Breast reconstruction with reverse mini abdominoplasty
INTRODUCTION: Mastectomy is very traumatic for women, and breast reconstruction is an essential procedure to improve their psychosocial well-being and quality of life. Most plastic surgeons do not perform breast reconstruction. This practice requires advanced training with a long learning curve. Bre...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2017-12-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/1888/en_v32n4a07.pdf |
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| author | Osvaldo Ribeiro Saldanha Filho Osvaldo Saldanha Eugênio Cação Marcos Ricardo Menegazzo Daniel Cazeto Andrés Cano Canchica Francisco Felipe Góis Leonardo Gobetti |
| author_facet | Osvaldo Ribeiro Saldanha Filho Osvaldo Saldanha Eugênio Cação Marcos Ricardo Menegazzo Daniel Cazeto Andrés Cano Canchica Francisco Felipe Góis Leonardo Gobetti |
| author_sort | Osvaldo Ribeiro Saldanha Filho |
| collection | DOAJ |
| description | INTRODUCTION: Mastectomy is very traumatic for women, and breast reconstruction is an essential procedure to improve their psychosocial well-being and quality of life. Most plastic surgeons do not perform breast reconstruction. This practice requires advanced training with a long learning curve. Breast reconstruction using excess flaps in reverse abdominoplasty can be a practical option and of great applicability in carefully selected patients.
METHODS: From August 2014 to June 2016, 12 patients underwent breast reconstruction using the reverse mini abdominoplasty technique. Symmetrization was performed in six patients who underwent unilateral reconstruction, with one case reconstructed bilaterally. The implants were placed in the supra-muscular plane and in a submuscular position in seven and five patients, respectively.
RESULTS: There was one case each of seroma, epitheliolysis, and partial superficial necrosis of the superficial flap, all with favorable evolution. Only one patient underwent implant extrusion.
CONCLUSION: Breast reconstruction using excess flaps in reverse mini abdominoplasty associated with implant placement is a good option for breast reconstruction in selected patients with a low complication rate. Patients with flaccidity and lipodystrophy in the upper abdomen are the ideal candidates for the use of this technique. |
| format | Article |
| id | doaj-art-52ee04f700bb48a7bb63be36cd416866 |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2017-12-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-52ee04f700bb48a7bb63be36cd4168662025-08-20T03:14:45ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352017-12-01320450551210.5935/2177-1235.2017RBCP0083Breast reconstruction with reverse mini abdominoplastyOsvaldo Ribeiro Saldanha Filho0Osvaldo Saldanha1Eugênio Cação2Marcos Ricardo Menegazzo3Daniel Cazeto4Andrés Cano Canchica5Francisco Felipe Góis6Leonardo Gobetti7Clinica Saldanha, Santos, SP, BrazilHospital São Lucas, Serviço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilHospital São Lucas, Serviço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilHospital São Lucas, Serviço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilHospital São Lucas, Serviço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilHospital São Lucas, Serviço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilHospital São Lucas, Serviço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilHospital São Lucas, Serviço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilINTRODUCTION: Mastectomy is very traumatic for women, and breast reconstruction is an essential procedure to improve their psychosocial well-being and quality of life. Most plastic surgeons do not perform breast reconstruction. This practice requires advanced training with a long learning curve. Breast reconstruction using excess flaps in reverse abdominoplasty can be a practical option and of great applicability in carefully selected patients. METHODS: From August 2014 to June 2016, 12 patients underwent breast reconstruction using the reverse mini abdominoplasty technique. Symmetrization was performed in six patients who underwent unilateral reconstruction, with one case reconstructed bilaterally. The implants were placed in the supra-muscular plane and in a submuscular position in seven and five patients, respectively. RESULTS: There was one case each of seroma, epitheliolysis, and partial superficial necrosis of the superficial flap, all with favorable evolution. Only one patient underwent implant extrusion. CONCLUSION: Breast reconstruction using excess flaps in reverse mini abdominoplasty associated with implant placement is a good option for breast reconstruction in selected patients with a low complication rate. Patients with flaccidity and lipodystrophy in the upper abdomen are the ideal candidates for the use of this technique.http://www.rbcp.org.br/export-pdf/1888/en_v32n4a07.pdfreconstructive surgical proceduresabdominoplastybreastmammaplasty |
| spellingShingle | Osvaldo Ribeiro Saldanha Filho Osvaldo Saldanha Eugênio Cação Marcos Ricardo Menegazzo Daniel Cazeto Andrés Cano Canchica Francisco Felipe Góis Leonardo Gobetti Breast reconstruction with reverse mini abdominoplasty Revista Brasileira de Cirurgia Plástica reconstructive surgical procedures abdominoplasty breast mammaplasty |
| title | Breast reconstruction with reverse mini
abdominoplasty |
| title_full | Breast reconstruction with reverse mini
abdominoplasty |
| title_fullStr | Breast reconstruction with reverse mini
abdominoplasty |
| title_full_unstemmed | Breast reconstruction with reverse mini
abdominoplasty |
| title_short | Breast reconstruction with reverse mini
abdominoplasty |
| title_sort | breast reconstruction with reverse mini abdominoplasty |
| topic | reconstructive surgical procedures abdominoplasty breast mammaplasty |
| url | http://www.rbcp.org.br/export-pdf/1888/en_v32n4a07.pdf |
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