Secondary mammaplasty with monobloc resection and implant repositioning in the partial retropectoral pocket
Introduction: Breast augmentation with silicone implants is one of the most common plastic surgery procedures. The objective of this study was to evaluate patients with previous silicone implantations undergoing secondary mammaplasty, presenting an alternative approach with en block resection of bre...
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| Language: | English |
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Thieme Revinter Publicações Ltda.
2019-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2638/en_v34n3a03.pdf |
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| author | Vinicius Julio Camargo |
| author_facet | Vinicius Julio Camargo |
| author_sort | Vinicius Julio Camargo |
| collection | DOAJ |
| description | Introduction: Breast augmentation with silicone implants is one of the most common plastic surgery procedures. The objective of this study was to evaluate patients with previous silicone implantations undergoing secondary mammaplasty, presenting an alternative approach with en block resection of breast tissue, fibrous capsule, and silicone implant, followed by implant repositioning in the partial retropectoral pocket.
Methods: This study included 24 cases of secondary mammaplasty with implant repositioning. It presents the indications for surgery and details the surgical approach for easier procedures and more satisfactory results.
Results: All the included cases presented breast changes on physical examination, such as breast ptosis, capsular contracture, improper implant position, and breast asymmetry. In the studied cases, the use of polyurethane-coated implants and their complete adherence to the fibrous capsule resulted in a more practical resection even with varying degrees of capsular contracture. Fibrous capsules of textured implants were thinner, and implant instability due to the presence of residual seroma or pockets bigger than necessary resulted in more difficult resection.
Conclusion: Secondary mammaplasty with en bloc resection, along with implant replacement and repositioning in the partial retropectoral pocket with sutures involving muscle and breast tissue is an alternative to optimize the procedure, providing greater muscle stability until complete healing and new fibrous capsule formation. |
| format | Article |
| id | doaj-art-c2eebcd5c5fa4dc49cfe687a18f096b4 |
| institution | Matheson Library |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-c2eebcd5c5fa4dc49cfe687a18f096b42025-08-02T18:41:43ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352019-09-01340331532310.5935/2177-1235.2019RBCP0202Secondary mammaplasty with monobloc resection and implant repositioning in the partial retropectoral pocketVinicius Julio Camargo0Centro de Cirurgia Plástica e Bem Estar, Pato Branco, PR, BrazilIntroduction: Breast augmentation with silicone implants is one of the most common plastic surgery procedures. The objective of this study was to evaluate patients with previous silicone implantations undergoing secondary mammaplasty, presenting an alternative approach with en block resection of breast tissue, fibrous capsule, and silicone implant, followed by implant repositioning in the partial retropectoral pocket. Methods: This study included 24 cases of secondary mammaplasty with implant repositioning. It presents the indications for surgery and details the surgical approach for easier procedures and more satisfactory results. Results: All the included cases presented breast changes on physical examination, such as breast ptosis, capsular contracture, improper implant position, and breast asymmetry. In the studied cases, the use of polyurethane-coated implants and their complete adherence to the fibrous capsule resulted in a more practical resection even with varying degrees of capsular contracture. Fibrous capsules of textured implants were thinner, and implant instability due to the presence of residual seroma or pockets bigger than necessary resulted in more difficult resection. Conclusion: Secondary mammaplasty with en bloc resection, along with implant replacement and repositioning in the partial retropectoral pocket with sutures involving muscle and breast tissue is an alternative to optimize the procedure, providing greater muscle stability until complete healing and new fibrous capsule formation.http://www.rbcp.org.br/export-pdf/2638/en_v34n3a03.pdfbreastbreast implantmammaplastypectoral musclescapsular contracture in implants |
| spellingShingle | Vinicius Julio Camargo Secondary mammaplasty with monobloc resection and implant repositioning in the partial retropectoral pocket Revista Brasileira de Cirurgia Plástica breast breast implant mammaplasty pectoral muscles capsular contracture in implants |
| title | Secondary mammaplasty with monobloc resection
and implant repositioning in the partial retropectoral
pocket |
| title_full | Secondary mammaplasty with monobloc resection
and implant repositioning in the partial retropectoral
pocket |
| title_fullStr | Secondary mammaplasty with monobloc resection
and implant repositioning in the partial retropectoral
pocket |
| title_full_unstemmed | Secondary mammaplasty with monobloc resection
and implant repositioning in the partial retropectoral
pocket |
| title_short | Secondary mammaplasty with monobloc resection
and implant repositioning in the partial retropectoral
pocket |
| title_sort | secondary mammaplasty with monobloc resection and implant repositioning in the partial retropectoral pocket |
| topic | breast breast implant mammaplasty pectoral muscles capsular contracture in implants |
| url | http://www.rbcp.org.br/export-pdf/2638/en_v34n3a03.pdf |
| work_keys_str_mv | AT viniciusjuliocamargo secondarymammaplastywithmonoblocresectionandimplantrepositioninginthepartialretropectoralpocket |