Reduction mastoplasty with silicone implants: When is it indicated?

ABSTRACT

Introduction:

Patient dissatisfaction with reduction mammoplasty outcomes can occur, especially in cases of ptosis accompanied by excessive flaccidity, striations, and a higher fat than glandular content. In such cases, achieving long-lasting results is very difficult. Small-volume breast implants can be placed during the reduction mammoplasty with the purpose of obtaining better breast shape, contour, and projection as well as greater long-term satisfaction.

Method:

Between 1997 and 2012, 264 patients aged 27-55 years (mean, 38) underwent reduction mammoplasty with immediate placement of breast implants.

Results:

Satisfactory results were obtained, with adequate filling of the upper pole, increased breast firmness, and statistical reduction in postoperative ptosis. Two cases of carcinoma in situ were identified in the pathological exam.

Conclusion:

Reduction mastoplasty associated with silicone implants is safe for selected cases.

Keywords
Reduction mammoplasty; Breast hypertrophy; Silicone Implants; Carcinoma in situ; Breast ptosis