Resumo

BERROCAL REVUELTAS, M.. Secundary augmentation mammoplasty: Evaluation of problems, unsatisfactory results and alternatives for solution. Cir. plást. iberolatinoam. [online]. 2012, vol.38, n.1, pp.09-26. ISSN 1989-2055.  https://dx.doi.org/10.4321/S0376-78922012000100002.

A series of patients with unsatisfactory results after a breast augmentation surgery with silicone implants is presented in this report. The aim is to identify the most frequent problems and to offer alternatives for their solution. From an universal group of 230 patients with aesthetic breast augmentation surgery done from 2004 to 2009, a selective group of 15 patients is presented; out of these, 12 had a surgical procedure done for the first time by another medical team and 3 done by the first author of this paper. After medical evaluation 13 patients had a secondary breast augmentation surgery in order to correct the problems with satisfactory results one year postoperative. Nevertheless, 2 patients had breast stretch marks as first problem in the postoperative period which does not have a definitive solution by now. The possible reasons of the problems are: inadequate or not indicated line of access in 60 %; implant size was excessive in 12 patients (80 %), out of these, 10 patients requested implants with smaller size and 2 did not agree to get new implants; 2 patients (13.3 %) suffered implant rupture before the first postoperative year and 1 patient had rupture after 25 years of the surgical procedure; in 12 patients (80 %) there was asymptomatic capsular contracture grade I and II and grade III in 3 patients (20 %). There was no information about the manufacturer of the implants in 6 patients (40 %) and 10 patients (66 %) did not have any information about the importance of having a certificate of guarantee on the implants. We conclude that there is a lack of unified criteria to face the secondary problems after breast augmentation surgery using silicone implants, therefore it is necessary to encourage scientific studies by universities, professional societies and governmental agencies in order to quantify sequels, classify them and offer alternatives for their solution.

Palavras-chave : Augmentative mammoplasty; Silicone breast implants; Mammary implants; Mammoplasty sequels.

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