The matter at early postoperative stage

……
Hematoma, Seroma
Infection
Wound Disruption
Mondor’s Disease
Axillary Venous Thrombosis
And so on


The Forward Problem
……
Undersize
Asymmetry
Prosthetic ectopic
Touch the edge of the prosthesis and surface ripple
Capsular contracture
Leakage and rupture
Double bubble deformity
Implant servo

undersize
current situation
…
The size almost over 260ml, in resent 10years
Reason
Subjectivity: aesthetic, web, comparisons
Objectives: multiformity, technique
Under Size
My Experience
The Size of the Implant should be increased 100ml at least

The textured Implant 280ml changed to the textured implant 425ml after 2years
increased 275ml
Bilateral Asymmetry
Reason: the size, the location, the position of the nipple areola complex, the angle of inclination, and the malformation of the spine and thorax
Position asymmetry: high, low, outward, depression
the position of the nipple areola (malformation of the thorax)
the malformation of the spine and thorax
asymmetry of the size and position
The Difference Value 75ml
asymmetry (capsular contracture)
added 75ml
the position is higher

the position is lower (inframammary fold incision)
the position is lower (periareolar incision)
the position is outward (undersize)
the size added 155g
the position is depression (through connection)
Touch the edge of the prosthesis and surface ripple
Reason
The cover tissue is too thin
The implant was placed too long
The implant was placed too shallow
The strategy : fat injection and patch
body type is thinner
fat injetion
patch
capsular contracture
……
Sterility
Trauma: Hematoma, Seroma
Leakage
Smooth or textured
Layer
Postoperative care
therapeutic schedule
Take out the implant
Cut open the envelope
Remove the envelope
Partly remove the envelope
Chang the layer
acellular allogenic dermis
envelope hydropsy
capsular contracture (periareolar incision)
Leakage
smooth implant (retrommary space)
capsular contracture (periareolar incision)
double envelop
inframammary fold incision to remove the envelop
remove the envelop transaxillary (post-pectoralis major space)
remove the envelop, change the layer
contract photo
capsular rupture (capsular contracture)
intraoperative inspection
implant rupture
implant 310cc prosthetic
transaxillary removed the ruptured implant and envelop
special cases
remove PAHG and implant
necrosis of the nipple areola
complex case with multiple repairing
Injected PAHG 26years ago
Removed the injection and implant saline implants 23years ago
Removed the injection and changed to mentor textured implant 16years ago
Removed the injection and changed to Natrelle implant 7years ago
Repaired left scars 4years ago

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