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水动力隆胸术(ABA):水分离隆胸技术。

Aqua Breast Augmentation (ABA): Hydrodissection Breast Augmentation Technique.

作者信息

Rubi Carlos, Kenig Nitzan, Zhou Dajie

机构信息

Plastic Surgeon at Instituto Rubi, Cami dels Reis, 308, 07010, Palma, Spain.

出版信息

Aesthetic Plast Surg. 2025 Feb;49(4):1083-1090. doi: 10.1007/s00266-024-04270-0. Epub 2024 Aug 1.

DOI:10.1007/s00266-024-04270-0
PMID:39090309
Abstract

INTRODUCTION

Breast augmentation is a prevalent procedure in plastic surgery. In this article we present the Aqua Breast Technique (ABA), an approach aimed at enhancing patient satisfaction and reducing downtime. This technique leverages tumescent anesthesia and a small incision in the inframammary fold, avoiding electrocautery and surgical drains, to fulfill the growing demand for painless procedures with minimal recovery periods.

MATERIALS AND METHODS

The study retrospectively analyzed 238 patients who underwent breast augmentation using the ABA technique at Instituto Rubi between 2021 and 2024. The ABA protocol involves detailed preoperative design, local anesthesia, a precise 3-centimeter incision, careful dissection, and specific postoperative care, emphasizing hydrodissection for tissue separation and the use of smooth round silicone implants through a Keller funnel.

RESULTS

The application of the ABA technique to 238 patients, with a mean follow-up time 14 months. Ten patients required surgical intervention due to complications. Hematoma and infection rates were 0.42%, while capsulectomies were required in 2.1% of cases.

CONCLUSIONS

Aqua Breast Augmentation technique has been successfully applied as a hydrodissection-based breast augmentation technique method, with low complication rates, short downtime, and reduced postoperative pain. Level V, therapeutic study.

LEVEL OF EVIDENCE V

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

引言

隆胸手术是整形外科中一种常见的手术。在本文中,我们介绍水袋隆胸技术(ABA),这是一种旨在提高患者满意度并减少恢复时间的方法。该技术利用肿胀麻醉和乳房下皱襞处的小切口,避免使用电灼术和手术引流管,以满足对无痛手术且恢复期最短的日益增长的需求。

材料与方法

本研究回顾性分析了2021年至2024年期间在鲁比研究所使用ABA技术进行隆胸手术的238例患者。ABA方案包括详细的术前设计、局部麻醉、精确的3厘米切口、仔细的解剖以及特定的术后护理,强调通过水分离法进行组织分离,并使用光滑圆形硅胶植入物通过凯勒漏斗植入。

结果

ABA技术应用于238例患者,平均随访时间为14个月。10例患者因并发症需要手术干预。血肿和感染率为0.42%,而2.1%的病例需要进行包膜切除术。

结论

水袋隆胸技术已成功作为一种基于水分离法的隆胸技术方法应用,具有低并发症发生率、短恢复时间和减轻术后疼痛的特点。V级,治疗性研究。

证据水平V:本刊要求作者为每篇文章指定证据水平。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

1
Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants?同一患者不同乳房植入物形状的评估:圆形和解剖形植入物之间真的存在差异吗?
Plast Reconstr Surg Glob Open. 2023 Sep 25;11(9):e5294. doi: 10.1097/GOX.0000000000005294. eCollection 2023 Sep.
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It Is Time to Resolve the Dilemma and Move Away From Using Drains in Primary Breast Augmentation.是时候解决这一困境,在一期隆乳术中不再使用引流管了。
Aesthet Surg J Open Forum. 2023 Jun 9;5:ojad048. doi: 10.1093/asjof/ojad048. eCollection 2023.
3
Practice Patterns in Primary Breast Augmentation: A 16-Year Review of Continuous Certification Tracer Data from the American Board of Plastic Surgery.
初级乳房增大术的实践模式:美国整形外科学会连续认证追踪数据的 16 年回顾。
Plast Reconstr Surg. 2023 Dec 1;152(6):1011e-1021e. doi: 10.1097/PRS.0000000000010497. Epub 2023 Apr 5.
4
The Usage of Intravenous Tranexamic Acid in Reduction Mammaplasty Safely Reduces Hematoma Rates.静脉用氨甲环酸在减少乳房缩小术中的使用安全地降低了血肿发生率。
Ann Plast Surg. 2023 Jun 1;90(6S Suppl 4):S371-S374. doi: 10.1097/SAP.0000000000003296. Epub 2022 Dec 8.
5
Breast Morphological Comparison Between Anatomic and Round Implant Augmentation: A Prospective Study.解剖型与圆形假体隆乳的乳房形态比较:一项前瞻性研究。
Ann Plast Surg. 2023 Jan 1;90(1):19-26. doi: 10.1097/SAP.0000000000003353.
6
Breast augmentation under local anesthesia with intercostal blocks and light sedation.在局部麻醉下,采用肋间阻滞和轻度镇静进行隆胸手术。
J Plast Surg Hand Surg. 2023 Feb-Dec;57(1-6):271-278. doi: 10.1080/2000656X.2022.2069789. Epub 2022 May 5.
7
A Shakespearean Dilemma in Breast Augmentation: to Use Drains or not? a Systematic Review : Drains in Breast Augmentation.乳房隆乳术中的莎士比亚式困境:使用引流管还是不使用引流管?系统评价:乳房隆乳术中的引流管。
Aesthetic Plast Surg. 2022 Aug;46(4):1553-1566. doi: 10.1007/s00266-021-02693-7. Epub 2022 Jan 20.
8
A Systematic Review and Meta-Analysis Evaluating the Impact of Tranexamic Acid Administration in Aesthetic Plastic Surgery.一项评估氨甲环酸在美容整形手术中应用效果的系统评价与荟萃分析。
Aesthet Surg J. 2022 Apr 12;42(5):548-558. doi: 10.1093/asj/sjab333.
9
Major Complications After Textured Versus Non-textured Breast Implants in Direct-to-Implant Breast Reconstruction: A Propensity Score Analysis.有纹理与非纹理假体在直接乳房重建中导致的主要并发症:倾向评分分析。
Aesthetic Plast Surg. 2021 Oct;45(5):2077-2085. doi: 10.1007/s00266-021-02377-2. Epub 2021 Jun 7.
10
A Comprehensive Outcome Review of Subfascial Breast Augmentation over a 10-Year Period.Subfascial 乳房增大术 10 年综合结果回顾。
Plast Reconstr Surg. 2020 Dec;146(6):1249-1257. doi: 10.1097/PRS.0000000000007333.