Resumo

PENA CABUS, G.. Superior transpectoral insertion of breast implants: Anatomical and technical relevance. Cir. plást. iberolatinoam. [online]. 2008, vol.34, n.4, pp.259-266. ISSN 1989-2055.

The particular benefits and adverse effects of the three different planes for breast implant placement are widely known. The search for a safer implantation cavity led to a combination of two dissection planes with different anatomical components placed in continuity. Instead of supporting its value with statistics of good outcomes, emphasis is stressed in the functional and anatomical consequences of the proposed plane of dissection. A small but representative serie of cases, due to a unique single outcome, which was the main objective of the study, forced to an early stage investigational report. The clinical experience refers to a caudal subfascial plane and a subpectoral cephalic plane to create an implantation cavity in a 15 cases serie when every single case operated on did not showed any surface breast deformation upon pectoral muscle forced contraction. At this point earlier than anticipated, the study was thought to be sufficient and completed. Main interest is being attracted to the consequences of the particular tissue components involved in the formation of the wall capsule surrounding the breast implant. We do believe that the soft handling of breast implants and other implantable biomaterials, refers to maintenance of the implant material integrity and a non responsive tissue behavior, on the long term basis.

Palavras-chave : Aumentative mammoplasty; Mammary implants; Submuscular; Subfascial.

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