Ventajas del implante graso autólogo sobre el implante aloplástico en la mama tuberosa.

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Bibliographic Details
Title:	Ventajas del implante graso autólogo sobre el implante aloplástico en la mama tuberosa.
Alternate Title:	Advantages of autologous fat graft over alloplastic implant in tuberous breast.
Authors:	CERVILLA LOZANO, Juan Manuel¹ drcervilla@clinicacermar.com
Source:	Cirugía Plástica Ibero-Latinoamericana. jul-sep2020, Vol. 46 Issue 3, p259-271. 13p.
Abstract (English):	Background and objective. After touring the different techniques for the repair of the tuberous breast from the 70's until now, we conclude that there is no easy procedure and free of complications both by the technique itself and by the use of alloplastic implants. We compare the disadvantages and advantages, indications and complications of fat transplantation versus alloplastic implants in order for the plastic surgeon to take into consideration the fat transfer technique when carrying out the reconstruction procedure of a tuberous breast, since this technique can yield better results than the sole use of implants. Methods. A retrospective study was carried out on 40 patients with tuberous breasts corrected by using a fat autograft and with a postoperative follow-up of 23.4 months. Results. Total number of operated patients was 40, each one operated on in 2 stages. The usual technique was that of Coleman for infiltration of the fat graft. We present 8 cases, 2 for each degree in relation to the Von-Heigburg classification, and its resolution. Conclusions. In our experience, fat implant is the technique of choice in this process because the scars are minimal, the breast shape is more natural, excludes complications of alloplastic material and it´s a simple procedure with a quick learning curve. Besides, associated liposculpture is an important value, postoperative care is simple, and complications are uncommon [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción y objetivo. Después de recorrer las diferentes técnicas para la reparación de la mama tuberosa desde los años 70 hasta ahora, concluimos que no existe un procedimiento fácil y sin complicaciones tanto por la técnica en sí como por el uso de implantes aloplásticos. Comparamos las desventajas y ventajas, indicaciones y complicaciones, del trasplante de grasa frente al implante aloplástico, con el fin de que el cirujano plástico tenga en consideración la técnica de transferencia grasa a la hora de llevar a cabo el procedimiento de reconstrucción de una mama tuberosa, puesto que se trata de una técnica que puede reportar mejores resultados que la mera utilización de implantes. Material y método. Estudio retrospectivo sobre 40 pacientes con mamas tuberosas corregidas mediante autoinjerto graso y con seguimiento postoperatorio medio de 23.4 meses. Resultados. El total de pacientes operadas fue de 40, cada una en 2 tiempos. La técnica habitual fue la de Coleman para la infiltración del injerto graso. Presentamos 8 casos, 2 por cada grado de tuberosidad según la clasificación de Von-Heigburg, y su resolución. Conclusiones. En nuestra experiencia en el tratamiento de la mama tuberosa con este método, el implante graso es la técnica de elección porque produce cicatrices mínimas, proporciona una forma más natural al seno y excluye las complicaciones del material aloplástico. Es un procedimiento sencillo, con una curva de aprendizaje rápida. Además, la lipoescultura asociada es un valor importante, la atención postoperatoria es simple y las complicaciones son poco frecuentes. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Background and objective. After touring the different techniques for the repair of the tuberous breast from the 70's until now, we conclude that there is no easy procedure and free of complications both by the technique itself and by the use of alloplastic implants. We compare the disadvantages and advantages, indications and complications of fat transplantation versus alloplastic implants in order for the plastic surgeon to take into consideration the fat transfer technique when carrying out the reconstruction procedure of a tuberous breast, since this technique can yield better results than the sole use of implants. Methods. A retrospective study was carried out on 40 patients with tuberous breasts corrected by using a fat autograft and with a postoperative follow-up of 23.4 months. Results. Total number of operated patients was 40, each one operated on in 2 stages. The usual technique was that of Coleman for infiltration of the fat graft. We present 8 cases, 2 for each degree in relation to the Von-Heigburg classification, and its resolution. Conclusions. In our experience, fat implant is the technique of choice in this process because the scars are minimal, the breast shape is more natural, excludes complications of alloplastic material and it´s a simple procedure with a quick learning curve. Besides, associated liposculpture is an important value, postoperative care is simple, and complications are uncommon [ABSTRACT FROM AUTHOR]
ISSN:	03767892
DOI:	10.4321/S0376-78922020000300003