Abstract

DE LA CRUZ, M.. External cutaneous expansión with endermologie: an alternative complementary method in delayed breast reconstruction. Cir. plást. iberolatinoam. [online]. 2015, vol.41, n.4, pp.359-372. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922015000400003.

In order to find an easy, low cost and universal breast reconstruction technique in deferred mastectomies, we have performed an external skin expansion technique treating the skin and scar removing therefor the inextensible scary tissue present between the Pectoralis Mayor fascia and the subcutaneous tissue after radical surgery. This technique is focused in avoiding new scars, complications at donors sites, delayed hospital staying and mayor risks of free or pedicle flaps, and/or improving the poor results of traditional expansion plus prosthesis mammary reconstruction. Cases with insufficient skin thickness or postradiation were treated with abdominal fat lipotransference. All external expansion treatments had been performed at our office facilities through endermologie LPG Cellu m6^® equipment. After expansion, breast reconstruction has therefor been treated as a simple augmentation with anatomical implants. We measured skin elasticity gain after expansion and thickness (pinch test) after lipotransference. Contralateral ptotic or hypertrophic breast has been symmetrized at implant reconstruction stage. Mastectomyzed women have been included in the study regardless of age, size or type of tumor, or if they have received radiation or chemotherapy. With this painless technique we have obtained homogeneously good results without adding new scars and improving the quality of the skin and mastectomy scar.

Keywords : Delayed breast reconstruction; Endermology; External cuataneous expansion; Lipotransference; Breast implants.

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