Post-mammoplasty symmastia augmentation with silicone implants: treatment with quilting sutures
Introduction: Augmentation mammoplasty is the most commonly performed esthetic surgical procedure in the United States and second in Brazil. Symmastia is one of its possible complications. This is defined as incorrect medial positioning of the breast implants, which cross the midline, losing the int...
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| Language: | English |
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Thieme Revinter Publicações Ltda.
2018-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2050/en_v33n2a17.pdf |
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| author | Michel Pavelecini Felipe Bilhar Fasolin Eduardo Madalosso Zanin Bruno Della Mea Gasperin Flávio Maciel de Freitas Leonardo Milanesi Possamai Ronaldo Scholze Webster Pedro Bins Ely |
| author_facet | Michel Pavelecini Felipe Bilhar Fasolin Eduardo Madalosso Zanin Bruno Della Mea Gasperin Flávio Maciel de Freitas Leonardo Milanesi Possamai Ronaldo Scholze Webster Pedro Bins Ely |
| author_sort | Michel Pavelecini |
| collection | DOAJ |
| description | Introduction: Augmentation mammoplasty is the most commonly performed esthetic surgical procedure in the United States and second in Brazil. Symmastia is one of its possible complications. This is defined as incorrect medial positioning of the breast implants, which cross the midline, losing the intermammary sulcus.
Methods: Work type, series of cases. Two patients underwent symmastia repair after breast augmentation. The access route used was the previous inframammary incision. The repair of the intermammary sulcus was performed by scarification of the anterior and posterior capsule surfaces, associated with adhesion suture with non-absorbable monofilament threat (4 lines with 6 points each, comprising a vertical band of approximately 4 cm wide in the presternal region). In one of the cases, the implant was immediately replaced, and in the other, the procedure was done 3 months later.
Results: In both cases, we obtained a new satisfactory intermammary sulcus, with proper esthetic result. No recurrence was observed on follow-ups at 9 and 11 months.
Conclusions: The approach with adhesion sutures to redefine the intermammary sulcus was effective in the treatment of symmastia after breast augmentation. |
| format | Article |
| id | doaj-art-017422aa62ea4ea79a28fa85268f3faf |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2018-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-017422aa62ea4ea79a28fa85268f3faf2025-08-20T02:54:40ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352018-06-01330225125710.5935/2177-1235.2018RBCP0103Post-mammoplasty symmastia augmentation with silicone implants: treatment with quilting suturesMichel Pavelecini0Felipe Bilhar Fasolin1Eduardo Madalosso Zanin2Bruno Della Mea Gasperin3Flávio Maciel de Freitas4Leonardo Milanesi Possamai5Ronaldo Scholze Webster6Pedro Bins Ely7Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, BrazilUniversidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, BrazilUniversidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, BrazilUniversidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, BrazilUniversidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, BrazilUniversidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, BrazilUniversidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, BrazilUniversidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, BrazilIntroduction: Augmentation mammoplasty is the most commonly performed esthetic surgical procedure in the United States and second in Brazil. Symmastia is one of its possible complications. This is defined as incorrect medial positioning of the breast implants, which cross the midline, losing the intermammary sulcus. Methods: Work type, series of cases. Two patients underwent symmastia repair after breast augmentation. The access route used was the previous inframammary incision. The repair of the intermammary sulcus was performed by scarification of the anterior and posterior capsule surfaces, associated with adhesion suture with non-absorbable monofilament threat (4 lines with 6 points each, comprising a vertical band of approximately 4 cm wide in the presternal region). In one of the cases, the implant was immediately replaced, and in the other, the procedure was done 3 months later. Results: In both cases, we obtained a new satisfactory intermammary sulcus, with proper esthetic result. No recurrence was observed on follow-ups at 9 and 11 months. Conclusions: The approach with adhesion sutures to redefine the intermammary sulcus was effective in the treatment of symmastia after breast augmentation.http://www.rbcp.org.br/export-pdf/2050/en_v33n2a17.pdfbreast implantsmammoplastymammary diseasesbreastprostheses and implants |
| spellingShingle | Michel Pavelecini Felipe Bilhar Fasolin Eduardo Madalosso Zanin Bruno Della Mea Gasperin Flávio Maciel de Freitas Leonardo Milanesi Possamai Ronaldo Scholze Webster Pedro Bins Ely Post-mammoplasty symmastia augmentation with silicone implants: treatment with quilting sutures Revista Brasileira de Cirurgia Plástica breast implants mammoplasty mammary diseases breast prostheses and implants |
| title | Post-mammoplasty symmastia augmentation
with silicone implants: treatment with quilting
sutures |
| title_full | Post-mammoplasty symmastia augmentation
with silicone implants: treatment with quilting
sutures |
| title_fullStr | Post-mammoplasty symmastia augmentation
with silicone implants: treatment with quilting
sutures |
| title_full_unstemmed | Post-mammoplasty symmastia augmentation
with silicone implants: treatment with quilting
sutures |
| title_short | Post-mammoplasty symmastia augmentation
with silicone implants: treatment with quilting
sutures |
| title_sort | post mammoplasty symmastia augmentation with silicone implants treatment with quilting sutures |
| topic | breast implants mammoplasty mammary diseases breast prostheses and implants |
| url | http://www.rbcp.org.br/export-pdf/2050/en_v33n2a17.pdf |
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