Абстракт

Цели: Description of the facilitated technique for L-shaped mastopexy and evaluating the aesthetic results of the technique, as well as the incidence of complications. Введение: Currently, we are increasingly seeking, through technologies or the advancement of surgical techniques, more satisfactory results with fewer scars. The L-shaped mastopexy technique eliminates the need for a medial incision in the breast crease, leaving the cleavage completely free of scars, something much appreciated by patients. However, it is a technique that was described using rulers or mathematical calculations that are complicated and impractical for the surgeon. This work presents a simple and easily replicable technique for different surgeries, with or without breast implants. Материалы / методы: The technique to be described was used for patients with hypertrophy or ptosis of different degrees, with or without the use of breast implants. If implants are used, the surgery begins with their introduction and then the appointment for skin resection. The medial resection is marked, with the medial limit at the midpoint of the breast (generally 9-10 cm from the sternum) and, after the skin resection, the lateral flap is retracted to resect the lower excess skin. Subsequently, vertical adjustment of the skin is performed, ascension of the areopapillary complexes and sutures. Результаты: The results of using this technique were incredibly satisfactory from an aesthetic point of view, with good long-term breast support, without the presence of ptosis within 12 months of post-operative follow-up; lower tension at the point of union of the flaps and greater oxygenation of the tissues due to the integrity of the tissues in this region, therefore, a lower incidence of suture dehiscence and exposure of breast implants, when compared to conventional mastopexy with an inverted T scar, a lower incidence of pathological scars , such as hypertrophy and keloids. Заключение: This facilitated and reproducible technique allows more surgeons to perform this surgery and provide their patients a more satisfactory result, from an aesthetic point of view, with a significant reduction in the size of scars, absence of scars on the cleavage and, mainly, a lower incidence of postoperative complications, improving patients' experience with the surgical procedure and allowing them excellent results with a better quality of life after surgery.