RESUMO
Abdominoplasty surgery has spread universally, as both an aesthetic and a reconstructive procedure, and new techniques are appearing with the goal of minimizing ischemic complications of the flap and bettering body contour. The purpose of this article is to demonstrate that an abdominoplasty technique with limited undermining and preservation of the flap perforator vessels makes it possible to reduce the complication rate attributable to flap necrosis and seroma in abdominoplasty. Doppler flowmetry color study of the abdominal wall was performed before the surgical procedure and on postoperative day 15 after lipoabdominoplasty for a series of 20 patients to evaluate the blood supply of the abdominal wall. This study confirmed the preservation of perforator arteries in the periumbilicus area and right upper quadrant after abdominoplasty with liposuction and reduced undermining.
Assuntos
Parede Abdominal/cirurgia , Procedimentos Cirúrgicos Dermatológicos , Lipectomia/métodos , Procedimentos de Cirurgia Plástica/métodos , Retalhos Cirúrgicos , Feminino , Humanos , Técnicas de Sutura , SuturasRESUMO
A cirurgia mamána sofreu grandes modificações nos últimos anos, visando á diminuiçáo das cicatrizes e á melhora e manutenção da sua forma no pós-operatório tardio, Os autores empregaram a filosofia da técnica periareolar à técnica de cicatriz vertical, com o objetivo de reduzir o comprimento da cicatriz, evitando o seu prolongamento abaixo do sulco submamário e compensando o excesso de pele ao redor da aréola, No período de março de 2001 a julho de 2004, 132 pacientes foram submetidas a mamaplastia redutora e/ou mastopexia utilizando-se a técnica de cicatriz vertical associada ao retalho de parede torácica mantido sob uma alça de músculo peitoral maior. O objetivo da utilização da combinação destas duas técnicas foi proporcionar um bom resuitado sob o ponto de vista estético: cicatriz reduzida, báscula mínima e preenchimento do pólo superior mamário.
Assuntos
Feminino , Humanos , Mama , Mamoplastia , Retalhos Cirúrgicos , Métodos , Procedimentos Cirúrgicos OperatóriosRESUMO
A cirurgia mamária sofreu grandes modificações nos últimos anos, visando a diminuição das cicatrizes e a melhora e manutenção da sua forma, no pós ope- ratório tardio. Empregando-se a filosofia da técnica periareolar à técnica de cicatriz vertical, podemos reduzir o comprimento da cicatriz, evitando o seu prolongamento abaixo do sulco submamário e compensando o excesso de pele em torno da aréola. No período de março de 2001 a julho de 2002, 53 pacientes foram submetidas à mamaplastia redutora e/ou mastopexia utilizando-se a técnica de cicatriz vertical associado ao retalho de parede torácica mantido sob uma alça de músculo peitoral maior. O objetivo da utilização da combinação destas duas técnicas foi o de proporcionar um bom resultado sob o ponto de vista estético: cicatriz reduzida, báscula mínima e preenchimento do pólo superior mamário.
Breast surgery has been greatly modified in the past few years looking for shortening of scars and improvement and maintenance of breast shape in the late post-operative period. Working with the philosophy of periareolar technique and vertical scar technique altogether, its possible to reduce scar length, avoiding the area below the inframammary crease by compensating skin excess around the areola. From March 2001 to July 2002, 53 patients were submitted to reduction mammaplasty and/or mastopexy with vertical scar technique associated to the chest wall based flap kept under a bipedicled flap of pectoralis major muscle. The goal of this combination is to achieve a good result under the aesthetic view: reduced scar, minimal breast descent and good upper pole fullness.
Assuntos
Humanos , Feminino , Cicatriz , Mamoplastia , Cicatriz/cirurgia , Cicatriz/complicações , Mamoplastia/métodosRESUMO
Breast surgery has been greatly modified in the past few years as surgeons sought to shorten scars and improve and maintain of breast shape in the late postoperative period. Working with both the periareolar technique and vertical scar technique, it is possible to reduce scar length, avoiding the area below the inframammary crease by compensating skin excess around the areola. From January 2001 to July 2002, 53 patients underwent reduction mammaplasty and/or mastopexy using the vertical scar technique associated to a thoracic-based flap kept under a bipedicled flap of the pectoralis major muscle. The goal of this combination is to achieve a good aesthetic result: a reduced scar, minimal breast descent, and good upper pole fullness.
Assuntos
Mamoplastia/métodos , Adolescente , Adulto , Idoso , Feminino , Humanos , Hipertrofia/cirurgia , Pessoa de Meia-Idade , Retalhos CirúrgicosRESUMO
Breast augmentation techniques using the submuscular and subglandular planes to introduce the implant are well known and widely used procedures. The authors have been using the subfascial dissection plane, a new concept for breast augmentation. From October of 1998 to September of 2001, 263 patients underwent breast augmentation. In all cases, the implants were inserted into the subfascial plane. McGhan 410 anatomic biodimensional, cohesive gel implants (size, 155 to 310 g) were used. There are additional benefits using this technique; these include avoiding implant deformation or distortion (as seen in the retromuscular position), leaving additional soft tissue between the implant and the skin, and minimizing implant edge prominence (inherent to retroglandular placement). These technical details lead to fewer patient complaints. Morbidity is similar to that of other techniques.
Assuntos
Implante Mamário/métodos , Adulto , Implantes de Mama , Endoscopia , Fasciotomia , Feminino , Humanos , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Reoperação , Géis de SiliconeRESUMO
The authors report their experience in using ultrasound-assited liposuction in 348 patients in the period between October 1998 and July 2001. The application of ultrasound brought additional benefits to results, such as improved skin accomodation and the treatment of difficult cases, such as, gynecomasty, dorsum and secondary liposuction. The technique was perfomed in three stages- super-wet infiltration (1.35-1), followed by ultrasound-assisted liposuction and conventional liposuction. The equipment used was a Lisonix 2000generator at the setting of 5, that is, 50 (per cent) of the device's power, which proved to be the setting that causes the least secondary effects, such as tissue fibrosis and seroma. This study also considers the history of ultrasound-assisted liposuction and focuses on the physical aspects of ultrasound, with a review of the literature on the use of the ultrasound technique.