Mastoplasty with inclusion of prosthesis during abdominoplasty in post-bariatric patients

ABSTRACT

Introduction:

Augmentation mammaplasty during abdominoplasty reduces surgical time and has a better aesthetic effect as it only leaves a single scar. The authors of this study assessed the results obtained in post-bariatric patients undergoing this procedure in the plastic surgery service at Daher Hospital.

Methods:

This was a retrospective longitudinal observational study. Of the 161 post-bariatric patients evaluated, 27 had indications for breast augmentation during abdominoplasty. The surgical technique consisted of classical abdominoplasty and creation of tunnels on the upper and middle abdomen for insertion of implants.

Results:

The age of the patients ranged from 35 to 50 years, with a mean of 42.4 years. The volume of the prosthesis ranged from 285 to 300 ml. The average body mass index was 22.2 kg/m2.The average surgical time period was 2 hours and 35 minutes. None of the following complications were observed: deep vein thrombosis, pulmonary embolism, skin necrosis, hematoma, capsular contracture and/or event. Two patients (7.4%) presented with seroma in the mammary region and one patient developed infection.

Conclusion:

The aesthetic results were satisfactory, as there was only a single scar for these two procedures in post-bariatric patients. Selecting the ideal patient was crucial for good operative success.

Keywords:
Mammaplasty; Breast implantation; Abdominoplasty; Bariatric surgery.