FIELD: medicine.
SUBSTANCE: skin is cut along the areola. Penetration is performed through the incision into the retromammary space, a cavity for the implant is formed and drained. The implant is placed into the cavity, fibrin glue is injected into the cavity. The MG is brought to the given shape, fixed and sutured, the incision is glued. At that, 12-14 days prior to the operation, the MG surface is divided into squares with side length of ~ 2.0 cm and a mesh is applied. At the center of each square, botox is injected at a rate of 2.0-2.5 units per square. Also, botox is injected in the large pectoral muscle at a rate of 20-30 units per muscle. In addition, during the operation, prior to implant insertion into the cavity, botox injection is repeated at a rate of 20-30 units per muscle in the base and along the fibers of the large pectoral muscle. Fibrin glue is used in a mixture with a solution of a nonpolarizing muscle relaxant, and the cavity is washed with an antibiotic solution before drying.
EFFECT: method has a high aesthetic effect, ensures the stability of the mammary gland with the necessary shape, excludes scars on the incision site, allows to significantly reduce postoperative rehabilitation and minimize or avoid postoperative pain sensations, local inflammatory processes and discomfort.
3 cl, 19 dwg, 3 tbl, 3 ex
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Authors
Dates
2017-09-27—Published
2016-08-12—Filed