Augmentation mammaplasty by superolateral thoracic flap: a case report
Abstract Background The lateral chest wall is intimately associated with the esthetics of the breast. Patients with massive weight loss often have excess skin and fat in the lateral thoracic region causing functional, esthetic, and psychological discomfort. In addition, the breasts exhibit extreme p...
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| Format: | Article |
| Language: | English |
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BMC
2021-11-01
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| Series: | Journal of Medical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13256-021-03122-8 |
| _version_ | 1818856580919066624 |
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| author | Elise Lupon Benoit Chaput Thomas Meresse |
| author_facet | Elise Lupon Benoit Chaput Thomas Meresse |
| author_sort | Elise Lupon |
| collection | DOAJ |
| description | Abstract Background The lateral chest wall is intimately associated with the esthetics of the breast. Patients with massive weight loss often have excess skin and fat in the lateral thoracic region causing functional, esthetic, and psychological discomfort. In addition, the breasts exhibit extreme ptosis after weight loss due to a reduction in volume and projection that is exacerbated by qualitative changes in the skin, with loss of its natural elasticity. This article describes a reliable new technique for simultaneous autologous breast augmentation and lateral thoracic dermolipectomy to provide autologous tissue for breast augmentation and simultaneous rejuvenation of the chest wall. Case presentation A 30-year-old Caucasian woman who had lost 58 kg after bariatric surgery had major skin excess sequelae combined with major breast ptosis. She wanted to correct her brachial and lateral thoracic skin and fat excess, as well as rejuvenate her breasts. The lateral thoracic panicle present was harvested and transposed in the retroglandular plane to perform autologous breast augmentation with lateral thoracic dermolipectomy. Results The patient was totally healed and complication-free at day 15. Both esthetic results and patient satisfaction were good at 6 months post-surgery. Conclusions Superolateral thoracic flap augmentation mammaplasty during thoracic dermolipectomy is a simple and safe procedure for selected patients. Durable and natural autologous breast augmentation may be achieved in a single step without the need for a breast implant, while rejuvenating the thoracic region. |
| first_indexed | 2024-12-19T08:26:46Z |
| format | Article |
| id | doaj.art-a3f55121bd1d4885ac116747a40f62f3 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-12-19T08:26:46Z |
| publishDate | 2021-11-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-a3f55121bd1d4885ac116747a40f62f32022-12-21T20:29:17ZengBMCJournal of Medical Case Reports1752-19472021-11-011511710.1186/s13256-021-03122-8Augmentation mammaplasty by superolateral thoracic flap: a case reportElise Lupon0Benoit Chaput1Thomas Meresse2Service de Chirurgie Plastique et Reconstructrice, CHU Toulouse RangueilService de Chirurgie Plastique et Reconstructrice, CHU Toulouse RangueilService de Chirurgie Plastique et Reconstructrice, CHU Toulouse RangueilAbstract Background The lateral chest wall is intimately associated with the esthetics of the breast. Patients with massive weight loss often have excess skin and fat in the lateral thoracic region causing functional, esthetic, and psychological discomfort. In addition, the breasts exhibit extreme ptosis after weight loss due to a reduction in volume and projection that is exacerbated by qualitative changes in the skin, with loss of its natural elasticity. This article describes a reliable new technique for simultaneous autologous breast augmentation and lateral thoracic dermolipectomy to provide autologous tissue for breast augmentation and simultaneous rejuvenation of the chest wall. Case presentation A 30-year-old Caucasian woman who had lost 58 kg after bariatric surgery had major skin excess sequelae combined with major breast ptosis. She wanted to correct her brachial and lateral thoracic skin and fat excess, as well as rejuvenate her breasts. The lateral thoracic panicle present was harvested and transposed in the retroglandular plane to perform autologous breast augmentation with lateral thoracic dermolipectomy. Results The patient was totally healed and complication-free at day 15. Both esthetic results and patient satisfaction were good at 6 months post-surgery. Conclusions Superolateral thoracic flap augmentation mammaplasty during thoracic dermolipectomy is a simple and safe procedure for selected patients. Durable and natural autologous breast augmentation may be achieved in a single step without the need for a breast implant, while rejuvenating the thoracic region.https://doi.org/10.1186/s13256-021-03122-8Bariatric surgeryAutologous breast augmentationFat compartmentLateral chest wallSuperolateral thoracic flap |
| spellingShingle | Elise Lupon Benoit Chaput Thomas Meresse Augmentation mammaplasty by superolateral thoracic flap: a case report Journal of Medical Case Reports Bariatric surgery Autologous breast augmentation Fat compartment Lateral chest wall Superolateral thoracic flap |
| title | Augmentation mammaplasty by superolateral thoracic flap: a case report |
| title_full | Augmentation mammaplasty by superolateral thoracic flap: a case report |
| title_fullStr | Augmentation mammaplasty by superolateral thoracic flap: a case report |
| title_full_unstemmed | Augmentation mammaplasty by superolateral thoracic flap: a case report |
| title_short | Augmentation mammaplasty by superolateral thoracic flap: a case report |
| title_sort | augmentation mammaplasty by superolateral thoracic flap a case report |
| topic | Bariatric surgery Autologous breast augmentation Fat compartment Lateral chest wall Superolateral thoracic flap |
| url | https://doi.org/10.1186/s13256-021-03122-8 |
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