RESUMO
BACKGROUND: Despite the increasing popularity of the combined augmentation mastopexy procedure among patients, the safety and efficacy of this surgery have been questioned by many surgeons. OBJECTIVE: The authors investigated the safety and efficacy of the combined augmentation mastopexy procedure. METHODS: The authors retrospectively reviewed the medical records of 615 consecutive patients who underwent combined augmentation mastopexy procedures at a single outpatient surgery center from 1992 through 2011. Patient demographics, operative and implant details, and long-term outcomes were analyzed. Rates of complications and revisions were calculated. RESULTS: The most common complications were poor scarring (5.7%), wound-healing problems (2.9%), and deflation of saline implants (2.4%). Of the 615 patients evaluated, 104 (16.9%) elected to undergo revision surgery: 54 revision procedures were secondary to implant-related complications, and 50 were secondary to tissue-related complications. Our data compare favorably with previously reported revision rates for breast augmentation alone and mastopexy alone. CONCLUSIONS: With a skilled surgeon and proper patient selection, the combined augmentation mastopexy procedure can be safe and effective. LEVEL OF EVIDENCE: 4.
Assuntos
Implante Mamário/métodos , Adolescente , Adulto , Idoso , Implante Mamário/efeitos adversos , Implante Mamário/instrumentação , Implantes de Mama , California , Competência Clínica , Feminino , Humanos , Pessoa de Meia-Idade , Seleção de Pacientes , Fotografação , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Desenho de Prótese , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento , Adulto JovemRESUMO
Morel-Lavellée lesions are soft tissue degloving injuries resulting from shearing trauma that induces separation of the superficial and deep fascias creating a potential space that becomes filled with hemolymph. Here we present a case of a 28-year-old male presenting with a persistent Type I Morel-Lavallée lesion 2.5 years after an automobile versus pedestrian accident. These lesions can be visualized via computed tomography, plain film and ultrasound, but magnetic resonance imaging is the modality of choice for their identification and characterization.
Assuntos
Imageamento por Ressonância Magnética , Seroma/diagnóstico por imagem , Lesões dos Tecidos Moles/diagnóstico por imagem , Acidentes de Trânsito , Adulto , Drenagem , Humanos , Masculino , Seroma/cirurgia , Lesões dos Tecidos Moles/cirurgia , Coxa da PernaRESUMO
The midface has suffered vigorous challenges in terms of rejuvenation techniques over the years. A variety of alternatives are available for facial skeletal and soft tissue volume enhancement. No technique is ideal in every patient. After a thorough facial analysis, the surgeon must consider the advantages and disadvantages of implant-based volume enhancement in the context of each individual patient to determine the most appropriate option. Computer modeling provides improved methods to assess volumetric changes to augment and restore the facial volume. It is our belief that the multiple planes of dissection offered by the midface also allow us to redrape the soft tissues 3-dimensionally and continue to offer the consistency and longevity with implant-based midface rejuvenation.