The Posterior Arm Flap for Reshaping the Postbariatric Breast
Background:. Postbariatric surgery, either by itself or in association with other procedures, tries to correct physical defects and body deformities. Because of the intrinsic complexity of massive weight loss (MWL) patients, more than a single procedure is, most of the time, required. We report a co...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2019-09-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002434 |
| _version_ | 1828469837196689408 |
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| author | Vincenzo Vindigni, MD, PhD Paolo Marchica, MD Andrea Pagani, MD Franco Bassetto, MD, PhD Tito Brambullo, MD |
| author_facet | Vincenzo Vindigni, MD, PhD Paolo Marchica, MD Andrea Pagani, MD Franco Bassetto, MD, PhD Tito Brambullo, MD |
| author_sort | Vincenzo Vindigni, MD, PhD |
| collection | DOAJ |
| description | Background:. Postbariatric surgery, either by itself or in association with other procedures, tries to correct physical defects and body deformities. Because of the intrinsic complexity of massive weight loss (MWL) patients, more than a single procedure is, most of the time, required. We report a combined surgical method able to improve arms’ and breasts’ contour that aims to obtain a satisfying functional and aesthetic result by reducing surgical times and costs.
Methods:. A female MWL patient with proper body mass index was clinically evaluated and considered suitable for surgery. While authors performed a modified Pascal-Le Louarn brachioplasty for the upper arm, a standard McKissock mastopexy followed by a Wise pattern skin closure was selected to obtain the breast lift. By sparing the proximal pedicle, the fasciocutaneous flaps were harvested on both posteromedial sides of the arms. The posterior arm flaps (PAF) were tunneled and transposed below the subcutaneous skin bridge across the axilla and finally used to increase the breast mound.
Results:. In the immediate postoperative follow-up, no complications were reported. After the 6-month and 1-year follow-up, both arms’ silhouette was documented as healthy and symmetric. Breasts were soft, without any signs of ptosis and/or contracture. No skin disorders or scar hypertrophy or lymphedema were reported.
Conclusions:. PAF in breast contouring procedures is an interesting surgical option, but more patients need to be treated to validate the effectiveness of the procedure. This technique should be considered when there is a need for simultaneously improving arm’s contour and breast’s volume and shape. |
| first_indexed | 2024-12-11T04:44:46Z |
| format | Article |
| id | doaj.art-8a70f763069a4381b4a0062a07182e37 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-11T04:44:46Z |
| publishDate | 2019-09-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-8a70f763069a4381b4a0062a07182e372022-12-22T01:20:32ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-09-0179e243410.1097/GOX.0000000000002434201909000-00006The Posterior Arm Flap for Reshaping the Postbariatric BreastVincenzo Vindigni, MD, PhD0Paolo Marchica, MD1Andrea Pagani, MD2Franco Bassetto, MD, PhD3Tito Brambullo, MD4From the Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.From the Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.From the Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.From the Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.From the Department of Neurosciences, Clinic of Plastic Surgery, University of Padua, Padua, Italy.Background:. Postbariatric surgery, either by itself or in association with other procedures, tries to correct physical defects and body deformities. Because of the intrinsic complexity of massive weight loss (MWL) patients, more than a single procedure is, most of the time, required. We report a combined surgical method able to improve arms’ and breasts’ contour that aims to obtain a satisfying functional and aesthetic result by reducing surgical times and costs. Methods:. A female MWL patient with proper body mass index was clinically evaluated and considered suitable for surgery. While authors performed a modified Pascal-Le Louarn brachioplasty for the upper arm, a standard McKissock mastopexy followed by a Wise pattern skin closure was selected to obtain the breast lift. By sparing the proximal pedicle, the fasciocutaneous flaps were harvested on both posteromedial sides of the arms. The posterior arm flaps (PAF) were tunneled and transposed below the subcutaneous skin bridge across the axilla and finally used to increase the breast mound. Results:. In the immediate postoperative follow-up, no complications were reported. After the 6-month and 1-year follow-up, both arms’ silhouette was documented as healthy and symmetric. Breasts were soft, without any signs of ptosis and/or contracture. No skin disorders or scar hypertrophy or lymphedema were reported. Conclusions:. PAF in breast contouring procedures is an interesting surgical option, but more patients need to be treated to validate the effectiveness of the procedure. This technique should be considered when there is a need for simultaneously improving arm’s contour and breast’s volume and shape.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002434 |
| spellingShingle | Vincenzo Vindigni, MD, PhD Paolo Marchica, MD Andrea Pagani, MD Franco Bassetto, MD, PhD Tito Brambullo, MD The Posterior Arm Flap for Reshaping the Postbariatric Breast Plastic and Reconstructive Surgery, Global Open |
| title | The Posterior Arm Flap for Reshaping the Postbariatric Breast |
| title_full | The Posterior Arm Flap for Reshaping the Postbariatric Breast |
| title_fullStr | The Posterior Arm Flap for Reshaping the Postbariatric Breast |
| title_full_unstemmed | The Posterior Arm Flap for Reshaping the Postbariatric Breast |
| title_short | The Posterior Arm Flap for Reshaping the Postbariatric Breast |
| title_sort | posterior arm flap for reshaping the postbariatric breast |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002434 |
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