Breast reconstruction facilitated by vertical banded gastroplasty

Background: Vertical banded gastroplasty (VBG) causes weight loss, which is often associated with redundant abdominal tissue. This redundant tissue ca n be used successfully for breast reconstruction or breast augmentation in case of mastectomy or ptotic hypotrophic breasts. Method: One patient with bilateral mastectomy is described in whom the weig ht fell from BMI 52 to BMI 26 after VBG, giving the patient an abdominal "a pron", which facilitated bilateral breast reconstruction. Results: Bilateral deep inferior epigastric perforator (DIEP) flap breast r econstruction after weight reduction following VBG resulted in an esthetic pleasing result with additional correction of the cutis laxa abdominis, Conclusion: Autologous breast reconstruction can be performed safely with t he methods used today, after successful weight loss following obesity surge ry.