Mastoplastia de aumento realizada por ginecólogo mastólogo: ¿Intrusismo o competencia? Presentación de diez años de experiencia personal y revisión de la situación actual / Augmentation mastoplasty performed by a breast surgeon: Intrusism or competence? A report of a ten years' personal experience and a state of the art review

RESUMEN

Introducción: ¿La mastoplastia de aumento realizada por un cirujano no especialista en cirugía plástica debe ser vista como un acto de intrusismo o de competencia médica? Objetivo: Presentación de casos de mastoplastias de aumento realizadas por un ginecólogo mastólogo, su comparación con la bibliografía publicada por reconocidos cirujanos plásticos y discusión de la situación actual del tema. Material y método: Se describen retrospectivamente casos de mastoplastia de aumeeto recolectados en diez años de experiencia unipersonal, entre julio 2010 y abril de 2020, comparando resultados cosméticos y complicaciones con casuística publicada. Resultados: Se realizaron 144 casos de mastoplastia de aumento. Hubo 2.08% de complicaciones tempranas y 6.25% de complicaciones tardías, con 94.4% de satisfacción cosmética de las pacientes. No hubo diferencias significativas respecto a tasa de complicaciones quirúrgicas respecto a la serie comparada, encontrando equivalente el resultado cosmético. Conclusiones: La mastoplastia de aumento realizada por un cirujano mastólogo capacitado en el área cosmética, debería aceptarse dentro del alcance de su competencia, creando un marco regulatorio científico y legal adecuado.

ABSTRACT

Introduction: Can an augmentation mammoplasty performed by a surgeon who is not a plastic surgery specialist be cosidered as an act of presessional intusion, or within the scope of his competence? Objetive Report of a gynecologist and breast specialist's experience comparing results and complications to the reported case studies published by renowned plastic surgeons and an argument about the topic. Material and method: The author reports retrospectively his ten years experience (january 2010 - april 2020) in augmentation mammoplasty. Cosmetic results and complications were compared with published reports. Results: 144 augmentation mammoplasties were performed between january 2010 and april 2020. There were 2.08% of early complications, 6.25% of late complication, and 94.4% of the patients were satisfied with the cosmetic result. The results show no significative difference about complications and an equivalent cosmetic satisfaction compared to the reported experience published. Conclusions: Augmentation mammoplasty surgery performed by a breast surgeon trained in cosmetic procedures must be considered within the scope of his competence, thus developing an adequate medical and legal regulatory framework.