RESUMEN
OBJECTIVE: To evaluate the final reconstructive results in 6 cases of female Poland syndrome treated in a first stage with an anatomical high cohesive breast implants and in a second stage with free autologous fat grafts. METHODS: Six females were submitted to bilateral breast reconstruction. The reconstruction was done using anatomical breast implants as first step and after 11 to 18 months the free autologous fat grafting using the Coleman technique as well as treating the contralateral breast to achieve a better symmetry and volume. Photographies taken pre and postoperatively and the Foucras Classification were used to determine volume. Four months after the last surgery the patients answered a satisfaction questionnaire. RESULTS: In all 6 patients there was an improvement of the thoracic contour a year after the last surgery in terms of volume, projection and width of the breast. CONCLUSIONS: The use of free autologous fat grafts improves the results in cases of Poland's syndrome previously treated with breast implants making possible to correct the anterior axillary fold, projection and symmetry with a versatile method, with a low morbidity rate, allowing for a personalized treatment.
Asunto(s)
Tejido Adiposo/trasplante , Mama/anomalías , Mamoplastia/métodos , Adolescente , Mama/cirugía , Implantes de Mama , Femenino , Humanos , Síndrome de Poland/patología , Síndrome de Poland/cirugía , Procedimientos de Cirugía Plástica/métodos , Factores de Tiempo , Trasplante Autólogo , Resultado del Tratamiento , Adulto JovenRESUMEN
Objetivos. Evaluar el resultado final reconstructivo en 6 casos de síndrome de Poland tratados en un primer tiempo con prótesis mamaria de gel cohesivo y en un segundo tiempo con injertos libres de grasa autóloga. Material y métodos. Seis chicas fueron sometidas a reconstrucción mamaria bilateral, realizándose en un primer tiempo la reconstrucción con prótesis mamaria anatómica de gel cohesivo y en un segundo tiempo se realizaron injertos de tejido adiposo en la mama reconstruida así como simetrización de la mama contralateral incluyendo injertos libres de grasa autóloga, reducción mamaria o bien mastopexia. Se tomaron fotos pre y postoperatorias y se realizó la clasificación de Foucras para determinar el volumen necesario. Asimismo, se determinó también el grado de satisfacción postoperatoria con un cuestionario que las pacientes contestaron 4 meses después de la última cirugía. Resultados. En las 6 pacientes se observó mejoría del contorno torácico al año de la última intervención, tanto desde el punto de vista del volumen como de proyección y anchura de la mama. Conclusiones. El uso de injertos libres de grasa autóloga mejora el resultado en casos de síndrome de Poland ya reconstruidos con prótesis mamaria ya que se puede corregir el pliegue axilar anterior, el hundimiento infraclavicular, la proyección y la simetría con un método versátil, con poca morbilidad, pudiendo personalizar el tratamiento
Objective. To evaluate the final reconstructive results in 6 cases of female Poland syndrome treated in a first stage with an anatomical high cohesive breast implants and in a second stage with free autologous fat grafts. Methods. Six females were submitted to bilateral breast reconstruction. The reconstruction was done using anatomical breast implants as first step and after 11 to 18 months the free autologous fat grafting using the Coleman technique as well as treating the contralateral breast to achieve a better symmetry and volume. Photographies taken pre and postoperatively and the Foucras Classification were used to determine volume. Four months after the last surgery the patients answered a satisfaction questionnaire. Results. In all 6 patients there was an improvement of the thoracic contour a year after the last surgery in terms of volume, projection and width of the breast. Conclusions. The use of free autologous fat grafts improves the results in cases of Polands syndrome previously treated with breast implants making possible to correct the anterior axillary fold, projection and symmetry with a versatile method, with a low morbidity rate, allowing for a personalized treatment
Asunto(s)
Humanos , Femenino , Adolescente , Síndrome de Poland/cirugía , Mamoplastia/métodos , Implantes de Mama , Resultado del Tratamiento , Colgajos Tisulares Libres , Satisfacción del PacienteRESUMEN
The authors present their experience with the pectoral muscle implant for male chest enhancement in 21 patients. The markings and technique are thoroughly described. The implants used were manufactured and custom made. The candidates for implants comprised three groups: group 1 (18 patients seeking chest enhancement), group 2 (1 patient with muscular atrophy), and group 3 (2 patients with muscular injuries). Because of the satisfying results obtained, including significant enhancement of the chest contour and no major complications, this technique is used for an increasing number of male cosmetic surgeries.
