Ulukaya Huseyin Emre, Ozturk Sabri, Sevim Kamuran Zeynep, Ekincikli Burak Tunahan
Department of Plastic, Reconstructive and Aesthetic Surgery, Sisli Hamidiye Etfal Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Aesthetic Plast Surg. 2025 Jun;49(11):3107-3120. doi: 10.1007/s00266-025-04795-y. Epub 2025 Mar 28.
As the frequency of bariatric procedures rises, so does the demand for breast contouring operations. Massive weight loss results in ptotic breasts that are challenging to shape. However, concentrating solely on the breasts in the upper body leads to a state of imbalance. In this study, we aimed to add additional volume to the breast tissue by utilizing the lateral chest folds/back folds with combined upper body lifting procedures and show the long-term results.
Between January 2018 and June 2024, 24 patients presented to our clinic with a complaint of breast deformity due to massive weight loss. They were evaluated as a whole. Upper body lift and autoaugmentation mastopexy with a lateral thoracic region perforators-based flap were planned in a single stage. Dorsal soft tissue was also utilized for autoaugmentation in selected patients. The viability of the extended dorsal flaps was examined with the intraoperative indocyanine green angiography.
The body contouring surgery was performed an average of 2.2 years after bariatric surgery. Autoaugmentation with extended fasciocutaneous flap procedures was performed in combination with other upper body lifting procedures according to the patient's needs. The postoperative follow-up period was 1 month to 5 years.
In postbariatric patients, focusing only on the breast leads to aesthetic disharmony in the upper body. Using subcutaneous tissue in the autologous augmentation method eliminates sagging in the upper body and provides the desired volume to ptotic breasts. The five-year follow-up results demonstrate that this method provides long-lasting, satisfying results with minimal complications.
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随着减肥手术频率的上升，对乳房塑形手术的需求也在增加。大量体重减轻会导致乳房下垂，难以塑形。然而，仅关注上半身的乳房会导致失衡状态。在本研究中，我们旨在通过结合上半身提升手术利用侧胸皱襞/背部皱襞为乳房组织增加额外体积，并展示长期效果。
2018年1月至2024年6月期间，24例因大量体重减轻导致乳房畸形的患者前来我院就诊。对他们进行了全面评估。计划在单一阶段进行上半身提升和基于胸廓外侧区域穿支皮瓣的自体脂肪隆胸术。在部分患者中还利用背部软组织进行自体脂肪隆胸。术中使用吲哚菁绿血管造影检查延长背阔肌皮瓣的存活情况。
身体塑形手术平均在减肥手术后2.2年进行。根据患者需求，采用延长筋膜皮瓣手术进行自体脂肪隆胸，并结合其他上半身提升手术。术后随访期为1个月至5年。
在减肥后患者中，仅关注乳房会导致上半身美学不协调。在自体脂肪隆胸方法中使用皮下组织可消除上半身松弛，并为下垂乳房提供所需体积。五年随访结果表明，该方法能提供持久、令人满意的效果，并发症最少。
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