Medial thigh lift free flap for autologous breast augmentation after bariatric surgery.
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.
Schoeller
Thomas
T
Department of Plastic and Reconstructive Surgery, University Hospital Innsbruck, Leopold-Franzens University, Innsbruck, Austria. thomas.schoeller@uibk.ac.at
Meirer
Romed
R
Otto-Schoeller
Angela
A
Wechselberger
Gottfried
G
Piza-Katzer
Hildegunde
H
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