Breast Contouring after Massive Weight Loss

Abstract

W ith the wide range of breast deformities developed after massive weight loss, it is crucial to wait until the patients reach stable BMI for a sufficient period before proceedings in any recontouring surgeries. The plastic surgeon most often will see the patient after he/she has lost weight and stabilized. Body contouring of the massive weight loss patient represents the ultimate opportunity for body sculpting in these formerly obese patients, resurrecting normal body contour where previously only excess skin and tissue existed. They represent unique challenges and are often burdened with medical, psychological, and physiological problems that add complexity to any surgical intervention. A degree of breast ptosis is always present in the MWL. Choice of surgery depends on breast volume, availability of axillary tissue, surgeon preference for technique, and patient preference for scar. Proper assessment of the breast deformity is the key to the successful treatment plan. There are many options of management of these deformities depends on the residual volume of the breast, the quality of the skin, the availability of nearby excess redundant tissues.