Fisher Jack
Department of Plastic Surgery, Vanderbilt University, Nashville, TN, USA.
Aesthet Surg J. 2007 Sep-Oct;27(5):551-7. doi: 10.1016/j.asj.2007.08.001.
The author provides pointers for using silicone gel-filled breast implants. Technical differences between the use of silicone gel-filled and saline implants include the need for a longer incision for insertion of gel implants. The author discusses patient selection, noting the variety of patients for whom gel implants may provide significant benefit including those with implant rippling, minimal breast tissue, minimal ptosis, and breast deformities such as tubular breast. The need for proper size selection considering breast base diameter is emphasized. The author provides his views on smooth versus textured gel implants and the role of hemostasis in avoiding capsular contracture.
作者提供了使用硅胶填充乳房植入物的要点。使用硅胶填充植入物和盐水植入物的技术差异包括插入凝胶植入物需要更长的切口。作者讨论了患者选择，指出凝胶植入物可能对多种患者有显著益处，包括那些有植入物波纹、乳房组织少、轻度乳房下垂以及乳房畸形（如管状乳房）的患者。强调了根据乳房基底直径选择合适尺寸的必要性。作者给出了他对光滑与带纹理的凝胶植入物以及止血在避免包膜挛缩中的作用的看法。
