2014, Number 1
<< Back Next >>
Cir Plast 2014; 24 (1)
Intelligent augmentation mammaplasty using tissular vectors
Vallarta RRA, Ruiz-Treviño JJ, Guerrero BF
Language: Spanish
References: 20
Page: 40-49
PDF size: 974.35 Kb.
ABSTRACT
Augmentation mammaplasty is the most requested surgery by patients in México. The amount of scientific literature on this matter is vast, and to date more than one hundred techniques have been described. The most frequently used method today, and the only one that has withstood the test of time, is breast augmentation with silicone filled implants. Nevertheless, when there are so many ways to achieve the same surgical objective, it is evident that there is no one ideal procedure. To attain a predictable result, we must understand the dynamics of the tissues acting on the implant. Independent plane dissection allows us to manipulate tissue vectors in order to accomplish a predictable and long-lasting result that preserves the natural form of the breasts and maintains sensory integrity at the nipple-areolar complex. In addition, it does not interfere with imaging studies. When there is associated ptosis, a combination of techniques offers better results in contrast with pure augmentation techniques. We present a technique performed by the authors with excellent results that can be used in patients with minimal to moderate ptosis.
REFERENCES
Alpert BS, Lalonde DH. Breast augmentation. Plast Reconstr Surg. 2008; 121 (4): 1-7.
Spear SL, Bulan EJ, Venturi ML. Breast augmentation. Plast Reconstr Surg. 2006; 118 (7 Suppl.): 188S.
Takayanagi S. Augmentation mammaplasty using implants. A review. Arch Plast Surg. 2012; 39: 448-451.
Malata CM, Feldberg L, Coleman DJ, Foo IT, Sharpe DT. Textured or smooth implants for breast augmentation? Three year follow-up of a prospective randomized controlled trial. Br J Plast Surg. 1997; 50: 99-105.
Barnsley GP. Textured surface breast implants in the prevention of capsular contracture among breast augmentation patients: a meta-analysis of randomized controlled trials. Plast Reconstr Surg. 2006; 117 (7): 2182.
Poeppl N, Schreml S, Lichtenegger F. Does the surface structure of implants have an impact on the formation of a capsular contracture? Aesth Plast Surg. 2007; 31 (2): 133.
Wong CH, Samuel M, Tan BK, Song C. Capsular contracture in subglandular breast augmentation with textured versus smooth breast implants: a systematic review. Plast Reconstr Surg. 2006; 118 (5): 1224.
Regnault P. Partially submuscular breast augmentation. Plast Reconstr Surg. 1977; 60 (3): 72-76.
Pickrell KL, Puckett CL, Given KS. Subpectoral augmentation mammaplasty. Plast Reconstr Surg. 1977; 59 (1): 325-336.
Zeitoune GC. Subpeitoral ou subglandular: qual é a melhor localização do implante para pacientes com hipomastia? Rev Bras Cir Plast. 2012; 27 (3): 428-434.
Baptista RR, Salles AG, Remigio AF, Cruz DP, Ferreira MC. Avaliação dos resultados estéticos após mamoplastias de aumento com o uso de implante redondo versus Anatómico. Rev Bras Cir Plast. 2010; 25 (suppl.): 1-102.
Graf RM, Bernardes A, Rippel R, Araujo LR, Damasio RC, Auersvald A. Subfascial breast implant: a new procedure. Plast Reconstr Surg. 2003; 111 (2): 904-908.
Baxter RA. Subfascial breast augmentation: theme and variations. Aesth Surg J. 2005; 25 (5): 447-453.
Tebbetts JB. Dual plane breast augmentation: optimizing implant-soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg. 2006; 118 (7 Suppl.): 81S-98S.
Spear SL, Carter ME. The correction of capsular contracture by conversion to “dual-plane” positioning: technique and outcomes. Plast Reconstr Surg. 2006; 118 (7 Suppl.): 103S.
Spear SL, Boehmler JH, Clemens MW. Augmentation/mastopexy: a 3-year review of a single surgeon’s practice. Plast Reconstr Surg. 2006; 118 (7): 136-147.
Mahabir RC, Zamboni WA. A new technique of internal suture mastopexy for mild to moderate breast ptosis. Can J Plast Surg. 2008; 16 (1): 11-13.
Tebbetts JB. Achieving a zero percent reoperation rate at 3 years in a 50-consecutive-case augmentation mammaplasty premarket approval study. Plast Reconstr Surg. 2006; 118 (6): 1453.
Steiert AE, Boyce M, Sorg H. Capsular contracture by silicone breast implants: possible causes, biocompatibility, and prophylactic strategies. Medical Devices: Evidence and Research. 2013; 6: 211-218.
Fanous N, Salem I, Tawilé C, Bassas AE. Absence of capsular contracture in 319 consecutive augmentation mammaplasties: dependent drains as a possible factor. Can J Plast Surg. 2004; 12 (4): 193-197.