New York, N.Y. From the Division of Plastic Surgery, Weill Cornell Medical College.
Plast Reconstr Surg. 2014 Apr;133(4):567e-583e. doi: 10.1097/PRS.0000000000000033.
After studying this article, the participant should be able to: 1. Assess patient physical characteristics that influence implant selection. 2. Adopt a system to aid in implant size selection. 3. Become cognizant of the advantages and disadvantages of incision, pocket plane, and implant options. 4. Understand implant positioning concepts and aseptic implant handling methods. 5. Manage untoward postoperative sequelae 6. Understand secondary surgery concepts.
Breast augmentation is the most commonly performed aesthetic surgical procedure. Choices of incisions, pocket plane, and myriad implant characteristics constitute the basis for surgical planning. Analysis of physical characteristics and inclusion of the patient in implant selection contribute to overall satisfaction and reduce requests for secondary surgery. Technical expertise in implant positioning and aseptic handling helps to prevent capsular contracture, implant malposition, and other shape problems. Despite the need for secondary surgery in some, patient satisfaction is high.
学习本文后，学员应能够：1. 评估影响种植体选择的患者身体特征。2. 采用系统来辅助种植体大小选择。3. 认识切口、袋平面和种植体选择的优缺点。4. 了解种植体定位概念和无菌种植体处理方法。5. 处理不良的术后后遗症。6. 了解二次手术概念。
乳房增大是最常见的美容手术。切口、袋平面和众多植入物的特点的选择构成了手术计划的基础。身体特征的分析和患者对植入物选择的参与有助于整体满意度的提高，并减少对二次手术的需求。植入物定位和无菌处理方面的技术专长有助于防止包膜挛缩、植入物错位和其他形状问题。尽管一些患者需要进行二次手术，但患者满意度仍然很高。
