Background: Marked breast ptosis in males is considered
one of the most challenging problems for plastic surgeons
and so many techniques have been used in the last few years
trying to give the patients the best esthetic outcomes, our
research will help us to determine the proper management for
such patients.
Objectives: To compare between no vertical scar reduction
mammoplasty and subcutaneous mastectomy with free NAC
grafting in management of post bariatric marked breast ptosis
cases regarding patient satisfaction, objective esthetic outcome.
Methods: This is a prospective, comparative, randomized
and descriptive study of 30 male patients suffering from postbariatric
marked breast ptosis. The patients were divided into
two groups; Group A subjected to no vertical scar reduction
mammoplasty technique (15 patients). Group B subjected to
subcutaneous mastectomy with free NAC grafting technique
(15 patients). Both groups were compared for objective esthetic
outcome, patient satisfaction and rate complications.
Results: Both techniques resulted in a good satisfaction
rate through getting red from excess skin and breast tissue.
Cases that were managed by no vertical scar technique had
little NAC complications but were more liable to contour
irregularities and asymmetries, on the other hand better esthetic
outcomes but more NAC complications occurred with cases
managed by subcutaneous mastectomy with free NAC grafting
technique.
Conclusion: No vertical scar reduction mammoplasty
technique has better results regarding preservation of NAC
sensation and color, while subcutaneous mastectomy with
free NAC grafting technique provides a better breast contour
and little irregularities but carries more risk of NAC complications.