Department of Plastic Surgery, Addenbrookes Hospital, Cambridge, UK, USA.
Aesthet Surg J. 2012 Mar;32(3):310-8. doi: 10.1177/1090820X12436756. Epub 2012 Feb 2.
The insertion of sizers in breast augmentation surgery is a common method of predicting the final volume of prosthesis required. However, saline-filled sizers may not accurately represent the shape of the cohesive-gel-augmented breast. PERTHESE cohesive-gel breast implants are produced with matching sets of reusable (sterilizable) cohesive-gel-filled sizers that accurately predict the form of the augmented breast.
The authors assess the efficacy of PERTHESE sizers and implants in 200 consecutive patients who presented for breast augmentation.
Data were prospectively collected for all patients who underwent bilateral breast augmentation between 2003 and 2010 with the senior author (BGHL), during which time he inserted PERTHESE implants exclusively in his clinical practice. The 200 patients included in this series were analyzed according to demographic details, preoperative findings (including the presence of breast asymmetry), surgical approach, postoperative patient and surgeon satisfaction scores, and complications.
Less than 2% of patients in this series experienced complications such as hematoma, seroma formation, or infection. Capsular contracture developed in 7% of patients, but there were no visible or painful capsules. Only 2% of patients elected to undergo surgical revision for aesthetic reasons. A high proportion (87%) of the 27 patients who had significant preoperative breast asymmetry were satisfied with the aesthetic outcome of their surgery. Likewise, a significant percentage (92%) of the 148 patients who had preoperative breast symmetry were satisfied with their outcome.
Application of intraoperative form-stable cohesive-gel sizers can enhance the surgeon's ability to predict the final appearance of the augmented breast. The placement of these form-stable sizers and implants is a particular advantage in cases of established breast asymmetry.
在隆胸手术中插入大小合适的假体是预测所需假体最终体积的常用方法。然而，生理盐水填充的假体可能无法准确地呈现出粘性凝胶增强乳房的形状。PERTHESE 粘性凝胶乳房植入物采用配套的可重复使用（可消毒）的粘性凝胶填充假体，可准确预测增强乳房的形态。
作者评估了 200 例连续患者使用 PERTHESE 大小合适的假体和植入物进行隆胸的效果。
对 2003 年至 2010 年期间，由高级作者（BGHL）为 200 例双侧隆胸患者进行前瞻性收集数据，在此期间，他在临床实践中仅使用 PERTHESE 植入物。本系列中分析了 200 例患者的人口统计学资料、术前发现（包括乳房不对称的存在）、手术方法、术后患者和外科医生满意度评分以及并发症。
本系列中不到 2%的患者出现血肿、血清肿形成或感染等并发症。7%的患者发生包膜挛缩，但无可见或疼痛的包膜。仅有 2%的患者因美容原因选择手术修复。27 例术前乳房明显不对称的患者中有 87%对手术的美学效果感到满意。同样，术前乳房对称的 148 例患者中有 92%对手术结果感到满意。
术中应用形态稳定的粘性凝胶大小合适的假体可以增强外科医生预测增强乳房最终外观的能力。这些形态稳定的大小合适的假体和植入物的放置在已经存在乳房不对称的情况下是一个特别的优势。
