Highlight
This extensive consecutive series evaluates a unified protocol for male torso reconstruction after massive weight loss (MWL), applying circumferential body lift, chest reshaping, and abdominal contouring in 443 patients. Standardized approaches including Pascal’s Rule of 16 for marking, pedicle-length-guided chest management, and uniform closure/postoperative care achieve low complication rates and significant improvements in patient satisfaction as measured by BODY-Q scores.
