Breast contouring in postbariatric patients: a technique selection algorithm.

Background: Breast deformities in postbariatric surgery (post-BS) patients are different and more challenging than those from non-BS patients. The histological alterations confer the highest clinical consequences to this area: highest degrees of true ptosis, deflated and flattened glands, and totally inelastic covering tissues. Plastic surgeons need an easy-to-use algorithm for technical choices.

Brachioplasty after bariatric surgery: personal technique.

Background: A review of the results of the standard technique for "batwing" deformity after massive weight loss led to the need to optimize the cost/benefit ratio in terms of maximal correction/less visible scars.

Methods: Between 2001 and 2007, 29 patients were operated with a new technique based on a careful preoperative evaluation and markings, followed by an intraoperative skillful handling. This technique is not easy and needs plastic surgery experience and a long learning curve.

Histological alterations following bariatric surgery: pilot study.

Background: Macroscopic clinical evidence of tissue damaging following bariatric surgery pushed plastic surgeons to presume microscopic alterations as well.

Methods: Five preliminary cases studied randomly, and compared with healthy tissues, confirmed these initial suspects. A deeper and wider study has then been structured.