Objective:To
assess the rate of mammary prosthesisextrusion
after mammoplasty with prosthesisimplantation,
to verify the resulting shape and the degree of patient satisfaction after the
use of a transverse bipediculated flap with lateral irrigations. Methods: 30 patients with a weight loss
of 50kg on average
after video-assisted bariatric surgery, with ptosis and excessive volumes, who
underwent mammoplasty with prosthesis placement with volumes ranging from 190
to 260cc, using a
transverse flap with the aim of anchoring the silicone prosthesis. Results: In the patients’ evaluation,
the few postoperative complaints did not amount to complications. Pains were
minimal and the discomfort with the prosthesis was acceptable. Conclusion: the transverse flap, in
addition to acting as the best anchor among the existing flaps for implanted
prostheses, provided a youthful, natural, anatomical, aesthetic and longer
lasting appearance for the breasts.
References
[1]
R. Baroud and J. R. Lewis, “The Augmentation-Reduction Mammoplasty,” Clinics in Plastic Surgery, Vol. 3, No. 2, 1976, pp. 301-308.
[2]
D. S. B. Nassif, O. Malafaia, P. A. N. Nassif, C. H. Kuretzki, R. W. C. Lucas and J. S. P. Pinto, “Protocolo Eletronico Multiprofissional em Cirurgia Bariátrica,” Arquivos Brasileiros de Cirugia Digestiva, Vol. 24, No. 3, 2011, pp. 215-218.
http://dx.doi.org/10.1590/S0102-67202011000300007
[3]
C. B. Okano, H. B. Giampietro and G. A. N. Almeida, “Tratado de Cirurgia Plástica na Obesidade,” Ed. Rubio, 2008, pp. 87-104.
[4]
P. K. McKissock, “Reduction Mammoplasty with a Vertical Dermal Flap,” Plastic and Reconstructive Surgery, Vol. 49, No. 3, 1972, pp. 245-252.
http://dx.doi.org/10.1097/00006534-197203000-00001
[5]
G. Peixoto, “Reduction Mammoplasty: A Personal Technique,” Plastic and Reconstructive Surgery, Vol. 65, No. 2, 1980, pp. 217-226.
http://dx.doi.org/10.1097/00006534-198002000-00015
[6]
I. Pitanguy, “Surgical Treatment of Breast Hypertrophy,” British Journal of Plastic Surgery, Vol. 20, 1967, pp. 78-85. http://dx.doi.org/10.1016/S0007-1226(67)80009-2
[7]
O. R. Saldanha, “Mamaplastia Redutora com Implante de Silicone,” Revista Brasileira de Cirurgia Plástica, Vol. 25, No. 2, 2010, pp. 317-324.
[8]
F. J. F. Bezerra, R. M. G. Moura and V. V. Silva Junior, “Mamaplastia Redutora e Simetrizacao de Mama Oposta em Reconstrucao Mamária Utilizando a Técnica de Pedículo Inferior,” Revista Brasileira de Cirurgia Plástica, Vol. 22, No. 1, 2007, pp. 52-59.
[9]
R. S. Gomes, “Mastopexia com Retalho de Pedículo Superior e Implante de Silicone,” Revista Brasileira de Cirurgia Plástica, Vol. 23, No. 4, 2008, pp. 241-247.
[10]
J. H. C. Resende, “Tratado de Cirurgia Plástica na Obesidade,” Ed. Rubio, 2008, pp. 377-380.
[11]
J. L. Leal, M. Nahon, F. Manoel and A. S. Melo, “Dermolipectomia Abdominal com Cicatriz Suprapúbica,” Tratado de Cirurgia Plástica na Obesidade, Ed. Rubio, 2008, pp. 286-290.
[12]
L. Ribeiro, “A New Technique for Reduction Mammaplasty,” Plastic and Reconstructive Surgery, Vol. 55, No. 3, 1975, p. 330.
[13]
W. H. M. O. Wallace, W. O. B. Thompson, R. A. Smith, K. R. Barbosa, S. F. Davidson, J. T. H. Thompson, S. Thompson and K. R. Barreza, “Reduction Mammoplasty Using the Inferior Pedicle Technique,” Annals of Plastic Surgery, Vol. 40, No. 3, 1998, pp. 235-240.
http://dx.doi.org/10.1097/00000637-199803000-00007
[14]
G. S. Georgiade, R. E. Riefkohl and N. G. Georgiade, “The Inferior Dermal-Pyramidal Type Breast Reduction: Long-Term Evaluation,” Annals of Plastic Surgery, Vol. 23, No. 3, 1980, pp. 203-211.
[15]
M. Lacerna, J. Spears, A. Mitra, C. Medina, E. McCampbell and R. Kiran, “Avoiding Free Nipple Grafts during Reduction Mammoplasty in Patients with Gigantomastia,” Annals of Plastic Surgery, Vol. 55, No. 1, 2005, pp. 21-24.
http://dx.doi.org/10.1097/01.sap.0000168249.09491.21
[16]
R. Graf, L. R. R. Araujo, R. Rippel, L. G. Neto and D. P. Biggs, “Mamaplastic Vertical com Retalho De parede Torácica,” Revista Brasileira de Cirurgia Plástica, Vol. 20, No. 3, 2005, pp. 148-154.
