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Reconsideración de la selección del plano del implante: ¿Todavía necesitamos ir debajo del músculo?
Paolo Montemurro1, Tarush Gupta2, Patrick Mallucci3
1Specialist plastic surgeon in private practice, Stockholm, Sweden.
Aesthetic surgery journal
|February 5, 2026
Resumen
El aumento de senos prepectoral se favorece cada vez más sobre los métodos tradicionales de doble plano. Este cambio, impulsado por avances quirúrgicos y preferencias de los pacientes, ofrece resultados favorables al evitar la manipulación muscular.
Área de la Ciencia:
- Cirugía Plástica
- Cirugía Estética
- Técnicas de Aumento de Senos
Sus antecedentes:
- El aumento de senos de doble plano era el estándar tradicional.
- La colocación prepectoral se reservaba previamente para casos específicos.
- Los avances en la tecnología de implantes y la experiencia clínica impulsan la reevaluación.
Objetivo del estudio:
- Documentar el cambio en la práctica del aumento de senos del doble plano al prepectoral.
- Analizar las tendencias utilizando datos retrospectivos y conocimientos clínicos.
Principales métodos:
- Revisión retrospectiva de aumentos de senos primarios de 2009 a 2024.
- Comparación de la selección del plano de aumento entre dos períodos distintos (2009-2020 y 2021-2024).
- Análisis de la justificación quirúrgica, la demografía de los pacientes y los volúmenes de implantes.
Principales resultados:
- La colocación prepectoral (subglandular) aumentó significativamente con el tiempo.
- El uso aumentó del 3,25 % (2009-2020) al 21,7 % (2021-2022) y al 42,2 % (2023-2024).
- Esta tendencia indica una creciente confianza de los cirujanos y preferencia de los pacientes por el aumento prepectoral.
Conclusiones:
- La selección del plano del implante requiere individualización según la anatomía y los objetivos del paciente.
- El auge del aumento prepectoral refleja la evolución de las estrategias quirúrgicas.
- La colocación prepectoral adecuada puede lograr resultados favorables sin manipulación muscular.
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