Evaluation of Deformities, Procedures and Cosmetic Outcomes of Post-Bariatric Mammoplasty

Abstract

Objectives: The aim of this work is to evaluate the differentmodalities of post-bariatric breast reshaping in females andtheir aesthetic outcomes and rate of complications.Background: The post-bariatric breast is a real problemafter massive weight loss especially in females. Differentmodalities for the reshaping of post-bariatric breast were used.Patients and Methods: This a prospective cohort studystatistical technique, descriptive statistics as numbers andpercentages were used, conducted over 20 post-bariatric breastpatients requesting breast contouring in the period fromJanuary 2016 to January 2019. Operations were done inMenoufia University and Railways Hospitals. Patient's ageranged from 21-49 years. A total of 20 procedures wereperformed; reduction mammoplasty in 5 patients, auto augmentationin 8 patients, augmentation mastopexy in 5 patients,and implant augmentation in 2 patients.Results: Patient's satisfaction was measured by aestheticrating scale as follow; 1- Very satisfied, 2- Satisfied, 3- Fair,and 4- Dissatisfied regarding improvement in size, shape,and quality of scar. 14 patients were very satisfied (70%), 4patients were satisfied (20%), and 2 patients were fairlysatisfied (10%). And out of the 20 patients, the overall complicationrate was 30%.Conclusion: Breast auto augmentation for breast reshapingin post bariatric patients is an ideal and long life techniquecomparable to other techniques used to address this issue.