Patients undergoing metabolic surgery have factors ranging from anatomo-surgical, endocrine metabolic, eating patterns and physical activity, mental health and psychological factors. Some of the latter can explain the possible pathophysiological neuroendocrine, metabolic, and adaptive mechanisms that cause the high prevalence of weight regain in postbariatric patients. Even metabolic surgery has proven to be effective in reducing excess weight in patients with obesity; some of them regain weight after this intervention. In this vein, several studies have been conducted to search factors and mechanisms involved in weight regain, to stablish strategies to manage this complication by combining metabolic surgery with either lifestyle changes, behavioral therapies, pharmacotherapy, endoscopic interventions, or finally, surgical revision. The aim of this revision is to describe certain aspects and mechanisms behind weight regain after metabolic surgery, along with preventive and therapeutic strategies for this complication.
Patients undergoing bariatric procedures experience massive weight loss accompanied by significant soft tissue laxity throughout the body. In such cases, aesthetic surgery aims to assist in regaining body contour. However, the impact of traditional surgical procedures on redundant tissue results in extensive scars, raising concerns and dissatisfaction among patients. Multifrequency laser-assisted lipolysis is a novel modality that has proven effective in reducing residual fat and inducing skin tightening with minimal scarring.
Breast ptosis, the inferior displacement of the nipple-areola complex, is predominantly attributed to age-related collagen degradation within the breast parenchyma as a result of fibroblast senescence and postmenopausal estrogen depletion, which together result in skin ageing and mammary adipose tissue reduction. This Dataset reports the clinical information and measurements of 231 patients who underwent multifrequency low-level laser-assisted mastopexy. Data were collected prospectively between February 2021 and November 2023. All patients' references and identification data were anonymized to ensure compliance with Colombian legal regulations. Subsequently, data were translated from Spanish to English and stored in both .xls and .csv formats. This study aimed to evaluate the effect of the procedure on breast ptosis degree and the sternal notch to nipple distance (SNND) to assess the evolution of breast ptosis. This article presents demographic, personal, and familial history data, anthropometric measurements, breast ptosis degree classified according to the Regnault system, SNND measurements, and complications categorized using the Clavien-Dindo classification system.
This Dataset reports the clinical information and measurements of 231 patients who underwent multifrequency low-level laser-assisted mastopexy. The Dataset was collected between February 2021 and November 2023. These data were used to assess the effect of this procedure on breast ptosis degree and the nipple to sternal notch distance to know the evolution of breast ptosis. This article presents demographic, personal and familial history, anthropometric measurements, pto-sis degree according to the Regnault system, Nipple-to-Sternal Notch distance (SNND), and complications according to the Clavien-Dindo System. The collected data were in English, and the responses were anonymised to ensure the Colombian legal framework. The data were stored in a .csv file.
Introduction: Breast ptosis is characterized by the downward nipple-areola complex displacement below the inframammary fold. Breast ptosis is associated with ageing and its concomitant changes in estrogen levels in conjunction with other factors like macromastia, weight loss, pregnancy, and both alcohol and tobacco consumption products affecting breast tissue architecture impacting the well-being and quality of life in the affected women. This study aimed to evaluate the efficacy of a novel mastopexy technique in patients with breast ptosis. Methods: A longitudinal, non-experimental, analytical study was done in a cohort of 231 women diagnosed with breast ptosis treated with a novel low-level multifrequency laser-assisted mastopexy assessing sternal notch-to-nipple distance (SNND) and breast ptosis status according to the Regnault system at the first, second, and third postoperative month. Additionally, the incidence and nature of compli-cations within the first 30 days post-surgery were evaluated according to the Clavien-Dindo system. Results: The breast ptosis proportion significantly changed across the three-month fol-low-up period from 100% to only 10% (all ptosis grade I). 90% of the patients achieved the non-ptosis grade according to the Regnault system (p