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美学隆胸的进展:评估 Ergonomix2 植入物的安全性、疗效和自然结果。

Advancements in Aesthetic Breast Augmentation: Evaluating the Safety, Efficacy, and Naturalistic Outcomes of Ergonomix2 Implants.

机构信息

Dr Szychta Clinic chirurgiaplastyczna.pl, Zabi Kruk 10, 80-822, Gdansk, Poland.

Mother's Poland Memorial Hospital - Research Institute, Lodz, Poland.

出版信息

Aesthetic Plast Surg. 2024 Nov;48(21):4351-4364. doi: 10.1007/s00266-024-03994-3. Epub 2024 Apr 5.

DOI:10.1007/s00266-024-03994-3
PMID:38580867
Abstract

BACKGROUND

This pioneering study evaluates the safety, efficacy, and Aesthetic outcomes of Ergonomix2 Motiva Ergonomic Implants in breast augmentation. It aims to assess their capability to offer more natural touch and dynamics, delineate the learning curve for surgical techniques, and examine their safety profile compared to Ergonomix1 implants.

MATERIALS AND METHODS

A prospective cohort study was conducted, comparing 31 patients who received Ergonomix2 implants with a control group of 51 patients with Ergonomix1 implants. Eligible patients were those seeking Aesthetic breast augmentation without prior surgeries or chronic illnesses. Detailed documentation of surgical techniques, implant characteristics, and patient demographics was performed. The study assessed surgical learning curve, implant positioning accuracy, and short-term and early complications. Aesthetic outcomes were evaluated using the BreastQ questionnaire and quantitative elastography.

RESULTS

Patients with Ergonomix2 implants showed significant improvements in Aesthetic outcomes, including breast contour symmetry and natural feel. The learning curve demonstrated a decrease in surgical time and higher implant positioning accuracy. The safety profile was favorable, with a low complication rate and high patient satisfaction levels. Ergonomix2 implants exhibited enhanced softness and pliability, closely mimicking natural breast tissue, as confirmed by elastographic analyzes.

CONCLUSIONS

Ergonomix2 implants represent a significant advancement in Aesthetic breast surgery, offering natural-feeling and dynamically adaptable outcomes. Despite the promising results, the need for specialized surgical techniques and further research on long-term safety and efficacy is emphasized. This study contributes foundational knowledge to the field of ergonomic breast implants and their application in modern plastic surgery.

LEVEL OF EVIDENCE II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

本开创性研究评估了 Ergonomix2 Motiva 微创植入体在隆胸术中的安全性、有效性和美学效果。旨在评估其提供更自然触感和动态的能力,描绘手术技术的学习曲线,并与 Ergonomix1 植入体相比检查其安全性概况。

材料和方法

进行了一项前瞻性队列研究,比较了 31 名接受 Ergonomix2 植入体的患者和 51 名接受 Ergonomix1 植入体的对照组患者。合格的患者是那些寻求无先前手术或慢性疾病的美容隆胸的患者。详细记录手术技术、植入物特征和患者人口统计学信息。该研究评估了手术学习曲线、植入物定位准确性以及短期和早期并发症。使用 BreastQ 问卷和定量弹性成像评估美学结果。

结果

接受 Ergonomix2 植入物的患者在美学结果方面有显著改善,包括乳房轮廓对称和自然感觉。学习曲线显示手术时间缩短和植入物定位准确性提高。安全性概况良好,并发症发生率低,患者满意度高。 Ergonomix2 植入物表现出增强的柔软度和柔韧性,通过弹性成像分析证实,其与天然乳房组织紧密相似。

结论

Ergonomix2 植入物代表了美容乳房手术的重大进展,提供了自然感觉和动态适应的结果。尽管结果令人鼓舞,但强调需要专门的手术技术以及对长期安全性和有效性的进一步研究。本研究为微创隆胸领域及其在现代整形手术中的应用提供了基础知识。

证据水平 II:本期刊要求作者为每篇文章分配一个证据水平。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南 www.springer.com/00266 。

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本文引用的文献

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Predicting the expansion of the lower pole of the breast following smooth breast implant augmentation: A novel shear wave elastography study.预测乳房下极在平滑乳房假体隆乳后的扩张:一项新的剪切波弹性成像研究。
J Plast Reconstr Aesthet Surg. 2023 Sep;84:574-581. doi: 10.1016/j.bjps.2023.06.051. Epub 2023 Jul 3.
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Subfascial Axillary Hybrid Breast Augmentation: Technical Highlights and Step-by-Step Video Guide.Subfascial 腋窝下 Hybrid 乳房增大术:技术要点和分步视频指南。
Plast Reconstr Surg. 2023 Aug 1;152(2):264e-269e. doi: 10.1097/PRS.0000000000010216. Epub 2023 Jul 27.
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Gel Cohesivity and Breast Augmentation: Applications to Clinical Practice.
凝胶内聚力与隆乳术:在临床实践中的应用
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Keller Funnel Efficacy in "No Touch" Breast Augmentation and Reconstruction: A Systematic Review.凯勒漏斗在“无接触”隆胸和乳房重建中的效果:一项系统评价
Plast Reconstr Surg Glob Open. 2022 Nov 23;10(11):e4676. doi: 10.1097/GOX.0000000000004676. eCollection 2022 Nov.
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Zones for Fat Grafting in Hybrid Breast Augmentation: Standardization for Planning of Fat Grafting Based on Breast Cleavage Units.复合隆胸术中脂肪移植区域:基于乳房乳沟单位的脂肪移植规划标准化
Plast Reconstr Surg. 2022 Oct 1;150(4):782-795. doi: 10.1097/PRS.0000000000009605. Epub 2022 Jul 26.
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Subglandular-to-Subpectoral Conversion with Mastopexy: The Four-Step Approach.腺体下至胸肌下乳房悬吊术:四步走策略。
Plast Reconstr Surg. 2022 Feb 1;149(2):209e-215e. doi: 10.1097/PRS.0000000000008775.
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A Single Center's Clinical Experience With Ergonomix Breast Implants.一家中心使用Ergonomix乳房植入物的临床经验。
Aesthet Surg J. 2022 Apr 12;42(5):NP312-NP318. doi: 10.1093/asj/sjab422.
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Reliability of the BCCT.core software in evaluation of breast cosmesis - A systematic review.BCCT.core 软件评估乳房美容效果的可靠性 - 系统评价。
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The evolution of breast prostheses.乳房假体的演变。
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