Sistematizacion and conduct of plastic surgery service of hospital geral de goiânia in mammoplasty in massive weight loss patients in last ten years

ABSTRACT

Background:

With the increase of the population obesity indices occurred a growth of the numbers of ex-obese patients and aesthetic/ reconstructive plastic surgery in this population. Objectives: To present a systematic approach adopted in patients undergoing breast surgery after massive weight loss at Hospital Geral de Goiânia (HGG) in the last 10 years, and assess the results.

Method:

We conducted a retrospective study of cases of breast surgery after massive weight loss in the Department of Plastic Surgery of HGG, from January 2002 to December 2011. The patients were individually analyzed preoperatively and submitted to the classification of Kaluf to breast dysmorphism after major weight loss. The operative technique varied depending on the classification of the type of breast. Results:The sample totaled 73 female patients, with mean age of 44 years and mean weight loss of 48 kg. In 41 patients (56.16%) was used the technique with inclusion of prostheses and in 32 (43.83 %) chose to not include silicone implants. Complications occurred in eight patients (10.95%), one case of hematoma (1.36%), two cases of suffering partial nipple-areola complex (2.73%), five cases of small suture dehiscence or delayed healing (6.84%) and one case of breast ptosis in the immediate postoperative period (1.36%). Conclusion:Due to the wide range of dimorphisms in emaciated patients, in particular changes in their breasts, we note that it is necessary to establish protocols and routines for effective assessment and treatment, with the least possible morbidity, associated with better cosmetic results.

Keywords:
Mammoplasty; Ex-obese; Plastic surgery