Clinical application and analysis of the key points of breast augmentation via inframammary fold incision
10.3760/cma.j.cn114453-20200525-00316
- VernacularTitle:乳房下皱襞切口假体隆乳术的临床应用与要点剖析
- Author:
Zhibin LI
1
;
Baihui XIE
;
Ximei WANG
Author Information
1. 郑州大学第一附属医院医学美容中心 450052
- Keywords:
Breast implants;
Tissue expansion devices;
Breast augmentation;
Inferior breast fold incision
- From:
Chinese Journal of Plastic Surgery
2020;36(11):1237-1241
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the technical points and clinical effects of breast augmentation with silicone prosthesis through inframammary fold(IMF) incision.Methods:From January 2018 to June 2019, 26 cases of patients undergoing breast augmentation in our department were collected, including 10 cases of breast hypoplasia and 16 cases of breast atrophy, ranging in age from 24 to 38 years, with an average year of 30.2. The preselection of the volume, type of prosthesis and the design of new position of IMF were based on the height, weight, breast measurements and individual demand. During the operation, after precisely dissecting the lacunae, water were injected into the circular expander to reassess the volume of prosthesis, then the final prosthesis was implanted and the inframammary fold was reconstructed. After operation, patients were given analgesic pump and combined anti-cicatricial treatment. Postoperative complications, breast morphology, incision scar, and whether the patient was satisfied with the surgical evaluation were followed up.Results:All operations were successful and the operative time ranged from 38 to 45 minutes, the drainage time was 3-4 days, the drainage volume of the unilateral space was 30-50 ml, 96 percent of the patients (25/26) were satisfied with the incision. Postoperative following up lasted from 8 months to 16 months with an average of 12 months. No complications such as hematoma, infection or capsular contracture occurred. The breast shape of 26 patients after operation was natural, erect, plump and bilaterally symmetrical. The incision scar of new IMF was not conspicuous. The patients were very satisfied with the operation effect.Conclusions:Breast augmentation through IMF incision has advantages of short operating path, accurate dissecting and hemostasis under direct vision, short operation time. During the operation, in combination with re-evaluation after the expander inflated with saline to the required prosthesis volume and reconstruction of IMF, satisfactory clinical effects can be achieved with fewer complications.
