Treatment of breast ptosis with submuscular implants and points of attachment of the breast to the pectoralis muscle: technical considerations and outcome assessment
Introduction: Mastopexy associated with implant placement is challenging for plastic surgeons. The objective is to describe the placement of a submuscular implant with anatomical detachment in combination with stable fixation of the breast tissue to the pectoralis muscle and analyze the aesthetic re...
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| 格式: | 文件 |
| 语言: | English |
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Sociedade Brasileira de Cirurgia Plástica
2018-09-01
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| 丛编: | Revista Brasileira de Cirurgia Plástica |
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| 在线阅读: | http://www.rbcp.org.br/export-pdf/2162/en_v33n3a08.pdf |
| _version_ | 1827610561222803456 |
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| author | Antonio Chiquetti Alfredo Benjamin Duarte da Silva |
| author_facet | Antonio Chiquetti Alfredo Benjamin Duarte da Silva |
| author_sort | Antonio Chiquetti |
| collection | DOAJ |
| description | Introduction: Mastopexy associated with implant placement is challenging for plastic surgeons. The objective is to describe the placement of a submuscular implant with anatomical detachment in combination with stable fixation of the breast tissue to the pectoralis muscle and analyze the aesthetic results.
Method: Twenty-three mastopexy procedures with implants were performed from April 2015 to July 2017 by the same surgeon, and surgical markings were made in the breasts of the patients in a seated position. An incision was made in the inframammary fold, and the breast tissue was elevated to the upper pole in the subfascial plane and attached to the pectoralis major muscle using 9-12 stitches. Subsequently, the inferior margin of the pectoralis major muscle and the transition from the rectus abdominis muscle to the serratus muscle were dissected to expose the muscle. The implant was introduced and mastopexy was completed. Implant size ranged from 255 mL to 355 mL. Photographs of the breasts of 12 patients were evaluated by two plastic surgeons and two non-medical subjects, who considered the aesthetic results, symmetry of the nipple-areola complex, and degree of breast ptosis. The results were scored as unsatisfactory, satisfactory, or good.
Results: The surgical technique was reproducible; there was only one case of unilateral hematoma, no implant infections, and only complaints of mild pain. Only one case was scored as satisfactory by one evaluator, whereas the results of the other cases were considered good.
Conclusion: The treatment of breast ptosis with the placement of a submuscular implant in combination with fixation of the breast to the pectoralis major muscle is reproducible and yields good aesthetic results. |
| first_indexed | 2024-03-09T07:51:56Z |
| format | Article |
| id | doaj.art-a450ec27e1fd43a1b6e380c8be89d9a1 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T07:51:56Z |
| publishDate | 2018-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-a450ec27e1fd43a1b6e380c8be89d9a12023-12-03T01:36:41ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352018-09-01330331732310.5935/2177-1235.2018RBCP0144Treatment of breast ptosis with submuscular implants and points of attachment of the breast to the pectoralis muscle: technical considerations and outcome assessmentAntonio Chiquetti0Alfredo Benjamin Duarte da Silva1Universidade Estadual de Londrina, Londrina, PR, BrazilUniversidade Federal do Paraná, Curitiba, PR, BrazilIntroduction: Mastopexy associated with implant placement is challenging for plastic surgeons. The objective is to describe the placement of a submuscular implant with anatomical detachment in combination with stable fixation of the breast tissue to the pectoralis muscle and analyze the aesthetic results. Method: Twenty-three mastopexy procedures with implants were performed from April 2015 to July 2017 by the same surgeon, and surgical markings were made in the breasts of the patients in a seated position. An incision was made in the inframammary fold, and the breast tissue was elevated to the upper pole in the subfascial plane and attached to the pectoralis major muscle using 9-12 stitches. Subsequently, the inferior margin of the pectoralis major muscle and the transition from the rectus abdominis muscle to the serratus muscle were dissected to expose the muscle. The implant was introduced and mastopexy was completed. Implant size ranged from 255 mL to 355 mL. Photographs of the breasts of 12 patients were evaluated by two plastic surgeons and two non-medical subjects, who considered the aesthetic results, symmetry of the nipple-areola complex, and degree of breast ptosis. The results were scored as unsatisfactory, satisfactory, or good. Results: The surgical technique was reproducible; there was only one case of unilateral hematoma, no implant infections, and only complaints of mild pain. Only one case was scored as satisfactory by one evaluator, whereas the results of the other cases were considered good. Conclusion: The treatment of breast ptosis with the placement of a submuscular implant in combination with fixation of the breast to the pectoralis major muscle is reproducible and yields good aesthetic results.http://www.rbcp.org.br/export-pdf/2162/en_v33n3a08.pdfmammoplastybreast implantreconstructive surgical proceduresbreasttissue fixation |
| spellingShingle | Antonio Chiquetti Alfredo Benjamin Duarte da Silva Treatment of breast ptosis with submuscular implants and points of attachment of the breast to the pectoralis muscle: technical considerations and outcome assessment Revista Brasileira de Cirurgia Plástica mammoplasty breast implant reconstructive surgical procedures breast tissue fixation |
| title | Treatment of breast ptosis with submuscular
implants and points of attachment of the breast to
the pectoralis muscle: technical considerations and
outcome assessment |
| title_full | Treatment of breast ptosis with submuscular
implants and points of attachment of the breast to
the pectoralis muscle: technical considerations and
outcome assessment |
| title_fullStr | Treatment of breast ptosis with submuscular
implants and points of attachment of the breast to
the pectoralis muscle: technical considerations and
outcome assessment |
| title_full_unstemmed | Treatment of breast ptosis with submuscular
implants and points of attachment of the breast to
the pectoralis muscle: technical considerations and
outcome assessment |
| title_short | Treatment of breast ptosis with submuscular
implants and points of attachment of the breast to
the pectoralis muscle: technical considerations and
outcome assessment |
| title_sort | treatment of breast ptosis with submuscular implants and points of attachment of the breast to the pectoralis muscle technical considerations and outcome assessment |
| topic | mammoplasty breast implant reconstructive surgical procedures breast tissue fixation |
| url | http://www.rbcp.org.br/export-pdf/2162/en_v33n3a08.pdf |
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