Breast reduction after gastrc bypass surgery

If a single-stage procedure is planned, then the anticipated inferior torso skin closure tensions are considered. A Wise-pattern mastopexy is drawn without the areolar cut out. By forceful upward push on the reverse abdominoplasty flap, tension is relieved as the sutures are tied.

In most, the atrophy is profound, leaving an inadequately filled skin sack. The breast reduction surgery is fairly straight-forward, taking about three to four hours to deliver. Final postoperative views show the 1-year result of the torsoplasty and breast reshaping as well as bilateral brachioplasties. Augmentation will be from de-epithelialized inferior and lateral flaps of skin.

The major advantage of the vertical techniques is the reliance on the direct approximation of the medial and lateral parenchymal flaps to narrow and project the breasts. The vertical techniques raise the lowered IMF. Midtorso rolls of skin and fat may lie beneath and lateral.