NDLI: Supplementary implants in breast reconstruction

Content Provider	Scientific Electronic Library Online (SciELO)
Author	Tavares Filho, João Medeiros Belerique, Manoel Franco, Diogo Arbex, Guilherme Arnaut Junior, Marcio Franco, Talita
Abstract	BACKGROUND: Depression in the anterior wall of the axilla following mastectomy is distressing to patients when they wear summer clothing and may also cause difficulty in raising the arm if there are adhesions and retractions in the region. In these patients, we use supplementary implants that reconstitute the local anatomy in a satisfactory manner and which offer functional benefits by removing cicatricial adhesions. These implants are available in several sizes and volumes, and it is possible to use more than one prosthesis in the same location, if needed. The aim of this study is to report the experience of the Plastic Surgery Unit of the Federal University of Rio de Janeiro (Rio de Janeiro, RJ, Brazil) with the use of supplementary implants in breast reconstruction after mastectomy to improve the aesthetic appearance and function of the axillary region. METHODS: Supplementary silicone implants were inserted for breast reconstruction following mastectomy in 6 female patients, aged 34 to 75 years. The volume of the implants ranged from 20 mL to 120 mL. The width, length, and depth of the axillary region were measured to define the volume and dimensions, as well as the number of implants to be used. The implants were inserted through the scar from the prior breast reconstruction. RESULTS: The follow-up period ranged from 6 months to 8 years, and no capsular contracture was observed. All patients reported functional improvement in arm movement, as well as satisfaction with the aesthetic result, which allowed them to wear more revealing clothing. CONCLUSIONS: The inclusion of semilunar silicone implants as a refinement in breast reconstruction is easy to perform, has predictable results, and requires only one surgical procedure. The implants may be replaced, augmented, or removed, as required.
Related Links	http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1983-51752012000200020&lng=en&nrm=iso http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-51752012000200020&lng=en&nrm=iso
Starting Page	290
Ending Page	293
Page Count	4
File Format	PDF
ISSN	19835175
DOI	10.1590/S1983-51752012000200020
Journal	Revista Brasileira de Cirurgia Plástica
Issue Number	2
Volume Number	27
Language	English Portuguese
Publisher	Sociedade Brasileira de Cirurgia Plástica
Publisher Date	2012-06-01
Publisher Institution	UFRJ
Publisher Place	Brasil
Access Restriction	Open
Subject Keyword	Breast implantation Breast implants Prostheses and implants Mammaplasty Implante mamário Implantes de mama Próteses e implantes Mamoplastia
Alternative Title	Implantes complementares na reconstrução mamária
Content Type	Text
Resource Type	Article
Subject	Surgery

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