Mastopexy with Autologous Augmentation in Women After Massive Weight Loss: A Randomized Clinical Trial
Background Breast reshaping or mastopexy following massive weight loss can be challenging. The LOPOSAM (lower pole subglandular advancement mastoplasty) technique has shown promising results for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss. Materials and...
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description | Background
Breast reshaping or mastopexy following massive weight loss can be challenging. The LOPOSAM (lower pole subglandular advancement mastoplasty) technique has shown promising results for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss.
Materials and Methods
We compared the LOPOSAM technique to the mastopexy technique after massive weight loss described by Rubin JP, in a randomized trial. The main outcome measure was the total operative time. Secondary outcomes measures were socio-economic factors; length of hospital stay, numbers of sutures used, secondary corrective procedures, post-operative sick leave and surgeon- and patient-reported appearance of the breasts.
Results
We included 22 women: 11 operated on by the LOPOSAM technique and 11 by the technique described by Rubin JP. The total operative time was 84.8 (SD 12.2) minutes in the LOPOSAM group and 99.1 (SD 23.5) in the Rubin JP group (
p
= 0.074). There were no differences related to days with drains, length of hospital stay or sick leave between the two groups. The surgeon- and the patient-reported appearance of the breasts changed significantly between the pre-operative and the 12-month post-operative assessments.
Conclusion
The LOPOSAM technique is a safe and quick surgical procedure for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss and seems to provide results comparable to the better-known Rubin JP’s technique. There was a trend that the LOPOSAM technique was faster to perform, however, not significant. The breast appearance improved significantly using both techniques when assessed by both surgeons and patients.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
. |
doi_str_mv | 10.1007/s00266-020-01642-0 |
format | Article |
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Breast reshaping or mastopexy following massive weight loss can be challenging. The LOPOSAM (lower pole subglandular advancement mastoplasty) technique has shown promising results for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss.
Materials and Methods
We compared the LOPOSAM technique to the mastopexy technique after massive weight loss described by Rubin JP, in a randomized trial. The main outcome measure was the total operative time. Secondary outcomes measures were socio-economic factors; length of hospital stay, numbers of sutures used, secondary corrective procedures, post-operative sick leave and surgeon- and patient-reported appearance of the breasts.
Results
We included 22 women: 11 operated on by the LOPOSAM technique and 11 by the technique described by Rubin JP. The total operative time was 84.8 (SD 12.2) minutes in the LOPOSAM group and 99.1 (SD 23.5) in the Rubin JP group (
p
= 0.074). There were no differences related to days with drains, length of hospital stay or sick leave between the two groups. The surgeon- and the patient-reported appearance of the breasts changed significantly between the pre-operative and the 12-month post-operative assessments.
Conclusion
The LOPOSAM technique is a safe and quick surgical procedure for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss and seems to provide results comparable to the better-known Rubin JP’s technique. There was a trend that the LOPOSAM technique was faster to perform, however, not significant. The breast appearance improved significantly using both techniques when assessed by both surgeons and patients.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><identifier>ISSN: 0364-216X</identifier><identifier>EISSN: 1432-5241</identifier><identifier>DOI: 10.1007/s00266-020-01642-0</identifier><identifier>PMID: 32060605</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Breasts ; Clinical trials ; Cohort Studies ; Esthetics ; Feasibility studies ; Female ; Hospitals ; Humans ; Mammaplasty ; Medicine ; Medicine & Public Health ; Original Article ; Otorhinolaryngology ; Outpatient care facilities ; Patient satisfaction ; Plastic Surgery ; Quality of life ; Retrospective Studies ; Sick leave ; Socioeconomic factors ; Surgical techniques ; Sutures ; Treatment Outcome ; Weight Loss</subject><ispartof>Aesthetic plastic surgery, 2021-02, Vol.45 (1), p.127-134</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020</rights><rights>Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c342t-800a98fa7f8b8517eeb0321dd723be791a524867d6e035334188ed488aa82ce63</citedby><cites>FETCH-LOGICAL-c342t-800a98fa7f8b8517eeb0321dd723be791a524867d6e035334188ed488aa82ce63</cites><orcidid>0000-0002-3334-1851</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00266-020-01642-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00266-020-01642-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32060605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ikander, Peder</creatorcontrib><creatorcontrib>Sørensen, Jens A.</creatorcontrib><creatorcontrib>Thomsen, Jørn B.</creatorcontrib><title>Mastopexy with Autologous Augmentation in Women After Massive Weight Loss: A Randomized Clinical Trial</title><title>Aesthetic plastic surgery</title><addtitle>Aesth Plast Surg</addtitle><addtitle>Aesthetic Plast Surg</addtitle><description>Background
Breast reshaping or mastopexy following massive weight loss can be challenging. The LOPOSAM (lower pole subglandular advancement mastoplasty) technique has shown promising results for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss.
Materials and Methods
We compared the LOPOSAM technique to the mastopexy technique after massive weight loss described by Rubin JP, in a randomized trial. The main outcome measure was the total operative time. Secondary outcomes measures were socio-economic factors; length of hospital stay, numbers of sutures used, secondary corrective procedures, post-operative sick leave and surgeon- and patient-reported appearance of the breasts.
Results
We included 22 women: 11 operated on by the LOPOSAM technique and 11 by the technique described by Rubin JP. The total operative time was 84.8 (SD 12.2) minutes in the LOPOSAM group and 99.1 (SD 23.5) in the Rubin JP group (
p
= 0.074). There were no differences related to days with drains, length of hospital stay or sick leave between the two groups. The surgeon- and the patient-reported appearance of the breasts changed significantly between the pre-operative and the 12-month post-operative assessments.
Conclusion
The LOPOSAM technique is a safe and quick surgical procedure for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss and seems to provide results comparable to the better-known Rubin JP’s technique. There was a trend that the LOPOSAM technique was faster to perform, however, not significant. The breast appearance improved significantly using both techniques when assessed by both surgeons and patients.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><subject>Breasts</subject><subject>Clinical trials</subject><subject>Cohort Studies</subject><subject>Esthetics</subject><subject>Feasibility studies</subject><subject>Female</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Mammaplasty</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Outpatient care facilities</subject><subject>Patient satisfaction</subject><subject>Plastic Surgery</subject><subject>Quality of life</subject><subject>Retrospective Studies</subject><subject>Sick leave</subject><subject>Socioeconomic factors</subject><subject>Surgical techniques</subject><subject>Sutures</subject><subject>Treatment Outcome</subject><subject>Weight Loss</subject><issn>0364-216X</issn><issn>1432-5241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE9PGzEQxS1ERcKfL8ABWeK8MLZ3bYdbFNGCFFQJgeBmOdnZ4GizDrYXSD99DYH2hnywR37vzcyPkGMGZwxAnUcALmUBHApgsuQF7JAhKwUvKl6yXTIEIcuCM_k4IPsxLgEYV6rcIwPBQeZTDUlzY2Pya3zb0FeXnui4T771C9_H_FyssEs2Od9R19EHn0s6bhIGml3RvSB9QLd4SnTqY7ygY3pru9qv3B-s6aR1nZvblt4FZ9tD8qOxbcSjz_uA3P-8vJtcFdPfv64n42kxFyVPhQawI91Y1eiZrphCnIHgrK4VFzNUI2bzZlqqWiKISoiSaY11qbW1ms9RigNyus1dB__cY0xm6fvQ5ZYmG0cjBkxVWcW3qnnIgwdszDq4lQ0bw8C8ozVbtCajNR9oDWTTyWd0P1th_c_yxTILxFYQ81e3wPC_9zexfwFshYNw</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Ikander, Peder</creator><creator>Sørensen, Jens A.</creator><creator>Thomsen, Jørn B.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><orcidid>https://orcid.org/0000-0002-3334-1851</orcidid></search><sort><creationdate>20210201</creationdate><title>Mastopexy with Autologous Augmentation in Women After Massive Weight Loss: A Randomized Clinical Trial</title><author>Ikander, Peder ; Sørensen, Jens A. ; Thomsen, Jørn B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c342t-800a98fa7f8b8517eeb0321dd723be791a524867d6e035334188ed488aa82ce63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Breasts</topic><topic>Clinical trials</topic><topic>Cohort Studies</topic><topic>Esthetics</topic><topic>Feasibility studies</topic><topic>Female</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Mammaplasty</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Outpatient care facilities</topic><topic>Patient satisfaction</topic><topic>Plastic Surgery</topic><topic>Quality of life</topic><topic>Retrospective Studies</topic><topic>Sick leave</topic><topic>Socioeconomic factors</topic><topic>Surgical techniques</topic><topic>Sutures</topic><topic>Treatment Outcome</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ikander, Peder</creatorcontrib><creatorcontrib>Sørensen, Jens A.</creatorcontrib><creatorcontrib>Thomsen, Jørn B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>Aesthetic plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ikander, Peder</au><au>Sørensen, Jens A.</au><au>Thomsen, Jørn B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mastopexy with Autologous Augmentation in Women After Massive Weight Loss: A Randomized Clinical Trial</atitle><jtitle>Aesthetic plastic surgery</jtitle><stitle>Aesth Plast Surg</stitle><addtitle>Aesthetic Plast Surg</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>45</volume><issue>1</issue><spage>127</spage><epage>134</epage><pages>127-134</pages><issn>0364-216X</issn><eissn>1432-5241</eissn><abstract>Background
Breast reshaping or mastopexy following massive weight loss can be challenging. The LOPOSAM (lower pole subglandular advancement mastoplasty) technique has shown promising results for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss.
Materials and Methods
We compared the LOPOSAM technique to the mastopexy technique after massive weight loss described by Rubin JP, in a randomized trial. The main outcome measure was the total operative time. Secondary outcomes measures were socio-economic factors; length of hospital stay, numbers of sutures used, secondary corrective procedures, post-operative sick leave and surgeon- and patient-reported appearance of the breasts.
Results
We included 22 women: 11 operated on by the LOPOSAM technique and 11 by the technique described by Rubin JP. The total operative time was 84.8 (SD 12.2) minutes in the LOPOSAM group and 99.1 (SD 23.5) in the Rubin JP group (
p
= 0.074). There were no differences related to days with drains, length of hospital stay or sick leave between the two groups. The surgeon- and the patient-reported appearance of the breasts changed significantly between the pre-operative and the 12-month post-operative assessments.
Conclusion
The LOPOSAM technique is a safe and quick surgical procedure for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss and seems to provide results comparable to the better-known Rubin JP’s technique. There was a trend that the LOPOSAM technique was faster to perform, however, not significant. The breast appearance improved significantly using both techniques when assessed by both surgeons and patients.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32060605</pmid><doi>10.1007/s00266-020-01642-0</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-3334-1851</orcidid></addata></record> |
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subjects | Breasts Clinical trials Cohort Studies Esthetics Feasibility studies Female Hospitals Humans Mammaplasty Medicine Medicine & Public Health Original Article Otorhinolaryngology Outpatient care facilities Patient satisfaction Plastic Surgery Quality of life Retrospective Studies Sick leave Socioeconomic factors Surgical techniques Sutures Treatment Outcome Weight Loss |
title | Mastopexy with Autologous Augmentation in Women After Massive Weight Loss: A Randomized Clinical Trial |
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