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    • Upper Body Contouring after Massive Weight Loss

    Ahmed A. Nawar, Rasha Abdelkader, Fady M. Yacoub
    Department of Plastic Surgery, Cairo University

    After massive weight loss (MWL), skin redundancy remains an aesthetic and functional problem that remains amenable only by surgical excision. Upper body deformities include the arms, breast/chest and back. Aim of work: To classify the various upper body deformities with view to surgical approach. Patients and methods: MWL patients were classified according to position of the lateral inframammary folds and offered corrective surgery – either as isolated procedures or in the form of an upper body lift. Results: 26 patients were included in the study, 17 of which had a descended lateral IMF. A total of six patients underwent an upper body lift procedure. Complication rate was 23% and was correlated with the presenting body mass index. Conclusion: the lateral inframammary fold position is a good tool for classifying patients into a group that requires isolated procedures to treat the upper body deformity (mastopexy/brachioplasty), and a group that needs a unit approach known as the upper body lift. Keywords: Upper body contouring - massive weight loss – upper body lift – brachioplasty – mastopexy. 

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