Augmentation Mastopexy after Massive Weight Loss in Raleigh, North Carolina*

This 43-year-old woman underwent a bariatric procedure about 7 years prior and lost a complete body weight losing 150 pounds getting down to just under 150 pounds from 300 pounds. Although she had a lot of cosmetic concerns, as many post bariatric patients do, she was most unhappy with the deflation of her breasts causing ptosis and lack of upper pole volume. Dr. Lyle performed bilateral mastopexy with a inverted T pattern with sub muscular silicone gel breast implants. He used Sientra high profile 415 cc smooth implants.. In most cases, sub muscular positioning is recommended. This preserves blood supply to the nipple areola complex to a better degree than subglandular positioning and also reduces risk of future capsular contracture.. Careful partial release of the muscle is necessary. Choices of implants include saline implants, structured implants ( Ideal) and silicone gel implants. Silicone gel implants are the most popular for patients with massive weight loss because they still have loose thinned out tissue and the silicone gel feels the most natural. Certainly all the choices should be discussed in the preoperative consultation with explanation of risks and benefits. The Sientra implant has a industry best 20 year warranty against rupture and also a capsular contracture warranty. Post bariatric breast and body deformities include breast ptosis, abdominal pannus, laxity of the arms and thighs. Patients have different priorities for correction .