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  • Adrian Richards: Hello. Our patient had breast implants

  • some time ago, in 2003 and would ideally like to increase the size of the implants during

  • surgery today. Her nipples are in a slightly low position so I'm going to be elevating

  • her nipples as well during this procedure.

  • So our patient today is quite a tall lady, with quite a broad chest and you see how her

  • implants are just going to the sides, like that. So her implants need to be wider for

  • her and held more to the centre. And that is what an uplift tends to do, tends to pull

  • them more to the centre.

  • So the first stage is to take out her old scar, look at the implants, see what sort

  • of condition they are, put a temporary sizing implant in to blow it up and then decide on

  • the formal size and then do an uplift and sort of tailor the skin around the implant.

  • Well, I'll show you the procedure at each stage during the operation.

  • So I've just opened up the capsule and I can feel the implant here. And the implant only

  • comes to here which is why it really should be wider. So if I pull it out I suspect it

  • will be a quite narrow implant for our patient. So can you see? It's got a lot of gel bleed,

  • a lot of deflation as you can see here on the capsule, a lot of deflation with the gel

  • bleed, the stringy stuff between my fingers and the implant is deflated in the top here

  • as you can see. And it was also moved to the side so what I'm going to do is a larger implant

  • and move it towards the middle but I'll show you that in a second.

  • I've finished the right side and I've just opened the capsule on the left and can you

  • see all this creamy fluid coming out? That means that the implant on this side has ruptured.

  • Sorry. Just hang on there. I'll just show you. So you see all that creamy fluid? That

  • means that the PIP on this side has ruptured. As soon as you see that fluid you know that

  • you've got a ruptured implant. So I'll just get the implant out and I'll show you that

  • in a second.

  • So I've just removed the implant and it's got a rupture just here on the baseplate.

  • Where they normally rupture. Can you see that? This is a bit of free silicone that's come

  • out and that's the rupture there. I'll just clean everything up and I'll show you the

  • rupture in a second.

  • This is the end of the operation with the larger implants and uplift performed and I'll

  • show you the implants in a second.

  • Just going to show you the implants now. This is the right one. A 495cc. Now it's deflated,

  • it's got a lot of rippling but it is intact. Let's compare that to the left one. You can

  • see the left one you see, immediately you see all that creamy material, you know the

  • implant's ruptured and I'll just show you where the rupture is. There it is,can you

  • see and there we've got a lot of creamy fluid around as ell. Can you see the creamy fluid?

  • So there we are. So you can see that the implant ruptured. And it's the typical place, which

  • normally happens is the back of the baseplate here. The baseplate is where the implant is

  • made. This is actually an opening normally, the implant is made around it. This area sort

  • of glued or adhered to the implant and that's an area of weakness and that's where we're

  • seeing a lot of the implants rupture, just at the join of the baseplate there and then

  • the silicone can come out.

Adrian Richards: Hello. Our patient had breast implants

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B2 中上級

シングルPIP破断・乳頭切除術 (Single PIP Rupture and Mastopexy procedure)

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    東昊科技 に公開 2021 年 01 月 14 日
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