cirugía estética mamaria

Ventura, O.
Cir. plást. iberolatinoam. vol.43, no.1. ene./mar. 2016. pp.3-10

portada - Cirugía Plástica Ibero - Latinoamericana_hugeLa mama con disminución de volumen y ptósica requiere un procedimiento doble que consiste, en la mayoría de los casos, en aumento con implante y ajuste de los tejidos al nuevo tamaño. Esta es una realidad que sienten los cirujanos plásticos con experiencia y mucho más aquellos que comienzan a transitar por la especialidad.
En mamas ptósicas que requieren aumento, el volumen añadido de la prótesis puede cambiar los requerimientos de escisión cutánea, causando inconvenientes si se ha calculado mal la superficie desepidermizada o generando lógicas dudas entre una pexia con técnica periareolar o una periareolo-vertical.

Cardenas-Camarena, L; Dorado, C; Guerrero; M; Nava, R.
Aesthetic Plastic Surgery, June 2017, Volume 41, Issue 3, pp 507–516

portada - Aesthetic Plastic Surgery - Vol. 41; No. 2 (2017)Aesthetic breast area improvements for gynecomastia and gender dysphoria patients who seek a more masculine appearance have increased recently. We present our clinical experience in breast masculinization and a classification for these patients.
From July 2003 to May 2014, 68 patients seeking a more masculine thorax underwent surgery. They were divided into five groups depending on three factors: excess fatty tissue, breast tissue, and skin. A specific surgical treatment was assigned according to each group. The surgical treatments included thoracic liposuction, subcutaneous mastectomy, periareolar skin resection in one or two stages, and mastectomy with a nipple areola complex graft.

Dinah, W; Rohrich, R.
Plastic and Reconstructive Surgery – Global Open: Post Editor Corrections: May 25, 2017

portada - PRS Golbal Open - Vol. 1; No. 3 (2013)The increasing variety of breast implants has led to their classification into «profile» types to guide implant cataloguing and selection. Implant «profile» describes the overall silhouette of the implant. It represents a permutation of all 3 dimensions of the implant: base diameter, projection, and volume. Implant «profile» is not the same as implant projection. Implant projection is a quantifiable linear measurement of the anterior-posterior dimension of the implant, whereas implant «profile» is a vendor-driven assessment that currently lacks universal standardization. Until «profile» assessments are standardized across vendors, it behooves us to be cognizant of their limitations as primary variables used to guide implant selection.

Brault, N. et als.
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2017-05-01, Volúmen 70, Número 5, Páginas 585-595

portada - JPRAS - Vol. 70; No. 5 (2017)Breast implants and, more recently, autologous fat grafting are the two most common treatments used to correct tuberous breast deformity (TBD). The post-surgical quality of life between the two techniques is not well demonstrated. This study aimed to compare satisfaction and health-related quality of life in patients affected by TBD between these two techniques.
All TBD patients operated between January 2008 and May 2015 were retrospectively identified, and only those treated with implants or lipofilling were included. Satisfaction was evaluated at least 6 months after surgery with the postoperative Breast-Q ® augmentation module.

Doren, E. L. et als.
Plastic & Reconstructive Surgery – May 2017 – Volume 139 – Issue 9 – p 1042–1050

portada - PRS - Vol. 132; No. 2 (2013)Breast implant–associated anaplastic large cell lymphoma (ALCL) is a distinctive type of T-cell lymphoma that arises around breast implants. Although rare, all cases with adequate history have involved a textured breast implant. The objective of this study was to determine the U.S. incidence and lifetime prevalence of breast implant–associated ALCL in women with textured breast implants.
This study demonstrates a statistically significant association between textured breast implants and breast implant–associated ALCL. Although women with a textured breast implant have a low risk of developing breast implant–associated ALCL, the current U.S. incidence is significantly higher than that of primary ALCL of the breast in the general population.

Yuen Wong, K; Malata, C.
Journal of Plastic, Reconstructive & Aesthetic Surgery, 2014-07-01, Volúmen 67, Número 7, Pages 921-926

portada - JPRAS - Vol. 67; No. 7 (2014)Numerous surgical techniques exist for gynaecomastia treatment. Although ultrasound-assisted liposuction (UAL) is thought to be more effective than conventional liposuction, to date there remains no objective and direct comparison of the two modalities. Hence, a comparative study was performed of a single surgeon’s experience over 13 years using two definitive parameters, namely intraoperative conversion to open excision and postoperative revisional surgery rates.

Mallucci, P; Branford, O.

Plastic & Reconstructive Surgery – September 2014 – Volume 134 – Issue 3 – p 436–447

portada - PRS - Vol. 132; No. 2 (2013)The authors previously identified key objective parameters that define the aesthetic ideal of the breast in a study of 100 models with natural breasts. In this follow-up article, the opinion of the general public on ideal breast proportions was surveyed.
One thousand three hundred fifteen respondents were asked to rank the attractiveness of images of four women with varying breast sizes. Each of the women’s breasts were morphed into four different proportions. One of the key features was the upper pole–to–lower pole percentage proportion, corresponding to ratios of 35:65, 45:55, 50:50, and 55:45. Rankings were analyzed according to population demographics. Effects of age, sex, nationality, and ethnicity were evaluated. The responses of 53 plastic surgeons were included.

Piña Martínez, V; Castro Sierra, A.
Cir. plást. iberolatinoam. vol.42, no.1. ene./mar. 2016. pp.13-20

portada - Cirugía Plástica Ibero - Latinoamericana_huge

La contractura capsular (CC) es la complicación más común y frustrante en mujeres que se han sometido a cirugía de aumento mamario con fines estéticos. La causa es actualmente desconocida y se considera que a menudo participan varios factores conjuntamente.
Se realizó un estudio prospectivo observacional de casos y controles anidados en una cohorte de pacientes, llevado a cabo durante 4 años en la Clínica Ruber de Madrid.

Swanson, E.
Plastic and Reconstructive Surgery – Global Open, December 2014 – Volume 2 – Issue 12 – p e281

portada - PRS Golbal Open - Vol. 1; No. 3 (2013)Breast reduction is well-known to provide an improvement in physical symptoms. However, measurements show that this procedure is less effective in restoring upper-pole fullness. Breast implants effectively augment the upper pole. This study was undertaken to determine the effectiveness and safety of this treatment combination.
This retrospective study consists of 3 parts: (1) a clinical study, (2) breast measurements, and (3) an outcome study. Eighty consecutive women undergoing breast reduction (n = 56) or breast reduction plus implants (n = 24) were evaluated. All breast implants were inserted submuscularly.