title: Medial thigh lift free flap for autologous breast augmentation after bariatric surgery.
abstract: BACKGROUND
  Massive weight loss following bariatric surgery frequently results in body contour deformities like ptotic and hypoplastic breasts, redundant abdominal tissue and loose skin especially in the medial thigh area. This redundant tissue can be used for breast augmentation in the case of hypertrophic ptotic breasts.
  
  
  METHODS
  In 3 patients who underwent a vertical banded gastroplasty and consecutively lost more than 60% of their body weight, a breast augmentation with a transverse gracilis myocutaneous free flap was performed.
  
  
  RESULTS
  Bilateral myocutaneous gracilis free flap breast augmentation resulted in an esthetic, pleasing result, with additional correction of the redundant skin from the medial thigh region.
  
  
  CONCLUSIONS
  Autologous breast augmentation with a simultaneous medial thigh lift can be performed safely, after successful weight loss following bariatric surgery.
authors.affiliation: Department of Plastic and Reconstructive Surgery, University Hospital Innsbruck, Leopold-Franzens University, Innsbruck, Austria. thomas.schoeller@uibk.ac.at
authors.forename: Thomas
authors.initials: T
authors.lastname: Schoeller
authors.forename: Romed
authors.initials: R
authors.lastname: Meirer
authors.forename: Angela
authors.initials: A
authors.lastname: Otto-Schoeller
authors.forename: Gottfried
authors.initials: G
authors.lastname: Wechselberger
authors.forename: Hildegunde
authors.initials: H
authors.lastname: Piza-Katzer
mesh_terms: D000273:Adipose Tissue / Q000601:surgery; D062109:Dermatologic Surgical Procedures; D005260:Female; D015391:Gastroplasty; D006801:Humans; D015187:Lipectomy; D016462:Mammaplasty / Q000379:methods*; D009767:Obesity, Morbid / Q000601:surgery*; D011184:Postoperative Period; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery