Elizondo TVN, Blanco DF, Elizondo SRA, García GCJ

Language: Spanish
References: 15
Page: 5-9
PDF size: 400.39 Kb.

ABSTRACT

The female breast has been manipulated through aesthetic and reconstructive surgery. Since the 18th century there are reports of the use of techniques that have tried to increase the volume of the mammary gland. This paper shows a recent technique used to increase the volume of the mammary gland through the placement of implants in the dissecting plane under the fascia of the pectoralis major muscle. This technique shows good results in the long run, due to the optimized dynamics between the soft tissue and the implant. Also, this technique is superior to the subglandular technique by offering a better consistency to the touch in the periareolar area, a decrease in the step effect produced by an excessive projection of the breast and a better gravity fall of the breast. The mobility of the implant, post-surgical pain and bleeding caused by the cutting of the pectoralis muscle are less with this technique. The subfascial approach is significantly more versatile, its results are easily reproduced, and it can be practiced in patients where a previous bad surgery had been performed (because the fascia tends to be preserved) or in the cases of breast reconstruction by plastic surgeons in training or practicing plastic surgeons.

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