Breast Augmentation Louisville

BREAST AUGMENTATION IN LOUISVILLE, LEXINGTON, KENTUCKY

我一直在做“快速恢复隆胸”和“无接触”技术,在隆胸过程中植入植入物25年. 隆胸的恢复期与外科医生的才能和哲学的关系比其他任何因素都大. 随着时间的推移,我给病人做的隆胸手术也在不断发展. We know that if less blunt tearing of tissues is accomplished, 并且只使用尖锐的电子分隔需要容纳植入物的空间, then the amount of bleeding and swelling are reduced, thus making the recovery less painful.

我使用电灼钳已经20年了,它可以在将小血管分开之前抓住并凝固它们,这样就不会有血液进入植入物放置的空间. 这大大减少了我的病人的瘀伤、疼痛和康复. Using ultrasound guidance, after you are asleep, 我现在放一种长效麻木药来放松胸大肌, resulting in fewer spasms and pain in the early postoperative phase.

BLOGQuick Recovery Breast Augmentation

The philosophy of the surgeon also matters a lot. I do not believe in placing a lot of restrictions on lifting, bathing, stretching, or the wearing of fancy post-surgical bras. None of these modalities are based on solid scientific principles. 如果肌肉酸痛,休息是有意义的,但不动则会使肌肉更加僵硬. 我们告诉我们的病人伸展他们的胸肌但不要运动到额外的血液流动会增加该区域肿胀的程度.

我把一个防水敷料盖在小切口上,以便立即洗澡. 切口在24小时内几乎完全与外界隔绝. I do not believe in custom post-op bras. 如果口袋制作正确,就不需要胸罩来固定植入物. If the implant is improperly immobilized by a poorly fitting bra, however, 它可能不允许植入物进入口袋的底部,因为胸肌放松和重力允许植入物下降. This can lead to a high-riding implant. 我们告诉患者,恢复期为1到2天,一周内就能恢复正常活动. Most people go back to work in a few days.

“无接触”技术有助于减少手术过程中植入物和口袋可能受到的污染. 前提是少量生活在乳腺导管中的细菌可以接触到植入物周围自然产生的液体,并形成生物膜. In this biofilm state, 这些细菌会导致植入物周围自然形成的疤痕产生更多的炎症. We call this capsular contraction. Some foreign bodies, like the powder on surgical gloves, 是否同样被认为是包膜挛缩的原因.

For these reasons, 在我看来,谨慎的做法是减少植入物和皮肤的接触, 并且防止手套粉在植入物放入口袋之前接触到它. 我将在切口的折痕处粘上一个类似塑料包装的敷料,这样植入物在放置时不会接触皮肤. 我们使用Keller漏斗帮助硅胶植入物通过乳晕入路进入口袋. This funnel-shaped, 润滑囊允许平稳引入植入物进入口袋, 减少壳壁的压力,并完全隔离植入物与皮肤. Glove powder is removed before touching the implant as well. By utilizing these “No Touch” techniques in breast augmentation, 我可以让我的病人迅速恢复日常活动,而且, soft, and natural result.

The surveillance of silicone gel breast implants is important, 因为常规的乳房x线照相术和体格检查可能无法发现植入物外壳的小撕裂. Due to the very cohesive nature of the newer silicone gels, this “broken” implant may not leak gel very far away from the shell. 评估隆胸患者硅胶植入物完整性的主要手段是MRI. 这些研究是FDA推荐的在手术后的三年以及之后每两年进行一次. At a cost of $1500 to $2500, this seems unreasonable to me, 特别是当其他部位看起来没什么问题的时候,发现假体破裂的几率还不到1%. 我们已经使用超声诊断超过四年了,试图帮助患者避免这种昂贵的检查.

我参与了美国三种品牌硅胶植入物中两种的fda批准研究, 我们可以获得我们做过手术的病人的MRI队列. 这些患者被随机选择在设定的时间间隔进行MRI研究. I was then able, on the day before or the morning of the MRI, to do the ultrasound study in the office. 我很自豪地说,我的超声检查结果与核磁共振检查结果的相关性是100%. In my hands with ultrasound technology, 植入物被正确识别为破裂的机会是非常高的. For our patients, there is no cost to having a breast ultrasound, and it takes less than five minutes to complete. If patients are worried, have car accidents, falls, or experience trauma to the chest wall, it has been quite a relief for them to know, in a very short amount of time, that everything’s okay with their implant. 在美国,很少有整形外科医生采用这种办公室超声技术. 我相信,在未来的3到5年里,这将是监视的主流.

BLOGHow to Pick the Right Size and Shape of Breast Implants by Dr. Salzman

Indications

Smaller than desired breasts. One breast is noticeably smaller than the other. Breasts have lost volume after weight changes or childbearing.

BLOG: Thinking about a Breast Augmentation by Dr. Salzman

Intended Results

Larger and more shapely breasts. A more confident and positive self-image. More proportional body shape.

VIEW REAL PATIENTS RESULTS

Consultation

There are many choices in breast enlargement, 我们认为,重要的是在协商时得到所有的选择. 有盐水和凝胶植入物,以及可扩张植入物和形状植入物. 这种凝胶植入物具有光滑或有纹理的表面,具有不同的一致性. The placement of the incision can also be in numerous locations. We take these considerations, as well as the preoperative state of the breast, the size of the patient, her desires, and activity levels, and address all of these at each and every consult.

BLOGBreast Ultrasound

Using Vectra 3D computer imaging, 我们可以展示出既能让病人满意又能通过手术达到的结果. This is a truly customized approach for each individual patient. Dr. Salzman’s surgery technique is likewise different than most. Having done thousands of breast enlargement procedures, 他已经能够简化这些手术,让他的病人更容易恢复. 由于所有组织的分离都是用电钳完成的,因此钝性撕裂的组织很少. 我们发现,肌肉下的病人可以在几天内恢复正常活动. 我们对病人能做什么不能做什么没有太多的限制. We also don’t place large constrictive bandages. 我们只需要贴一个防水的小创可贴,可以让你马上洗澡. 在隆胸的hg6686皇冠下载过程中出现了很多问题我们可以在这里解决这些问题.

Types of Breast Implants

Today there are many types of breast implants. We will summarize each below:

SALINE IMPLANTS:

盐水植入物有一个橡胶硅胶外壳,在手术室里充满无菌盐水. It has some advantages over the gel-filled devices. Because the implant comes with no volume in it, 填充容量的大小可以根据患者在植入期间的个人需求来定制. 不同尺寸的乳房可以通过在每个植入物上添加不同量的生理盐水来变得更加对称. Saline implants, because they are filled with salt water, feel less breast-like than silicone, 持久性和皱纹是否比硅胶更短. They cost less than silicone implants. 它们可以更容易地通过远程切口位置,如腋下或肚脐. Learn more about saline implants.

BLOGReal Lift Breast Implant Imaging is Here

SILICONE GEL IMPLANTS:

硅胶乳房植入物是这个星球上研究最多的可植入医疗设备. 多篇同行评议的期刊文章证实了它们的总体安全性,并且在引起系统性疾病方面缺乏相关性. 美国整形外科医生协会(American Society of Plastic Surgeons)在网站breasttimplantsafety上提供了FDA的数据.org. Silicone implants have the advantage of feeling more breast-like, being less prone to wrinkling, lasting longer, 比正常填充的生理盐水植入物更能填充乳房上部. The silicone breast implant comes pre-filled. No adjustments in the operating room can be made. However, using the precision analysis of the Vectra™3D computer imaging, 还有一个经验丰富的整形外科医生的经验和敏锐的眼睛, good symmetry can usually be obtained. 硅胶植入物,当使用较大尺寸时,可能需要稍长的切口. Silicone implants have a higher cost than saline implants. Learn more about silicone breast implants.

GUMMY BEAR IMPLANTS:

This term is confusing to most people. Plastic surgeons refer to this implant as “form stable,这意味着即使外壳从硅胶填充物中剥离, the shape of the silicone filling would remain. These are usually shaped implants. 这种形状的植入物不是圆形的,而是有不同的高度、宽度和投射比率. 例如,植入物可以是中等高度,中等宽度和额外突出. 三种不同的高度、宽度和投影可用于相同体积的植入物. Dr. Salzman参与了FDA对这种植入物(风格410 Inamed)的试验,并在他的实践中广泛使用它. It is not presently available for free and unrestricted use. All silicone gel implants today contain a “cohesive gel.” Unlike the gel implants of the ’70s and ’80s, 这些新的植入物有更厚的凝胶,有时被称为“小熊软糖”植入物.

TEXTURED IMPLANTS:

Textured implants mean that the shell of the implant feels rough. 几种制造方法被用来创建这个表面纹理. 使用这些有纹理的植入物的原因是,它们可能更能抵抗包膜挛缩, 或者乳房植入物周围自然产生的疤痕组织硬化. With the older implants of the ’70s and ’80s, where the gel inside was runnier and could leak out of the implant, 人们认为这种有纹理的表面比光滑的表面植入物更能抵抗囊膜的形成. With the newer forms of gel implants, 大多数植入物都在肌肉下方植入物可以自然运动, the textured surface is unnecessary. Textured implants feel stiffer and, when filled with saline, have a higher rupture rate than their smooth-shelled counterparts.

SMOOTH IMPLANTS:

The smooth implant shell is just that: smooth in feel. It feels better than textured shells, wrinkles less, and lasts longer, particularly in saline-filled devices.

FDA APPROVES THE USE OF SILICONE GEL IMPLANTS

Dr. 在他20多年的私人执业生涯中,萨尔兹曼已经成功地做了数千例隆胸手术. During the FDA moratorium on the use of silicone breast implants, Dr. 萨尔兹曼是美国为数不多的获准使用新型硅胶植入物的整形外科医生之一. 在FDA批准之前,他被Allergan和Silimed两家公司选为这种新型植入物初步研究的首席研究员. In November of 2006, the FDA reinstated the approval of silicone breast implants, 宣称它们对22岁及以上的女性是安全有效的. 硅胶乳房植入物是生理盐水的绝佳替代品,提供更自然的外观和感觉.

Procedure Description

隆胸手术在门诊进行,在辅助局部麻醉下使用喉罩. During the procedure, which takes less than an hour, an incision is made either on the breast or in the underarm, 乳房植入物被放置在胸肌的下面或上面. 空间(口袋)的分离是用电灼钳完成的,以促进愈合,使更顺利的恢复. 在两种植入物就位后,我们让患者在手术室里坐起来,并进行任何必要的调整以达到最佳的对称性. 用隐藏在皮肤下的可吸收缝合线缝合切口. A small dressing is placed and the patient goes home.

BLOGThe Benefits of Breast Augmentation Beyond just Breast Size

Recuperation and Healing

隆胸患者可能会有持续几天的轻度到中度不适. Pain is controlled with oral medications, 如果植入物被放置在肌肉下方,就会使用肌肉松弛剂. We ask that the patient either wear no bra, an athletic bra, or the bra that we will supply for the first few weeks. No underwire bra should be worn for 6 weeks. 肌肉下植入物会在胸壁上出现几个星期,然后才会掉到口袋里的适当位置. Patients may shower the next day. 大多数从事非体力工作的病人可能在几天后就能重返工作岗位.

Other Options

如果乳房下垂或低垂在胸壁上,另一个选择是hg6686皇冠下载术(乳房固定术)。. 有几种不同类型的hg6686皇冠下载可以通过植入物同时完成.

Incision Options

了解更多关于丰胸手术不同类型的切口选择.

Note

具体的风险和适合的程序,为特定的病人只能确定在会诊. All surgical procedures have some degree of risk. 不影响预后的轻微并发症时有发生. Major complications are unusual.

BLOGYour Fat May Be Your Best Filler

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