Intramuscular Breast Augmentation in Secondary Mastopexy Augmentation.

IF 3.2 2区医学 Q1 SURGERY

Plastic and reconstructive surgery Pub Date : 2025-01-01 Epub Date: 2024-06-10 DOI:10.1097/PRS.0000000000011577

Ruth M Graf, Maria C C Ono, Dayane R de Paula

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引用次数: 0

Abstract

Background: Breast augmentation with implants is one of the most performed aesthetic surgical procedures performed worldwide. The authors describe a new option for breast implant secondary procedures, the intra-pectoralis major pocket, as a feasible and reproducible surgical technique.

Methods: A retrospective chart review was conducted on all patients who underwent a revision augmentation or mastopexy augmentation procedure between 2005 and 2022 performed by the senior author (R.M.G.). The intramuscular pocket is dissected between the pectoralis muscle fascicles where it is almost not bleeding.

Results: Patients were followed up for an average of 21.5 months. A total of 319 patients underwent revisionary breast augmentation/mastopexy performed by the senior author (R.M.G.). Indications for reoperation were based both on specific patient dissatisfaction with their original surgery and the surgeon's physical examination and assessment. In 196 cases, the authors performed the intramuscular pocket technique. None of the intramuscular pockets had capsular contracture or animation deformity in the follow-up period.

Conclusion: The intramuscular pocket technique is a valuable and safe technique for secondary breast augmentation.

Clinical question/level of evidence: Therapeutic, IV.

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"二次隆胸术中的肌肉内隆胸"

背景：假体隆胸术是全球开展最多的美容外科手术之一。我们介绍了胸大肌内袋这一乳房植入物二次手术的新选择，它是一种可行且可重复的手术技术：方法：资深作者对 2005 年至 2022 年期间所有接受修正隆胸或乳房增大隆胸术的患者进行了回顾性病历审查。在几乎不出血的胸肌筋膜间剥离肌内袋：对患者进行了平均 21.5 个月的随访。共有 319 名患者接受了由资深作者主刀的隆胸/乳房整形翻修手术。再次手术的指征基于患者对原手术的具体不满意程度以及外科医生的身体检查和评估。在 196 个病例中，我们进行了肌内袋手术。在随访期间，无一例肌内袋患者出现关节囊挛缩或动画畸形：肌肉内技术是二次隆胸术中一种有价值且安全的技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Plastic and reconstructive surgery 医学-外科

CiteScore

5.00

自引率

13.90%

发文量

1436

审稿时长

1.5 months

期刊介绍： For more than 70 years Plastic and Reconstructive Surgery® has been the one consistently excellent reference for every specialist who uses plastic surgery techniques or works in conjunction with a plastic surgeon. Plastic and Reconstructive Surgery® , the official journal of the American Society of Plastic Surgeons, is a benefit of Society membership, and is also available on a subscription basis. Plastic and Reconstructive Surgery® brings subscribers up-to-the-minute reports on the latest techniques and follow-up for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental studies, maxillofacial reconstruction, hand and microsurgery, burn repair, cosmetic surgery, as well as news on medicolegal issues. The cosmetic section provides expanded coverage on new procedures and techniques and offers more cosmetic-specific content than any other journal. All subscribers enjoy full access to the Journal''s website, which features broadcast quality videos of reconstructive and cosmetic procedures, podcasts, comprehensive article archives dating to 1946, and additional benefits offered by the newly-redesigned website.