Senderoff Douglas M
Mount Sinai Beth Israel Medical Center, New York, NY, USA.
Clin Plast Surg. 2018 Apr;45(2):187-195. doi: 10.1016/j.cps.2017.12.002. Epub 2018 Jan 5.
This article focuses on practice-based recommendations for surgeons performing gluteal augmentation with implants (GAI). Preoperative planning, including the indications, precautions, and contraindications to GAI, is discussed. Advantages and disadvantages of subfascial and intramuscular implantation are addressed along with recommendations for implant size, shape, and position. Recommendations for patient management before and after surgery along with operative and nonoperative strategies for postoperative complications, including wound dehiscence, infection, and seroma, are included. Aesthetic concerns and recommendations for the management of poor results are addressed. A comprehensive literature review is included along with illustrative preoperative and postoperative photos.
本文重点介绍了为接受植入式臀肌增大术(GAI)的外科医生提供的基于实践的建议。讨论了术前规划,包括GAI的适应症、注意事项和禁忌症。阐述了筋膜下和肌内植入的优缺点,并给出了植入物尺寸、形状和位置的建议。还包括术前和术后患者管理的建议,以及术后并发症(包括伤口裂开、感染和血清肿)的手术和非手术处理策略。探讨了美学问题以及处理效果不佳的建议。文中包含全面的文献综述以及术前和术后的示例照片。