Cuenca-Guerra R, Ortega CML

Language: Spanish
References: 15
Page: 64-70
PDF size: 1542.40 Kb.

ABSTRACT

The classic descriptions of mastopexy techniques have changed in the last years. The earliest operations to change breast ptosis and shape were generally wedge excisions of skin and breast tissue. Lately, prosthesis use mastopexy to get an adequate mammary contour and volume. Due to this fact, and in spite of the surgical techniques proposed, the gravitation of the mammary tissue and prosthesis has become more obvious and precocious. We have designed a lateral pedicle dermal fat flap to correct and/or delay the ptosis of the mammary tissue and prosthesis. In agreement with the Pitanguy’s technique, once marked, the superficial part of the skin is removed by sharp scalpel dissection, then we draw the flap undermining this area, the flap’s free end is moved forward to the sternal wall and fixed to the muscular fascia between the third and fifth rib, at the paraesternal borderline. The desired nipple height and the amount of skin to be resected are factors to be considered. Fifty six patients with implant-breast ptosis were included in the present study, between 1992 to 2002. The results were satisfactory in most of them. With this procedure we have devised a process giving lasting support delaying the implant-breast ptosis.

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