Ahmad Muhammad
Department of Aesthetic Plastic Surgery, Islamabad Private Hospital, Islamabad, Pakistan.
World J Plast Surg. 2017 Sep;6(3):356-360.
Breast augmentation is an elective surgery used to increase the size of the breast in females. This study was undertaken to determine the breast augmentation in Pakistani females.
From 2006 to 2011, 43 female patients who underwent breast augmentation via infra-mammary, periareolar, trans-umbilical and fat transfer were enrolled. For augmentation, saline-filled or gel-filled implants were used in the supine position under general anesthesia and local infiltration of adrenaline (1:100,000 dilution) on each side. After the surgery, postoperative dressing was changed after 3-5 days and post-op bra was used for next 3-4 weeks. The patients were followed up for any complications too.
The majority of patients (60.4%) were less than 30 years (mean age: 27.51 years). Most of patients (70%) had infra-mammary incision, 13.9% had periareolar, 9.3% had trans-umbilical and 4.7% had fat transfer. Saline-filled implants were used in 30.2%, whereas gel-filled implants in 69.8% of patients. Implant volume in infra-mammary, periareolar, trans-umbilical and fat transfer approaches was 278.9, 291.7, 277.5 and 325 mL, respectively. Only two cases of infection were recorded in early postop period. One patient responded to conservative treatment and in 2 patient, implants were removed. There was only one case of hypertrophic scar. No case of capsular contracture was seen. Quality of scar was satisfactory in infra-mammary and periareolar incisions. Changes in sensations were noted in 6 cases, 4 of them had periareolar incision.
Properly performed breast augmentation results in restoration of physical and psychological well-being of the patient and less complication rates.
隆胸手术是一种用于增大女性乳房尺寸的择期手术。本研究旨在确定巴基斯坦女性的隆胸情况。
2006年至2011年，纳入43例通过乳房下皱襞、乳晕周围、经脐和脂肪移植进行隆胸的女性患者。隆胸时，在全身麻醉和每侧局部浸润肾上腺素（1:100,000稀释液）的仰卧位下使用盐水填充或凝胶填充的植入物。手术后，术后3 - 5天更换敷料，接下来3 - 4周使用术后胸罩。对患者也进行了任何并发症的随访。
大多数患者（60.4%）年龄小于30岁（平均年龄：27.51岁）。大多数患者（70%）采用乳房下皱襞切口，13.9%采用乳晕周围切口，9.3%采用经脐切口，4.7%采用脂肪移植。30.2%的患者使用盐水填充植入物，而69.8%的患者使用凝胶填充植入物。乳房下皱襞、乳晕周围、经脐和脂肪移植方法的植入物体积分别为278.9、291.7、277.5和325 mL。术后早期仅记录到2例感染病例。1例患者经保守治疗有效，2例患者取出了植入物。仅1例肥厚性瘢痕病例。未见包膜挛缩病例。乳房下皱襞和乳晕周围切口的瘢痕质量令人满意。6例患者出现感觉变化，其中4例有乳晕周围切口。
正确实施的隆胸手术可使患者恢复身心健康，并发症发生率较低。
