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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_884_Библиотеки_им_академика_М_И_Перельмана
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Fig. 7.28
https://t.me/med1917
7 Breast Surgery
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Results
a
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b
Fig. 7.29
a frontal view, and b semioblique view, right, before the operation
Patient I (Fig. 7.29a–h): This is a 24-year-old patient whose breasts did
not make her feel like a woman. She wanted her breasts enlarged to a
size 75 B.
For this patient, access via the inframammary fold was used to insert a
230-g round, low-profile implant produced by PharmAllergan. The
implant was placed above the muscle.
7 Breast Surgery
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c
d
Fig. 7.29
c frontal view, and d semioblique view, r ight, after the operation
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e
f
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Fig. 7.29
e semioblique view, left, and f view from left, before the operation
7 Breast Surgery
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g
h
Fig. 7.29
g semioblique view, left, and h side view, left, after the operation
PatientI: Twelve month safter the implant
Normal woundhealing, no scar formation, nofibrosis.
The breast has an anatomical shape with a round implant.
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a
b
310
Fig. 7.30
a Before the operation – oblique view, left
b Twe l v e month s after the operation – oblique view, left
Patient II (Fig. 7.30a, b): This is a 45-year-old patient who had given
birth twice. She expressed a desire to have breasts like she had before
the births, now that she had finished having children. A supramuscular
implantation with a 260-g round, low-profile implant was carried out
using the supramuscular access on this patient.
Twelve months after the operation: The breast shows no scar formation
and has a natural shape. A lay person would not notice that breast augmentation had taken place.
a
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b
Fig. 7.31
a Before the operation
b Twelve m o nt h s after the operation
7 Breast Surgery
Patient III (Fig. 7.31a, b): A 32-year old patient with breast hypoplasia
and thin skin covering with prominent sternum. Implant 290, submuscular. It is up to the experienced surgeon to decide whether a subm u scular implant is appropriate. If there is any doubt, then the submuscular implant is the safe option. There has been no definitive scientific
clarification relating to the incidence of capsular fibrosis.
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a
b
Fig. 7.32
a A37-year-oldpatientwithmildbreastptosisaftertwochildren
before the operation
b The same patient 12 months later with 280 cc supramuscular implants
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a
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b
Fig. 7.33
a A 22-year-old patient with tubular breasts and associated psychological
distress beforethe operation
b The same patient 12 months later following breast reconstruction using
300-cc supramuscular implants
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ab
Fig. 7.34
a A 40-year-old patient with breast ptosis, two children, beforethe operation
b 12 months following breast augmentation, 320-cc supramuscular implants
ab
Fig. 7.35
a A28-year-old patient, bra size75 B, nulliparous, before the operation
b
The same patient following breast augmentation with 300-cc supramuscular implants
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