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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