Secondary mastopexy with exchange of prosthesis: mirror “D” technique
Introduction: Breast implantation combined with mastopexy is challenging, not only because a standard procedure is lacking, but also because of the high potential for complications, including a high rate of post-surgical revision. Originally intended for primary mastopexy and inclusion of silicone i...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Revinter Publicações Ltda.
2018-09-01
|
| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/2163/en_v33n3a09.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839605151332040704 |
|---|---|
| author | Juan Carlos Sánchez López Patrícia Erazo |
| author_facet | Juan Carlos Sánchez López Patrícia Erazo |
| author_sort | Juan Carlos Sánchez López |
| collection | DOAJ |
| description | Introduction: Breast implantation combined with mastopexy is challenging, not only because a standard procedure is lacking, but also because of the high potential for complications, including a high rate of post-surgical revision. Originally intended for primary mastopexy and inclusion of silicone implants in hypoplastic breasts with moderate to severe ptosis, the use of the mirror "D" technique is now extended to treatment of ptosis recurrence with displacement of prostheses, with or without capsular contracture and/or unsightly scars.
Method: The procedure described was performed in 90 patients, using specific marking to determine block resection of skin and underlying parenchyma for symmetrization. The procedure included use of a medial pedicle flap and exchange of original implants for textured, high-profile, round silicone prostheses with equal volumes bilaterally and positioned in the submuscular plane, resulting in a final vertical scar.
Results: No surgical revision was required in any of the cases. There was no occurrence of postoperative infection or necrosis of the nipple-areola complex or scar. The average parenchyma resection was 80 g. Eighty-nine patients (98.8%) were submitted to resection of different volumes. The average prosthesis volume was 300 mL. The length of the vertical scar was stable with an average of 6.5 cm after 2 years. The results were considered satisfactory according to patient assessment.
Conclusion: Secondary mastopexy is a more complex surgery due to severe atrophy of the tissue as a result of previous surgery. Its benefits include improved symmetrization, thinner scars and reduction in tension on the nipple-areola complex, long-lasting results, and a high degree of patient satisfaction. |
| format | Article |
| id | doaj-art-033f145b9e9d4beb8b8d30f6ccde1d1b |
| institution | Matheson Library |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2018-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-033f145b9e9d4beb8b8d30f6ccde1d1b2025-08-02T00:22:29ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352018-09-01330332433210.5935/2177-1235.2018RBCP0145Secondary mastopexy with exchange of prosthesis: mirror “D” techniqueJuan Carlos Sánchez López0Patrícia Erazo1Sociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilSociedade Brasileira de Cirurgia Plástica, São Paulo, SP, BrazilIntroduction: Breast implantation combined with mastopexy is challenging, not only because a standard procedure is lacking, but also because of the high potential for complications, including a high rate of post-surgical revision. Originally intended for primary mastopexy and inclusion of silicone implants in hypoplastic breasts with moderate to severe ptosis, the use of the mirror "D" technique is now extended to treatment of ptosis recurrence with displacement of prostheses, with or without capsular contracture and/or unsightly scars. Method: The procedure described was performed in 90 patients, using specific marking to determine block resection of skin and underlying parenchyma for symmetrization. The procedure included use of a medial pedicle flap and exchange of original implants for textured, high-profile, round silicone prostheses with equal volumes bilaterally and positioned in the submuscular plane, resulting in a final vertical scar. Results: No surgical revision was required in any of the cases. There was no occurrence of postoperative infection or necrosis of the nipple-areola complex or scar. The average parenchyma resection was 80 g. Eighty-nine patients (98.8%) were submitted to resection of different volumes. The average prosthesis volume was 300 mL. The length of the vertical scar was stable with an average of 6.5 cm after 2 years. The results were considered satisfactory according to patient assessment. Conclusion: Secondary mastopexy is a more complex surgery due to severe atrophy of the tissue as a result of previous surgery. Its benefits include improved symmetrization, thinner scars and reduction in tension on the nipple-areola complex, long-lasting results, and a high degree of patient satisfaction.http://www.rbcp.org.br/export-pdf/2163/en_v33n3a09.pdfbreast implantsmammoplastyatrophysecondary preventionreconstructive surgical procedures |
| spellingShingle | Juan Carlos Sánchez López Patrícia Erazo Secondary mastopexy with exchange of prosthesis: mirror “D” technique Revista Brasileira de Cirurgia Plástica breast implants mammoplasty atrophy secondary prevention reconstructive surgical procedures |
| title | Secondary mastopexy with exchange of
prosthesis: mirror “D” technique |
| title_full | Secondary mastopexy with exchange of
prosthesis: mirror “D” technique |
| title_fullStr | Secondary mastopexy with exchange of
prosthesis: mirror “D” technique |
| title_full_unstemmed | Secondary mastopexy with exchange of
prosthesis: mirror “D” technique |
| title_short | Secondary mastopexy with exchange of
prosthesis: mirror “D” technique |
| title_sort | secondary mastopexy with exchange of prosthesis mirror d technique |
| topic | breast implants mammoplasty atrophy secondary prevention reconstructive surgical procedures |
| url | http://www.rbcp.org.br/export-pdf/2163/en_v33n3a09.pdf |
| work_keys_str_mv | AT juancarlossanchezlopez secondarymastopexywithexchangeofprosthesismirrordtechnique AT patriciaerazo secondarymastopexywithexchangeofprosthesismirrordtechnique |