RESUMEN
Mastopexy and augmentation together can be a very difficult combination of procedures to perform. In many cases, the position of the implant can be inappropriate, necessitating reoperation. Occasionally, placing the implant imparts excessive tension, which can cause a plethora of complications from simply widening the scars to skin necrosis, nipple-areolar necrosis, or glandular necrosis with infection and loss of the implant. In this paper, the author presents a technique combining the vertical mastopexy, a superior nipple-areolar pedicle, and the use of the Spectrum postoperatively-adjustable implant which can simplify the procedure and minimize complications related to implant tension.
Asunto(s)
Implantación de Mama/métodos , Mamoplastia/métodos , Adulto , Femenino , Humanos , Periodo PosoperatorioRESUMEN
Patient expectations for superlative results with breast augmentation are higher than ever, challenging the surgeon to interpret the patient's desired final breast size correctly and create natural-appearing breasts. One method that gives an aesthetically pleasing result and allows for patient input in determining breast size is the use of overexpansion with the Becker expandable prosthesis. This study shows the results of overexpansion-augmentation in 23 women, all of whom received smooth or textured Becker expandable implants. The procedure involved inflating the prostheses gradually at regular intervals after the initial surgery. When the patient indicated the size she preferred, the implants were inflated with an additional 150 to 200 cc for 4 weeks, at which time the excess was removed. This 4-week overexpansion period results in a natural shaping of the breast and gives patients control over the final size.
Asunto(s)
Mamoplastia/métodos , Expansión de Tejido , Adulto , Mama/anatomía & histología , Enfermedades de la Mama/etiología , Contractura/etiología , Diseño de Equipo , Falla de Equipo , Femenino , Hematoma/etiología , Humanos , Mamoplastia/efectos adversos , Mamoplastia/instrumentación , Siliconas , Propiedades de Superficie , Factores de Tiempo , Expansión de Tejido/efectos adversos , Expansión de Tejido/métodos , Dispositivos de Expansión TisularRESUMEN
Breast reconstruction has become such a commonplace procedure over the last ten years that we as plastic surgeons are no longer content to simply create a mound. Today's goal is to create a mound that not only looks like a breast, but also matches the opposite breast. The most commonly used procedures today include simple augmentation if adequate tissue exists, flap reconstruction with either the latissimus dorsi or the tram, and, finally, tissue expansion. Each technique has its own highlights and pitfalls. It is the purpose of this article to deal only with tissue expansion and to present a simple technique to produce symmetry with the opposite breast.
Asunto(s)
Mama/cirugía , Mastectomía Radical Modificada/rehabilitación , Cirugía Plástica/métodos , Expansión de Tejido/métodos , Adulto , Femenino , Humanos , Persona de Mediana Edad , Dispositivos de Expansión TisularRESUMEN
Surgical reconstruction of the phallus and urethra is normally difficult and time-consuming. A case is reported using a groin flap for the phallus and tubed, skin-grafted fascia for the urethra. The new urethra showed little contracture and was easy to construct.