HBT

Thursday, 26 July 2012

Bilateral breast augmentation


PREOPERATIVE DIAGNOSIS:                Micromastia.

POSTOPERATIVE DIAGNOSIS:             Micromastia.

OPERATION PERFORMED:                    Bilateral breast augmentation with Moderate Profile Plus, smooth round implants, size 375 mL filled to 420 mL.  Right implant is #5642062053, left implant is #5825646-023.\

ANESTHESIA:  General

PROCEDURE IN DETAIL:                        The patient was brought to the operating room, placed supine on the operating table.  General anesthesia was administered.  The patient was then prepped and draped.  Next, 1% lidocaine with epinephrine was injected into the umbilicus, as well as both breasts.

Next, an umbilical incision was made.  A tunneling device was then used to tunnel up to the breast, which was then used to separate the pectoralis muscle.  A hockey stick was then used to open the pectoralis muscle more.  Next, sizers were placed and filled up to approximately 450 mL.  The same procedure was performed on the contralateral side.  The endoscope was placed to confirm a subpectoral pocket.

Next, irrigation was performed.  Three-hundred seventy-five mL implants were chosen.  The implants were opened, checked for leaks, and then placed into each pocket.  The implants were then inflated to 420 mL.  The patient was sat up and good symmetry was noted.  Next, the small mole was removed from her left breast.  This was cauterized. 

The umbilicus was then closed with 5-0 fast-absorbing plain gut.  Dressings were applied.  The patient tolerated the procedure well.

5 comments:


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