[Internal breast support grids in the surgery for breast hypertrophy and ptosis. Technique and indications]. / Les grilles internes de soutien dans la chirurgie de l'hypertrophie et de la ptose mammaire. Technique et indications.

In breast surgery, the use of a Grade for Internal Support of the Mamma (GISM) is an elegant way to reduce the length of the scars as it becomes possible to conserve only the peri-areolar incision. The technique has been imagine by Bustos in 1985. Its principles are: the reshaping of the gland with a posterior pedicle; the use of a silicone sheet that supports the gland; the spontaneous adaptation of the skin over the reshaped breast. A new sheet (GISM) is presented allowing a modification of the Bustos's technique that becomes easier and shorter. Technique and indications are described, and results are analysed.

[Rapid tissue expansion]. / L'expansion tissulaire rapide.

The authors, who already have a wide experience of classical tissue expansion with slow inflation of prostheses over about 8 weeks, now present their experience of very rapid, virtually intraoperative expansion for the treatment of large scars and moderately large cicatricial zones. The operative technique which they use is described and the postoperative results are analysed.