Behavior mammary ptosis, versatility in her treatment
Abstract
Introduction: The breasts represent a very important part of the body of the woman. They have always been considered like a zone impregnated of sensuality and feminine beauty.
Objective: To describe the behavior of the mammary ptosis and the versatility in its treatment.
Methods: A descriptive, longitudinal and prospective study was carried out in the admitted patients in the service of Plastic Surgery at the Manuel Ascunce Domenech Universitary Hospital, of the city Camagüey, during the period understood from May, 2019 to April, 2021. They studied 34 patients in those who they had in account variables: degree of mammary ptosis, age, background not surgical, surgical technologists, and complications.
Results: It predominated the patients who mammary ptosis in degree II, 19 (55.88 %), in the ages of 28-37 years with 11 patients for a 32.40 %. Followed of the age group from 38 to 47 years with the 14.71 %. The weight loss and breast-feeding constituted the surgical predominant background. The patients that had mammary ptosis degree II had between two and three childbirths, nine patients for the 26.47 %. The Gothic technique was the most used in the patients with mammary ptosis degree I, in five patients (14.71 %). Dehiscence, present in six patients for the 17.64 % followed with the hematoma and the local infection found in four patients (11.76 %) were the complications largely found.
Conclusions: The mammary ptosis is a morphological-functional alteration frequent of the breast, originated for multiple factors and it holds a varied collection of surgical technics for its correction with scarce complications.
DeCS: BREAST/surgery; MAMMAPLASTY; PLASTIC SURGERY PROCEDURES; ELASTIC TISSUE/surgery; PROSPECTIVE STUDIES.
Downloads
References
1. Rincón Rubio LL, Cemborain Valarino M, Gil B, Bookaman A. Descripción anatómica intraoperatoria del surco submamario y sus implicaciones en la planficación de la cirugía mamaria con o sin implantes. Cir plást Iberolatinoam [Internet]. 2022. [citado 11 Ago 2023];48(4) ):[aprox. 9 p.]. Disponible en: https://dx.doi.org/10.4321/s0376-78922022000400006
2. da Silva Júnior VV, de Sousa Soares FR. Mastopexy with prosthesis in unique time associating the non-areolar inferior flap. Cir plást iberolatinoam [Internet]. 2017. [citado 11 Ene 2023];43(2):117-28. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922017000200003&lng=es
3. Moya Rosa EJ, Moya Corrales Y. Tratamiento de la ptosis mamaria utilizando la técnica de Liacyr Ribeiro tipo I modificada. Arch méd Camagüey [Internet]. 2019 [citado 14 Oct 2023];23(1):28-36. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552019000100028
4. Martinez AA, Chung S. Breast Ptosis [Internet]. Treasure Island (FL): StatPearls; 2022 [citado 14 Ene 2023]. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK567792/
5. Mee Hoong S, Kah Chun Y, Mei Sze T, Ranita Hisham S, Teng Aik O, Kwan Hoong Ng. Clasification and assessment technique of breast ptosis: A systematic review. JPRAS [Internet]. 2023 [citado 14 Ene 2023];83:380-395. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S1748681523001511
6. Kotti B. A simple classification and a simplified treatment’s algorithm for ptotic breasts. Plast Aesthet Res [Internet]. 2018 [citado 14 Oct 2023];5(16): 1-9. Disponible en: https://www.oaepublish.com/articles/2347-9264.2018.11
7. Pferdehirt R, Nahabedian MY. Finesse in Mastopexy and Augmentation Mastopexy. Plast Reconstr Surg [Internet]. 2021 [citado 14 Oct 2023];148(3):451e-61e. Disponible en: https://journals.lww.com/plasreconsurg/abstract/2021/09000/finesse_in_mastopexy_and_augmentation_mastopexy.30.aspx
8. Mangialardi ML, Ozil C, Lepage C. One Stage Mastopexy Lipofilling in Cosmetic Breast Surgery: A Prospective Study. Aesthetic Plast Surg [Internet]. 2021 [citado 14 Oct 2023];45(5):1975-85. Disponible en: https://link.springer.com/article/10.1007/s00266-021-02327-y
9. Ribeiro L. Pedículos en mastoplastia. Atlas y texto. Brasil: Editorial AMOLCA;2009.
10. Ríos Hidalgo E, Flores Miñano MA, Cruz del Castillo R, Carranza Torres Y. Mamoplastia a pedículo súpero-medial, nuestra experiencia y revisión de la literatura. Cir plást iberolatinoam [Internet]. 2022 [citado 21 Oct 2023];48(2):121-132. Disponible en: http://dx.doi.org/10.4321/S0376-78922022000200003
11. Alfonso Naranjo Y, Moya Rosa EJ, Moya Corrales Y, Tapia Mesa G. Aumento mamario mediante prótesis. Arch méd Camagüey [Internet]. 2022 [citado 14 Oct 2023]; 26:e9194. Disponible en: https://revistaamc.sld.cu/index.php/amc/article/view/9194/4491
12. Sinder R, Manzur R. Mamas: Evolución histórica. Técnicas de hipertrofia y ptosis mamaria. Colombia: Editora Impresión Médica; 2016.
13. De Rungs Brown DR, Torres Piña R, Zamora Madrazo A, Hanan L, Ugalde Vitelly JA, Martínez Guzmán A. Tratamiento versátil de la ptosis mamaria con mastopexia circunvertical con y sin implantes. Cir Plast [Internet]. 2022 [citado 14 Oct 2023];32 (2): 69-81. Disponible en: https://www.medigraphic.com/pdfs/cplast/cp-2022/cp222b.pdf
14. Bellini Ditta L. Ptosis mamaria y su resolución quirúrgica. Revista Argentina de Cirugía Plástica [Internet]. 2018 [citado 14 Oct 2023];24(2):95-104. Disponible en: https://adm.meducatium.com.ar/contenido/articulos/16800950104_1176/pdf/16800950104.pdf
15. Zucal I, Tremp M, Duscher D, Wenny R, Zaussinger M, Kutz A, et al. Augmentation-Mastopexy: Analysis of 95 Consecutive Patients and Critical Appraisal of the Procedure J Clin Med [Internet]. 2023 [citado 14 Oct 2023];12(9):3213. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10179061/
16. Rincón Rubio LL, Cemborain Valarino M, Jiménez Cárdenas AC, Gutiérrez Barrozo KU.Sistematización de la mastopexia con implantes:Técnica reglada. Cir. plást iberolatinoam [Internet]. 2020 [citado 18 Oct 2023];4(46):381-400. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922020000500003
17. Expósito Jalturin A, Escobar Vega H, Tamayo Carbón AM, Paredes Javier WN, Cuastumal Figueroa DK.Tratamiento de la ptosis mamaria con mastopexia periareolar más Endoprótesis. Acta Médica [Internet]. 2022 [citado 21 Oct 2023];23(3):e330. Disponible en: https://revactamedica.sld.cu/index.php/act/article/view/330/pdf
18. Berrocal Revueltas M. Mamoplastia de aumento secundaria. Evaluación de problemas, resultados insatisfactorios y alternativas de solución.Cir plást Iberolatinoam [Internet]. 2012 [citado 21 Oct 2023];38(1):[aprox. 14 p.]. Disponible en: https://dx.doi.org/10.4321/S0376-78922012000100002
19. Stevens WG, Macias LH, Spring M. One-Stage Augmentation Mastopexy: A Review of 1192 Simultaneous Breast Augmentation and Mastopexy Procedures in 615 Consecutive Patients. Aesthet Surg J [Internet]. 2014 [citado 14 oct 2023];34(5):723-32. Disponible en: https://academic.oup.com/asj/article/34/5/723/184832
20. Ventura OD. Secuencia quirúrgica en mastopexia de aumento con implantes. Importancia de un abordaje neutro y multimodal Cir plást iberolatinoam [Internet]. 2017 [citado 21 Oct 2023];43(1):[aprox. 14 p.]. Disponible en: https://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0376-78922017000100002
21. Moreno Áreas MJ. Evolución psicosocial en pacientes intervenidas de cirugía estética mamaria [tesis]. España: Universidad de Sevilla; 2013 [citado 25 Oct 2023]. Disponible en: https://idus.us.es/bitstream/handle/11441/46736/Y_TD_PS-PROV35.pdf?sequence=4
22. Austin RE, Yuan M, Lista F, Lapaine P, Ahmad J. Vertical Scar Mastopexy With a Centrally Based Auto-Augmentation Flap. Aesthetic Surgery Journal Open Forum [Internet]. 2022 [citado 21 Oct 2023];16(4):ojac062. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9443980/
23. Cala Uribe LC, Perez Pachon M, Villate Hernandez A, Zannin Ferrero A. Kite Mastopexy: Small Scar and Tissue-conserving Technique. Plast Reconstr Surg Glob Open [Internet]. 2023 [citado 21 Oct 2023];11(9):e5265. Disponible en:
https://pubmed.ncbi.nlm.nih.gov/37718994/
24. Morrison KA, Karp NS, Choi M. The Underutilized Superomedial Pedicle Reduction Mammoplasty: Safe and Effective Outcomes. Plastic and Reconstructive Surgery [Internet]. 2023 [citado 14 Oct 2023];10.1097. Disponible en: https://journals.lww.com/plasreconsurg/Abstract/9900/The_Underutilized_Superomedial_Pedicle_Reduction.1601.aspx
Published
How to Cite
Issue
Section
License
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/
14 julio 2025