Details

Autor(en) / Beteiligte

• Higgs, Michael J.
• Mangubat, E. Antonio
• Shiffman, Melvin A.
• Petro, Jane
• Beldholm, Bernard
• Hodgkinson, Darryl
• Walker, John

Titel

Case 128: Safety First

Ist Teil von

• Cosmetic Breast Cases, p.483-489

Ort / Verlag

Cham: Springer International Publishing

Link zum Volltext

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• A 46-year-old patient had mastopexy/breast reduction 22 years previously. The question was raised as to doing breast augmentation when the records from the prior surgery cannot be obtained and there is no information as to what pedicle was used. The discussion revolved around what incision approach should be used and what is the blood supply to the breast. Bilateral subpectoral augmentation via axillary incisions was performed with round, smooth, silicone gel implants. At 3 months, there was persistent asymmetry with the right implant remaining too high. A revision was performed via a 5 cm inframammary incision at the desired inframammary fold (IMF) position, laterally placed to avoid the inferior pedicle. The implant was removed via a lower capsulotomy and dissection made to lower the pocket. A lateral capsulorrhaphy was performed at the level of the right nipple. Final results were excellent.