1, the steps of breast augmentation and plastic surgery with prosthesis
The first step is to choose the surgical incision. There are three main surgical incisions for breast enhancement: arc incision around areola, incision under breast fold and incision under armpit and axillary front line. Generally, the subaxillary anterior incision is the most commonly used and ideal. Because the incision scar is hidden, it does not damage breast tissue, and it is convenient to operate the fork without causing too much tissue damage. Generally, the incision is 3 ~ 5 cm, which is not easy to find after the incision is restored.
The second step is anesthesia. Local anesthesia can generally be used.
The third step, cutting and separating. First, after cutting along the incision line designed before operation, they are separated into deep layers one by one until the lateral edge of pectoralis major (or the lateral edge of fascia) is exposed. In case of obstruction, a few muscle fibers can be pushed away or cut off. Then, it was surgically separated to the subclavian region, and the F fold of the breast was placed, from the outside to the front of the armpit and from the inside to the lateral edge of the sternum. But in any case, the separation range must be slightly larger than the artificial breast prosthesis. If the separation range is too small, not only will the prosthesis move out after operation, but also the incision tension will be too high, which will easily crack and affect the healing, and the prosthesis will easily overlap, which will affect the beauty of the patient's chest. However, the peeling range should not be too large, and the prosthesis is easy to move and shift after operation. This requires the plastic surgeon to master the whole operation.
Step four, implant breast prosthesis. After surgical separation, the patient has a cavity in his chest. At this point, the cavity is filled with sterilized gauze strips and slightly pressurized, and then the gauze strips are slowly pulled out. After stopping bleeding in this way, a diluted solution of triamcinolone acetonide 50ra9 was injected into the cavity. The assistant slowly opens the incision with a deep retractor, and the attending doctor takes out the prosthesis selected before operation from the prosthesis soaking box after washing the gloves, and gradually sends the prosthesis into the cavity by gently squeezing or reducing the deformation of the prosthesis. Then check the implantation position of the prosthesis, whether there is overlap, etc. Until it is satisfactory (pay special attention to the polyester sheet sealed by the thin shell of the prosthesis to be close to the chest wall).
Step five, suture. The operation should be divided into three layers, first the pectoralis major layer, then the subcutaneous layer and the endodermis layer in turn. It should be noted that special care should be taken during sewing. The assistant should help the attending physician to protect the prosthesis from damage. Otherwise, all previous efforts will be in vain.
Step 6, bandage and fix. After the incision is purified, gauze should be used externally, fixed with adhesive tape, bandaged and fixed for 2 days, and then a suitable bra should be worn.
2. Possible problems of prosthetic breast augmentation
1, causing inflammation and infection.
There will be swelling and congestion after breast augmentation surgery. Generally speaking, it may subside within 1 week under normal circumstances. However, if the nursing is improper or the operation is not sterile, it is easy to cause wound infection and inflammation.
2. Symptoms of hematoma
The sequela of breast augmentation is that the capillaries of pectoralis major muscle are damaged when the prosthesis is implanted, resulting in hematoma after operation.
3, causing breast sclerosis
Breast sclerosis is a common sequela of breast augmentation surgery, which is caused by capsular contracture. After breast augmentation, a fibrous capsule is formed around the breast prosthesis, which tightly wraps the prosthesis.
4, breast asymmetry
Different implantation positions of breast prosthesis during operation will lead to bilateral breast asymmetry, different heights or unnatural shapes after operation.
5. False body displacement
Abnormal implantation position of prosthesis, or postoperative breast compression and improper nursing are all possible sequelae of prosthesis displacement, and breast morphology will also change.
6. Hypocrisy will be shattered
After breast augmentation with prosthesis, if the breast is subjected to heavy pressure, extrusion, heavy injury, etc. , false will burst. After the rupture of the prosthetic capsule, the liquid overflow not only affects the effect, but also easily causes tissue damage. In this case, you should contact the doctor in time.
7. False experiences are exposed.
Prosthesis exposure is a serious sequela, which can be caused by improper size and position of artificial breast and mismatch between artificial breast and cavity. If implanted in the wound site, the incidence of exposure will increase.
Step 8 refuse
Breast augmentation prosthesis is a foreign body in human body, and the prosthesis materials are diverse. If it is not compatible after being implanted into human body, it will produce rejection, especially for sensitive people. If there is rejection, you should ask a doctor to take it out in time, or replace it with a prosthesis of other materials.