Aumento mamario en pacientes que no aceptan mastopexia.

Background and objective. Breast implant and mastopexy surgeries with implants have long being among the most performed breast Plastic Surgeries. However, for a large number of surgeons and patients, the decision between an implant or mastopexy can become quite difficult. In this sense, there has be...

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Publicado en:Cirugía Plástica Ibero-Latinoamericana Vol. 50; no. 2; pp. 161 - 167
Autores principales: ONIDA, Marcio, GOULART Jr., Remi
Formato: Artículo
Publicado: Cirugia Plastica Ibero-Latinoamericana abr-jun2024
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Aumento mamario en pacientes que no aceptan mastopexia.
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          ONIDA, Marcio
          GOULART Jr., Remi
        affil: Cirujano Plástico, Práctica privada, Florianópolis, Brasil
      sug:
      keyword:
        Breast implants
        Breast ptosis
        Breast surgery
        Mastopexy
        Cirugía mamaria
        Implantes mamarios
        Mastopexia
        Ptosis mamaria
      ab:
        Background and objective. Breast implant and mastopexy surgeries with implants have long being among the most performed breast Plastic Surgeries. However, for a large number of surgeons and patients, the decision between an implant or mastopexy can become quite difficult. In this sense, there has been an increase in the indication of mastopexy with implants, especially in patients in borderline situations, either from distancing from the nipple-areola complex (NAC) or in the continente-contents relationship of the breasts. The aim of this paper is to propose our concept in breast implant surgeries for patients who do not accept mastopexy as a surgical strategy, to facilitate differential diagnosis and treatment, and to aid in decision making. We call this concept NAM (does Not Accept Mastopexy). Methods. The NAM algorithm was applied to 107 patients from 2021 to 2023: 100 patients had a NAC distance between 18 and 24 cm, and a distance fron NAC to submamary fold (SM) between 10 and 12 cm, Regnault's ptosis grade 1 and 2, and small to moderate flaccidity. All surgeries were performed under general anesthesia, and polyurethane implants were used in the subfascial plane. Results. After one year follow up, 102 were satisfied without the need for corrective mastopexy. Of the 5 patients who sought complementary mastopexy, only 2 were submitted to a complementary surgery. Conclusions. In our experience, the diagnosis and treatment based on the NAM concept was effective in preventing or postponing mastopexies.
        Introducción y objetivo. Las cirugías de aumento mamario con implantes y mastopexia con implantes están desde hace tiempo entre las intervenciones de Cirugía Plástica mamaria más realizadas. Sin embargo, para un gran número de cirujanos y pacientes la decisión entre someterse a la colocación de un implante o llevar a cabo una mastopexia puede resultar bastante difícil. Consideramos que ha aumentado la indicación de mastopexia con implantes, especialmente en pacientes en situaciones límite ya sea desde el punto de vista de la distancia del complejo areola - pezón (CAP) o de la relación continente-contenido de la mama. El objetivo de este artículo es proponer nuestro concepto en cirugía de implantes mamarios para pacientes que no aceptan la mastopexia como estrategia quirúrgica, a fin de facilitar el diagnóstico diferencial y el tratamiento, y ayudar en la toma de decisiones. A este concepto le llamamos NAM (No Acepta Mastopexia). Material y método. Aplicamos el algoritmo NAM en 107 pacientes entre 2021 y 2023: 100 tenían una distancia del CAP entre 18 y 24 cm, una distancia CAP a surco submamario (SM) entre 10 y 12 cm, ptosis grado 1 y 2 de Regnault y flacidez pequeña a moderada. Realizamos todas las cirugías bajo anestesia general y utilizamos implantes de poliuretano en planos subfascial. Resultados. Al año de seguimiento 102 pacientes estuvieron satisfechas con los resultados sin necesidad de mastopexia de corrección. De las 5 que solicitaron mastopexia complementaria, solo 2 se sometieron a ella. Conclusiones. En nuestra experiencia, el diagnóstico y tratamiento basado en el concepto NAM fue eficaz para prevenir o posponer mastopexias.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: Spanish
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