The most important component of female physical beauty is to have a full and rounded chest curve. Well-proportioned breasts and undulating peaks show the unique female body shape and are also a symbol of female charm, so women attach great importance to the shape of their breasts.
The main causes of microtia in women are congenital dysplasia or glandular atrophy caused by breastfeeding, while a few are due to trauma, inflammation and removal of breast masses.
Along with the increasing civilization of society and the updating of people’s mindset and the gradual maturity of cosmetic technology, breast augmentation surgery is more and more accepted by women.
Women with undeveloped or underdeveloped mammary glands and low flat chest area can consider breast augmentation, i.e., by placing breast implants or transplanting their own tissues to expand the volume and shape of the breasts, improve the female body shape and restore the unique curves of women. The most common and safe method of breast augmentation is the placement of breast implants.
I. Indications for surgery.
⒈ congenital breast dysplasia, including microtia, unilateral mammary gland hypoplasia.
⒉ After pregnancy or breastfeeding breast atrophy, the skin is mildly sagging.
3) Asymmetric breasts.
Singing of congenital breast defects or hypoplasia, such as Poland syndrome.
If you need breast reconstruction after trauma or mastectomy with intact skin.
Selecting a breast that is basically normal in size but has a strong desire to enlarge it.
Borrowers who have undergone gender reassignment surgery (male to female).
Second, the contraindications to surgery.
⒈ severe breast sagging, can be considered to perform breast augmentation plus breast suspension and fixed surgery.
⒉ Breast local or systemic acute infection.
⑶ During pregnancy and lactation.
Recurrence of breast cancer after surgery or a tendency to metastasize.
If you are an underage woman with a breast that has yet to develop further.
III. Pre-operative preparation.
The patient should fully communicate her wishes and goals to the surgeon and discuss with her doctor to choose an appropriate size of implant according to her ideas.
Routine electrocardiogram, breast ultrasound, routine blood and urine tests should be performed to prepare for the smooth operation. Stop taking any aspirin-containing drugs and contraceptive pills 2 weeks before surgery. Surgery should be avoided during menstruation.
The size of the chosen prosthesis should be the one requested by the patient and can be referred to the doctor’s opinion; one model of prosthesis cannot be suitable for everyone. It should also be combined with the recipient’s height, breast shape, breast volume, fatness and thinness to choose accordingly. The size of the implant chosen should be estimated by combining computer-aided design.
There are several surgical approaches to implantation.
⒈ axillary incision: currently the most widely used, the direction of the incision and skin folds in line, the scar is hidden, stripped under the pectoralis major muscle, no damage to the breast tissue.
⒉ areola incision: scar is not obvious, but there is partial damage to the breast ducts and nipple sensory loss.
Submammary fold incision: good exposure, but relatively obvious scarring.
Anterior axillary incision: relatively obvious scars, less frequent.
IV. Anesthesia.
Epidural anesthesia is generally used, but general anesthesia may also be used. Local anesthesia can also be used for inframammary crease incisions.
V. Brief surgical procedure.
⒈ breast implant positioning: the normal breast is located between the 2-6 ribs in front of the chest, starting from the sternal side and reaching the anterior axillary line.
The length of the incision depends on the type of breast implant and is generally 2-5 cm.
The skin and subcutaneous tissue are incised along the incision, and a special breast implant peeler is used to peel under the pectoral muscle or mammary gland to create a cavity of appropriate size and smooth edges.
The breast implant is inserted into the dissected cavity.
If appropriate, a negative pressure drain may be placed.
The incision is closed with cosmetic non-invasive sutures, and the breast implant is fixed with a moderate pressure dressing after surgery.
VI. Postoperative care.
⒈ two days after surgery mild pain in the operating area is normal, can be symptomatic treatment, can also consider the application of postoperative self-control intravenous analgesia technology.
⒉ negative pressure drainage daily aspirate less than 20 ml of exudate, you can consider setting aside the drainage tube, generally 7 days after surgery to remove the stitches.
If you make an incision around the areola and a glandular incision, you may experience a transient numbness in the nipple that will gradually recover over time.
You should avoid excessive movement of the upper extremities for 2 weeks after surgery to prevent displacement of the implant due to strong contraction of the pectoralis major muscle.
Be careful with routine postoperative antimicrobial therapy for 1 week.
To prevent possible contracture of the envelope, local massage of the breast should be adhered to for 3-6 months after surgery.