title: Breast Reshaping Following Bariatric Surgery.
abstract: BACKGROUND
  Obesity is a worldwide problem that affects millions of people from a medical and psychological point of view. To solve the related complications, patients should lose weight with the consequent need to be subjected to body contouring due to the presence of a loose and redundant skin. We report our experience in the treatment of the post-bariatric breast.
  
  
  METHODS
  We considered all the post-bariatric patients subjected to a breast reshaping, and we viewed the features of the breast, the type of surgery performed, the outcomes, and the complications. All patients filled out BREAST-Q surveys both preoperatively and after 6 months to study the rate of satisfaction.
  
  
  RESULTS
  Ninety post-bariatric patients underwent breast reshaping in the last 5 years. The average age was 40 years old. The follow-up period ranged from 6 months to 5 years. The most represented ptosis was second grade; the favorite technique has been mastopexy with parenchymal remodelling and augmentation with autologous tissue. The mean duration of the surgery has been 3 h. The most represented complications have been delayed healing, unfavorable scarring, hematoma, and seroma. Statistically significant improvements were observed in satisfaction with breast appearance, psychological, and physical well-being.
  
  
  CONCLUSIONS
  Breast reshaping in post-bariatric patients is a big challenge and only a careful analysis of the degree of ptosis of the breast, its volume and shape, and a clear communication with the patients about the real outcomes and complications can make the winning surgeon.
authors.affiliation: Clinic of Plastic and Reconstructive Surgery, Department of Neurosciences, University of Padova, Via Giustiniani, 2, 35100, Padova, PD, Italy, vincenzo.vindigni@unipd.it.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Vindigni
authors.forename: Carlotta
authors.initials: C
authors.lastname: Scarpa
authors.forename: Antonio
authors.initials: A
authors.lastname: Tommasini
authors.forename: Maria Cristina
authors.initials: MC
authors.lastname: Toffanin
authors.forename: Laura
authors.initials: L
authors.lastname: Masetto
authors.forename: Chiara
authors.initials: C
authors.lastname: Pavan
authors.forename: Franco
authors.initials: F
authors.lastname: Bassetto
mesh_terms: D000328:Adult; D050110:Bariatric Surgery; D001940:Breast / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*