Mammoplasty with mirrored “D” technique and laser-assisted liposuction
Introduction: Mammoplasty is an aesthetic and functional procedure, considered an arduous surgery, intending to improve the breasts’ shape with a minimum of apparent scarring and reposition the nipple-areola complex. There is no standard procedure, and a technique’s choice depends on different facto...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2023-08-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/3023/en_v36n4a05.pdf |
| _version_ | 1797421853556342784 |
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| author | Juan Carlos Sánchez Patricia Jacqueline Erazo Pia Simone Lara-Zambrano |
| author_facet | Juan Carlos Sánchez Patricia Jacqueline Erazo Pia Simone Lara-Zambrano |
| author_sort | Juan Carlos Sánchez |
| collection | DOAJ |
| description | Introduction: Mammoplasty is an aesthetic and functional procedure, considered an arduous surgery, intending to improve the breasts’ shape with a minimum of apparent scarring and reposition the nipple-areola complex. There is no standard procedure, and a technique’s choice depends on different factors, which justifies the diversity of techniques described. We will present the mirrored “D” technique broadly in different (anatomical) scenarios, together with laser-assisted liposuction with standard marking, which facilitates the surgical procedure with final symmetry and maintenance of aesthetic results, correcting the recurrences.
Methods: Technique performed in 46 patients, female, without exclusion of race, between 20 and 66 years old, operated by the authors between January 2017 and March 2020, at the Hospital Antoninho da Rocha Marmo - São José dos Campos - Brazil. Retrospective work with the application of the validated Breast-QTM questionnaire to assess the degree of satisfaction.
Results: There was no surgical revision, postoperative infection or necrosis of the papillary areolar plaque, 5 cases of papillary areolar plaque epidermolysis, treated with flavonoids and horse chestnut (linfa creamTM), without sequelae. Parenchyma resection from 80 to 1,100g, average 477.1g. Laser-assisted liposuction between 150 to 790ml, average 438.6ml. The final vertical scar averaged 6.7cm, stable after two years, with Breast-QTM evaluation of very satisfied (86%).
Conclusion: We consider the mirrored “D” technique and laser-assisted liposuction a good surgical option due to its systematization and versatility in different mammoplasty scenarios, maintaining a coniform shape with a smaller scar and maintaining the validated results. |
| first_indexed | 2024-03-09T07:23:27Z |
| format | Article |
| id | doaj.art-f3cfd54e9fd8442295496d30b1f1fc9b |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T07:23:27Z |
| publishDate | 2023-08-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-f3cfd54e9fd8442295496d30b1f1fc9b2023-12-03T07:12:33ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352023-08-01360439740610.5935/2177-1235.2021RBCP0124Mammoplasty with mirrored “D” technique and laser-assisted liposuctionJuan Carlos Sánchez0Patricia Jacqueline Erazo1Pia Simone Lara-Zambrano2Juan Sánchez Clinic, São José dos Campos, SP, BrazilJuan Sánchez Clinic, São José dos Campos, SP, BrazilJuan Sánchez Clinic, São José dos Campos, SP, BrazilIntroduction: Mammoplasty is an aesthetic and functional procedure, considered an arduous surgery, intending to improve the breasts’ shape with a minimum of apparent scarring and reposition the nipple-areola complex. There is no standard procedure, and a technique’s choice depends on different factors, which justifies the diversity of techniques described. We will present the mirrored “D” technique broadly in different (anatomical) scenarios, together with laser-assisted liposuction with standard marking, which facilitates the surgical procedure with final symmetry and maintenance of aesthetic results, correcting the recurrences. Methods: Technique performed in 46 patients, female, without exclusion of race, between 20 and 66 years old, operated by the authors between January 2017 and March 2020, at the Hospital Antoninho da Rocha Marmo - São José dos Campos - Brazil. Retrospective work with the application of the validated Breast-QTM questionnaire to assess the degree of satisfaction. Results: There was no surgical revision, postoperative infection or necrosis of the papillary areolar plaque, 5 cases of papillary areolar plaque epidermolysis, treated with flavonoids and horse chestnut (linfa creamTM), without sequelae. Parenchyma resection from 80 to 1,100g, average 477.1g. Laser-assisted liposuction between 150 to 790ml, average 438.6ml. The final vertical scar averaged 6.7cm, stable after two years, with Breast-QTM evaluation of very satisfied (86%). Conclusion: We consider the mirrored “D” technique and laser-assisted liposuction a good surgical option due to its systematization and versatility in different mammoplasty scenarios, maintaining a coniform shape with a smaller scar and maintaining the validated results.http://www.rbcp.org.br/export-pdf/3023/en_v36n4a05.pdfbreastlasersskinplastic surgerymammoplasty |
| spellingShingle | Juan Carlos Sánchez Patricia Jacqueline Erazo Pia Simone Lara-Zambrano Mammoplasty with mirrored “D” technique and laser-assisted liposuction Revista Brasileira de Cirurgia Plástica breast lasers skin plastic surgery mammoplasty |
| title | Mammoplasty with mirrored “D” technique and
laser-assisted liposuction |
| title_full | Mammoplasty with mirrored “D” technique and
laser-assisted liposuction |
| title_fullStr | Mammoplasty with mirrored “D” technique and
laser-assisted liposuction |
| title_full_unstemmed | Mammoplasty with mirrored “D” technique and
laser-assisted liposuction |
| title_short | Mammoplasty with mirrored “D” technique and
laser-assisted liposuction |
| title_sort | mammoplasty with mirrored d technique and laser assisted liposuction |
| topic | breast lasers skin plastic surgery mammoplasty |
| url | http://www.rbcp.org.br/export-pdf/3023/en_v36n4a05.pdf |
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