Cirurgia Plástica Mamária - Experiência do serviço de Cirurgia Plástica do HC-UFBA

Abstract

Introduction: Breast reduction and mastopexy are widely performed surgeries to improve breast functionality and aesthetics and correct physical and psychological disorders, and are subject to complications of varying severity. Objectives: To analyze the history of breast plastic surgeries at the Plastic Surgery Service of HC-UFBA, highlighting the demographic, clinical, and surgical profile of patients, rates of postoperative complications, and possible risk factors. Methodology: Retrospective study based on data from electronic medical records of patients who underwent breast plastic surgery at the Plastic Surgery Service of HC-UFBA from March 1, 2019 to February 29, 2024. Statistical and inferential analysis, with correlation between clinical and surgical variables and the complications that occurred. Results: Patients were mostly from Salvador (63.3%) , without comorbidities, and with a mean age of 37.4 years and a mean BMI of 25.8. Total complication rate of 45.3%, with 61.9% in Grade I of the Clavien-Dindo Classification, with hypertrophic scarring being the most common. Smoking, systemic arterial hypertension and surgical technique were identified as risk factors associated with complications. Discussion: The predominant origin of patients is from Salvador, which reveals the difficulty of access for residents in the interior of the state. Clinical profile of women under 40 years of age, overweight and without comorbidities. Surgical profile with preference for the Pitanguy technique and the Superior Areolar Pedicle, due to clinical, anatomical, technical factors and the surgeon's experience. The total rate of postoperative complications was considered high, despite the preponderance of low severity. Smoking and systemic arterial hypertension were identified as risk factors, justified by the impairment caused to healing. Surgical techniques were related to complications, but no one was found to be superior, only better suited to each case. Conclusion: The study demonstrated the demographic and clinical profile of overweight young people from the capital and without comorbidities. The total rate of complications was 45.3%, with the majority of mild severity. Smoking, hypertension and surgical technique were identified as risk factors for postoperative complications.