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Dermal suspension and parenchymal reshaping mastopexy after massive weight loss: statistical analysis with concomitant procedures from a prospective registry.

Abstract：

BACKGROUND:An increasing number of women are presenting for mastopexy after massive weight loss. The authors analyzed data from a prospective registry of massive weight loss patients who underwent the dermal suspension and parenchymal reshaping mastopexy alone or with concomitant operations to assess safety and efficacy. METHODS:One hundred eight female massive weight loss patients underwent mastopexy. Variables included operative time; time since gastric bypass; body mass index; revision; and complications such as seroma, dehiscence, hematoma, and infection. Univariate analyses were performed to assess outcome measures. RESULTS:Ninety-one patients underwent mastopexy without implant [mean age, 43.7 +/- 9 years; mean intraoperative time, 8.5 +/- 3 hours (mastopexy plus concomitant procedures), mean body mass index, 28.3 +/- 3.9; mean time since gastric bypass, 27.5 +/- 13.4 months; mean follow-up, 7.3 months], whereas 17 had augmentation/mastopexy. Eighty-five of 91 patients (93.4 percent) had multiple procedures performed. Wound dehiscence was the most common complication in 26 patients (29.2 percent); however, breast-specific complications overall occurred in only eight patients (8.8 percent). Body mass index and operative time did not predict an increase in complication rates. Patients who underwent augmentation/mastopexy had a lower current body mass index than those who had mastopexy alone (p = 0.01). CONCLUSIONS:Dermal suspension, parenchymal reshaping mastopexy is a safe, effective, and durable method of treating the deflated breast after massive weight loss. Although patients with massive weight loss are likely to present for longer procedures and have a higher rate of wound-healing complications, these complications occur most frequently in areas other than the breast.

journal_name

Plast Reconstr Surg

journal_title

Plastic and reconstructive surgery

authors

Rubin JP,Gusenoff JA,Coon D

doi

10.1097/PRS.0b013e31819ba1a8

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

782-789

issue

eissn

0032-1052

issn

1529-4242

pii

00006534-200903000-00002

journal_volume

123

pub_type

杂志文章

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Dermal suspension and parenchymal reshaping mastopexy after massive weight loss: statistical analysis with concomitant procedures from a prospective registry.