Mastopexia com uso de implantes associados a retalho de músculo peitoral maior: técnica utilizada na Disciplina de Cirurgia Plástica da Unicamp

Soares, Andrea Boldrin; Franco, Fernando Fabrício; Rosim, Endrigo Torezan; Renó, Brenda Artuzi; Hachmann, Jussara Olivo Pinheiro Alves; Guidi, Marcelo de Campos; Bueno, Marco Antonio de Camargo; Kharmandayan, Paulo

doi:10.1590/s1983-51752011000400021

Cited by 6 publications

(2 citation statements)

References 10 publications

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“…In 2008, Sanchez et al 10 suggested the use of an inferior pedicle to protect breast implants. Soares et al 11 proposed the construction of a dual space consisting of an upper subglandular space and a lower submuscular space for placing the implant. In 2008, Gomes 7 described a mastopexy technique with breast augmentation that used a superior pedicle flap surrounding the implant.…”

Section: Discussionmentioning

confidence: 99%

Mastoplastia de aumento com inclusão de implante de silicone associado a mastopexia com abordagem inicial periareolar (safety pocket)

Almeida¹,

Araújo²,

Mafra³

et al. 2012

Rev. Bras. Cir. Plást.

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Augmentation mastoplasty with silicone implant associated with mastopexy through an initial periareolar approach Augmentation mastoplasty with silicone implant associated with mastopexy through an initial periareolar approach (safety pocket) Mastoplastia de aumento com inclusão de implante de silicone associado a mastopexia com abordagem inicial periareolar (safety pocket) ABSTRACT Background: Mastopexy with breast implant surgery is a challenging and highly complex surgical procedure. In Brazil, there is growing interest in larger breast volumes, although in certain cases, the sole addition of silicone implants is not sufficient for constructing a conical breast with a full upper pole. To obtain this result, it is necessary to correct sagging breasts by removing excess skin. Methods: The initial approach was made with an inferior semicircular periareolar incision, which provided subfascial access to the breast pocket for inclusion of the implant. After implant placement, the excess skin was marked using simple stitches and staining with methylene blue prior to resection. Longitudinal spindle marking was preferred whenever possible. However, "L" or inverted "T" markings were also used when excess skin amounts were greater. Results: We analyzed 49 patients aged 20-68 years, of whom 28 were undergoing primary breast surgery and 21 were undergoing secondary breast surgery. The surgeries for breast pexia included L-shaped scars in 23 patients, T-shaped scars in 8 patients, and vertical scars in 18 patients. Six complications were observed in this group of patients: hematoma (n = 2), scar retraction (n = 2), severe ecchymosis (n = 1), and steatonecrosis (n = 1). Conclusions: The conservative skin removal approach after prosthesis implantation, periareolar access, and use of the subfascial plane are the differential and relevant points of this technique. This technique is also considered safer because the periareolar incision caused the only loss of continuity in the tissues. Therefore, the prosthesis was not exposed during mastopexy.

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Section: Discussionmentioning

confidence: 99%

Mastoplastia de aumento com inclusão de implante de silicone associado a mastopexia com abordagem inicial periareolar (safety pocket)

Almeida¹,

Araújo²,

Mafra³

et al. 2012

Rev. Bras. Cir. Plást.

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“…Grade I ptosis correspond with the areola placed on the level of the inframammary crease (IMC), Grade II corresponds with the nipple below the IMC and above the level of the gland, grade III corresponds with the areola below the IMC and below the contour of the gland. 224 Cup size A corresponds with a breast volume of less than 150 cc in individuals with an under bust circumference of 70–75 cm; cup size B corresponds with a volume of 250–299 cc with an under bust of 70–75 cm, cup size C corresponds with 300–349 cc with an under bust of 70–75 cm. 225 , 226 …”

Section: Surgical Procedures For Masculinizing Gasmentioning

confidence: 99%

ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”

et al. 2021

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Introduction: Much has been published on the surgical and functional results following Gender Affirming Surgery ('GAS') in trans individuals. Comprehensive results regarding sexual wellbeing following GAS, however, are generally lacking. Aim: To review the impact of various GAS on sexual wellbeing in treatment seeking trans individuals, and provide a comprehensive list of clinical recommendations regarding the various surgical options of GAS on behalf of the European Society for Sexual Medicine. Methods: The Medline, Cochrane Library and Embase databases were reviewed on the results of sexual wellbeing after GAS. Main Outcomes Measure: The task force established consensus statements regarding the somatic and general requirements before GAS and of GAS: orchiectomy-only, vaginoplasty, breast augmentation, vocal feminization surgery, facial feminization surgery, mastectomy, removal of the female sexual organs, metaidoioplasty, and phalloplasty. Outcomes pertaining to sexual wellbeing-sexual satisfaction, sexual relationship, sexual response, sexual activity, enacted sexual script, sexuality, sexual function, genital function, quality of sex life and sexual pleasureare provided for each statement separately. Results: The present position paper provides clinicians with statements and recommendations for clinical practice, regarding GAS and their effects on sexual wellbeing in trans individuals. These data, are limited and may not be sufficient to make evidence-based recommendations for every surgical option. Findings regarding sexual wellbeing following GAS were mainly positive. There was no data on sexual wellbeing following orchiectomyonly, vocal feminization surgery, facial feminization surgery or the removal of the female sexual organs. The choice for GAS is dependent on patient preference, anatomy and health status, and the surgeon's skills. Trans individuals may benefit from studies focusing exclusively on the effects of GAS on sexual wellbeing. Conclusion:The available evidence suggests positive results regarding sexual wellbeing following GAS. We advise more studies that underline the evidence regarding sexual wellbeing following GAS. This position statement may aid both clinicians and patients in decision-making process regarding the choice for GAS. M€ ujde € Ozer, Sahaand Poor Toulabi, Alessandra D. Fisher, et al. ESSM Position Statement "Sexual Wellbeing After Gender Affirming Surgery". Sex Med 2021;XX:XXXXXX.

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Augmentation Mastoplasty with Silicone Implant Associated with Mastopexy via an Initial Periareolar Approach (Safety Pocket)

2018

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Mastopexia com uso de implantes associados a retalho de músculo peitoral maior: técnica utilizada na Disciplina de Cirurgia Plástica da Unicamp

Abstract: Mastopexy with breast implants and the pectoralis major muscle flap Mastopexy with breast implants and the pectoralis major muscle flap: a technique adopted by the

Cited by 6 publications

References 10 publications

Mastoplastia de aumento com inclusão de implante de silicone associado a mastopexia com abordagem inicial periareolar (safety pocket)

Mastoplastia de aumento com inclusão de implante de silicone associado a mastopexia com abordagem inicial periareolar (safety pocket)

ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”

Augmentation Mastoplasty with Silicone Implant Associated with Mastopexy via an Initial Periareolar Approach (Safety Pocket)

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