Resumen

VALLARTA-RODRIGUEZ, R.A.; RUIZ-TREVINO, J.J.  y  GUERRERO-BURGOS, F.. Dynamic augmentation mammoplasty with vector control. Cir. plást. iberolatinoam. [online]. 2014, vol.40, n.4, pp.377-384. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922014000400004.

Augmentation mammoplasty must be a safe, predictable, long-lasting surgery, that maintains the natural form of the breasts, preserves nipple-areolar sensitivity, permits breast feeding, with minimal tissue reaction to the implant, and that does not interfere with imaging studies. When there is an associated deformity such as ptosis, tuberous breasts, etc., a combination of techniques offers a better final result in contrast with pure augmentation techniques. We present our technique performed since 2003 that has met these objectives in augmentation mammoplasty in patients with minimal to moderate ptosis. A detailed description on the technique and discussion on the indications and advantages of incorporating these technical refinements to conventional augmentation mammoplasty, is presented. We present 230 cases in which multiplanar augmentation mammaplasty was performed with wide en-block submuscular dissection, optimizing independent vectors for nipple-areolar complex repositioning in its ideal location in cases with associated ptosis. Percutaneous anchoring points were used in 98 patients to achieve this effect. No mayor complications were observed other than minor wound healing problems in 18 cases, all of which were solved with expectant treatment without sequelae. With this technique we try to give the plastic surgeon an additional option to offer in augmentation mammoplsty sith natural and durable results.

Palabras clave : Breast augmentation; Augmentation mammoplasty; Breast implants; Mammary ptosis.

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