Reduction mammoplasty with the use of breast implants

Reducción mamaria con implantes: serie de casos, técnica operatoria y resultados a largo plazo

“…La combinación de reducción de senos e implantes sigue siendo en cierta forma un tema controvertido. Sin embargo, se ha descrito que el reemplazo del parénquima mamario asociado con la colocación de implantes mamarios permite unos senos más proyectados y firmes 17 . Recientemente se han publicado estudios sobre técnicas reducción mamaria y uso de Figura 5.…”

“…Los reportes en la literatura en favor del uso de implantes mamarios combinados con procedimientos convencionales e innovadores de reducción de senos son halagadores 5,6 . Esta combinación conduce a buenos resultados, con bajas tasas de complicaciones, tiempos de recuperación similares y gran satisfacción en comparación con la reducción de senos como único procedimiento 7,8 .…”

Structured Mammoplasty (Breast Reduction and Mastopexy with Silicone Implants): Standardization of Technique for Predictable Results

“…In these surgeries, small or moderate prostheses are usually chosen to not increase the weight of the breasts and the recurrence of ptosis, with a consequent loss of the upper pole projection. 10–12 However, with such an approach, the dissatisfaction rate in the medium and long term is high, raising questions about the best surgical approach to be adopted. 13,14…”

“…At 6 and 12 months, the patients were asked about the degree of satisfaction in relation to the surgery outcome, and were asked to give an opinion on whether they were dissatisfied, satisfied, or very satisfied. 10 Data such as age, the amount of silicone prosthesis employed, average weight of resected breast tissue of each breast, type of surgery (primary or secondary), duration of the surgery, and adverse events were collected from medical records.…”

“…In these surgeries, small or moderate prostheses are usually chosen to not increase the weight of the breasts and the recurrence of ptosis, with a consequent loss of the upper pole projection. [10][11][12] However, with such an approach, the dissatisfaction rate in the medium and long term is high, raising questions about the best surgical approach to be adopted. 13,14 As an alternative to these approaches, the structured mammoplasty technique described in this work, in which breast reduction and mastopexy with silicone implants are performed, allowed for obtaining more predictable, long-lasting results with a higher degree of patient satisfaction.…”