%0 Journal Article
%T Mastopexia ap¨®s perda ponderal maci£¿a: suspens£¿o d¨¦rmica, remodela£¿£¿o do par¨ºnquima e aumento com tecido aut¨®geno
%A Okada
%A Alberto
%A Saito
%A Fabio Lopes
%A Hiraki
%A Patricia Yuko
%A Orpheu
%A Simone
%A Nakamoto
%A Hugo
%A Gemperli
%A Rolf
%A Ferreira
%A Marcus Castro
%J Revista Brasileira de Cirurgia Pl¨¢stica
%D 2012
%I Sociedade Brasileira de Cirurgia Pl¨¢stica
%R 10.1590/S1983-51752012000200019
%X background: patients who experience major weight loss may have pronounced breast ptosis, loss of projection of the higher pole, and excessive tissue in the lateral thorax. rubin & khachi described a mastopexy technique with dermal suspension and parenchymal remodeling associated with augmentation with autologous tissue. this technique treats the mammary deformity and the excessive tissue in the lateral thorax in a single surgery. in this study, we describe this surgical technique and demonstrate its reproducibility and the possible complications. methods: from december 2008 to december 2009, surgery was performed using the technique described above on 14 patients with grade 2 and 3 deformities according to the pittsburgh scale. the following data were analyzed: type of breast deformity, translocation of the papillary-areolar complex (pac), dimension of the flaps used, surgical time, permanence time of the drain, and the incidence of complications. results: the mean age of the patients was 41.21 ¡À 7.67 years and the mean body mass index was 29.30 ¡À 2.77. the follow-up period ranged from 3 months to 18 months, with a mean of 8 months. among the 14 patients that underwent surgery, 4 patients (28.6%) had grade 3 deformities and 10 patients (71.4%), had grade 2 deformities. the mean translocation of the pac was 6.38 cm, the mean dimensions of the flap were 25.21 cm ¡Á 6.92 cm, and the mean surgical time was 188.57 minutes. the drains remained for an average of 6.21 days. the following complications were observed: pac epitheliosis, dehiscence of the t-junction, a small hematoma, and lateral thoracic lymphedema. conclusions: mastopexy with dermal suspension, parenchyma remodeling, and augmentation with autologous tissue is a reproducible technique that can be performed quickly and has a low complication rate.
%K mammaplasty
%K weight loss
%K postoperative complications
%K breast [surgery].
%U http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1983-51752012000200019&lng=en&nrm=iso&tlng=en