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      Comparación a largo plazo de resultados en mastopexia con patrón de cicatriz en T invertida o periareolar. Casuística personal Translated title: Long-term comparison of results in mastopexy with inverted T or periareolar scar pattern. Personal casuistry

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          Abstract

          Resumen Introducción y objetivo. Están descritas múltiples técnicas de mastopexia, sin embargo, los reportes de resultados a largo plazo con diferentes técnicas son escasos. Las que emplean patrón de resección cutánea o patrón de cicatriz en T invertida y periareolar siguen siendo las más utilizadas, motivo por el cual presentamos la comparación de los resultados obtenidos en nuestra experiencia a largo plazo. Material y método. Estudio longitudinal, comparativo, observacional, retrospectivo, comparando la satisfacción estética y la probabilidad de complicaciones asociadas en 97 casos de mastopexia, operados 48 con técnica en T invertida y 49 con técnica periareolar. Analizamos la homogeneización de los datos con las pruebas x2 y Fisher y empleamos la razón de momios (OR, IC 95%) como medida de asociación entre la técnica quirúrgica utilizada y la probabilidad de presentar complicaciones. Resultados. A 5 años, de 48 pacientes que declararon satisfacción de 100-80%, todas habían sido operadas con técnica en T invertida (p <0.001). Tanto para la técnica en T invertida como para la técnica periareolar, el valor de p según la prueba de Friedman para muestras relacionadas fue <0.000. Conclusiones. En nuestra experiencia, el patrón de mastopexia periareolar tiene menor satisfacción y más complicaciones a largo plazo que la técnica en T invertida, de lo que concluimos que el patrón de mastopexia periareolar es recomendable en pacientes con ptosis mamaria grado I y/o con implantes de poco volumen; la mastopexia con técnica en T invertida tiene más satisfacción y menos complicaciones a largo plazo con respecto a ensanchamiento del complejo areola-pezón y asimetría mamaria.

          Translated abstract

          Abstract Background and objective. Multiple mastopexy techniques have been described, however, reports of long-term results in different techniques are scarce. The inverted-T and periaerolar techniques continue to be the most used, reason why we describe our experience with the long-term comparison of the two techniques. Methods. A longitudinal, comparative, observational, retrospective study comparing aesthetic satisfaction, speed of recovery and the probability of long-term associated complications was carried out in 97 mastopexy cases: 48 operated with the inverted-T technique and 49 with the periareolar technique. The homogenization of the data was analyzed with the x2 and Fisher tests and the odds ratio (OR, 95% CI) was used as a measure of association between the surgical technique used and the probability of presenting complications. Results. At 5 years, of 48 patients who declared satisfaction of 100-80% all were operated with the inverted-T technique (p <0.001). For both the inverted T technique and the periareolar technique, the p-value according to the Friedman test for related samples was <0.000. Conclusions. In our experience, the periareolar mastopexy pattern has less satisfaction and more long-term complications than the inverted-T technique, from which we conclude that the periareolar mastopexy pattern is recommended in patients with grade I mammary ptosis and/or with small volume breast implants; mastopexy with the inverted-T technique has more satisfaction and fewer long-term complications like widening of the nipple-areola complex and breast asymmetry.

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          Concepts in aesthetic breast dimensions: analysis of the ideal breast.

          This article identifies the key parameters that define the aesthetic ideal of the breast. Whilst much has previously been written on the aesthetic characteristics of the breast, thus far objective indices of beauty have not been identified.
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            Augmentation/Mastopexy: "Surgeon, Beware".

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              Five Critical Decisions in Breast Augmentation Using Five Measurements in 5 Minutes: The High Five Decision Support Process

              Surgeons' decisions impact patient outcomes and implant effects on tissues over time. Tissue assessment systems that provide quantitative, objective data enable objective rather than subjective decisions. First-generation dimensional systems for breast augmentation defined a desired result dimensionally and recommended an implant to force tissues to the desired result. A second-generation system, the TEPID system, defines measurements to match the implant to the patient's tissue characteristics, instead of forcing tissues to a desired result. This study defines a third-generation decision support process that prioritizes five critical decisions, identifies five key measurements, and completes all preoperative assessment and operative planning decisions in breast augmentation in 5 minutes or less.
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                Author and article information

                Journal
                cpil
                Cirugía Plástica Ibero-Latinoamericana
                Cir. plást. iberolatinoam.
                Sociedad Española de Cirugía Plástica, Reparadora y Estética (SECPRE) (Madrid, Madrid, Spain )
                0376-7892
                1989-2055
                March 2022
                : 48
                : 1
                : 9-16
                Affiliations
                [3] Ciudad de México orgnameUniversidad Anáhuac orgdiv1Centro Médico ABC Santa Fe Mexico
                [2] Ciudad de México orgnameUniversidad Panamericana Mexico
                [1] Ciudad de México orgnameCentro Médico ABC Santa Fe México
                Article
                S0376-78922022000100009 S0376-7892(22)04800100009
                10.4321/s0376-78922022000100003
                4d301ffb-1ae2-4b81-b48f-ee8e068e7de5

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 09 February 2022
                : 27 October 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 17, Pages: 8
                Product

                SciELO Spain

                Categories
                Cirugía Mamaria

                Mastopexia,Ptosis mamaria,Complejo areola-pezón,Mastopexy,Breast ptosis,Areola-nipple complex

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