RESUMEN
Background: an increase in the number of massive weight loss patients resulted in increase of body contouring surgery including breast reshaping
Aim of the study: it was to compare two procedures of augmentation skin mastopexy augmentation skin glandular mastopexy with analysis and evaluation of the final aesthetic results
Patients and Methods: forty female patients after massive weight loss patients were included in this study, divided in to two groups. 20 patients underwent augmentation skin mastopexy [A] and the other 20 patients underwent augmentation skin-glandular mastopexy [B]. Augmentation was done through implant. Breast measurements and aesthetic outcome were assessed
Results: both groups showed well improvement in breast shape, volume, and projection with no significant difference regards patient satisfaction and expectations and measurements
Conclusion: augmentation mastopexy as a combined procedure is a good solution for breast ptosis after massive weight loss. Skin glandular mastopexy is the same as skin mastopexy but it showed fewer complications, no revision, and more satisfaction than skin mastopexy
RESUMEN
Eighteen gastrocnemius flaps were used to cover soft tissue defects in legs and feet of seventeen male patients. As defects were larger than the standard medial gastrocnemius myocutaneous flap in eight cases, the skin over the lateral belly was elevated medially based together with the flap to compensate for width discrepancy. Based on survival of these eight modified flaps and on a previous anatomical study [Kamal et al, 1992], we conclude that the skin paddle of the medial flap can safely be laterally extended to include the fasciocutaneous tissue overlying the lateral belly