摘要

Objectives: Isolated removal of soft tissue excess in the pectoral area in male patients - emphasis is placed on preserving the subcutaneous soft tissue reserves in the area that projects onto the pectoral muscle in order to preserve the projection in that area. Brachioplasty is often combined with bra line back lift and/or mastopexy and/or lifting in the chest area in male patients. Lateral Tension Upper Body Lift - wavy shape of the excision aims to prevent the possible hypertrophic scar. BackBra lift - emphasis is placed in the position and quality of the scar. Introduction: Upper Body Lift is a surgical procedure aimed at removing excess skin and subcutaneous adipose tissue from the chest area, and the procedure may refer to: isolated removal of excess cutaneous-subcutaneous skin in the pectoral area in male patients; mastopexy techniques in female patients; brachioplasty procedures; isolated tissue lifting and removal of cutaneous-subcutaneous excess from the back area; isolated tissue lifting and removal of cutaneous-subcutaneous excess from the lateral chest and combination of simultaneous treatment of the specified areas. Materials / method: Body contouring in patients after massive weight loss at Vderm clinic private plastic surgery practice, Sofia, Bulgaria - Dr Evgeni Sharkov - plastic surgeon and owner of the practice. Textbook: Body Contouring Surgery: The Role of Non-Invasive, Minimal-Invasive and Surgical Technologies. Author - Evgeni Sharkov, MD Results: 400 patients with obesity and/or weight loss and/or massive weight loss in a 4 years period of time done with different types of excisional procedures in order to eliminate the excess of soft tissue in all body areas. Conclusion: Excisional procedures in patients after massive weight loss in the upper body area are often combined in between each other with the ultimate goal of achieving optimal long lasting results. Those procedures aim to contour the area of the chest and arms. Markings, type of excision and fixation sutures are point of interest in order to reduce the possibility of hypertrophic visible scars. Proper distribution of the soft tissues during the surgery in the chest area in male patients is of extreme importance to maintain the masculine appearance .