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Related Experiment Videos

Augmentation mammoplasty using the retrofascia approach.

Carlos Barbato1, Margarita Pena, Carlos Triana

  • 1Plastic Surgery, Corpus and Rostrum Clinic, Cali, Colombia, Calle 3 Oeste No. 34-96. renacimento@telesat.com.co

Aesthetic Plastic Surgery
|September 24, 2004
PubMed
Summary

The retrofascia technique for breast implants offers optimal coverage and support, minimizing risks in augmentation mammoplasty. This method, placing implants behind the fascia, achieved natural projection with a low complication rate.

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Aesthetic Surgery

Background:

  • Implant placement in augmentation mammoplasty is crucial for optimal outcomes and risk minimization.
  • Established techniques include retromammary, retropectoral, and retromuscular placements.
  • The retrofascia technique, placing implants behind the fascia and anterior to the pectoralis major muscle, was first described in 2000.

Purpose of the Study:

  • To evaluate the efficacy and safety of the retrofascia technique for breast implant placement.
  • To assess implant support, projection, and complication rates in augmentation mammoplasty.

Main Methods:

  • A prospective, nonrandomized study of 110 patients with mammary hypoplasia and ptosis (grades 1-2).
  • Implants were placed in the retrofascia plane using periareolar incisions.

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  • Follow-up averaged 1 year, with analysis of implant position, projection, and complications.

    • Main Results:

    • The retrofascia technique provided good implant support and natural superior pole projection.
    • Texturized silicone gel implants were used in 85% of cases, smooth in 15%.
    • Overall complication incidence was 7.6%, with capsular contracture being the most frequent (3.53%).

    Conclusions:

    • The retrofascia technique is effective for achieving optimal breast implant coverage and support.
    • This method offers a favorable safety profile with a low incidence of major complications.
    • The technique contributes to aesthetically pleasing results with natural projection in augmentation mammoplasty.