Postbariatric surgery breast reshaping: the spiral flap

Annals of Plastic Surgery
Dennis J Hurwitz, Siamak Agha-Mohammadi

Abstract

After massive weight loss, the breasts have poor shape, projection, and skin elasticity. Breast reshaping is recognized as difficult and may require excess nearby tissues. As the senior author's approach evolved over the past 4 years, breast reshaping with the spiral flap became integral to an upper body lift. After the weight loss has stabilized, body contouring surgery has been performed on 53 patients over a 3-year period. Six patients had mastopexy and/or augmentation only. Eighteen patients had spiral flap breast reshaping as part of an upper body lift. This lift is a reverse abdominoplasty that ends along the inframammary fold incision of the Wise pattern mastopexy and continues laterally to along the back roll. Excess tissue from the epigastrium and lateral back roll is deepithelialized and used for augmentation. These flap extensions of the central breast pedicle are spiraled around the breast for augmentation, shaping, and suspension. When more tissue is needed, saline-filled silicone implants have been used, preferably during a second stage. Follow up of this initial group ranged from 4 to 28 months with a mean of 11 months. In this initial effort, 14 of the 18 were pleased. In 3 patients, subsequent bilateral saline ...Continue Reading

References

Dec 1, 1979·The Surgical Clinics of North America·A R Shons
Jan 1, 1975·Scandinavian Journal of Plastic and Reconstructive Surgery·B PalmerL Backman
Jun 1, 1986·Plastic and Reconstructive Surgery·H Holmström, C Lossing
Aug 24, 1999·Plastic and Reconstructive Surgery·E J Hall-Findlay
Apr 21, 2004·Annals of Plastic Surgery·Dennis J Hurwitz
Mar 19, 2005·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·William Hurwitz
Sep 6, 2005·Plastic and Reconstructive Surgery·Joshua L LevineRobert J Allen
Aug 1, 2004·Seminars in Plastic Surgery·Dennis J Hurwitz, Dinakar Golla

❮ Previous
Next ❯

Citations

Mar 29, 2007·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·O Scheufler, D Erdmann
Mar 17, 2010·Aesthetic Plastic Surgery·Daniel J A Thornton, Le Roux Fourie
Apr 30, 2010·Aesthetic Plastic Surgery·Miguel ModolinMarcus Castro Ferreira
Mar 30, 2010·Obesity Surgery·Amy S Colwell
Dec 17, 2009·Plastic and Reconstructive Surgery·Richard J Zienowicz, Ercan Karacaoglu
Jun 30, 2011·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Vijay LangerAlbert E Cram
Oct 7, 2014·Clinics in Plastic Surgery·Jeffrey A Gusenoff
Aug 22, 2008·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·N Pallua, E Demir
Sep 1, 2015·Aesthetic Surgery Journal·Gabriele Cáceres Miotto, Felmont F Eaves
May 6, 2010·Aesthetic Surgery Journal·Marc D PacificoMorris Ritz
Oct 27, 2016·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Carlo D'AnielloGiuseppe Nisi
Apr 27, 2017·Plastic and Reconstructive Surgery·Demetrius M CoombsJeffrey A Gusenoff
Aug 25, 2016·Revista do Colégio Brasileiro de Cirurgiões·Wilson Cintra JuniorRolf Gemperli
Jan 25, 2018·Aesthetic Surgery Journal·Ali A QureshiMarissa M Tenenbaum
Mar 5, 2011·Annals of Plastic Surgery·Mustafa Akyurek
Dec 4, 2008·Plastic and Reconstructive Surgery·Jeffrey A GusenoffJ Peter Rubin
Mar 20, 2008·Plastic and Reconstructive Surgery·Steven G Wallach
Jul 25, 2008·Annals of Plastic Surgery·Gerrit J Halbesma, Berend van der Lei
Jul 25, 2008·Annals of Plastic Surgery·Amy S Colwell, Karl H Breuing
Jan 17, 2020·Plastic and Reconstructive Surgery. Global Open·Vincenzo VindigniTito Brambullo
Sep 11, 2010·Aesthetic Surgery Journal·Dennis J Hurwitz, Keith Jerrod
Nov 22, 2014·Plastic and Reconstructive Surgery·Dennis J Hurwitz
Sep 19, 2018·Aesthetic Plastic Surgery·Recep AnlatıcıÖmer Refik Özerdem
Aug 5, 2011·Aesthetic Surgery Journal·Jay W CalvertKevin Brenner
Feb 24, 2015·Obesity Surgery·Vincenzo VindigniFranco Bassetto
Oct 18, 2019·Journal of Cutaneous and Aesthetic Surgery·Gianfranco M ColicchiaValerio Cervelli
Feb 27, 2019·Plastic and Reconstructive Surgery·Dennis J HurwitzLauren Wright
Jul 28, 2019·Annales de chirurgie plastique et esthétique·N IsolaN Bertheuil
Dec 7, 2007·Clinics in Plastic Surgery·Dennis J Hurwitz, Tim Neavin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Allogenic & Autologous Therapies

Allogenic therapies are generated in large batches from unrelated donor tissues such as bone marrow. In contrast, autologous therapies are manufactures as a single lot from the patient being treated. Here is the latest research on allogenic and autologous therapies.