Submuscular implant in double pocket for augmentation mastopexy

Introduction: The use of implants is steadily increasing. Reports have been published of implants in the subglandular, subfascial, total, and partial submuscular positions each with its indications, limitations, and complications. Methods: This study presents a technique to cover the imp...

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Main Authors: Leandro Debs Procópio, Danilo Debs Procópio Silva, Rodrigo Rosique
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Plástica 2019-06-01
Series:Revista Brasileira de Cirurgia Plástica
Subjects:
Online Access:http://www.rbcp.org.br/export-pdf/2526/en_v34n2a03.pdf
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author Leandro Debs Procópio
Danilo Debs Procópio Silva
Rodrigo Rosique
author_facet Leandro Debs Procópio
Danilo Debs Procópio Silva
Rodrigo Rosique
author_sort Leandro Debs Procópio
collection DOAJ
description Introduction: The use of implants is steadily increasing. Reports have been published of implants in the subglandular, subfascial, total, and partial submuscular positions each with its indications, limitations, and complications. Methods: This study presents a technique to cover the implant and support it using two muscle flaps. Between November 2009 and April 2012, 80 patients who submitted to inclusion of implants in the submuscular position in double pocket were analyzed, regardless of the access route, the degree of flaccidity, and ptosis. Results: The versatility of this maneuver allows it to be used in a wide variety of breasts, from breast augmentation without flaccidity to mastopexy with implant, and may be carried out via the periareolar, inframammary, or open access routes. It was used in primary and secondary surgeries, with or without the use of breast tissue flap and removal of skin. Conclusions: The coverage of the implant with the pectoral muscle by the double pocket technique displayed excellent results, with a low rate of complications and reinterventions. This technique is being studied in a larger sample with a longer follow-up to confirm the results obtained so far.
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spelling doaj.art-148507d8f98c45ffb645e560302450b62023-12-03T11:22:29ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352019-06-01340218719510.5935/2177-1235.2019RBCP0133Submuscular implant in double pocket for augmentation mastopexyLeandro Debs Procópio0Danilo Debs Procópio Silva1Rodrigo Rosique2Clínica Debs, Porto Velho, RO, BrazilClínica Debs, Patrocínio, MG, BrazilClínica Rosique, Ribeirão Preto, SP, BrazilIntroduction: The use of implants is steadily increasing. Reports have been published of implants in the subglandular, subfascial, total, and partial submuscular positions each with its indications, limitations, and complications. Methods: This study presents a technique to cover the implant and support it using two muscle flaps. Between November 2009 and April 2012, 80 patients who submitted to inclusion of implants in the submuscular position in double pocket were analyzed, regardless of the access route, the degree of flaccidity, and ptosis. Results: The versatility of this maneuver allows it to be used in a wide variety of breasts, from breast augmentation without flaccidity to mastopexy with implant, and may be carried out via the periareolar, inframammary, or open access routes. It was used in primary and secondary surgeries, with or without the use of breast tissue flap and removal of skin. Conclusions: The coverage of the implant with the pectoral muscle by the double pocket technique displayed excellent results, with a low rate of complications and reinterventions. This technique is being studied in a larger sample with a longer follow-up to confirm the results obtained so far.http://www.rbcp.org.br/export-pdf/2526/en_v34n2a03.pdfbreast implantmodalities of positionmuscle contractionreconstructive surgical procedurescapsular contracture in implants
spellingShingle Leandro Debs Procópio
Danilo Debs Procópio Silva
Rodrigo Rosique
Submuscular implant in double pocket for augmentation mastopexy
Revista Brasileira de Cirurgia Plástica
breast implant
modalities of position
muscle contraction
reconstructive surgical procedures
capsular contracture in implants
title Submuscular implant in double pocket for augmentation mastopexy
title_full Submuscular implant in double pocket for augmentation mastopexy
title_fullStr Submuscular implant in double pocket for augmentation mastopexy
title_full_unstemmed Submuscular implant in double pocket for augmentation mastopexy
title_short Submuscular implant in double pocket for augmentation mastopexy
title_sort submuscular implant in double pocket for augmentation mastopexy
topic breast implant
modalities of position
muscle contraction
reconstructive surgical procedures
capsular contracture in implants
url http://www.rbcp.org.br/export-pdf/2526/en_v34n2a03.pdf
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