Resumen

FELICIO, Y.. Breaking paradygms: axillary reduction mammoplasty. Cir. plást. iberolatinoam. [online]. 2012, vol.38, n.4, pp.329-339. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922012000400004.

We present a study on axillary breast reduction surgery conducted between March 1993 and March 2012 to test the effectiveness of a method that besides reducing the breast it´s cheaper than conventional ones, requires shorter operative time, and avoids wasting time on complex mathematical calculations to determine the amount of tissue to resect. Resection of glandular and fatty breast tissue is done maintaining the central portion of the breast and nipple-areola complex (CAP) and, according to each case, favors the areolar retraction depending on the amount of tissue resected and the presence of elastic fibers in the breast without any surgery on the areola. We study a total of 500 breasts operated on axillary breast reduction, aged between 16 and 58 years. Surgeries were 66 % for breast hypertrophy, ptosis 15 %, 10% asymmetry, mastopexy associated with silicone implants 8% and 1% for tumor resection associated with breast reduction. The amount of breast tissue resected ranged from 50 to 1,500 g., with the highest percentage of cases, 35%, in the group between 200-300 gr. resected. The complication rate was 3.4%, low compared to the one presented in conventional techniques (personal statistics). In 500 breasts operated we found 17 complications: 6 keloids and hypertrophic scars after seromas daily drained for an average of 15 days, 3 hematomas and 2 cases of hypersensitivity in one arm (one right and one left) that yielded in 30 days with physical care and physical therapy. After an average period of 6 months, most patients showed clear satisfaction with the results. For four decades, most plastic surgeons have used breast reduction techniques that produce one, two or three scars on the breast and prevent many women undergo this type of surgery by the extent of scarring. We need to break paradigms, because since 1924 there are records of axillary breast reduction surgery. This technique, enables a single breast reduction scar hidden in the axillary folds.

Palabras clave : Breast reduction; Breast hipertrophy; Axillary reduction mammoplasty.

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