Westlake Village, Calif. From the Westlake Cosmetic Surgery Center.
Plast Reconstr Surg. 2014 Jul;134(1 Suppl):18S-27S. doi: 10.1097/PRS.0000000000000353.
With the 2006 Food and Drug Administration approval of round silicone gel breast implants in the United States, there still remained a lack of versatility in implant options. The approval of Sientra's shaped cohesive implants in 2012 brought with it the innovations needed to address varying patient needs. Because access to shaped devices is still fairly recent in the United States, some surgeons remain uncomfortable with implementing shaped cohesive gel implants into their practice. The author outlines surgical techniques and algorithms from experience with the Sientra shaped device, covering the preoperative stage, measurements (base diameter, sternal notch to nipple, tissue pinch, and nipple to inframammary fold), ideal first candidates, operative techniques, and complication avoidance, as well as important factors for shaped-implant selection, including chest base diameter, implant height, implant volume, and implant projection for the patient's desired outcome. With experience, surgeons will find new utility with shaped implants for a variety of patients in their practices.
在美国，2006 年食品和药物管理局批准使用圆形硅胶凝胶乳房植入物后，植入物的选择仍然缺乏多样性。2012 年 Sientra 公司生产的成型黏合植入物获得批准，为满足不同患者的需求带来了所需的创新。由于在美国获得成型设备的时间还比较短，一些外科医生仍然对将成型黏合凝胶植入物应用于他们的手术中感到不舒服。作者根据使用 Sientra 成型设备的经验，概述了手术技术和算法，涵盖了术前阶段、测量（基底直径、胸骨切迹至乳头、组织捏合、乳头至胸下线）、理想的首选患者、手术技术和并发症预防，以及成型植入物选择的重要因素，包括胸部基底直径、植入物高度、植入物体积和植入物突出度，以达到患者期望的效果。随着经验的积累，外科医生将在他们的手术中为各种患者找到使用成型植入物的新用途。
