字幕表 動画を再生する 英語字幕をプリント 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.
B2 中上級 米 シングルPIP破断・乳頭切除術 (Single PIP Rupture and Mastopexy procedure) 67 3 東昊科技 に公開 2021 年 01 月 14 日 シェア シェア 保存 報告 動画の中の単語