Breast Lift with Silicone Gel Implants After Bariatric Surgery, Raleigh, NC*

Massive weight loss after bariatric surgery often leads to a number of predictable issues related to excess skin and drooping tissue. Invariably it leads to loss of volume and drooping of the breasts, sagging loose tissue of the abdomen and often flanks as well as loose skin of the arms and thighs. Many patients seek cosmetic improvements in several of these areas. This patient underwent prior weight loss surgery and lost 170 pounds going from the 316 pounds to 146 pounds the resulting deformities were concerning to her and she had a number of them addressed. She had an augmentation mastopexy done with a T scar or anchor pattern breast lift with placement of 295 cc moderate profile silicone gel implants. This helped to reshape the breast and restore volume. She also had lower body lift and thigh lift as well Breast lift with implants in post bariatric patients can be quite challenging as the soft tissues have lost their strength and recurrent sagging is often an issue. Reinforcement of the breast lift with the patient's own tissue through a variety of techniques or even using surgical meshes such as Gala flax or allografts are often recommended to maintain the breast tissue as well as the implant in proper position. This patient was quite pleased with the improved appearance of her breasts. She can now wear a variety of closing more confidently.