Cárdenas-Camarena Lázaro, Ramírez-Macías Roberto
Centro Médico Puerta de Hierro, Boulevard Puerta De Hierro 5150, Edificio C Int. 403, Zapopan, Jalisco, México.
Aesthetic Plast Surg. 2006 Jan-Feb;30(1):21-33. doi: 10.1007/s00266-005-0133-x.
During a period of 8 years, 384 female patients underwent simultaneous surgery for placement of implants and mastopexy. The surgical techniques used were selected according to the characteristics of each particular case. The determining variables in the selection were ptosis of the nipple-areola complex (NAC) and distance from the NAC to the inframammary fold. Only three surgical techniques were used: NAC lifting (n = 30), periareolar pexy (n = 196), and inverted T pexy (n = 158). The degree of general satisfaction with each of the techniques was 89%, 82%, and 92%, respectively. Round and anatomic implants were used, respectively, for 258 (67%) and 126 (33%) of the patients, with their use depending on the medical indications and each patient's choice. All complications were minor, and their overall incidence was 18%. Factors such as proper choice of the surgical technique, type of implant, approach to placement of the implant, type of suture, and removal of tissue for the pexy are fundamental to obtaining a good result. With these factors kept in mind, it is possible to perform the combined procedure of mastopexy and implantation, to minimize the complications, and to obtain satisfactory results over the mid and long terms.
在8年的时间里，384名女性患者同时接受了植入物置入和乳房上提手术。所采用的手术技术根据每个具体病例的特点进行选择。选择中的决定性变量是乳头乳晕复合体（NAC）的下垂程度以及NAC到乳房下皱襞的距离。仅使用了三种手术技术：NAC上提术（n = 30）、乳晕周围乳房固定术（n = 196）和倒T形乳房固定术（n = 158）。对每种技术的总体满意度分别为89%、82%和92%。分别有258名（67%）和126名（33%）患者使用了圆形和解剖形植入物，其使用取决于医学指征和每位患者的选择。所有并发症均为轻微并发症，其总发生率为18%。正确选择手术技术、植入物类型、植入物放置方法、缝合类型以及乳房固定术的组织切除等因素对于获得良好效果至关重要。牢记这些因素，就有可能进行乳房上提术和植入术的联合手术，将并发症降至最低，并在中长期获得满意的效果。
