…”

Superior Pedicle Mammaplasty without Parenchymal Incisions after Massive Weight Loss

“…This is an inferior pedicle technique used primarily for aesthetic purposes. Subsequently to Ribeiro's technique, other no-implant breast reshaping techniques were described, but all of them determined incisions to the breast parenchyma (13,(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34) (Table 6). In addition, several articles have claimed to increase upper pole fullness or breast projection without an implant.…”

Mastopexie nach massivem Gewichtsverlust – Erweiterte Ribeiro-Technik und Einsatz der lateralen Interkostalarterien-Perforatorlappenplastik (LICAP-Flap) zur Autoaugmentation

“…In In der vorgestellten Arbeit wurden 68 Patientinnen in einem Zeitraum von 01/2011 bis 12/2016 inkludiert. Sowohl das durchschnittliche Alter mit 41,2 Jahren als auch der BMI mit im Mittel bei 27,1 kg/ m 2 und die Verweildauer von durchschnittlich 4 Tagen zeigen sich konform mit den in der Literatur angegebenen Daten [23][24][25][26].…”

“…Vorliegend findet sich im Vergleich mit der Literatur eine sehr hohe Fallzahl (136 Brüste). Des Weiteren liegt die Komplikationsrate deutlich unter dem Durchschnitt der in der Literatur zu findenden Ergebnisse, bei denen Komplikationsraten von 8,8 -42 % beschrieben sind [1,5,8,[23][24][25][26]. Ebenso liegt die Operationszeit mit 109 Minuten unter dem in der Literatur zu findenden Durchschnitt von circa 3 Stunden [5,8,12].…”