Polotto Susanna, Grieco Michele P, Simonacci Francesco, Bertozzi Nicolò, Marchesi Federico, Grignaffini Eugenio, Raposio Edoardo
Department of Surgical Sciences, Plastic Surgery Division, University of Parma, Parma, Italy Cutaneous, Regenerative, Mininvasive and Plastic Surgery Unit, Parma University Hospital, Italy.
Acta Biomed. 2017 Aug 23;88(2):156-160. doi: 10.23750/abm.v88i2.5085.
Excessive body weight represents a huge problem affecting a wide part of world population, causing significant physical and psychological consequences. To solve their obesity-related problems, patients should begin a bariatric treatment to lose an adequate percentage of their body mass and therefore, they should be subjected to body contouring surgery. In this article we describe our experience in applying breast remodeling techniques to post-bariatric patients.
We did a retrospective study on our post-bariatric patients subjected to breast reduction and/or mastopexy during a five-years period, considering breast features, kind of surgery performed, aesthetic and psychological outcomes and postoperative complications.
Thirty-six post-bariatric patients underwent breast surgery in our unit between 2010 and 2015; their average age was 43 years. The follow up period ranged from 6 months to 4 years and an half. The most frequent surgical techniques performed were Thorek and inferior pedicle breast reduction. The prevalent complications observed were surgical wound delayed healing and nipple-areolar complex (NAC) partial or complete necrosis as immediate ones and unfavorable scarring as delayed ones.
Breast reshaping after a massive loss of weight should be forerun by an accurate analysis of breast volume, shape and ptosis degree, in order to obtain optimal results both for the surgeon and the patient.
超重是一个影响全球广泛人群的重大问题，会导致严重的生理和心理后果。为解决与肥胖相关的问题，患者应开始进行减肥治疗以减轻适当比例的体重，因此，他们应接受身体塑形手术。在本文中，我们描述了我们在为减肥后患者应用乳房重塑技术方面的经验。
我们对在五年期间接受乳房缩小术和/或乳房上提术的减肥后患者进行了回顾性研究，考虑了乳房特征、所进行的手术类型、美学和心理结果以及术后并发症。
2010年至2015年期间，我们科室有36例减肥后患者接受了乳房手术；他们的平均年龄为43岁。随访期为6个月至4年半。最常进行的手术技术是索雷克乳房缩小术和下蒂乳房缩小术。观察到的常见并发症，即刻的有手术伤口延迟愈合和乳头乳晕复合体（NAC）部分或完全坏死，延迟出现的有不良瘢痕形成。
在体重大量减轻后进行乳房重塑之前，应先准确分析乳房体积、形状和下垂程度，以便为外科医生和患者都取得最佳效果。
