Reconstrução glútea após complicações de implante de prótese de silicone: relato de caso.
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Abstract
Introduction: Sequelae resulting from gluteal silicone implant explantation represent significant clinical challenges, including fibrosis, lipodystrophy, and contour irregularities that compromise patient aesthetics and quality of life. Polymethyl methacrylate (PMMA) emerges as a promising therapeutic alternative for managing these complications.
Objective: To report a case of post-explantation gluteal reconstruction using PMMA in a stratified technique by anatomical planes.
Method: Descriptive case study of a female patient who underwent PMMA application after gluteal implant explantation. The technique employed differentiated concentrations: 30% in the muscular plane (60ml per buttock) through flexible microcannulas, and 15% in the subcutaneous layer with duck-bill cannulas. Simultaneous release of fibrosis and cicatricial adhesions was performed.
Results: The procedure was completed without complications, with excellent tolerability. Significant volumetric restoration, correction of contour irregularities, and harmonization of body silhouette were observed. The patient showed substantial improvement in self-esteem and quality of life, evidenced by comparison of pre- and post-treatment images.
Discussion: The results corroborate the literature regarding PMMA efficacy as a minimally invasive procedure, offering durable results with low morbidity. The stratified technique optimized material distribution, providing superior aesthetic results. The importance of professional experience and careful patient selection was emphasized to minimize complications.
Conclusion: PMMA constitutes an effective and safe therapeutic alternative for treating post-explantation gluteal implant sequelae, providing satisfactory volumetric restoration and significant improvement in quality of life when performed by experienced professionals following rigorous safety protocols.
Keywords: Polymethyl methacrylate; Prosthetic explantation; Gluteal reconstruction.
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