Surgical correction of breast deformities following long-lasting complications of polyurethane-covered implants.

Abstract:

:Breast deformities following long-lasting complications associated with the use of polyurethane prostheses are encountered with increasing frequency in our practice. Patients with this problem often feel frustrated after a long period of unsuccessful treatment and multiple operations. The anatomopathological bases of the deformity in such patients can be summarized as follows: volumetric mammary defect, soft tissue deficiency, and distortion and fibrosis of residual breast tissues. The reconstructive procedure should provide adequate aesthetic results with permanent or long-lasting symmetry, possibly in a single operative stage. The procedures employed in 12 patients are reviewed, and 3 representative cases are described in detail. The best aesthetic results in difficult cases have been achieved with either a latissimus dorsi muscular flap raised through minimal posterior incisions and transposed anteriorly to cover a permanent, expandable implant, or a suitably tailored, partly deepithelialized transverse rectus abdominis musculocutaneous flap.

journal_name

Ann Plast Surg

authors

Berrino P,Franchelli S,Santi P

doi

10.1097/00000637-199006000-00003

subject

Has Abstract

pub_date

1990-06-01 00:00:00

pages

481-8

issue

6

eissn

0148-7043

issn

1536-3708

journal_volume

24

pub_type

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