Background: Massive weight loss frequently results in significant skin laxity, particularly in the chest and breast region, presenting reconstructive challenges. Traditional mastopexy techniques often fail to address the complex deformities seen in postbariatric patients. The dermal suspension parenchymal reshaping (DSPR) mastopexy offers a novel approach to restoring breast shape and contour in this population. This study aims to evaluate the short- and long-term outcomes of DSPR mastopexy. Methods: We conducted a retrospective cohort study of female patients who underwent DSPR mastopexy at Hadassah Medical Center between 2018 and 2024. Eligible patients had experienced massive weight loss via bariatric surgery or lifestyle changes. Data were collected on demographics, comorbidities, surgical parameters, patient-reported outcome measures, complications, and long-term outcomes. Results: Eight patients underwent DSPR mastopexy, including 1 unilateral case, for a total of 15 operative breasts. The median age was 32.2 years (interquartile range 27.7–37.6 y). Half of the patients reported active or recent nicotine use, ceasing smoking only perioperatively. One minor complication, a seroma in 1 of 15 breasts (6.7%), was managed conservatively. No other complications were recorded. The postoperative BREAST-Q questionnaire demonstrated high patient satisfaction in multiple domains. At a median follow-up of 5 years, all patients maintained favorable aesthetic outcomes with no revision surgery. Conclusions: The DSPR mastopexy technique is a safe and effective method for postbariatric breast reshaping, with durable aesthetic outcomes and high postoperative BREAST-Q satisfaction. Even among recent smokers, no complications occurred. Our findings support broader adoption of the DSPR mastopexy in selected patients.
Massarwa et al. (Mon,) studied this question.