Treatment of breast ptosis by placing subfascial silicone implants followed by inverted “T” mastopexy

ABSTRACT

Introduction:

The treatment of breast ptosis using mastopexy associated with the placement of silicone prosthesis in a single surgical procedure is a challenge for surgeons. There are several techniques described in the literature. This study aims to describe the placement of silicone breast implants in the subfascial plane, followed by an extensive anterior dissection of the pectoralis major muscle fascia, totally separating it from the rest of the breast parenchyma in the treatment of patients with breast ptosis. Moreover, analyze the aesthetic results of operated patients.

Methods:

During the period from September 2017 to February 2019, 64 mastopexies with an inverted “T” scar were performed associated with silicone breast implants placed in the subfascial plane, bilaterally, textured high-profile round prostheses whose volumes ranged from 180ml to 380ml, in patients with breast ptosis.

Results:

The average age was 34 years, ranging from 19 to 55 years. The postoperative follow-up time was 1 to 18 months. The main complications were: 3 cases (4.6%) of residual skin flaccidity in the 8-month follow-up; two cases (3.1%) of unsightly scars; one case (1.5%) of partial areola necrosis. There was no case of infection or seroma.

Conclusion:

The technique of placing silicone breast implants in the subfascial plane, followed by an extensive anterior dissection of the pectoralis major muscle fascia, totally separating it from the rest of the breast parenchyma, was effective in the treatment of patients with breast ptosis.

Keywords:
Breast; Prosthesis implant; Plastic surgery; Aesthetics; Atrophy.