Prosthetic breast enhancement is a method of placing prosthetic materials suitable for the patient's chest shape on the chest through surgery. There are many kinds of incisions, which can be selected according to the specific basic situation of patients. The plastic surgery industry advocates "digital breast enhancement" and "cotton candy" breast enhancement to avoid capsule contracture.

Experts believe that only by accurately quantifying the plastic surgery data, monitoring through endoscope and digital plastic surgery, accurate level, moderate cavity size and hidden incision can the surgery achieve ultra-minimally invasive and accurate.

Chinese name

The false body breast enhancement

Foreign name

The false body breast enhancement

superiority

Wide adaptability and many choices.

material

Meg prosthESis, French es, etc.

indicate

Bilateral breasts are asymmetrical in size.

quick

navigate by water/air

A brief history of development

fundamental principle

Mode of operation

material

indicate

Contraindications

safe

merits and demerits

place

Potential security risks

sequela

Postoperative clinical features

Four characteristics

price analysis

postoperative care

Postoperative massage

Preoperative attention

Postoperative attention

Success criteria

How to maintain

Schematic diagram

brief introduction

Pangman (1954) first applied prosthesis to breast augmentation of small breasts. He used a filling made of ivory sponge, but his breasts felt bad after operation. Cronin and Gerow( 1963) invented silicone bag prosthesis for breast augmentation, and achieved good clinical results. Plastic surgery has been used all the time. Through the continuous optimization and improvement of prosthesis literature and materials, the incidence of complications is greatly reduced. Prosthetic augmentation mammoplasty is simple, relatively less invasive and less harmful to the body, because it can be taken out when the operation is not satisfactory.

A brief history of development

The application of prosthesis implantation in breast augmentation began in the 1960s. It is a breast augmentation method by implanting silicone or saline prosthesis under the breast or pectoralis major through a hidden surgical incision. After decades of clinical application, this method has been recognized by the international plastic surgery community as the first choice for breast augmentation. European and American countries, led by the United States, have done a lot of research and experimental work, which proves that prosthetic materials are harmless to human body.

fundamental principle

Prosthetic breast enhancement is a long-term and experienced method in the world. Implanting high-quality silicone prosthesis under pectoralis major through axillary or areola incision to achieve the purpose of breast enhancement.

Advantages: wide adaptability, wide choice, prosthesis with supporting function, and can correct mild breast ptosis. Disadvantages: the operation time is a little longer, the postoperative pain is great, and hospitalization is needed. A certain incision and extensive dissection under pectoralis major require several days of recovery and forced posture.

Placement position map of breast prosthesis

Beauty experts' advice: Although the technology of breast augmentation with prosthesis is mature, we must choose a regular hospital and be careful in the choice of prosthesis. The doctor's skill is also very important.

Mode of operation

Traditional breast augmentation with prosthesis needs to make a small incision in the armpit, inframammary fold or areola, then put in a pre-selected breast prosthesis, adjust the position and shape, sew up the wound, and remove the stitches after the wound heals. You usually need to rest for 5-7 days.

Selection of common incisions in breast augmentation;

Incision of inframammary fold:

Close to the starting point of the lower part of pectoralis major, it can not only fully peel off the lower part of the cavity, but also avoid excessive peeling off the upper part of the cavity. After operation, the prosthesis shifted less upward and the cleavage was obvious. The disadvantage of breast fold incision is that there are scars under the breast, and many unmarried people are unwilling to choose this kind of incision.

Axillary incision:

The position of pectoralis major is high, and the scar after operation is hidden, so it is easier to implant breast prosthesis in the deep layer of pectoralis major. However, it is difficult to completely peel off the starting point of pectoralis major through this incision, resulting in large and small cavities, high postoperative prosthesis position, inconspicuous cleavage and unsatisfactory breast shape.

Areola incision:

Designed in areola, which is pigmented skin. Because the areola here is dark and uneven, the scar of the postoperative incision is almost invisible, and the breast augmentation is truly seamless and satisfactory in shape.

material

There are many kinds of prostheses, and beauty seekers can choose the most suitable prosthesis according to their own situation. Generally, the materials used are divided into the following categories:

Breast prosthesis

1, McGonagall Prosthesis: This is a series of breast prostheses popular in Europe and America, which can almost achieve the effect of confusing the fake with the real. It is a high-quality silicone shell with memory function. Once the breast prosthesis is implanted, it will move with the movement of the human body, soft and elastic, and can quickly return to its original state after external force is removed.

2. French ES: It is also a common prosthetic material, which can effectively block the leakage of silica gel, feel natural and have good compatibility with human body. Prosthesis can be well combined with human body. They have circular or anatomical shapes, different volumes and contours to choose from, and have enough cohesion to reduce the activity of silica gel when the prosthesis is broken.

3. Miaotao Prosthesis: Yao Tao is a high-end breast augmentation prosthesis and the top material for breast enhancement. Miaotao breast enhancement feels natural and soft, has excellent biocompatibility and high safety. Miao Tao will not produce rejection after entering the breast tissue, which reduces the probability of complications such as capsular contracture and is safer.

4. Gao Na prosthesis: The prosthesis adopts biplane technology and microporous capillaries, which can promote the ingrowth of human tissues, prevent the displacement and deformation of the prosthesis and reduce the occurrence of rigidity. The outer layer of the substructure and the isolation layer of the impervious layer are flexible and firm, which can confuse the false with the real.

indicate

1, breast dysplasia and breast atrophy after pregnancy;

2. Breast dysplasia caused by breast tissue lesions before puberty;

3. After simple mastectomy;

4. Sharp weight loss leads to thin body and flat chest;

5. The breasts on both sides are asymmetrical in size;

6. Mild breast ptosis, in addition to the requirements of correcting ptosis, also hope to increase the volume.

7. Reproductive sterilization and other reasons lead to breast tissue atrophy after endocrine disorders;

8. Congenital breast ptosis;

9. Congenital chest malformation, such as Polish syndrome.

Contraindications

1, when there is inflammation in breast tissue.

2. If there are obvious infected lesions in other parts of the body, breast augmentation can only be performed after the infected lesions are controlled 1 month.

3. When beauty lovers are unprepared.

4. Breast augmentation is prohibited for patients with postoperative recurrence or metastasis of breast cancer. If the condition is stable for more than three years after operation, surgery can be considered.

5, scar physique with caution.

6. Patients who do not have their own conditions and insist on oversized breasts are cautious or not.

7. People with schizophrenia or mental disorders don't do it.

safe

Selection method of breast augmentation prosthesis

1. The size of chest prosthesis will be limited by the characteristics of chest tissue. Generally speaking, the larger the bust, the better the skin elasticity and the larger the implanted prosthesis.

2. The size of the prosthesis will also be limited by the implantation position. Generally, the prosthesis implanted under the pectoralis major is smaller than that under the breast. An oversized prosthesis may touch the edge of the prosthesis when it contacts the skin.

3. The height and weight of the patient will also affect the size of the prosthesis. Breast augmentation is not beautiful, the size of the chest should be proportional to the figure, otherwise the postoperative effect will be very strange.

Generally speaking, the bigger the prosthesis, the scar may be left after operation. If the patient has a high demand for postoperative scars, then you can't choose an oversized prosthesis.

In order to let beauty seekers have a more intuitive concept of the size of the prosthesis, you can put rice in your stockings at home and put it in your bra to measure your ideal bust size. You can also bring a bra with the cup you want when you see a doctor. The doctor can choose the prosthesis according to your chest shape, skin tightness and body proportion.

merits and demerits

superiority

1. Postoperative breast surgery feels good, and the implanted prosthesis can reach the same softness as natural breast tissue.

2. After years of development, all the prostheses used at present are harmless substances. They are all jelly; The colloid is pure and transparent. A substance that is harmless to the human body and will not break.

3. Breast augmentation prosthesis has made great progress, from the appearance of the prosthesis to the matte surface, that is, the matte surface. The incidence of this kind of prosthesis sclerosis has been greatly reduced, from a few percent to several ten thousandths.

Don't worry that the chest will be deformed after the operation. You can knead and stretch it by hand at will, and it will return to its original state as soon as you let go.

5. Prosthetic breast enhancement will shape a more suitable chest shape according to the comprehensive situation of each beauty lover. There are two kinds of breast prostheses, round and drop-shaped, which can meet any needs.

disadvantaged

1. Capsule contracture can occur after breast augmentation with prosthesis. This is due to the normal reaction of the body to the entry of foreign bodies, and different constitutions are also reflected. Don't worry too much, it will disappear automatically as time goes by.

2. Some prosthetic fillers will break and penetrate after a period of use, which is caused by the unqualified quality of prosthetic materials. Therefore, women who love beauty must be reminded to choose a regular medical institution for treatment.

3, redness, fever, pain and other phenomena, which is likely to be induced by any operation.

4. There is a hematoma, which can be effectively avoided by both doctors and patients, and postoperative care can be carried out according to the doctor's advice.

place

Placement level of prosthesis

In breast augmentation surgery, there are two main levels of prosthesis placement, one is the posterior space of pectoralis major and the other is the posterior space of breast.

Potential security risks

First of all, it is necessary for beauty seekers who accept prosthetic breast enhancement to know that there are certain unsafe factors in any surgical method. This unsafe factor is increased by the patient's specific physique or physical condition, and can also be reduced by the operator's stabilizing selection of indications and reasonable grasp of surgical standards.

The safety of augmentation mammoplasty with autologous fat injection is still controversial, and the biggest risk lies in liquefaction and calcification caused by postoperative fat necrosis. Adhering to the basic principle of a few times and choosing a multi-level, multi-tunnel, three-dimensional and relaxed method can completely prevent this kind of risk.

In a sense, the safety of breast augmentation with prosthesis depends more on the material itself, while the safety of breast augmentation with autologous granular fat injection depends more on the injection method.

sequela

Infection: The sequelae mainly include redness, swelling, fever and pain, which may appear soon after operation.

Hematoma: huge hematoma, breast enlargement, tenderness, tissue discoloration, etc. If left untreated, it will lead to artificial breast exposure and secondary capsular contracture in the later stage, which is a serious sequelae of breast enhancement.

Nipple galactorrhea: Due to the stimulation after prosthesis implantation, some people have increased prolactin and nipple discharge.

Breast droop: The sequelae of breast enhancement of this kind of prosthesis mostly occur when the prosthesis is implanted under the breast, and can also occur in patients with loose breast skin and oversized prosthesis.

Asymmetry or sagging: asymmetry is caused by the following reasons: improper selection of prosthesis shape and size, capsule contracture, hematoma, seroma, prosthesis rupture, thoracic asymmetry and breast tissue asymmetry. In addition, after breast augmentation, with the passage of time, the breasts will droop like natural breasts.

Capsule contracture: this is a serious sequela peculiar to breast augmentation surgery, which shows that the breast gradually hardens. This complication is related to the quality of prosthesis, individual differences of patients and surgical operation.

Postoperative clinical features

1, posterior space of pectoralis major: the operation is relatively simple and the operation time is short, but the postoperative pain is obvious and the recovery is slow. The position of the prosthesis is relatively fixed, lacking a sense of fluctuation, and the shape of cleavage is not good.

2. Posterior mammary space: the operation time is slightly longer, the postoperative pain is slight, the recovery is quick, and the feel is more realistic. The breast has a sense of ups and downs, and the shape of cleavage after operation is better and feels more real.

Four characteristics

First, the hand feels soft, which is consistent with the softness of natural chest arrangement and has a sense of reality.

Second, the filler in the prosthesis is not liquid, but jelly, and the colloid is pure and bright. At the exhibition site, representatives of manufacturers cut artificial limbs with knives, just like cutting cakes. The contents of the prosthesis are immobile, which can completely eliminate the fear of the prosthesis breaking and moving in the body.

Thirdly, the surface of prosthesis changes from smooth surface to rough surface, that is, frosted surface. This is the most revolutionary change of prosthesis. Because the smooth prosthesis is implanted in human body, the incidence of capsule hyperplasia, contracture and sclerosis is high, while the rough prosthesis makes the incidence of sclerosis range from a few percent to several ten thousandths. Of course, this rough surface production technique is also appropriate and chaotic.

Fourthly, the prosthesis is extremely tough, so visitors can knead and stretch it by hand, and then return to its original state as soon as they let go. The manufacturer tried to press over the prosthesis with a car, and the prosthesis was still intact.

price analysis

Factors affecting the price of breast augmentation: There are many methods of breast augmentation, including prosthetic breast augmentation, injection breast augmentation, autologous fat breast augmentation and Korean breast augmentation. Prosthetic breast augmentation methods include Miaotao breast augmentation, McGonagall breast augmentation and French es breast augmentation. Different methods have different prices.

Factors affecting the price of breast augmentation: breast augmentation materials

There are many breast augmentation materials, such as Miaotao, Demei Prosthesis, Corning, French es Prosthesis Breast Augmentation Material and McGonagall Breast Augmentation Material. Different materials have different effects and different prices, among which Miaotao breast augmentation is more expensive, but the effect is also the most ideal.

Factors affecting the price of breast augmentation: hospitals.

postoperative care

1. After breast enhancement surgery, there are generally pains and bruises in the chest, and the degree varies from person to person, depending on the method, nature and personal physique of the operation. The pain usually lasts about two to three days, and it can be controlled by taking medicine on time according to the doctor's advice. The swelling will subside in a week or two.

2. Rest for two to three days, and you can usually resume your daily activities two to three days after the operation. You can go to work as usual five to seven days after the operation. Avoid holding your arms high and carrying heavy objects in the first week after operation. Steam bath and swimming should be avoided for two weeks. Strenuous exercise can only be performed two weeks after the operation.

3. There will be a simple dressing for the wound after operation, and there will be a bandage in the middle to fix the position of the breast. You can go to the doctor for a follow-up visit in two or three days, and then you can take a normal bath. Arrange follow-up for another week, month and half a year. The suture of the wound will dissolve automatically within ten days.

4. In the first month after operation, you should wear either a fitted soft bust or a positioning chest strap according to the doctor's instructions, or let the chest tissue form naturally without wearing a bust. The breast will feel swollen and soft at first, and the texture and shape of the breast will be more natural after one to two months. When you mentally integrate it into your body and stop paying attention to the existence of the prosthesis, you will fully recover.

5. Don't wear iron wire through the chest circumference within half a year after operation, so as to avoid capsule twinning (capsule fibrosis) caused by chest deformation.

6. Sexual behavior should be avoided within two weeks after operation, so as not to bruise the breast.

7. If you are going to get pregnant, it is best to wait for the breast shape to stabilize six months after the operation. Breast enhancement surgery generally does not affect the ability to breastfeed.

8. Start breast massage one week after the operation. The method is to push the breast upward, inward and outward as far as possible, keep this posture for ten seconds, and do the left and right breasts for five minutes respectively. Twice in the morning and evening in the first month. Once every two months and once a year. After one year, I changed to irregular massage.

9. In addition, taking 800 units of vitamin E every day (400 units in the morning and 400 units in the evening) after breast enhancement surgery for six months in a row is helpful to prevent the twinning and hardening of the chest capsule tissue.

10. Normal physiological phenomena such as hardening, swelling and redness will appear in the first three months after operation, but most of them will fade into inconspicuous marks in about half a year.

1 1. A few patients may feel paralyzed after operation, but they will return to normal after a few months.

12. For women with thin figure and weak chest tissue, the edge of subcutaneous prosthesis may be slightly felt under touch, especially the lower part and side of breast. Choosing silicone prosthesis material and placing the prosthesis under the pectoral muscle can reduce but not completely avoid these problems.

13. Most women feel ideal and satisfied with the effect of breast augmentation with prosthesis, and there are no remaining problems. However, if you find that the breasts are not soft, different in height and shape, or have unsatisfactory scars, you should consult a doctor.

14. The material of atrial prosthesis can withstand the general pressure of prone, collision and extrusion, so don't worry too much about the fracture of the prosthesis. There is absolutely no problem with flying.

Postoperative massage

Any breast enhancement operation has certain complications. In order to reduce and avoid postoperative complications, postoperative massage nursing is very important. The specific massage method is as follows:

Hanzhong 1

Acupoint: on the median line of sternum, at the junction with the 4th and 5th ribs, right in the middle of nipple.

Acupoint pressing method: press down with finger surface or knuckles and do circular massage.

Other effects: improving chest distress and depression, expanding chest and benefiting diaphragm, and bronchial asthma.

Principle: breast enhancement and breast augmentation.

2, milk root

Acupoint selection: the lower edge, both sides of the chest, the left and right sides between the fifth and sixth ribs are apart from the midline of the chest (that is, under the chest point)10 cm (twice the width of 3 fingers).

Acupoint pressing method: press down with finger surface or knuckles and do circular massage.

Other effects: improve hypogalactia, abdominal distension, chest pain, cough and asthma.

Principle: breast strengthening, breast enhancement.

Step 3: big bag

Acupoint: below the fossa of fu-organs, about 14 cm away from the lower part of fu-organs (twice the width of four fingers).

Acupoint pressing method: press down with finger surface or knuckles and do circular massage.

Other functions: treating breast pain, intercostal neuralgia and hepatitis.

Principle of breast enhancement: removing blood stasis, relieving depression and promoting lactation.

4. Date

Acupoint: the inner end of the sixth intercostal, just below the left and right nipples.

Acupoint pressing method: press down with finger surface or knuckles and do circular massage.

Other functions: treating breast pain, intercostal neuralgia and hepatitis.

Principle of breast enhancement: removing blood stasis, relieving depression and promoting lactation.

Preoperative attention

(1) Ensure adequate rest and sleep a few days before operation, quit smoking and drinking two weeks before operation, and stop taking drugs containing aspirin and vitamin E. ..

(2) The patient should inform the doctor in detail whether there is a serious illness; Have a history of drug allergy;

(3) There is no clear communication history; Whether there is a tendency of scar hyperplasia.

(4) Eating and drinking are forbidden for 0/2 hour/kloc, and drinking is forbidden for 4 hours before operation. Blood items, blood sugar and electrocardiogram need to be tested.

(5) It is not suitable for surgery during menstrual period, pregnancy and lactation for 6 months.

Postoperative attention

1, generally you don't need to be hospitalized, but you need to rest for 2~3 days after surgery, and you can resume your daily work in a few days;

2. Take antibiotics for 3-5 days after infusion 3 days after operation;

3. Avoid drinking a lot of alcohol and taking vasodilators within one week after operation;

4. Keep the wound dry and clean after operation, and don't weigh the breast;

5. Bandage was performed 4 days after operation, and stitches were removed in 10~ 12 days. Wear a soft bra after stitches are removed.

6. There will be some discoloration and edema at first, but it will soon disappear, and most of the remaining edema will disappear within one month. Your breast may have congestion and edema, and you are sensitive to direct stimulation within 2~3 months, so you must avoid collision during this time. When your breasts no longer feel pain, it is beneficial to massage them.

7. The doctor may allow you to take a bath 3 to 7 days after operation, but keep the wound dressing intact. Go to the doctor's office two weeks after the operation. If there are stitches, remove them.

8. Don't lift weights or hold children in your arms for the first week. You will receive antibiotic treatment, so please be sure to complete this course of treatment. Painkillers can relieve pain and can be taken with food or plenty of water.

9. You can get up and walk in a day or two after operation. After two days, the surface gauze will be removed and you will be instructed to wear a support bra.

10, if there is any bleeding, pain and any signs or problems of infection, please ask the patient to inform your plastic surgeon immediately. Avoid strenuous exercise after operation, especially arm exercise, and be sure to limit it to 2 to 3 months. Couples should avoid it at least for the first week and take special care of your breasts at least 1 month.

Success criteria

1. The breast size after breast augmentation with prosthesis is moderate, which conforms to the characteristics of Chinese female breasts (not too large) and is in harmony with the patient's figure and chest.

2, the shape of the breast is plump and straight, and it is hemispherical and protrudes forward, which can fully reflect the bodybuilding curve of the chest and naturally coordinate.

3. After breast augmentation with prosthesis, the softness of breast should be similar to that of real breast and feel good.

4. The incision of breast augmentation surgery is small but not obvious.

5. There were no complications such as hematoma, sclerosis, nipple hypoesthesia, prosthesis displacement and rejection in breast augmentation surgery.

How to maintain

After breast augmentation, the patient takes a semi-supine position, and the upper arm movement is restricted for about 12 days to prevent the prosthesis from shifting. 48 hours after breast augmentation, the drainage strip was taken out to check the position of the wound and breast prosthesis. If the prosthesis is found to be displaced or asymmetrical on both sides, it should be fixed with dressing after manipulation adjustment. Second, the stitches were removed 7 days after breast augmentation. After breast augmentation, patients should wear tights and a suit bra, and it is forbidden to wear ordinary bras to prevent the prosthesis from deforming. It is forbidden to do strenuous exercise within 1 month after operation. Breast massage began one week after breast augmentation surgery. Breast massage can loosen the capsule fiber tissue around the prosthesis and effectively reduce the occurrence of capsule twins, which should be sustained. These are all the care to be done after breast augmentation with prosthesis.