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Related Experiment Videos

Postbariatric surgery breast reshaping: the spiral flap.

Dennis J Hurwitz1, Siamak Agha-Mohammadi

  • 1University of Pittsburgh Medical Center and the Hurwitz Center for Plastic Surgery, Pittsburgh, Pennsylvania, USA. drhurwitz@hurwitzcenter.com

Annals of Plastic Surgery
|April 28, 2006
PubMed
Summary

Breast reshaping using a spiral flap technique integrated with an upper body lift offers a satisfying solution for patients after massive weight loss. This method effectively improves breast shape and projection, enhancing overall body contouring results.

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Area of Science:

  • Plastic Surgery
  • Body Contouring
  • Aesthetic Surgery

Background:

  • Massive weight loss leads to poor breast shape, projection, and skin elasticity.
  • Traditional breast reshaping can be challenging, often requiring excess adjacent tissues.
  • The spiral flap technique has evolved as an integral component of upper body lifts for breast reshaping.

Purpose of the Study:

  • To evaluate the effectiveness and patient satisfaction of spiral flap breast reshaping combined with an upper body lift.
  • To assess the spiral flap technique's role in improving breast aesthetics post-massive weight loss.

Main Methods:

  • A 3-year study involving 53 patients undergoing body contouring surgery.
  • Eighteen patients received spiral flap breast reshaping as part of an upper body lift (reverse abdominoplasty extending to the back).

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  • Excess epigastric and back roll tissue was deepithelialized, spiraled for breast augmentation, shaping, and suspension; saline implants were used when additional volume was needed.

    • Main Results:

    • Follow-up ranged from 4 to 28 months (mean 11 months).
    • 14 out of 18 patients were pleased with the spiral flap breast reshaping.
    • Complications included tip fat necrosis in 3 patients (resolved in all but 1) and dissatisfaction with scarring or breast shape in a few patients.

    Conclusions:

    • Spiral flap breast reshaping, when integrated with an upper body lift, provides a comprehensive, effective, and safe aesthetic contouring solution for the breasts and upper torso after massive weight loss.
    • The technique demonstrates high patient satisfaction and addresses common aesthetic concerns post-bariatric surgery.