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Augmentation mammaplasty by superolateral thoracic flap: a case report.
Elise Lupon1,2,3, Benoit Chaput4,5, Thomas Meresse4,6,5
1Service de Chirurgie Plastique et Reconstructrice, CHU Toulouse Rangueil, 1 Avenue Jean Poulhès, TSA 50032, 31059, Toulouse Cedex 9, France. elupon@mgh.harvard.edu.
Journal of Medical Case Reports
|November 17, 2021
Summary
This study presents a new surgical technique for breast augmentation and chest wall rejuvenation using autologous tissue. The procedure offers a safe and effective solution for patients with significant skin excess and breast ptosis after weight loss.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Surgery
Background:
- Massive weight loss can lead to excess skin and fat in the lateral thoracic region, causing aesthetic and psychological distress.
- Post-weight loss breast ptosis is common due to volume loss and decreased skin elasticity.
- A novel surgical technique is described for simultaneous autologous breast augmentation and lateral thoracic dermolipectomy.
Observation:
- A case of a 30-year-old woman with 58 kg weight loss, significant skin excess, and breast ptosis is presented.
- The lateral thoracic panniculus was harvested and transposed for autologous breast augmentation.
- The procedure also addressed brachial and lateral thoracic skin and fat excess.
Findings:
- The patient experienced complete healing without complications by day 15.
- Aesthetic outcomes and patient satisfaction were favorable at 6 months post-surgery.
- The superolateral thoracic flap augmentation mammaplasty is a safe and effective procedure.
Implications:
- This technique provides a single-step solution for autologous breast augmentation without implants.
- It effectively rejuvenates the chest wall in patients with post-bariatric surgery changes.
- The procedure offers durable and natural-looking results for selected patients.