BREAST RECONSTRUCTION STATUS POST MASSIVE WEIGHT LOSS
GASTRIC BYPASS SURGERY
The patient presents with significant weight loss notable 150 pounds after Roux-En-Y gastroplasty. She now has significant grade 3 ptosis, skin laxity and will undergo augmentation mammoplasty with high profile saline implants and a formal mastopexy using inferior pedicle Wise-pattern technique. This is extraordinarily complicated surgery associated with her breast showing different diameters as well as skin laxity, left greater than right and the nipple areolar positions are low with a base pedicle distance up to 12 cm. We must maintain blood supply and her postoperative results show excellent symmetry with superior fullness of the upper pole.
This patient has been instructed now at eight weeks and she will continue with Bio corneum for the scarring as well as an underwire bra during the day and the Dr. Linder bras for sleeping at night. These were very challenging cases, as the vascularity of the nipple areolar complex can be more tenuous associated with the long pedicles which are associated with severe gastric bypass for patient weight loss and laxity.