FOR THE MEDICAL PRACTITIONER
Plastic Surgery
doi: 10.25005/2074-0581-2026-28-1-230-237
CHARACTERISTICS OF COMPLICATIONS ASSOCIATED WITH THE USE OF A DERMOGLANDULAR FLAP IN AUGMENTATION MASTOPEXY

M.YU. MALANICHEV1,2, R.R. GARIPOV2, A.I. GABEEV2, P.I. SLESAREV2, M.R. MARKARYAN2, R.A. PAKHOMOVA1

1Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH), Moscow, Russian Federation
2LLC "Omega" (Plastic Surgery Clinic "Forma"), Moscow, Russian Federation

Objective: o perform a statistical and comparative analysis of early and late complications associated with AMP performed with and without the use of a DGF.

Methods: The study analyzed AMP results in 284 women over a 5-year period (from May 2019 to September 2023); the mean age was 32.0±6.9 years (23- 39 years). The indications for surgery were grade II mastoptosis (n=171 patients) and grade III mastoptosis (n=113 patients). In all women, microtextured Mentor implants were used during surgery. Implant selection was based on patients’ individual anthropometric characteristics and preferences, with due consideration of risk factors. In all operations, implants were placed using the dual-plane technique (Dual Plane 2) with an inverted T-shaped incision pattern. The patients were divided into 2 groups: in the first group, AMP was performed using a DGF, whereas in the second group it was performed without its use.

Results: Quantitative assessment of complications after AMP showed only minor differences between the groups. Qualitative assessment of complications demonstrated an advantage of the DGF in preventing implant extrusion, but lower implant stability in the delayed postoperative period. A detailed comparison was made of the numbers and types of complications associated with the two AMP techniques, with and without a DGF. Based on data from our clinical practice, we identified the most frequent complications associated with these methods.

Conclusion: Quantitative assessment of complications after AMP showed only minor differences between the groups. Qualitative assessment of complications demonstrated an advantage of the DGF in preventing implant extrusion, but lower implant stability in the delayed postoperative period. A detailed comparison was made of the numbers and types of complications associated with the two AMP techniques, with and without a DGF. Based on data from our clinical practice, we identified the most frequent complications associated with these methods.

Keywords: Augmentation mastopexy, complications, dermoglandular flap, implant extrusion, implant displacement.

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References

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Authors' information:

Malanichev Mikhail Yuryevich,
Candidate of Medical Sciences, Associate Professor of the Department of Plastic Surgery, Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH); Plastic Surgeon, LLC "Omega" (Plastic Surgery Clinic "Forma")
ORCID ID: 0000-0003-3043-2739
E-mail: malani4ev@icloud.com

Garipov Renat Ruslanovich,
Plastic Surgeon, LLC "Omega" (Plastic Surgery Clinic "Forma")
ORCID ID: 0009-0004-2476-1944
E-mail: dr.garipovrenat@gmail.com

Gabeev Alan Irbekovich,
Head of the Plastic Surgery Department, LLC "Omega" (Plastic Surgery Clinic "Forma")
ORCID ID: 0009-0004-7597-7227
E-mail: dr.alan@gabeti.ru

Slesarev Pavel Igorevich,
Plastic Surgeon, LLC "Omega" (Plastic Surgery Clinic "Forma")
ORCID ID: 0009-0002-6058-002X
E-mail: pavel_slesarev89@mail.ru

Markaryan Maxim Rachyanovich,
Plastic Surgeon, LLC "Omega" (Plastic Surgery Clinic "Forma")
ORCID ID: 0009-0006-5075-3651
E-mail: max-mar17@mail.ru

Pakhomova Regina Aleksandrovna,
Doctor of Medical Sciences, Associate Professor, Head of the Department of Plastic Surgery, Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH)
ORCID ID: 0000-0002-3681-4685
E-mail: pra5555@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment.

Conflicts of interest: No conflict

Address for correspondence:

Malanichev Mikhail Yuryevich
Candidate of Medical Sciences, Associate Professor of the Department of Plas- tic Surgery, Medical Institute of Continuing Education, Russian Biotechnologi- cal University (ROSBIOTECH); Plastic Surgeon, LLC "Omega" (Plastic Surgery Clinic "Forma")

125080, Russian Federation, 11 Volokolamsk Highway

Tel.: +7 (916) 9746497

E-mail: malani4ev@icloud.com


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

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