<?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>S0376-78922022000100049</article-id>
<article-id pub-id-type="doi">10.4321/s0376-78922022000100007</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Implantes de pantorrilla, obliteración del túnel de acceso entre fascias para disminuir complicaciones]]></article-title>
<article-title xml:lang="en"><![CDATA[Calf implants, closed access tunnel between fasciae to reduce complications]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerrero Arias]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Callejas]]></surname>
<given-names><![CDATA[Omar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Práctica privada  ]]></institution>
<addr-line><![CDATA[San Salvador ]]></addr-line>
<country>El Salvador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Salvadoreño del Seguro Social  ]]></institution>
<addr-line><![CDATA[San Salvador ]]></addr-line>
<country>El Salvador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2022</year>
</pub-date>
<volume>48</volume>
<numero>1</numero>
<fpage>49</fpage>
<lpage>58</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S0376-78922022000100049&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S0376-78922022000100049&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S0376-78922022000100049&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo. En la actualidad, muchas personas esperan obtener un mejor contorno y simetría de sus piernas, por lo cual en nuestra especialidad desarrollamos técnicas para satisfacer esta demanda. Presentamos nuestra experiencia y variante técnica de aumento de pantorrillas con implantes de gel de silicona asimétricos  Material y método. Estudio retrospectivo y descriptivo de 7 años (2012-2018) en práctica privada evaluando resultados en 57 pacientes de sexo femenino con pantorrillas delgadas y/o arqueadas que se sometieron a cirugía para mejorar el aspecto estético de esta zona anatómica con técnica quirúrgica en la que introdujimos como variante la obliteración del túnel de acceso entre fascias.  Resultados. Al inicio, colocamos el implante bajo la fascia superficial, sin cerrar el trayecto disecado entre la fascia superficial y profunda hasta el gastrocnemio, con cierre en dos planos y vendaje elástico. La satisfacción estética final de las pacientes con esta técnica fue del 63.64 % (7 de 11 pacientes). Como complicaciones: migración del implante en 2 casos (18.18%), palpación del implante en 3 (27.27%), cicatriz hiperpigmentada en 4 (36.36%), seroma proximal a la incisión en 1 (9.09%), dehiscencia parcial de herida en 4 (36.36%), infección en 1(9.09%), aspecto estético final no aceptado en 4 (36.36%), reintervención por insatisfacción estética en 2 (18.18%). Ante estos datos modificamos la técnica colocando el implante bajo la fascia profunda, obliterando el trayecto de disección entre las fascias, con cierre dirigido y elastocompresión vascular. En estos casos la satisfacción estética final fue del 95.65% (44 de 46 pacientes). Como complicaciones:no hubo casos de migración o palpación del implante, seroma, infección o no aceptación del resultado estético final, hubo 1 caso de hiperpigmantación parcial de la cicatriz (2.17%), y 1 de dehiscencia parcial de herida (2.17%) .  Conclusiones. En nuestra experiencia, la colocación de los implantes para aumento de pantorrillas bajo la fascia crural con obliteración del túnel de acceso entre fascias, es una técnica fácilmente reproducible que reduce considerablemente las complicaciones y aporta más satisfacción a los pacientes con los resultados obtenidos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background and objective. Nowadays, people currently hope to obtain a better contour and symmetry of their legs, consequently, in Plastic Surgery, we develop techniques to satisfy this demand. We present our experience and technical variant of calf augmentation using asymmetric silicone gel implants.  Methods. Retrospective and descriptive study of 7 years (2012-2018) in private practice evaluating results in 57 female patients with thin and/or bowed calves who underwent surgery to improve the aesthetic appearance of this anatomical area with a surgical technique in which we introduced as a variant the obliteration of the access tunnel between fasciae.  Results. Initially, we placed the implant under the superficial fascia without closing the dissected path between the superficial and deep fascia up to the gastrocnemius, with closure in two planes and an elastic bandage. The final aesthetic satisfaction of the patients with this technique was 63.64% (7 of 11 patients). As complications: migration of the implant in 2 cases (18.18%), palpation of the implant in 3 cases (27.27%), hyperpigmented scar in 4 cases (36.36%), seroma proximal to the incision in 1 case (9.09%), partial wound dehiscence in 4 cases (36.36%), infection in 1 case (9.09%), unacceptable final aesthetic appearance in 4 cases (36.36%), re-intervention due to aesthetic dissatisfaction in 2 cases (18.18%). With these data, we modified the technique by placing the implant under the deep fascia, obliterating the dissection path between the fasciae, with directed closure and vascular elastocompression. In these cases, the final aesthetic satisfaction was 95.65% (44 of 46 patients). As complications: there were no cases of migration or palpation of the implant, seroma, infection or non-acceptance of the final aesthetic result, there was 1 case of partial hyperpigmentation of the scar (2.17%) and 1 of partial wound dehiscence (2.17%) .  Conclusions. In our experience, placement of calf augmentation implants under the crural fascia with obliteration of the access tunnel between fasciae is an easily reproducible technique that considerably reduces complications and provides greater patient satisfaction with the results.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Aumento pantorrillas]]></kwd>
<kwd lng="es"><![CDATA[Implantes silicona]]></kwd>
<kwd lng="en"><![CDATA[Calf augmentation]]></kwd>
<kwd lng="en"><![CDATA[Silicone implant]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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