Breast augmentation after bariatric surgery by using complementary prosthetic support for glandular containment
INTRODUCTION: The skin presents structural and proteomic changes after bariatric surgery and cannot withstand the weight of the breasts, which leads to early residual flaccidity, requiring auxiliary support. The goal is to apply a nonabsorbable polypropylene-poliglecaprone absorbable auxiliary mesh...
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| Format: | Article |
| Language: | English |
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Thieme Revinter Publicações Ltda.
2016-09-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/1756/en_v31n3a03.pdf |
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| author | Antonio Roberto Bozola |
| author_facet | Antonio Roberto Bozola |
| author_sort | Antonio Roberto Bozola |
| collection | DOAJ |
| description | INTRODUCTION: The skin presents structural and proteomic changes after bariatric surgery and cannot withstand the weight of the breasts, which leads to early residual flaccidity, requiring auxiliary support. The goal is to apply a nonabsorbable polypropylene-poliglecaprone absorbable auxiliary mesh support or Bustos silicone sheet, in the form of an "internal brassiere," to support the skin in order to maintain the shape and flaccidity of the breasts comparable with those of normal breasts.
METHODS: Nine patients underwent mammoplasty in inverted T with modeling of tissue implants, reduction of breast volume, and wrapping with an auxiliary support mesh.
RESULTS: Flaccidity was not observed at an early stage and the condition was acceptable for up to 4 years of follow-up. One of the patients had a seroma, which was drained with good resolution. Another 24 patients will be operated according to the protocol and observed for 2 years by using mammography, ultrasonography, and magnetic resonance imaging.
CONCLUSION: Reduction mammoplasty after bariatric surgery requires additional support for the mammary gland. The structurally altered skin could not support the weight of the breasts, resulting in early flaccidity. |
| format | Article |
| id | doaj-art-ffd9bde0b8654e0eb4dac08e79688e15 |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2016-09-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-ffd9bde0b8654e0eb4dac08e79688e152025-08-20T03:22:21ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352016-09-01310329930910.5935/2177-1235.2016RBCP0051Breast augmentation after bariatric surgery by using complementary prosthetic support for glandular containmentAntonio Roberto Bozola0Hospital de Base da Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, BrazilINTRODUCTION: The skin presents structural and proteomic changes after bariatric surgery and cannot withstand the weight of the breasts, which leads to early residual flaccidity, requiring auxiliary support. The goal is to apply a nonabsorbable polypropylene-poliglecaprone absorbable auxiliary mesh support or Bustos silicone sheet, in the form of an "internal brassiere," to support the skin in order to maintain the shape and flaccidity of the breasts comparable with those of normal breasts. METHODS: Nine patients underwent mammoplasty in inverted T with modeling of tissue implants, reduction of breast volume, and wrapping with an auxiliary support mesh. RESULTS: Flaccidity was not observed at an early stage and the condition was acceptable for up to 4 years of follow-up. One of the patients had a seroma, which was drained with good resolution. Another 24 patients will be operated according to the protocol and observed for 2 years by using mammography, ultrasonography, and magnetic resonance imaging. CONCLUSION: Reduction mammoplasty after bariatric surgery requires additional support for the mammary gland. The structurally altered skin could not support the weight of the breasts, resulting in early flaccidity.http://www.rbcp.org.br/export-pdf/1756/en_v31n3a03.pdfbariatric surgerymammoplastyhuman mammary glandsprostheses and implants |
| spellingShingle | Antonio Roberto Bozola Breast augmentation after bariatric surgery by using complementary prosthetic support for glandular containment Revista Brasileira de Cirurgia Plástica bariatric surgery mammoplasty human mammary glands prostheses and implants |
| title | Breast augmentation after bariatric surgery by using complementary prosthetic support for glandular containment |
| title_full | Breast augmentation after bariatric surgery by using complementary prosthetic support for glandular containment |
| title_fullStr | Breast augmentation after bariatric surgery by using complementary prosthetic support for glandular containment |
| title_full_unstemmed | Breast augmentation after bariatric surgery by using complementary prosthetic support for glandular containment |
| title_short | Breast augmentation after bariatric surgery by using complementary prosthetic support for glandular containment |
| title_sort | breast augmentation after bariatric surgery by using complementary prosthetic support for glandular containment |
| topic | bariatric surgery mammoplasty human mammary glands prostheses and implants |
| url | http://www.rbcp.org.br/export-pdf/1756/en_v31n3a03.pdf |
| work_keys_str_mv | AT antoniorobertobozola breastaugmentationafterbariatricsurgerybyusingcomplementaryprostheticsupportforglandularcontainment |