2019, Number 1
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AMC 2019; 23 (1)
Treatment of the mammary ptosis utilizing the technique of Liacyr Ribeiro type I modified
Moya-Rosa EJ, Moya-Corrales Y
Language: Spanish
References: 21
Page: 28-36
PDF size: 767.59 Kb.
ABSTRACT
Background: the mastopexy aims at repositioning the areole - nipple complex that has descended because of the decrease of the elastic capability of tissues and remodeling the remaining mamma, restructuring the glandular tissue and resecting the cutaneous secondary surplus.
Objective: to determine the mastopexy's esthetic results using Liacyr Ribeiro's technique peduncle type I modified by the author.
Methods: it was carried out a prospective, cross-sectional study about the application of the technique of mastopexy described by the professor Liacyr Ribeiro peduncle type I to which a modification was made by using for its design Wise's pattern, from January, 2014 to December, 2017. The sample was 24 patients with different grade of mammary ptosis, taken in a not-probabilistic form coinciding with the universe.
Results: the majority of the patient that underwent surgery had a grade 3 of mammary ptosis. Of the total of patients, the 5.85 % presented different grades of complications related to procedure. The 91.67 % was pleased with the procedure and the obtained results.
Conclusions: the mastopexy is a surgical procedure with high security levels, that achieves an important change in the patients' corporal image and produces great satisfaction in them.
REFERENCES
Groyecka A, Żelaźniewicz A, Misiak M, Kar-wowski M, Sorokowski P. Breast shape (ptosis) as a marker of a woman's breast attractive-ness and age: Evidence from Poland and Pa-pua. Am J Hum Biol. 2017 Jul;29(4): doi: 10.1002/ajhb.22981
Moreno Gallent I, Ribera Pons M. Mastope-xia y prótesis. Revisión a los 5 años. Cir plást iberolatinoam [Internet]. 2006 Jun [citado 10 Dic 2018];32(2):[aprox. 10 p.]. Disponible en: http://scielo.isciii.es/scielo.php?script=sciarttext&pid=S0376-78922006000200005&lng=es
Qureshi AA, Myckatyn TM, Tenenbaum MM. Mastopexy and Mastopexy-Augmentation. Aes-thet Surg J. 2018;38(4):374-384.
Arora G, Arora S. Thread Lift in Breast Pto-sis. J Cutan Aesthet Surg. 2017 Oct-Dec;10(4):228-230.
Eyck BM, van Dongen JA, Athanassopoulos T, Martins JB, Stevens HP. Response to Why the Nipple is an Unreliable Marker for Measur-ing Breast Ptosis. Aesthet Surg J. 2017;37(2):1010-93.
Regnault P. Breast reduction and mastopexy, an old love story: B Technique up-date. Aesth Plast Surg. 1990;14(2):101-106.
Regnault P. Breast ptosis. Definition and treatment. Clin Plast Surg. 1976;3(2):193-203.
Rodríguez Salazar O. Variaciones al patrón de marcaje Wise en la cirugía estética mama-ria por mínima incisión. Arch Med Cama-güey [Internet]. 2012 Jun [citado 11 Dic 2018];16(3):[aprox. 4 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sciarttext&pid=S1025-0255201200 0300002&lng=es
Ribeiro L, Accorsi J, Buss A, Marcal-Pessoa M. Creation and evolution of 30 years of the inferior pedicle in reduction mammaplasties. Plast Reconstr Surg. 2002;110(3):960-70.
Ribeiro L. Pedículos em mamoplastia: atlas e texto. Rio de Janeiro: Guanabara Koo-gan;2005.
Kono T, Kusano T, Sato N, Yoshimoto S, Nakamura S. Natural mastopexy repositioning based on age-related mean breast shape. Asian J Surg. 2018 Jul;41(4):295-300.
de Vita R, Zoccali G, Buccheri EM. The Bal-cony Technique of Breast Augmentation and Inverted-T Mastopexy With an Inferior Dermo-glandular Flap. Aesthet Surg J. 2017;37(10):1114-1123.
Cai J, Chen B, Zhou Y, Ma H. Correction of minor breast ptosis by subfascia breast aug-mentation with periareolar incision and ana-tomic mammary implant. Zhonghua Zheng Xing Wai Ke Za Zhi. 2014;30(3):175-8.
Wolter A, Scholz T, Pluto N, Diedrichson J, Arens-Landwehr A, Liebau J. Mastopexy in Massive Weight Loss Patients-Extended Ribeiro Technique and Usage of the Lateral Intercostal Artery Perforator Flap (LICAP Flap) for Auto-augmentation. Handchir Mikrochir Plast Chir. 2017;49(6):380-389.
Coombs DM, Srivastava U, Amar D, Rubin JP, Gusenoff JA. The Challenges of Augmenta-tion Mastopexy in the Massive Weight Loss Pa-tient: Technical Considerations. Plast Reconstr Surg. 2017;139(5):1090-1099.
Ors S. Augmentation Mastopexy with a Dermal Encapsulated Round or Anatomic Auto-prosthesis. Aesthetic Plast Surg. 2018;42(1):88-97.
Ibrahim AM, Sinno HH, Izadpanah A, Vor-stenbosch J, Dionisopoulos T, Markarian MK, et al. Mastopexy for breast ptosis: Utility out-comes of population preferences. Plast Surg (Oakv). 2015;23(2):103-7.
Zavrides H. The Classic Pitanguy Tech-nique and Its Modifications in Mammaplasty: Ten Years of Experiences. Ann Plast Surg. 2017;79(5):433-437.
Rubin JP, Gusenoff JA, Coon D. Dermal suspension and parenchymal reshaping mastopexy after massive weight loss: statisti-cal analysis with concomitant procedures from a prospective registry. Plast Reconstr Surg. 2009;123(3):782-9.
Berrocal Revueltas M. Mamoplastia de Au-mento secundaria. Evaluación de problemas, resultados insatisfactorios y alternativas de solución. Cir plást iberolatinam. 2012;38(1):9-26.
Della Croce FJ, Blum CA, Sullivan SK, Stolier A, Trahan C, Wise MW, et al. Nipple-Sparing Mastectomy and Ptosis: Perforator Flap Breast Reconstruction Allows Full Second-ary Mastopexy with Complete Nipple Areolar Repositioning. Plast Reconstr Surg. 2015;136(1):1-9.