Breast Animation Deformity: Uma Abordagem Geral a Uma Entidade Subestimada

Abstract

Introduction: Every surgery has its complications. In what refers to breast surgery, Breast Animation Deformity (BAD) is a relevant entity, yet poorly studied. This review aims to clarify about its epidemiology, etiopathogenesis, classification and treatment through the best evidence. Methods: A research using the Medline (PubMed) database was performed, using the terms "Breast animation deformity". We selected articles which focused on BAD, with a level of evidence 3 or above, having only cited inferior quality articles when the information was relevant and novel. Results: BAD is a known complication of sub-pectoral breast implants. It is not well studied in what regards to epidemiology, and its etiopathogenesis is yet to be known. Several articles classify it, but not in a standardized way. It is a complication that can affect quality of life, and can be treated in different fashions, being consensual the conversion to a pre-pectoral plane, if that is adequate to the patient. Discussion: Evidence is poor in what concerns to quality articles about BAD. Not knowing its etiopathogenesis and the lack of a consensual definition make the development of adequate studies difficult. In what regards to treatment, a lot is yet to be studied, being the selective nerve ablation an option with great potential. Conclusion: BAD is, today, an entity with growing relevance, by its incidence and impact on patients' quality of life. Thus, it is important to study more about this complication, being for that essential the standardization of criteria in what concerns to its definition and classification.