Duarte Junior Getulio, Duarte Fábio Coelho, Cervantes Andre
Serviço de Cirurgia Plástica "Professor Ronaldo Pontes", Universidade de Marília - São Paulo -Brazil, Hospital Niterói D'or - RJ, Alameda das Quaresmeiras 30, condomínio Vale do Canaã, Marilia, SP, 17525-454, Brazil.
Serviço de Cirurgia Plástica "Professor Ronaldo Pontes", Hospital Niterói D'or - RJ, Niterói, Brazil.
Aesthetic Plast Surg. 2022 Feb;46(1):11-21. doi: 10.1007/s00266-021-02481-3. Epub 2021 Jul 26.
Mastopexy with an implant is undoubtedly one of the most challenging surgeries in cosmetic surgery since it involves two overlapping procedures. The aim of this study was to demonstrate that by using horizontal glandular flaps in the sulcus in mastopexy with implants, it is possible to reduce the number of postoperative complications.
Sixty-three female breast surgery patients with some degree of flaccidity who underwent surgery from July 2018 to January 2020 were selected. All surgeries were performed in one procedure with an initial resection of the excess skin associated with a horizontal flap of the upper pedicle that promoted the protection of the implants and decreased the surgical wound tension.
Forty-seven patients were included in the sample, for a total of 94 breasts. The motivation of the surgery was esthetic in all cases. Related to complications, we had 1 (1.06%) case of seroma, 1 (1.06%) case suffering from areola necrosis, 6 (6.3%) cases with scar revisions, 10 (10.6%) cases with complications in the transition from the "T" and no case of hematoma, infection or extrusion of the implants. The follow-up time was 12 months.
This technique allows the surgeon to perform a resection of excess skin and place the implants in one procedure, thereby decreasing the tension in the suture line, protecting the implants and forming a protective stabilizing brace in the mammary groove.
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植入物乳房上提术无疑是整形手术中最具挑战性的手术之一，因为它涉及两个重叠的操作步骤。本研究的目的是证明，在植入物乳房上提术中使用乳晕下水平腺体瓣，有可能减少术后并发症的数量。
选取2018年7月至2020年1月期间接受手术的63例有一定程度乳房下垂的女性乳房手术患者。所有手术均一次性完成，首先切除多余皮肤，并采用上蒂水平瓣，以保护植入物并降低手术伤口张力。
样本纳入47例患者，共94个乳房。所有病例手术动机均为美容。关于并发症，我们有1例（1.06%）血清肿、1例（1.06%）乳晕坏死、6例（6.3%）进行了瘢痕修复、10例（10.6%）在“T”形切口过渡处出现并发症，无血肿、感染或植入物挤出病例。随访时间为12个月。
该技术使外科医生能够在一次手术中切除多余皮肤并植入植入物，从而降低缝线处的张力，保护植入物，并在乳腺沟形成一个保护性稳定支架。
证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
