CN111110285A - Native biplanar breast augmentation method - Google Patents
Native biplanar breast augmentation method Download PDFInfo
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- CN111110285A CN111110285A CN201811293368.6A CN201811293368A CN111110285A CN 111110285 A CN111110285 A CN 111110285A CN 201811293368 A CN201811293368 A CN 201811293368A CN 111110285 A CN111110285 A CN 111110285A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00792—Plastic surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00796—Breast surgery
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Abstract
The invention discloses a primary biplane breast enhancement method, which comprises the following steps: making a surgical plan; preparing a breast prosthesis: preparing a breast prosthesis by adopting a 3D printing technology according to various parameters of the breast of a patient; preoperative preparation; cutting; the incision is designed according to the preoperative incision, an axillary incision is adopted, the width is less than 3cm, scars are perfectly fused with axillary folds, and no trace is hidden; separating gaps; implanting a breast prosthesis; and (3) sewing: the incision is sewed up by medical thread and a pressurizing and fixing binding mode is adopted; and (5) postoperative care. After the lower part of the pectoralis major is separated by a biplane method, the risk of upward and outward lateral displacement of the prosthesis is reduced, the prosthesis deformation caused by contraction of the pectoralis major is effectively reduced, the probability of infection and capsular contracture is reduced after a part of the prosthesis is placed on the pectoralis major by the biplane method, the position of the plica of the lower part of the breast augmentation can be accurately controlled by the primary biplane breast augmentation, and the postoperative effect is stable and is not easy to displace.
Description
Technical Field
The invention relates to the technical field of breast shaping, in particular to a primary biplane breast enlarging method.
Background
Breast augmentation surgery is a surgery for enlarging a small breast that is not developing or is dysplastic, and is also called breast enlargement surgery. At the present stage, there are 3 common breast augmentation operations, which are respectively a prosthesis breast augmentation operation, an autologous fat transplantation breast augmentation operation and an injection breast augmentation operation. The traditional breast prosthesis can be usually placed behind the gland and the pectoralis major and has three layers under the fascia of the pectoralis muscle, the postmammary placement can have very good cleavage, and can also correct slight mastoptosis, so that a very good operation effect can be achieved for partial mammary tissues, and the defect is that the prosthesis is easy to touch. For those with poor breast development, the prosthesis needs to be placed under the pectoralis major muscle, covering the prosthesis with the tissue provided by the pectoralis major muscle, since there is too little tissue to cover the prosthesis, but the risk of displacement of the prosthesis is increased by the action of the pectoralis major muscle after implantation of the prosthesis in the pectoralis major muscle. Therefore, it is necessary to design a primary biplanar breast augmentation method.
Disclosure of Invention
The present invention is directed to a primary biplane breast enhancement method to solve the above-mentioned problems.
In order to solve the technical problems, the invention provides the following technical scheme: a primary biplanar breast augmentation method comprises the following steps:
s1, making a surgical plan: the breast data is comprehensively and accurately mastered before breast augmentation surgery, the breast data comprises breast bottom width, distance from nipple to breast inferior fold, breast distance, distance from incisal notch to nipple on breast bone, nipple distance, distance from nipple to central point, diameter of mammary areola, breast soft tissue thickness and looseness, comprehensive data support is provided for scheme design, and meanwhile, according to breast conditions and body health condition difference conditions of each person, breast size, shape, medical history, allergy to medicines, breast diseases and breast augmentation history, whether complications are generated and whether weight is prepared or not and pregnancy is carried out, the requirements of customers are accurately understood and 100% of the customers are mined, and finally, a surgical scheme satisfying the customers is designed;
s2, preparing the mammary prosthesis: preparing a breast prosthesis by adopting a 3D printing technology according to various parameters of the breast of a patient;
s3, preoperative preparation: a comprehensive physical examination is carried out before the breast augmentation operation, no disease is confirmed, the whole breast augmentation operation can be borne, the contraceptive is not taken 1 month before the operation, the menstrual period is avoided during the operation, a woman needs to communicate with a plastic doctor before the operation, an accurate personalized proper amount of anesthetic is formulated according to the weight, the past medical history, the allergic history and the physique of a patient and consultation with the operation doctor, the patient is locally anesthetized, the nervous system cannot be influenced, no damage can be caused, and no pain can be caused in the whole process of the breast augmentation operation;
s4, incision: the incision is designed according to the preoperative incision, an axillary incision is adopted, the width is less than 3cm, scars are perfectly fused with axillary folds, and no trace is hidden;
s5, gap separation: adopting endoscope technology, separating pectoralis major and mammary gland under the condition of direct vision, accurately controlling lacuna range, completing biplane technology, the bleeding amount in operation is less than 10ml and far lower than the minimum bleeding amount standard of 50ml in the industry, the stripping process maximally protects mammary gland and vascular nerve, and completely eradicates sequela such as capsular contracture, mammary gland damage and mammary areola sensation weakening or disappearance, etc., the primary stripping method is adopted in the lacuna stripping process, a part of area is stripped by fingers, compared with instrument stripping, the tissue can be more truly sensed, the precision is higher, the error rate is 0.03%, a perfect space of prosthesis and tissue is constructed, so that the chest is full and natural, simultaneously, the hand feeling is soft and dynamic, the primary biplane breast enlargement can deepen the stripped lacuna inside to the inner side of the sternoclavicular joint, the distance between two breasts can be shortened, the inner edge point of each side can deepen more by 1cm, the distance of both sides is at least close to 2, a more concentrated cleavage is shaped, the blood vessels and nerves in the region are dense, the operation difficulty is high, and doctors are required to have rich operation clinical experience and professional anatomical knowledge;
s6, breast prosthesis implantation: the prosthesis placement level is accurately positioned by means of an advanced endoscope, the prosthesis is placed in a biplane layer behind a pectoralis major and behind a gland, namely, the lower part is positioned behind the gland, the inner side and the upper part are positioned behind the pectoralis major, and the lower part of the broken pectoralis major is taken as a starting point, so that the separation of different degrees is carried out between a mammary gland and the pectoralis major to realize the optimization of the coverage of the prosthesis by mammary tissue, and the perfect level ensures that the hand feeling and the aesthetic feeling of the chest are considered after the breast augmentation;
s7, sewing: the incision is sewn up by medical thread, and a pressurizing and fixing binding mode is adopted, so that capsular contracture caused by hematoma myogenesis is avoided to the maximum extent;
s8, postoperative care: after operation, a mature and complete flow nursing system is adopted, postoperative setting quantitative anti-inflammatory treatment is strictly executed, a one-to-one postoperative observation and care system is strictly performed, a senior dietician makes a special postoperative catering and a postoperative recovery informing system to strictly monitor the recovery condition of a patient, the chest girth or the chest band which fits with any one of the patients is worn according to the instruction of the doctor for the first month after the operation, or the chest tissue is naturally formed without wearing the chest girth, the chest girth with iron wires cannot be worn in six months after the operation so as to prevent the chest from deforming and causing the twin contraction of the envelope, 800 units of vitamin E are taken every day after the operation for six months continuously, and the twin-hardening of the envelope tissue of the chest is favorably prevented.
According to the technical scheme, the preparation method of the breast prosthesis comprises the following steps:
A. collecting mammary gland imaging data;
B. creating a three-dimensional breast prosthesis support model based on the acquired mammary gland imaging data, using a hydrolytic material to print a breast prosthesis support in a 3D manner based on the three-dimensional breast prosthesis support model, reserving a glue injection hole on a breast prosthesis support body and reserving a forming cavity in the breast prosthesis support body;
C. injecting the silica gel material into the molding cavity through the gel injection hole, and cooling to obtain the breast prosthesis.
According to the technical scheme, the preoperative preparation further comprises the step that the operating table can vertically stand to a 90-degree position in the operation process, the position can enable a patient to evaluate the shape of a breast when the patient is in a sitting position, so that the intraoperative decision of an operator is facilitated, the success of the operation is guaranteed, the patient enters an operating room at the same time, after anesthesia induction is successful, the patient is placed in the position, the head is arranged at one section of the operating table, the lower part of the head is well supported by a foam soft pillow, the shoulder and the head can be ensured to enter an operation area and cannot be dirtied, the arm is wrapped and fixed on a bracket, so that the breast cannot be deformed when the body is adjusted to be vertical to 90 degrees in the operation, the angle of 20-30 degrees on the backrest of the operating table is adjusted in the preoperative preparation, the hip is bent, the head height required in the operation is formed, and the position is.
According to the technical scheme, after the breast prosthesis is implanted, the backrest of the operating table is lifted by 80 degrees, the patient is in a sitting position, the influence of gravity on the shape of the breast can be seen, and the breast shape can be accurately evaluated only by paying attention to the horizontal height of the shoulder and the abduction angle of the arm support plate under the condition.
According to the technical scheme, the postoperative care further comprises breast massage, the breast massage is started one week after the operation, the breast is pushed upwards, inwards and outwards as far as possible, the position is kept for ten seconds, the left breast and the right breast are respectively carried out for five minutes, the first month is twice a morning and evening, the second month is once every night, the massage is maintained for one year, the massage is changed into variable-time massage after one year, the breast massage can loosen the envelope fiber tissue around the prosthesis, and the occurrence of envelope twinning is effectively reduced.
According to the technical scheme, the preoperative preparation further comprises the steps of sterilizing the closed operating room by using a low-temperature plasma sterilizer, generating plasma by using hydrogen peroxide according to the volume of 0.1-0.2ml/m3Sterilizing with hydrogen peroxide for 20-25min, starting ultraviolet sterilizing lamp in operating room to irradiate for 50-10min, wherein the ultraviolet sterilizing lamp has ultraviolet light source wavelength of 250-255nm and ultraviolet intensity of not less than 50 μ W/cm2Air flow in the operating room is kept in the irradiation process, and finally the air in the operating room is filtered through a high-efficiency air filter, so that the number of bacterial colonies in the air per cubic meter is only below 10, the number of deposited bacteria per cubic meter is less than 2, the air cleanliness can reach 99.98%, and the air is exchanged for 600 times and 700 times per hour, thereby completely avoiding bacterial infection caused by the operating environment.
Compared with the prior art, the invention has the following beneficial effects: the invention adopts a primary stripping method in the process of stripping lacuna under the high-definition visual operation of an endoscope, and a partial area is stripped by two fingers of index finger and middle finger of a doctor, so that the tissue can be more accurately sensed compared with the stripping of an instrument, the precision is higher, the lactiferous ducts and blood vessels are effectively avoided, the breast tissue injury is reduced, the bleeding amount is extremely small, the breast augmentation prosthesis is placed under the double-layer plane of pectoralis major and mammary gland through an axillary incision, the upper pole of the breast augmentation prosthesis is under the pectoralis major, and the lower pole is stripped after mammary gland, so that the problems of relative hand feeling and insufficient dynamic feeling under the pectoralis major can be greatly improved, the problem that the hand feeling and the dynamic feeling cannot be obtained simultaneously is broken, the prosthesis is more natural and beautiful after being placed, the postoperative complication is reduced to 0.001%, the risk that the prosthesis is upwardly and outwardly displaced is reduced after the lower part of the pectoralis major is separated through the double-plane method, and the deformation caused by the contraction of, after a part of prosthesis is placed on the pectoralis major muscle by adopting a biplanar method, the probability of infection and capsular contracture is reduced, the position of the plica inferior after breast augmentation can be accurately controlled by the primary biplanar breast augmentation, and the postoperative effect is stable and is not easy to shift.
Drawings
The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:
FIG. 1 is a flow chart of the primary biplane breast enhancement method of the present invention.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1, the present invention provides a technical solution: a primary biplanar breast augmentation method comprises the following steps:
s1, making a surgical plan: the breast data is comprehensively and accurately mastered before breast augmentation surgery, the breast data comprises breast bottom width, distance from nipple to breast inferior fold, breast distance, distance from incisal notch to nipple on breast bone, nipple distance, distance from nipple to central point, diameter of mammary areola, breast soft tissue thickness and looseness, comprehensive data support is provided for scheme design, and meanwhile, according to breast conditions and body health condition difference conditions of each person, breast size, shape, medical history, allergy to medicines, breast diseases and breast augmentation history, whether complications are generated and whether weight is prepared or not and pregnancy is carried out, the requirements of customers are accurately understood and 100% of the customers are mined, and finally, a surgical scheme satisfying the customers is designed;
s2, preparing the mammary prosthesis: preparing a breast prosthesis by adopting a 3D printing technology according to various parameters of the breast of a patient;
s3, preoperative preparation: a comprehensive physical examination is carried out before the breast augmentation operation, no disease is confirmed, the whole breast augmentation operation can be borne, the contraceptive is not taken 1 month before the operation, the menstrual period is avoided during the operation, a woman needs to communicate with a plastic doctor before the operation, an accurate personalized proper amount of anesthetic is formulated according to the weight, the past medical history, the allergic history and the physique of a patient and consultation with the operation doctor, the patient is locally anesthetized, the nervous system cannot be influenced, no damage can be caused, and no pain can be caused in the whole process of the breast augmentation operation;
s4, incision: the incision is designed according to the preoperative incision, an axillary incision is adopted, the width is less than 3cm, scars are perfectly fused with axillary folds, and no trace is hidden;
s5, gap separation: adopting endoscope technology, separating pectoralis major and mammary gland under the condition of direct vision, accurately controlling lacuna range, completing biplane technology, the bleeding amount in operation is less than 10ml and far lower than the minimum bleeding amount standard of 50ml in the industry, the stripping process maximally protects mammary gland and vascular nerve, and completely eradicates sequela such as capsular contracture, mammary gland damage and mammary areola sensation weakening or disappearance, etc., the primary stripping method is adopted in the lacuna stripping process, a part of area is stripped by fingers, compared with instrument stripping, the tissue can be more truly sensed, the precision is higher, the error rate is 0.03%, a perfect space of prosthesis and tissue is constructed, so that the chest is full and natural, simultaneously, the hand feeling is soft and dynamic, the primary biplane breast enlargement can deepen the stripped lacuna inside to the inner side of the sternoclavicular joint, the distance between two breasts can be shortened, the inner edge point of each side can deepen more by 1cm, the distance of both sides is at least close to 2, a more concentrated cleavage is shaped, the blood vessels and nerves in the region are dense, the operation difficulty is high, and doctors are required to have rich operation clinical experience and professional anatomical knowledge;
s6, breast prosthesis implantation: the prosthesis placement level is accurately positioned by means of an advanced endoscope, the prosthesis is placed in a biplane layer behind a pectoralis major and behind a gland, namely, the lower part is positioned behind the gland, the inner side and the upper part are positioned behind the pectoralis major, and the lower part of the broken pectoralis major is taken as a starting point, so that the separation of different degrees is carried out between a mammary gland and the pectoralis major to realize the optimization of the coverage of the prosthesis by mammary tissue, and the perfect level ensures that the hand feeling and the aesthetic feeling of the chest are considered after the breast augmentation;
s7, sewing: the incision is sewn up by medical thread, and a pressurizing and fixing binding mode is adopted, so that capsular contracture caused by hematoma myogenesis is avoided to the maximum extent;
s8, postoperative care: after operation, a mature and complete flow nursing system is adopted, postoperative setting quantitative anti-inflammatory treatment is strictly executed, a one-to-one postoperative observation and care system is strictly performed, a senior dietician makes a special postoperative catering and a postoperative recovery informing system to strictly monitor the recovery condition of a patient, the chest girth or the chest band which fits with any one of the patients is worn according to the instruction of the doctor for the first month after the operation, or the chest tissue is naturally formed without wearing the chest girth, the chest girth with iron wires cannot be worn in six months after the operation so as to prevent the chest from deforming and causing the twin contraction of the envelope, 800 units of vitamin E are taken every day after the operation for six months continuously, and the twin-hardening of the envelope tissue of the chest is favorably prevented.
According to the technical scheme, the preparation method of the breast prosthesis comprises the following steps:
A. collecting mammary gland imaging data;
B. creating a three-dimensional breast prosthesis support model based on the acquired mammary gland imaging data, using a hydrolytic material to print a breast prosthesis support in a 3D manner based on the three-dimensional breast prosthesis support model, reserving a glue injection hole on a breast prosthesis support body and reserving a forming cavity in the breast prosthesis support body;
C. injecting the silica gel material into the molding cavity through the gel injection hole, and cooling to obtain the breast prosthesis.
According to the technical scheme, the preoperative preparation further comprises the step that an operating table can vertically stand to a 90-degree position in the operation process, the posture can enable a patient to evaluate the shape of a breast when the patient is in a sitting position, so that the intraoperative decision of an operator is facilitated, the success of the operation is guaranteed, the patient enters an operating room at the same time, after anesthesia induction is successful, the patient is placed in the posture, the head is arranged at one section of the operating table, the lower part of the head is well supported by a foam soft pillow, the shoulder and the head can be ensured to enter an operation area and cannot be dirtied, the arm is wrapped and fixed on a bracket, so that the breast cannot be deformed when the body is adjusted to be vertical to 90 degrees in the operation, the angle of 20-30 degrees on the backrest of the operating table is adjusted in the preoperative preparation, the hip is bent, the head height required in the operation is formed, and the preparation.
According to the technical scheme, after the breast prosthesis is implanted, the backrest of the operating table is lifted by 80 degrees, the patient is in a sitting position, the influence of gravity on the shape of the breast can be seen, and the shape of the breast can be accurately evaluated only by paying attention to the horizontal height of the shoulder and the abduction angle of the arm support plate under the condition.
According to the technical scheme, the postoperative care also comprises breast massage, the breast massage is started one week after the operation, the method comprises the steps of pushing the breasts upwards, inwards and outwards as much as possible, keeping the positions for ten seconds, respectively carrying out five minutes on the left breast and the right breast, keeping the breasts for one year in the morning and at night in the first month twice, keeping the breasts for one year in the evening in the second month once, changing the breasts for indefinite massage after one year, and the breast massage can loosen the envelope fiber tissues around the prosthesis so as to effectively reduce the occurrence of envelope twin shrinkage.
According to the technical scheme, the preoperative preparation further comprises the steps of sealing the operating room, sterilizing by using a low-temperature plasma sterilizer, generating plasma by using hydrogen peroxide according to the proportion of 0.1-0.2ml/m3Sterilizing with hydrogen peroxide for 20-25min, starting ultraviolet sterilizing lamp in operating room to irradiate for 50-10min, wherein the ultraviolet sterilizing lamp has ultraviolet light source wavelength of 250-255nm and ultraviolet intensity of not less than 50 μ W/cm2Air flow in the operating room is kept in the irradiation process, and finally the air in the operating room is filtered through a high-efficiency air filter, so that the number of bacterial colonies in the air per cubic meter is only below 10, the number of deposited bacteria per cubic meter is less than 2, the air cleanliness can reach 99.98%, and the air is exchanged for 600 times and 700 times per hour, thereby completely avoiding bacterial infection caused by the operating environment.
The working principle is as follows: under the high-definition visual operation of an endoscope, a primary stripping method is adopted in the process of stripping lacuna, and two fingers of an index finger and a middle finger of a doctor are used for stripping in partial areas, so that the tissues can be more truly sensed compared with the stripping of an instrument, the precision is higher, the lactiferous ducts and blood vessels are effectively avoided, the breast tissue injury is reduced, the bleeding amount is extremely small, the breast augmentation prosthesis is placed under the double-layer plane of the pectoralis major and the mammary gland through an axillary incision, the upper pole of the breast augmentation prosthesis is under the pectoralis major, and the lower pole is stripped after the mammary gland, so that the problems of insufficient relative hand feeling and insufficient dynamic feeling under the pectoralis major can be greatly improved, the problem that the hand feeling and the dynamic feeling cannot be obtained simultaneously is broken, the prosthesis is more natural and attractive after being placed, the postoperative complication is reduced to 0.001%, after the lower part of the pectoralis major is separated through the double-plane method, the risk that the prosthesis is upwardly and outwardly displaced is, after a part of prosthesis is placed on the pectoralis major muscle by adopting a biplanar method, the probability of infection and capsular contracture is reduced, the position of the plica inferior after breast augmentation can be accurately controlled by the primary biplanar breast augmentation, and the postoperative effect is stable and is not easy to shift.
Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that changes may be made in the embodiments and/or equivalents thereof without departing from the spirit and scope of the invention. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (6)
1. A primary double-plane breast enhancement method is characterized in that: the method comprises the following steps:
s1, making a surgical plan: the breast data is comprehensively and accurately mastered before breast augmentation surgery, the breast data comprises breast bottom width, distance from nipple to breast inferior fold, breast distance, distance from incisal notch to nipple on breast bone, nipple distance, distance from nipple to central point, diameter of mammary areola, breast soft tissue thickness and looseness, comprehensive data support is provided for scheme design, and meanwhile, according to breast conditions and body health condition difference conditions of each person, breast size, shape, medical history, allergy to medicines, breast diseases and breast augmentation history, whether complications are generated and whether weight is prepared or not and pregnancy is carried out, the requirements of customers are accurately understood and 100% of the customers are mined, and finally, a surgical scheme satisfying the customers is designed;
s2, preparing the mammary prosthesis: preparing a breast prosthesis by adopting a 3D printing technology according to various parameters of the breast of a patient;
s3, preoperative preparation: a comprehensive physical examination is carried out before the breast augmentation operation, no disease is confirmed, the whole breast augmentation operation can be borne, the contraceptive is not taken 1 month before the operation, the menstrual period is avoided during the operation, a woman needs to communicate with a plastic doctor before the operation, an accurate personalized proper amount of anesthetic is formulated according to the weight, the past medical history, the allergic history and the physique of a patient and consultation with the operation doctor, the patient is locally anesthetized, the nervous system cannot be influenced, no damage can be caused, and no pain can be caused in the whole process of the breast augmentation operation;
s4, incision: the incision is designed according to the preoperative incision, an axillary incision is adopted, the width is less than 3cm, scars are perfectly fused with axillary folds, and no trace is hidden;
s5, gap separation: adopting endoscope technology, separating pectoralis major and mammary gland under the condition of direct vision, accurately controlling lacuna range, completing biplane technology, the bleeding amount in operation is less than 10ml and far lower than the minimum bleeding amount standard of 50ml in the industry, the stripping process maximally protects mammary gland and vascular nerve, and completely eradicates sequela such as capsular contracture, mammary gland damage and mammary areola sensation weakening or disappearance, etc., the primary stripping method is adopted in the lacuna stripping process, a part of area is stripped by fingers, compared with instrument stripping, the tissue can be more truly sensed, the precision is higher, the error rate is 0.03%, a perfect space of prosthesis and tissue is constructed, so that the chest is full and natural, simultaneously, the hand feeling is soft and dynamic, the primary biplane breast enlargement can deepen the stripped lacuna inside to the inner side of the sternoclavicular joint, the distance between two breasts can be shortened, the inner edge point of each side can deepen more by 1cm, the distance of both sides is at least close to 2, a more concentrated cleavage is shaped, the blood vessels and nerves in the region are dense, the operation difficulty is high, and doctors are required to have rich operation clinical experience and professional anatomical knowledge;
s6, breast prosthesis implantation: the prosthesis placement level is accurately positioned by means of an advanced endoscope, the prosthesis is placed in a biplane layer behind a pectoralis major and behind a gland, namely, the lower part is positioned behind the gland, the inner side and the upper part are positioned behind the pectoralis major, and the lower part of the broken pectoralis major is taken as a starting point, so that the separation of different degrees is carried out between a mammary gland and the pectoralis major to realize the optimization of the coverage of the prosthesis by mammary tissue, and the perfect level ensures that the hand feeling and the aesthetic feeling of the chest are considered after the breast augmentation;
s7, sewing: the incision is sewn up by medical thread, and a pressurizing and fixing binding mode is adopted, so that capsular contracture caused by hematoma myogenesis is avoided to the maximum extent;
s8, postoperative care: after operation, a mature and complete flow nursing system is adopted, postoperative setting quantitative anti-inflammatory treatment is strictly executed, a one-to-one postoperative observation and care system is strictly performed, a senior dietician makes a special postoperative catering and a postoperative recovery informing system to strictly monitor the recovery condition of a patient, the chest girth or the chest band which fits with any one of the patients is worn according to the instruction of the doctor for the first month after the operation, or the chest tissue is naturally formed without wearing the chest girth, the chest girth with iron wires cannot be worn in six months after the operation so as to prevent the chest from deforming and causing the twin contraction of the envelope, 800 units of vitamin E are taken every day after the operation for six months continuously, and the twin-hardening of the envelope tissue of the chest is favorably prevented.
2. The primary biplane breast enhancement method of claim 1, wherein: the preparation method of the breast prosthesis comprises the following steps:
A. collecting mammary gland imaging data;
B. creating a three-dimensional breast prosthesis support model based on the acquired mammary gland imaging data, using a hydrolytic material to print a breast prosthesis support in a 3D manner based on the three-dimensional breast prosthesis support model, reserving a glue injection hole on a breast prosthesis support body and reserving a forming cavity in the breast prosthesis support body;
C. injecting the silica gel material into the molding cavity through the gel injection hole, and cooling to obtain the breast prosthesis.
3. The primary biplane breast enhancement method of claim 1, wherein: the preoperative preparation also comprises that an operating table can vertically stand to a 90-degree position in the operation process, the posture can enable a patient to evaluate the breast shape in the sitting position, the intraoperative decision of an operator is facilitated, the operation is successful, the patient enters an operating room at the same time, after anesthesia induction is successful, the patient is placed in the posture, the head is arranged at one section of the operating table, the lower part of the head is well supported by a foam soft pillow, the shoulder head is ensured to enter an operation area and not to be dirtied, the arm is wrapped and fixed on a bracket, so that the breast cannot be deformed when the body is adjusted to be vertical to 90 degrees in the operation, the upper table of a backrest of the operating table is arranged at an angle of 20-30 degrees in preoperative preparation, the hip part is bent to form the head high position required in the operation, and the preparation for adjusting the posture in the operation is made.
4. The primary biplane breast enhancement method of claim 1, wherein: the breast prosthesis implantation also comprises the step of raising the backrest of the operating table to a position of 80 degrees after the breast prosthesis is implanted, so that the patient is in a sitting position, the influence of gravity on the shape of the breast can be seen, and the breast shape can be accurately evaluated only by paying attention to the horizontal height of the shoulders and the abduction angle of the arm supporting plate under the condition.
5. The primary biplane breast enhancement method of claim 1, wherein: the postoperative care also comprises breast massage, the breast massage is started one week after the operation, the breast is pushed upwards, inwards and outwards as much as possible, the position is kept for ten seconds, the left breast and the right breast are respectively carried out for five minutes, the first month is twice as early as the morning and evening, the second month is started once every night, the breast massage is maintained for one year, the massage is changed into non-regular massage after one year, the breast massage can loosen the fiber tissues of the envelope around the prosthesis, and the occurrence of the twin shrinkage of the envelope is effectively reduced.
6. The primary biplane breast enhancement method of claim 1, wherein: the preoperative standardThe preparation method also comprises sterilizing the operating room with low temperature plasma sterilizer, generating plasma with hydrogen peroxide in an amount of 0.1-0.2ml/m3Sterilizing with hydrogen peroxide for 20-25min, starting ultraviolet sterilizing lamp in operating room to irradiate for 50-10min, wherein the ultraviolet sterilizing lamp has ultraviolet light source wavelength of 250-255nm and ultraviolet intensity of not less than 50 μ W/cm2Air flow in the operating room is kept in the irradiation process, and finally the air in the operating room is filtered through a high-efficiency air filter, so that the number of bacterial colonies in the air per cubic meter is only below 10, the number of deposited bacteria per cubic meter is less than 2, the air cleanliness can reach 99.98%, and the air is exchanged for 600 times and 700 times per hour, thereby completely avoiding bacterial infection caused by the operating environment.
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