Resumo

NAVARRO, R.; TORREBLANCA, L.  e  ENRIQUEZ, A.. Augmentation mastopexy, fifth generation technique. Cir. plást. iberolatinoam. [online]. 2008, vol.34, n.2, pp.89-100. ISSN 1989-2055.

We present a new mastopexy technique, simpler, which precludes the recidivism and reduces the risk of breast cancer. The study was based on 25 female patients between 25 to 50 years old with breast ptosis. With the patients standing up, was realized the traditional marks. If breasts were small, implants were positioned by submuscular way, and if bigger, the way was retroglandular. For recidivism prevention, it was positioned 2 internal straps; if the gland-implant was bigger and heavier an immobile strap from the breast to the clavicle periostium and to the 3rd rib, was realized; if it would result smaller or median size only were fixed to the third ribs with a dermal flap. Controls were realized between 1 month to 3 years. Ptosis was corrected between 5 to 12cm without any recidivism, neither post surgery pseudo-ptosis. With the support of an elastic brassier, physical exercise is recommended after 15 days. The scarring was highly satisfactory. Complications were partial disruptions in 2 patients and ardors, tautness sensation and areolar enlargement in patients with more than 12cm ptosis and wide areola. Because of the execution simplicity and security, surgery was ambulatory. We propose this technique called 5th generation that precludes the periareolar, the inframamary, the vertical and the T scar; partial elimination of both upper breasts quadrants lessen the possibility of breast cancer in this upper area and ptosis recidivism by the use of the internal straps.

Palavras-chave : Mastopexy; Mammary augmentation; Surgical Technique.

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