Objectives: The aim of this work is to evaluate the different
modalities of post-bariatric breast reshaping in females and
their aesthetic outcomes and rate of complications.
Background: The post-bariatric breast is a real problem
after massive weight loss especially in females. Different
modalities for the reshaping of post-bariatric breast were used.
Patients and Methods: This a prospective cohort study
statistical technique, descriptive statistics as numbers and
percentages were used, conducted over 20 post-bariatric breast
patients requesting breast contouring in the period from
January 2016 to January 2019. Operations were done in
Menoufia University and Railways Hospitals. Patient's age
ranged from 21-49 years. A total of 20 procedures were
performed; reduction mammoplasty in 5 patients, auto augmentation
in 8 patients, augmentation mastopexy in 5 patients,
and implant augmentation in 2 patients.
Results: Patient's satisfaction was measured by aesthetic
rating scale as follow; 1- Very satisfied, 2- Satisfied, 3- Fair,
and 4- Dissatisfied regarding improvement in size, shape,
and quality of scar. 14 patients were very satisfied (70%), 4
patients were satisfied (20%), and 2 patients were fairly
satisfied (10%). And out of the 20 patients, the overall complication
rate was 30%.
Conclusion: Breast auto augmentation for breast reshaping
in post bariatric patients is an ideal and long life technique
comparable to other techniques used to address this issue.