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Postoperative nursing care of hip augmentation
1. Stay in bed for 5 days after operation.

2. Eat more vegetables two weeks after operation to prevent constipation and use enough antibiotics.

Generally speaking, the stitches are removed after two weeks.

4. No strenuous exercise is allowed 1 month after operation, and elastic bandage is used for compression and fixation 3 months after operation.

Operation and knowledge

Hip augmentation with autologous fat transplantation

1. Technical principle

Autologous fat granule injection transplantation is to extract fat from places where body fat accumulates (such as abdomen, waist, thighs, etc.). ) Use a liposuction device, filter and separate the extracted fat into pure fat, and then inject fat particles into the buttocks with a syringe. From the point of view of safety and nature, it is the best choice to enrich the buttocks with autologous fat. However, autologous fat injection transplantation also has some limitations, which is suitable for people with good skin elasticity and excess fat in other parts of themselves.

2. Adapt to the crowd and taboo crowd

1) Suitable for people: suitable for people with flat and sunken buttocks, or without buttock peaks, excess fat distribution in waist, abdomen, legs and other parts, and good skin elasticity.

2) Taboo crowd

① Patients with severe organ diseases, diabetes and immune diseases;

② Patients with mental illness or mental disorder;

③ Blood diseases or abnormal coagulation mechanism;

(4) those with inflammation in the buttocks;

5 women during menstruation or pregnancy.

3. Technical methods

① liposuction. The waist, abdomen, thighs and other obese parts were treated with local infiltration anesthesia technology, and the subcutaneous fat needed for transplantation was sucked by syringe liposuction or electric negative pressure mechanical liposuction. There is a relatively new hydrodynamic liposuction technology, and the effect is very good.

② Purification of fat particles. The inhaled fat particles were treated by fat purification technology to extract the fat particles needed for injection.

③ Fat injection. Inject the purified fat particles into the buttocks, generally using multi-point and multi-level injection, postoperative massage shaping and appropriate pressure dressing.

4. Risks and complications

① Infection If infection occurs, it usually occurs 5-7 days after operation, showing local redness, swelling and heat pain at the hip injection site. In case of infection, you need to seek medical attention as soon as possible.

② Too much fat is liquefied and injected into adipose tissue, or the injected adipose tissue naturally aggregates, which makes the injected fat unable to survive and leads to fat necrosis and liquefaction. In case of fat liquefaction, you need to go to the hospital for puncture and drainage or negative pressure drainage.

③ Hemorrhage and liposuction can form hematoma, leading to bleeding, injection injury or disorder of coagulation mechanism.

④ The fat particles injected into the nodule gather into a group and are wrapped by fibrous tissue, which is called spherical, and the fat cells are inactivated and calcified. It can appear 3 months after operation, and generally there is no discomfort, so it can be left untreated. If you want to remove it, you can go to the hospital for treatment.

⑤ Cystic degeneration, partial steatosis, fibrosis, calcification, late night capsule wall formation, surrounded by partial liquefied fat. Cystic masses can be removed by surgery.

⑥ The aggregation of lipoma fat particles stimulates the transformation and proliferation of host cells into lipomas. It needs surgical incision.

⑦ Poor physique Due to uneven absorption of fat, the amount absorbed is different, resulting in local depression or asymmetry of both hips. Fat particles can be re-injected into the concave part to make the shape more beautiful.

8 fat absorption fat absorption is one of the most common and biggest complications of granular fat injection. The amount of fat absorbed can be supplemented by multiple injections.

5. Course of treatment and recovery time

1-2 weeks later, the swelling can be reduced and the normal working life can be restored. After liposuction, you need to wear elastic underwear 1-3 months to shape. Because of the absorption of autologous fat, it usually takes two or more injections, and the final effect will be formed after 3-6 months, which can be maintained for a long time.

6. Preventive measures

1)

① Autologous fat injection transplantation has certain technical difficulties and must be carried out in regular medical institutions.

② It is best to inject a small amount of autologous fat in several times to enrich the buttocks.

③ Take a bath before operation and keep it clean.

2) Matters needing attention after operation

(1) postoperative care and rest in strict accordance with the doctor's advice.

② A good rest environment is needed after operation. Generally speaking, a quiet and well-ventilated rest environment is needed.

③ Pay attention to the nursing of surgical wounds. Autologous fat buttocks will have two surgical wounds, one in the buttocks and the other in other parts of the body.

4 diet should also pay special attention. Generally speaking, you can't eat spicy food after you enrich your buttocks with autologous fat, and the food choice is mainly light.

⑤ If you have a hobby of smoking, it is best not to smoke for one month after operation.

⑥ Avoid sitting after operation, so as to avoid the operation site being hit or squeezed.

Silicone prosthesis implantation for hip augmentation

1. Technical principle

Implanting silicone prosthesis for hip augmentation is to cut 4-6cm in the gluteal groove or hidden place between buttocks, and fill the flat buttocks with silicone prosthesis to achieve the effect of hip augmentation. Silica gel material is widely used at present. Once formed, the effect is lasting, but it is not natural enough.

2. Adapt to the crowd and taboo crowd

1) adapt to the crowd

① The buttocks are depressed and flat;

② Hip deformity caused by disease or trauma;

(3) The full hip size is ok, but the fullness is not enough or the hip peak is missing.

2) Taboo crowd

① Patients with severe organ diseases, diabetes and immune diseases;

② Patients with mental illness or mental disorder;

③ Blood diseases or abnormal coagulation mechanism;

(4) those with inflammation in the buttocks;

5 women during menstruation or pregnancy.

3. Technical methods

① Anesthesia. Local anesthesia is generally used.

② Cut the skin. Incision can choose gluteal groove incision, that is, the junction of lower buttocks and thighs. If you choose a hip incision, it is difficult to hide the left and right scars in a leaky hip dress; In addition, you can also make an intergluteal incision, that is, make a longitudinal incision between the left and right buttocks of the sacrococcygeal region. The incision between buttocks is relatively hidden, but the infection rate is relatively high. The incision is about 4 ~ 6 cm long.

③ Stripping hip skin and subcutaneous fat.

④ Put the silicone prosthesis into the incision to fill it.

⑤ suture the incision in layers.

4. Silicone prosthesis

Silicone prosthesis is a kind of biomaterial widely used in medical treatment, and it is a kind of polymer silicide. It has good biocompatibility and physical and chemical properties, and can maintain its original elasticity and softness in the process of contact with body fluids and tissues. It has wide sources, low cost and is not easy to deform during operation. It is a widely used prosthetic material. In addition, the silicone prosthesis is resistant to high temperature, can be disinfected and easy to shape.

However, silicone prostheses also have some disadvantages. Because silica gel is made of hard silicon material, this material has certain irritation to tissues and cells, and a few people may cause inflammatory reaction of tissues. In addition, silicone prosthesis will feel foreign body sensation when sitting down or feeling after hip augmentation. In addition, the above characteristics of silicone prosthesis determine that it can not be closely combined with tissue, which may lead to the inability to see the contour and displacement of the prosthesis after operation.

5. Risks and complications

① Infection: There is the possibility of infection after operation. In particular, the probability of infection in the corpus luteum incision is relatively high. After operation, we must strengthen nursing and take medicine according to the doctor's advice to reduce the chance of infection.

② Hip swelling: Hip swelling usually occurs after surgery, and it takes at least 3 months for the swelling to subside.

③ Hip numbness: Hip numbness can appear after operation and disappear within 3 months.

④ Rejection: The probability of rejection of silicone prosthesis is very low, but if it happens, the prosthesis usually needs to be removed.

⑤ The effect of hip augmentation is not ideal: the degree of hip augmentation may be too large or too small, or the shape is not ideal, which makes the effect of hip augmentation not ideal.

6. Recovery time

It usually takes 1-2 weeks for stitches to be removed about 7 days after operation. You need to wear elastic underwear for 2-3 weeks to fix the prosthesis, and the swelling lasted for about 3 months.

7. Preventive measures

1)

① Choose a regular medical institution for operation.

② Take a bath before operation and keep it clean.

2) Matters needing attention after operation

(1) postoperative medication and nursing in strict accordance with the doctor's advice, to prevent complications such as infection.

When you sit down, you will feel that you are sitting higher than before. Don't worry, you'll get used to it.

3 diet should also pay special attention. Generally speaking, you can't eat spicy food after you enrich your buttocks with autologous fat, and the food choice is mainly light.

If you have a hobby of smoking, it is best not to smoke for one month after operation.

⑤ Avoid sitting after operation, so as to avoid the operation site being hit or squeezed.