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Revista de la Asociación Médica del Centro Médico ABC

2019, Number 2

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An Med Asoc Med Hosp ABC 2019; 64 (2)

Use of acellular dermis to correct bottoming out after mastopexy with breast augmentation

Said LFM, Haro ÁEN, Garza AD

Language: Spanish
References: 12
Page: 149-153
PDF size: 197.67 Kb.


ABSTRACT

The undesirable effect of bottoming out is a complication of mastopexy with implants and of breast augmentation, which affects aesthetic results. It is characterized by the descent of the inframammary fold which gives the breast a pseudoptosis aspect, and that frequently results, in palpable folds and edges of the implant. The surgical techniques described for its treatment are several and diverse; one of the them, the acellular dermis, has been used for over a decade in mammary reconstruction surgeries and it has recently proven to be a reliable tool for the management of the most challenging complications related with the use of implants. For this reason, its use is not only limited to reconstructive surgery, but it also opens a window of possibilities in aesthetic surgery. In this case report and literature review, we pretend to demonstrate the satisfactory results of the surgical treatment with acellular dermis in a clinical case of bottoming out of the mammary implants post mastopexy with breast augmentation. The bottoming out is one of the main reasons for mammary revision surgeries. The support of the acellular dermis in the surgical treatment is a useful tool that gives satisfactory results; so it can be considered an option, not only in reconstructive surgery, but also in the management of aesthetic mammary surgery complications.


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