Short summary

The purpose of this study is to evaluate the result of mastopexy with autologous augmentation in women after massive weight loss using two different surgical techniques

The objective of the study is to investigate if one of the two techniques is superior to the other. The primary outcome measure is to compare time for surgery. The secondary outcome measures are complication rates, hospital stay, economics and cosmetic outcome.

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Rationale

In massive weight loss patients the breasts often appear wide, lateralized and deflated, with significant ptosis. This affects the women both psychologically and physically. Some of theses women can be offered a mastopexy with autologous augmentation with the aim of correcting the shape and ptosis of the breast.

There are many different techniques to correct the shape and ptosis of the breast.

In this study we compare Peter Rubin's mastopexy with autologous augmentation technique with our own "The Lower Pole Subglandular Advancement Mastoplasty" (LOPOSAM) technique. Our hypothesis is that our technique is faster and with a lower rate of complications.

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Description of the cohort

The study population consists of women referred to the Department of Plastic and Reconstructive Surgery for mastopexy after massive weight loss.

Data and biological material

Patient demographics, co-morbidities and breast measurements are recorded. Furthermore, operation time, hospital stay, complications and patient satisfaction are recorded.

Breast measurements and clinical photographs of the breasts are obtained pre-operative and three, 6, and 12 months postoperative.

Collaborating researchers and departments

Department of Plastic Surgery, Telemark Sentral Hospital, Norway

• Consultant, Gudjon Gunnarsson