Mastopexy With Autologous Augmentation After Massive Weight Loss

Kwei, Stephanie; Borud, Loren J.; Lee, Bernard T.

doi:10.1097/01.sap.0000222569.59581.d9

Cited by 82 publications

(15 citation statements)

References 21 publications

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“…The extended superomedial technique is indicated whenever autoaugmentation is required using vascularized breast tissue to fill defects or provide additional volume in certain locations within the breast mound. Variousautoaugmentation techniques have been proposed in the literature, mainly in relation to management of the massive weight loss breast [4][5][6][7][8][9][10][11]. Hamdi et al described using excess lateral tissue based on the lateral intercostal artery perforators to autoaugment volume depleted breasts [6].…”

Section: Discussionmentioning

confidence: 99%

“…The use of local flaps and autoaugmentation techniques has subsequently become popular option to rotate tissue into areas of volume void. These can be taken either from within the breast mound or locally [4][5][6][7][8]. The superomedial pedicle is ideal for an extension type pedicle since the removal of tissue in the lower pole is often desired to allow glandular plication and breast shaping.…”

Section: Introductionmentioning

confidence: 99%

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The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

Losken¹,

Funderburk²,

Duggal³

2013

MPS

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Many variations can be applied to traditional mammoplasty techniques to improve outcomes in certain situations. The purpose of this report was to demonstrate the indications and benefits of mammoplasty autoaugmentation using an extended superomedial pedicle. All patients who underwent transfer of an extended superopedicleto other parts of the breast for autoaugmentation were included. Indications were determined and outcomes were assessed. Forty-eight patients were included in the series. The average follow-up was 2.1 years. Indications were categorized into reconstruction of a partial mastectomy defect (oncoplastic group, n = 18), upper pole volume in the contralateral mastopexy (implant reconstruction group, n = 9), and volume improvement and suspension (massive weight loss group, n = 21). The overall complication rate was 15% (n = 7/48), with a revision rate of 10% (5/48). The extended superomedial pedicle is a reliable and versatile adjunct to regular mastopexy techniques for various indications. It gives us the ability to transfer vascularized tissue from the lower pole to areas that require autoaugmentation.The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques 24 Figure 5. Designing the extended superomedial pedicle for upper pole auto-augmentation to match an implant reconstruction after mastectomy. The extended superomedial pedicle is de-epithelialized to just about the IMF and rotated superiorly for augmentation. Pre-operative views before left mastectomy and reconstruction, and post-operatively after left implant reconstruction with right extended superomedial pedicle for upper pole auto-augmentation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

Losken¹,

Funderburk²,

Duggal³

2013

MPS

View full text Add to dashboard Cite

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“…If extra volume in the breast is desired, skin and fat from the axillary roll and mid-back region can be transferred to the breast as a flap based on the intercostal artery perforators, namely spiral or intercostal artery perforator (ICAP) flap. [910] This technique has the added advantage of removal of the undesirable excess tissue under the arm.…”

Section: Breast Reshapingmentioning

confidence: 99%

Body contouring following massive weight loss

Langer¹,

Singh²,

Aly³

et al. 2011

Indian J Plast Surg

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Obesity is a global disease with epidemic proportions. Bariatric surgery or modified lifestyles go a long way in mitigating the vast weight gain. Patients following these interventions usually undergo massive weight loss. This results in redundant tissues in various parts of the body. Loose skin causes increased morbidity and psychological trauma. This demands various body contouring procedures that are usually excisional. These procedures are complex and part of a painstaking process that needs a committed patient and an industrious plastic surgeon. As complications in these patients can be quite frequent, both the patient and the surgeon need to be aware and willing to deal with them.

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“…Intercostal artery perforator flap from the lateral chest has also been used for autologous augmentation mastopexy in a MWL breast. [ 30 ]…”

Section: Breast Reshapingmentioning

confidence: 99%

Body contouring surgery in a massive weight loss patient: An overview

Shrivastava

Aggarwal

Khazanchi

2008

Indian J Plast Surg

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The number of patients with history of extreme overweight and massive weight loss (MWL) has risen significantly. Majority of patients are left with loose, ptotic skin envelopes, and oddly shaped protuberances, subsequent to weight loss. Redundant skin and fat can be seen anywhere on the body following MWL. This group of population presents many unique problems and challenges. Body contouring surgery after MWL is a new and exciting field in plastic surgery that is still evolving. Conventional approaches do not adequately cater to the needs of these patients. Complete history, detailed physical examination, clinical photographs and lab investigations help to plan the most appropriate procedure for the individual patient. Proper counseling and comprehensive informed consent for each procedure are mandatory. The meticulous and precise markings based on the procedure selected are the cornerstones to achieve the successful outcome. Lower body contouring should be performed first followed six months later by breast, lateral chest and arm procedures. Thighplasty is usually undertaken at the end. Body contouring operations are staged at few months' intervals and often result in long scars. Staging is important as each procedure can have positive impact on adjacent areas of the body. Secondary procedures are often required. However, proper planning should lead to fewer complications and improved aesthetic outcome and patient satisfaction.

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Mastopexy With Autologous Augmentation After Massive Weight Loss

Cited by 82 publications

References 21 publications

The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

The Extended Superomedial Pedicle: Advancing Mammaplasty Techniques

Body contouring following massive weight loss

Body contouring surgery in a massive weight loss patient: An overview

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