Chassaignac bursa flap: protection and support in reduction mammoplasties with implant

ABSTRACT

Introduction:

Macromastias with fatty substitution, great flaccidity, and severe ptosis, constitute a specific group of difficult treatment, many without long-term results. The authors present the technique called Chassaignac bursa flap, indicated for selected cases.

Methods:

When applied to 41 patients (2013-2019), the tactic allowed the creation of two independent spaces, one for the removal of the mammary parenchyma and the other isolated, pre-muscular, a flap composed by pedicles semicircular, superior, medial and lateral, dome-shaped, which protect the implant in the Chassaignac retromammary area.

Results:

The patients evolved without complications, with the maintenance of the upper pole, a symmetrical harmonic redistribution of the breasts, without recurrent ptosis.

Conclusion:

The bag flap proved feasible, allowing for safety during the operation and a lasting implant support.

Keywords:
Mammoplasty; Open reduction; Breast implant; Hypertrophy; Surgical flaps.