Aesthetic Plastic Surgery of Head and Body

Pitanguy, Ivo; Courtiss, Eugene H.

doi:10.1097/00006534-198212000-00032

Cited by 9 publications

(7 citation statements)

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“…This incision was indicated for the correction of inverted or hypertrophic nipple in 7.5% of the patients. This type of connection has already been demonstrated by the senior author in other studies 4,7 . We observed 12 cases in which it was necessary to per form a repeat surgery, 2 (3.8%) of which were due to capsular contracture.…”

Section: Discussionsupporting

confidence: 76%

“…Breast augmentation surgery using this incision was proposed at a later date 4 . Other authors have also proposed that this surgical route be used for the performance of other surgical procedures 8 .…”

Section: Discussionmentioning

confidence: 99%

“…A maioria (60,4%) dos implantes possuía menos de 200 ml. Doze pacientes foram submetidas a reintervenções pelas seguintes razões: nódulo mamário (1 caso), infecção (1 caso), contratura capsular (1 caso), e insatisfação com a forma das mamas (4 Transareolopapilar incision for breast augmentation (4 casos) e com a cicatriz unilateral (1 caso). Dezesseis (30,2%) pacientes desenvolveram alguma complicação menor no pós-operatório e 13 (24,5%) apresentaram alguma alteração cicatricial no pós-operatório: hipocromia (18,9%), hipertrofia unilateral (1,9%), retração cicatricial unilateral (1,9%), e aréola bífida (1,9%).…”

Section: Introductionunclassified

“…In 1966, Pitanguy 3 described the transareolopapilar approach, advocating it as an excellent access route for gynecomastia correction procedures. The same author advocated the use of a referred incision for breast augmentation procedures, subcutaneous mastectomies, and correction of inverted or hypertrophied nipple 4 . Subsequently, recent studies advocated the use of this access route, stipulating the advantages of performing an incision in the areolar-papillary complex [5][6][7] .…”

Section: Introductionmentioning

confidence: 99%

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Incisão transareolopapilar para mamoplastia de aumento: experiência dos últimos 10 anos do Instituto Ivo Pitanguy

Verbicário¹,

Ferreira²,

Holanda³

et al. 2011

Rev. Bras. Cir. Plást.

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Background: There are numerous access routes for inserting implants during breast augmentation surgery. In 1966, Pitanguy described the transareolopapilar route. The aim of this study was to assess the use of transareolopapilar incision during breast augmentation surgery at the Ivo Pitanguy Institute (Rio de Janeiro, RJ, Brazil), over the past 10 years. Methods: Retrospective analyses of the size of the implants used, indications for transareolopapilar incision, postoperative complications, and postoperative scarring were performed. Results: Fifty-three patients with a mean age of 33.54 years were included, and the mean follow-up period was 11.6 months. Most (60.4%) of the implants were <200 ml. Twelve patients required a second operation due to a breast lump (1 case); infection (1 case); capsular contracture (1 case); and dissatisfaction with breast shape (4 cases), volume (4 cases), and unilateral scarring (1 case). Sixteen (30.2%) patients developed some form of minor postoperative complication; 13 (24.5%) had one or more scarring issues, including hypochromia (18.9%), hypertrophy (1.9%), scar retraction (1.9%), and areola bifida (1.9%). Twenty (37.7%) patients underwent postoperative follow-up for more than one year and were satisfied with the postoperative scar. Conclusions: The transareolopapilar incision facilitates the insertion of small-to-moderate size implants with a low rate of postoperative complications and a low incidence of scarring, provided the correct surgical technique is used.

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Section: Introductionunclassified

Section: Introductionmentioning

confidence: 99%

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Incisão transareolopapilar para mamoplastia de aumento: experiência dos últimos 10 anos do Instituto Ivo Pitanguy

Verbicário¹,

Ferreira²,

Holanda³

et al. 2011

Rev. Bras. Cir. Plást.

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“…Estes procedimentos são aplicados de rotina no mesmo ou em tempos operatórios diversos [1][2][3][4] .…”

Section: Introductionunclassified

Revisão de dismorfia mamária com implantes pós-mastectomia subcutânea bilateral: relato de caso

Silva¹,

Dias²

2010

Rev. Bras. Cir. Plást. (Impr.)

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723Revisão de dismorfia mamária com implantes pós-mastectomia subcutânea bilateral Revisão de dismorfia mamária com implantes pós-mastectomia subcutânea bilateral: relato de casoRevision of breast dysmorphy with implants after subcutaneous bilateral mastectomy: case report RESUMO Introdução: Mamas com implantes submetidas a adenomastectomia apresentam com frequência dismorfias estéticas secundárias, que exigem revisões cirúrgicas. Os autores enfatizam a importância do planejamento cirúrgico pré-operatório, para reduzir ou mesmo evitar comprometimento estético a médio e longo prazo. Objetivo: Relatar a conduta utilizada em um caso de adenomastectomia bilateral com implantes de silicone, seguida de alterações secundárias de forma, volume e simetria.Descritores: Mastectomia. Implante mamário. Complicações pós-operatórias. ABSTRACT Background:Breasts with silicone implants after subcutaneous mastectomy frequently present secondary aesthetic dysmorphies that request surgical revision. Purpose: The authors report and register the importance of a correct pre-operative surgical program to reduce and even avoid secondary aesthetic problems in mediate and long term postoperative period.

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