唐新辉 1李京 2刘英 1王杰 1林宇航 1李鑫垚1
作者信息
- 1. 深圳富华医疗美容医院整形美容外科 广东 深圳 518001
- 2. 广西中医药大学附属瑞康医院整形美容外科 广西 南宁 530011
- 折叠
摘要
Abstract
Objective To investigate the indications,surgical methods,precautions and clinical application value of endoscope-assisted breast augmentation with oversized prosthesis(volume≥350 ml).Methods From April 2016 to December 2024,on the basis of detailed preoperative communication and data measurement and evaluation,the author performed 91 cases of breast augmentation by axillary incision,endoscopic technology assistance,prosthetic conveyor belt placement technology,and extra-large prosthesis(volume≥350 ml),including 68 cases of first surgery,22 cases of second surgery,and 1 case of third surgery.Prosthesis volume used:72 cases of 350-399 ml,14 cases of 400-499 ml,4 cases of 500-599 ml,1 case of≥600 ml.Results 67 of the 91 patients were effectively followed up for 6 months to 8 years.Among them,there were 2 patients with grade Ⅲ capsular contracture and no grade Ⅳ capsular contracture.2 cases of mild displacement of prosthesis(those with smooth prosthesis).There were 5 cases of nipple areolar hypoesthesia(3 cases unilaterally and 2 cases bilaterally).The rest of the patients had plump and straight breasts,real and natural hand feel,and reported that the quality of life was significantly improved,their self-confidence was enhanced,their psychological needs were greatly satisfied,and they were satisfied with the results of the operation.Conclusion Breast augmentation with oversized prosthesis has specific indications,and the surgical operation is difficult.On the basis of accurate data measurement and detailed preoperative communication,the selection of appropriate patients,the application of axillary incision,endoscope,ultrasound,(high)biplane,prosthetic conveyor belt and other technologies and methods are conducive to preventing the occurrence of complications related to oversized prostheses and meeting the large-breasted desires and psychological needs of patients with special requirements.关键词
内窥镜技术/双平面技术/腋窝切口/超大假体/隆乳术Key words
endoscopic technique/dual-plane technology/axillary incision/implants/breast augmentation分类
医药卫生
