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Periareolar mammaplasty with silicone supporting lamina
Plastic and Reconstructive Surgery
|April 1, 1992
Summary
This study presents a mammaplasty technique using a silicone sheet, achieving satisfactory results in 94.4% of patients for breast ptosis and hypertrophy. The method effectively reshaped breasts, preserved function, and minimized scarring without interfering with examinations.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
Background:
- Breast ptosis and hypertrophy present common aesthetic and functional concerns.
- Existing mammaplasty techniques may have limitations in terms of scar visibility, recurrence rates, and functional preservation.
Purpose of the Study:
- To evaluate the efficacy and safety of a novel mammaplasty technique.
- To assess outcomes related to breast reshaping, scar minimization, and functional preservation.
Main Methods:
- A periareolar incision and inferior pedicle trilobar flap mammaplasty technique was employed.
- A silicone supporting sheet was incorporated into the surgical procedure for 485 patients.
- Indications included breast ptosis, moderate to severe hypertrophy, or both.
Main Results:
- Satisfactory outcomes were achieved in 458 patients (94.4%).
- Mean follow-up was 22 months, with no recurrences or functional alterations reported in 427 patients.
- No adverse pathologic processes were associated with the silicone prosthesis; examinations remained unaffected.
Conclusions:
- The described mammaplasty technique effectively reshapes the breast, maintaining anatomic and functional integrity.
- This approach minimizes scarring and reduces the incidence of recurrences.
- The integrated silicone sheet is safe and does not impede breast examinations.