Aumento mamário por meio da incisão da abdominoplastia: estudo prospectivo de 100 casos

Dini, Gal Moreira; Milani, Jean; Albuquerque, Luciana Gianini; Oliveira, Mario Farinazzo de; Filho, Ivan Dunshee de Abranches Oliveira Santos; Iurk, Lauren Klas; Ferreira, Lydia Masako

doi:10.1590/s1983-51752013000100018

Cited by 3 publications

(4 citation statements)

References 19 publications

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“…However, several authors described low rates of deep venous thrombosis and development of pulmonary emboli such as our study. 3,8,11 This fact may have been due to early postoperative ambulation, anesthesia care, including adequate volume replacement, use of lower extremity sequential compression devices and prophylactic doses of heparin or enoxaparin, and overall proper patient selection.…”

Section: Discussionmentioning

confidence: 99%

“…After pregnancy and lactation, breast parenchymal atrophy is common, as is ptosis or pseudoptosis. 2,3 In addition, weight loss patients, especially those who undergo sleeve gastrectomy or weight loss through lifestyle and dietary changes, also commonly seek combined surgery. It is worth noting, however, that the majority of patients who undergo combined operations ("mommy makeovers") require a mastopexy, because of grade II or greater breast ptosis or skin quality, which we assess to be subject to excessive stretch postoperatively.…”

mentioning

confidence: 99%

“…With women increasingly concerned about a rapid return to work, and social and physical activity, a single procedure is sought by many patients. After pregnancy and lactation, breast parenchymal atrophy is common, as is ptosis or pseudoptosis 2,3 . In addition, weight loss patients, especially those who undergo sleeve gastrectomy or weight loss through lifestyle and dietary changes, also commonly seek combined surgery.…”

mentioning

confidence: 99%

“…In addition, weight loss patients, especially those who undergo sleeve gastrectomy or weight loss through lifestyle and dietary changes, also commonly seek combined surgery. It is worth noting, however, that the majority of patients who undergo combined operations (“mommy makeovers”) require a mastopexy, because of grade II or greater breast ptosis or skin quality, which we assess to be subject to excessive stretch postoperatively 3 . Breast augmentation via the abdominoplasty incision was pioneered by Hinderer 4 and Planas 5 ; despite being a technique that is relatively easy to adopt, it is our perception that relatively few surgeons use this approach.…”

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confidence: 99%

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Transabdominal Breast Augmentation With Silicone Gel Implants

2021

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Background Breast augmentation is frequently performed together with abdominoplasty. Although breast augmentation incisions generally heal well, patients almost universally will appreciate having fewer scars; this is the basic rationale for transabdominal breast augmentation. In addition, a transabdominal approach may decrease the risk of implant contamination because there is no contact of the implants with skin. Methods A chart review of the senior author's private practice, from 2012 to 2020, was performed; 68 female patients who underwent abdominoplasty in association with transabdominal breast augmentation, with at least 1 year of follow-up, were included. All patients underwent liposuction, standard abdominoplasty with wide suprafascial abdominal flap undermining, and liposuction of the abdominal flap as needed. Round, silicone gel implants (Mentor Siltex, Santa Monica, CA) were used. Results A total of 68 patients were operated on. Mean age was 49 years (range, 25–68 years), mean body mass index was 25.7 kg/m2 (range, 22.3–29.5 kg/m2). The most commonly used implant volume (mode) was 270 mL (range, 225–395 mL). Implants were high (75%) or ultrahigh profile (25%). Eight patients (15%) had previously undergone breast augmentation. Seven patients (12%) underwent simultaneous breast fat grafting. There were no major complications. There were no complications related to the breast augmentation (ie, no extrusion or infection, malposition requiring revision, or capsular contracture). No patients requested upsizing or other revision of their implants. With regard to the abdominoplasty, there were 4 cases of well-circumscribed seroma treated with serial aspiration in the office. There were no cases of abdominoplasty site infection. Five patients required revision of abdominoplasty incisions. Two patients requested revision liposuction after weight gain. Conclusions Breast augmentation through an abdominoplasty incision may incur benefits beyond the obvious single surgical scar. Overall, transabdominal breast augmentation, in adequately selected patients, is an option which is safe, does not increase operative time, can lead to good results, and may potentially decrease some complications related to breast augmentation through other incision sites.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Transabdominal Breast Augmentation With Silicone Gel Implants

2021

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Silicon Breast Implant Inclusions Through Abdominal Approach

Paoliello

2016

New Concepts on Abdominoplasty and Further Applications

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Leakage of ruptured silicone breast implants through abdominal laparoscopic port sites: A rare complication following transabdominoplasty breast augmentation

et al. 2021

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SUMMARY Background Abdominoplasty and breast augmentation are two of the most commonly performed aesthetic procedures in the UK. When performed as a combined procedure, separate inframammary and abdominoplasty incisions are most frequently used. Transabdominoplasty breast augmentation, performed via a single abdominoplasty incision is also described. Case A 69-year-old female, having undergone a transabdominoplasty breast augmentation 20 years previously, was diagnosed with ascending colon cancer and admitted for a laparoscopic-assisted, right hemi-colectomy. Despite all the port sites being abdominal and below the inframammary fold, on their removal, silicone from ruptured breast implants was leaking through the port sites. Outcome The patient subsequently underwent an uneventful explantation of bilateral, ruptured, subglandular implants and recovered well. Learning points We recommend that breast implant explantation should be considered when patients indicated for elective intra-abdominal surgery are noted to have ruptured breast implants on staging CT imaging, especially when inserted via an abdominoplasty approach.

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Aumento mamário por meio da incisão da abdominoplastia: estudo prospectivo de 100 casos

Cited by 3 publications

References 19 publications

Transabdominal Breast Augmentation With Silicone Gel Implants

Transabdominal Breast Augmentation With Silicone Gel Implants

Silicon Breast Implant Inclusions Through Abdominal Approach

Leakage of ruptured silicone breast implants through abdominal laparoscopic port sites: A rare complication following transabdominoplasty breast augmentation

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