Abstract

COLOMBO, C.  and  FLORES, Z.. A 5-year review of surgical techniques and implant characteristics in 2876 consecutive augmentation mammaplasties. Cir. plást. iberolatinoam. [online]. 2015, vol.41, n.3, pp.219-233. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922015000300003.

We conducted a study to evaluate the breast augmentation techniques and type of implants (material, surface, volume) in the last years in our group of Day Unit Plastic Surgery at Centro Médico Platinum in Caracas, Venezuela. We retrospectively review 2876 consecutive augmentation mammoplasties and augmentation- mastopexies, performed in the last 5 years. The average age of the patients was 30,8 years (71% under 35 years). All the implants were silicone gel filled prosthesis, round, 86% smooth surface and 77% high profile; 97% were placed in the subpectoral plane. The average volume was 386 cc for the right breast, and 387 cc for the left breast (minimum 200 cc and maximum .600 cc). There was an inverse relationship between age and volume (p = 0.001). As for the volume used, the behavior was homogeneous among the 27 plastic surgeons of the group. Perthese^® and La Femme^® were the most used brands. The use of extra-high profiles increased in recent years (p = 0,002). In just over half (51%) patients, mammary augmentation was combined with a mastopexy. In 13% breast surgery was combined with another surgical procedure. The augmentation mammoplasty predominated in patients under 35 years, and augmentationmastopexies in the older ones. In conclusion, we comprobed that in our area, silicone gel-filled, smooth surface, high profile mammary implants are mostly used, placed on a retropectoral plane. In older patients, breast augmentation is combined with mastopexies and smaller sizes are used. In recent years use of extra-high profile implants is increasing.

Keywords : Augmentation mammaplasty; Breast augmentation; Augmentationmastopexy; Breast implants.

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