Gigantomastias patrones dinamicos
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![Dr. Marcelo Irigo [email_address] GIGANTOMASTIAS Patrones Dinámicos V CONGRESO INTERNACIONAL DE ACTUALIZACION EN CIRUGIA BARIATRICA Y METABOLICA Enfoque Quirúrgico y Multidisciplinario 20 de mayo 2011 , Mendoza](https://image.slidesharecdn.com/gigantomastiaspatronesdinamicos-110715200006-phpapp01/85/Gigantomastias-patrones-dinamicos-1-320.jpg)
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Gigantomastias patrones dinamicos
- 1. Dr. Marcelo Irigo [email_address] GIGANTOMASTIAS Patrones Dinámicos V CONGRESO INTERNACIONAL DE ACTUALIZACION EN CIRUGIA BARIATRICA Y METABOLICA Enfoque Quirúrgico y Multidisciplinario 20 de mayo 2011 , Mendoza
- 33. MUCHAS GRACIAS !
- 34. complicaciones
- 35. Static marking patterns involve “standard” measurements. Yet, surgeons do not make an incision without previously evaluating these measurements with dynamic maneuvers… Marcacion dinamica Dynamic maneuvers allow more ductility when planning, and optimize the resolution…
Notas do Editor
- Dynamic patterns in mammary elevation
- As there are undoubtedly several mammary shapes, we cannot tie ourselves to static patterns
- Then, through mammary rotation, we can determine where the vertical incision should be made, following the sub-mammary crease
- We have to draw symmetrical marks to determine the location of the nipple-areola complex
- The angles that will be dismissed
- We determine which pedicle we should use, we actually prefer the postero-inferior pedicle
- En-block resection
- Measures to superficializate the areolas
- Superficialization
- Superficialization
- Complex location, we choose not to remove it perpendicularly, since if we increased the distance between the areola and the crease, it could luxate
- Result
- Front view result
- Upper side view result
- Pre- and post-operative care
- Another case
- Result
- Another Case
- … .
- Result
- … ..
- …
- More obese patients
- Another case
- In the aforementioned patients, a 24-hour drainage is left in place for seroma collection
- Oncoplastic surgery, with inferior tumor
- Superior pedicles
- Resection
- Radiotherapy result
- Thank you
- We believe that…
- Asymmetries
- Placement of bilateral prosthesis
- …
- Result
- More complex cases, conservatory surgery and radiotherapy, we use different pedicles to fill the defect
- Inferior pedicle on the right side
- Supero-inner pedicle on the left side
- Result
- Pre- and post-operative care