<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0376-7892</journal-id>
<journal-title><![CDATA[Cirugía Plástica Ibero-Latinoamericana]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. plást. iberolatinoam.]]></abbrev-journal-title>
<issn>0376-7892</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE)]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0376-78922021000400347</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922021000400004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Mamas tuberosas: empleo de procedimientos biomecánicos en la corrección de esta anomalía del desarrollo]]></article-title>
<article-title xml:lang="en"><![CDATA[Tuberous breast: use of biomechanical procedures in the correction of this development anomaly]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ventura]]></surname>
<given-names><![CDATA[Omar Darío]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica Pontificia de Buenos Aires  ]]></institution>
<addr-line><![CDATA[Buenos Aires ]]></addr-line>
<country>Argentina</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>47</volume>
<numero>4</numero>
<fpage>347</fpage>
<lpage>358</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922021000400347&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922021000400347&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922021000400347&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. La mama tuberosa es un defecto del desarrollo que se evidencia a partir de la pubertad, una hipogenia por hipoplasia en diferentes sectores de la mama. Las diversas técnicas publicadas están enfocadas a la corrección estática del defecto: la areola telescopada, la falta de volumen en cuadrantes inferiores, el polo inferior constrictivo, el surco submamario alto, etc, proponiendo secciones radiadas de la glándula, corrección con prótesis, colgajos glandulares, colgajos dermograsos, musculares, injertos grasos, expansores de tejidos, extirpación de tejido glandular extrovertido, etc. Queremos contribuir con nuestra metodología, empleada en los últimos 20 años, donde sumamos conceptos biomecánicos muy importantes.  Material y método. Nuestro aporte se basa en involucrar al implante en una interrelación dinámica con los componentes anatómicos con los que se relacionará, como el músculo pectoral, los cortes glandulares, el descenso del surco y un zócalo aponeurótico.  Resultados. Utilizamos la clasificación de Grolleau que determina 3 grados de acuerdo a la localización del defecto. Describimos las propiedades viscoelásticas de la relajación de los tejidos, diferenciando la relajación por deslizamiento de la relajación por distensión, conceptos diferentes pero fundamentales en el manejo quirúrgico. Exponemos los abordajes empleados en cada grado de la anomalía tuberosa y la razón de la elección de planos de inclusión e implantes.  Conclusiones. Esta contribución se basa en el tratamiento de la mama tuberosa con una visión de biomecánica tisular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. The tuberous breast is a developmental defect that is evident from puberty, a hypogenesis due to hypoplasia in diferent sectors of the breast. The diversity of published techniques are focused on the static correction of the defect: the telescoped areola, the lack of volume in the lower quadrants, the constrictive lower pole, the high submammary groove, etc. Radiated sections of the gland, prosthetic correction, glandular flaps, dermo-fat flaps, muscle flaps, fat grafts, tissue expanders, extrovert glandular tissue removal, etc. have been proposed. We want to contribute with our methodology, used in the last 20 years, where we add very important biomechanical concepts.  Methods. Our contribution is based on involving the implant in a dynamic interrelation with the anatomical components to which it will be related, such as the pectoral muscle, the glandular cuts, the descent of the sulcus and an aponeurotic socket.  Results. We use the Grolleau classification which determines 3 degrees according to the location of the defect. We describe the viscoelastic properties of tissue relaxation, diferentiating sliding relaxation from distension relaxation, diferent but fundamental concepts in surgical management. Finally, we expose the approaches used in each degree of the tuberous anomaly and the reason for the choice of inclusion planes and implants.  Conclusions. This contribution is based on the treatment of the tuberous breast with a view of tissue biomechanics.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mama tuberosa]]></kwd>
<kwd lng="es"><![CDATA[Hipomastia]]></kwd>
<kwd lng="es"><![CDATA[Implantes mamarios]]></kwd>
<kwd lng="es"><![CDATA[Biomecánica tisular]]></kwd>
<kwd lng="en"><![CDATA[Tuberous breast. Hypomastia]]></kwd>
<kwd lng="en"><![CDATA[Breast implants]]></kwd>
<kwd lng="en"><![CDATA[Tissue biomechanics]]></kwd>
</kwd-group>
</article-meta>
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