Diego Fernando Alarcon Ariza, Ovidio Alarcon, Laura Cristina Zambrano Jerez and Natalia Cristina Alarcon Ariza
International Hospital of Colombia (HIC), Colombia
Industrial University of Santander (UIS), Colombia
Autonomous University of Bucaramanga (UNAB), Colombia
Posters & Accepted Abstracts: Surgery Curr Res
Purpose: This study was designed to describe a case of a primary modified vertical Masteopexy augmentation by the main author, highlighting a double plane implant pocket closure and a symmetrical, short and horizontal scar located at the new sub mammary line to prevent skin redundancy. Methods: We present a case study of a 30 years old female with a preoperative assessment of bilateral grade 2 ptosis, with moderate vertical excess and breast overhanging the inframammary fold (IMF). A vertical elliptical resection pattern was marked preoperatively. A superior based pedicle and intraoperative nipple sitting. The implants were placed through a horizontal incision just below the inferior border of the areola, under the sub-fascial plane. After the implant was placed, the distance from the nipple to the IMF was assessed, we measured 7cm for optimal nipple-to-IMF distance. Dermo-glandular flaps of the medial and lateral pillars were fixed vertically, after vertical excess resection. The skin redundancy inferior to the intersection of this vertical line and the new sub mammary line was excised by creating a triangular pattern seemed like dog ears. The resection of the triangular pattern resulted in a symmetrical, short and horizontal scar located at the new sub mammary line. Results: With this superior pedicle modified vertical scar mammoplasty technique, the main author provides a double opposing plane closure for the implant pocket pattern diminishing implant extrusion risk. The risk of Persistent ptosis is decreased avoiding skin redundancy at the vertical scar with a short horizontal scar at the new sub mammary line. Postoperative view 2 months after the patient underwent augmentation/Masteopexy with a 350-cc moderate-plus profile silicone gel implant on the left and right breast with satisfactory results. No scar, nipple, residual ptosis complications. Conclusions: The combined Masteopexy augmentation offers technical advantages and permits safe single-stage surgery. Our preferred approach is a modified vertical Masteopexy augmentation in cases of moderate ptosis. The implant should always be placed before any tissue is removed for the pexy. Insert the implant providing the best possible coverage should be sought, avoiding incisions where implant extrusion is more probable. Evaluate the degree of ptosis correction, and then proceed with short-scar vertical Masteopexy whenever the residual ptosis appears problematic. Simple details such as these are of vital importance for ensuring the success of the surgery and for the maximum avoidance of complications. This results in high patient satisfaction, superior results with little scarring, and fewer secondary procedures.
E-mail: diegoalarconmd@gmail.com
