<< Back to the abstract archive
Boomerang Reduction Mammaplasty and J Torsoplasty: Total Body Lift Surgery in the Muscular Male
Dennis J. Hurwitz, MD, FACS, Lino F. Miele, MD, MS
University of Pittsburgh Medical Center
2014-03-15
Presenter: Lino F. Miele, MD, MS
Affidavit:
Director Name: Joseph Losee, MD
Author Category: Resident Plastic Surgery
Presentation Category: Clinical
Abstract Category: Aesthetics
Purpose:
A traditional body lift is limited by tight-skin-closure revealing muscular bulk. For skin to be tightly bound to muscle,excess needs to be removed both transversely and vertically. The boomerang-reduction-mammaplasty for gynecomastia,involving opposed-obliquely-oriented-elliptical excisions joining over the nipple and extending transversely,assists in achieving this goal. Our aim was to demonstrate safety and efficacy of the combination boomerang-reduction-mammaplasty and J-torsoplasty in the muscular male.
Methods:
We reviewed 23 patients who received boomerang-reduction-mammaplasty of gynecomastia. A J-torsoplasty extension replaced the transverse upper body lift in 7 patients. Indirect undermining and the opposing force of an abdominoplasty obliterate the inframammary fold. To complete the effacement of the entire torso in six of these seven patients,the abdominoplasty was extended by oblique excisions over bulging flanks and a picture frame monsplasty.
Results:
Improvement was observed in 23-boomerang cases. One patient was displeased with distorted nipple-areolar-complexes after revision surgery. Complications were limited to hematoma(1), minor suture line dehiscence(1) and edgewise skin necrosis(1). Revisions consisted of nipple revisions(1) and liposuction of the inferior breast(1). In the subset of 7 comprehensive cases with J-torsoplasty and abdominoplasty,tight skin and muscular contours were evident with no morbidity.
Conclusion:
Sagging-skin,gynecomastia and ptotic mons pubis after massive weight loss frustrates the body-building male. Optimal body contouring for men drapes skin tightly over well-developed torso muscles. In selected patients,comprehensive body contouring surgery consisting of boomerang-reduction-mammaplasty and J-torsoplasty with abdominoplasty has proven to be a practical means to achieve aesthetic goals. Body lift surgery beyond the treatment of gynecomastia optimally serves the muscular male after massive weight loss.
