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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* Age: 18-45 years old.
* Weight:
* Loss of 50% or greater of excess weight, following surgical or non-surgical interventions (MWL).
* Stable weight for at least 6 months, to achieve metabolic and nutritional homeostasis and decrease the risk of surgical complications (Rubin et al., 2004).
* BMI: 18.5 - 30 kg/m2.
* Ptotic and deflated breasts with Pittsburgh Rating Scale (PRS) score 2-3 (Song, et al., 2005).
* Patients seeking autologous augmentation or refusing implants.
* Patients requiring simultaneous contouring of lateral chest wall redundancy.
Exclusion Criteria:
* Weight fluctuations in the previous 6 months.
* Medical co-morbidities (e.g., uncontrolled diabetes, uncontrolled hypertension, thyroid diseases, hormonal disturbances, cardiopulmonary diseases).
* Hereditary conditions that affect wound healing (e.g., Ehler Danlos Syndrome, Progeria).
* Active smokers (Smokers are required to stop smoking 1 month before surgery).
* Nutritional deficiencies (e.g., iron, vitamin B12, protein, folate).
* Previous breast surgery.
* Congenital breast deformity (e.g., tuberous breasts).
* Breast masses.
* Pregnant or lactating patients.
* PRS score 1.