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| Lower Blepharoplasty |
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150,000 |
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2010-06-09 / pm 06:56 |
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 Summary |
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BREAST REDUCTION
surgery to reduce the size of the breasts. The operation to reduce breasts can be of
purely aesthetic curative, therefore, this as in case that, great breasts can cause some
problems of health, nominated with repercussions on the vertebral column back pain.
Many techniques exist to reduce the volume, the size lift the breasts. Since it has many
years that all they are based on the principle of being most physiological possible, wants to say
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| Instructor |
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 Dr. Angelo Rebelo
 무지개아파트
 잘살아보세~~
 어디서 태어나서 어떻게 잘났고 |
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| Surgery Information |
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Breast implants is always a controversial subject. Because, there are many approaches and opinions vary.
The Approach Via (areolar, infra-mammary, axillary, endoscopic…)
The Anaesthesia (general, local…)
The Positioning of the Implant (retro-glandular, retro-pectoral)
The Type of Implant (silicone, saline, hydrogel, triglyceride…)
The author prefers and usually uses the following procedure, because of fewer complications and better results.
THE AREOLAR VIA - First choice (inferior circun-areolar or trans-areolar of Pitangui) because there is no risk of
hypertrophic or keloid scaring and it doesn’t disturb the normal breast anatomy and physiology. The criteria,
the areola must be at least 3 cm in diameter.
THERETROGLANDULAR PLACEMENT – first choice and in almost all cases he prefers this placement because it
gives a more natural appearance, there is no discomfort for the patient as in the retro pectoral position and no
problem with dislocation of the implant.
TUMESCENT LOCAL ANESTHESIA - if there are no counter-indications he prefers the tumescent local
anaesthesia.
He uses the modified Klein’s formula, 1,7-2 mm Klein’s cannulas and the Byron compressed system.
COHESIVE GEL SILICONE PROTHESIS - The author prefers the cohesive gel silicone implants because they
are very safe and of excellent quality.
SURGICAL TECHNIQUE / PROCEDURE – The incision, approach at aponeurotical level, undermining to perform
a pocket at least 2-3 cm bigger than the prosthesis diameter, careful haemostasis, put the implant in place, close
by layers. No draining unless in special case of uncontrolled bleeding.
All patients have a complete clinical history, pre-op routine examinations plus mammography and/or mammary
ecography.
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