Tuesday, August 2, 2016

Augmentation Mammooplasty

Augmentation Mammoplasty
Objective
Increase of breast size by using implants in patients with small breasts.
Position
•   Supine
•   Arms abducted.
Anesthesia
General.
Procedure
1.  Submammary skin crease incision.
2.  Create a pocket by blunt and sharp dissection.
3.  Hemostasis.
4.  Insert implant.
5.  Suction drain (optional).
6.  Close in layers.
Instruments
•   General plastic procedure set 
•   Long Metzenbaum scissors curved on flat (Fig. 8.35)
•   Retractors
•   Deaver 2 (Fig. 8.94) 
•   Long forceps-nontoothed 
•   Suction drains 
•   Mammoplasty prosthesis 
•   Elastoplast for dressing 
•   Sutures:
     a.  4 ‘0’ Monocryl or chromic catgut on curved cutting needle
     b.  5 ‘0’ Prolene on curved cutting needle.

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