Mastopexy with the splitting of the upper pectoral muscle and inferior muscle flap

dc.contributor.authorSgarbi, Jerônimo Martinez
dc.contributor.authorSecanho, Murilo Sgarbi [UNESP]
dc.contributor.authorSgarbi, Victória
dc.contributor.institutionPlastic Surgery
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.description.abstract■ ABSTRACT Introduction: Mastopexies are among the most performed aesthetic procedures globally but still have a high patient dissatisfaction rate. Several techniques have been described in the search for the improvement of the technique. Kahn described a technique with biplanar dissection of the pectoralis major muscle, creating a superior envelope for the prosthesis’s inclusion in this space. The modification of this, associated with Daniel’s lower flap, leads to good results, with low rates of complications. The objective is to describe the muscle splitting technique described by Kahn, performed in combination with the lower pedicle flap described by Daniel in the augmentation mastopexies. Methods: Description of the technique and retrospective analysis, through medical records, of patients submitted to this surgery at the Dr. Jerônimo Clinic, located in Ibitinga/ SP. Results: We analyzed 192 patients, with a mean age of 43 years. The procedure average time was 150 minutes. There were 21 complications, such as seroma, unaesthetic scarring, asymmetries, and epidermolysis. This technique is a therapeutic arsenal for mastopexies. It has the advantage of not presenting complications related to the total and subglandular submuscular plane. It presents the naturalness of the contour in the upper pole, absence of lateralization, and prosthesis movement. Furthermore, the association with a lower flap provides greater protection and support to the implant, reducing the chance of ptosis. Conclusion: The technique presented good results, with low rates of complications. It is evidencing a viable, safe and reproducible alternative to perform augmentation mastopexy.en
dc.description.affiliationClínica Dr. Jerônimo Plastic Surgery
dc.description.affiliationSão Paulo State University (UNESP) Faculty of Medicine of Botucatu Surgery and Orthopedics
dc.description.affiliationHospital Ipiranga Plastic Surgery
dc.description.affiliationUnespSão Paulo State University (UNESP) Faculty of Medicine of Botucatu Surgery and Orthopedics
dc.identifier.citationRevista Brasileira de Cirurgia Plastica, v. 36, n. 2, p. 115-121, 2021.
dc.relation.ispartofRevista Brasileira de Cirurgia Plastica
dc.subjectBreast implants
dc.subjectPectoral muscles
dc.subjectPlastic surgery
dc.titleMastopexy with the splitting of the upper pectoral muscle and inferior muscle flapen
dc.titleMastopexia com splitting de músculo peitoral superior e cinta muscular inferiorpt