Breast Reconstruction: The Difference Between Implants and Autologous Tissue｜NTUH скачать в хорошем качестве

Breast Reconstruction: The Difference Between Implants and Autologous Tissue｜NTUH

Breast Reconstruction: The Difference Between Implants and Autologous Tissue [Implant Reconstruction: Implant-Based Methods] This involves placing saline or silicone gel implants under the skin and pectoral muscle. If there isn't enough skin and tissue after the mastectomy, patients may first undergo tissue expansion. A tissue expander is placed under the skin and muscle, and over several months, saline is gradually injected to stretch the expander and the surrounding skin. Once sufficient expansion is achieved, a second surgery is performed to replace the expander with the permanent implant. Saline Implants Advantages: High safety profile, ruptures are easily detectable, and the leaked saline is absorbed by the body. Disadvantages: Less natural feel, may wrinkle or ripple in thin patients. Cost: 80,000 - 150,000 TWD Silicone Gel Implants Advantages: More natural feel, closer to breast tissue. Disadvantages: Can feel firmer or more spherical, ruptures may be harder to detect, requiring regular MRI screenings every two to three years post-op. Cost: 160,000 - 300,000 TWD Implant Complications: Capsular contracture, implant rupture, changes in nipple or breast sensation, impact on sexual response or breastfeeding ability, tissue necrosis around the implant, chest wall deformity, and lymph node swelling. In some cases, scar tissue can form around the implant, compressing it and causing it to harden. This may require massage or, in severe cases, further surgery. [Autologous Tissue Reconstruction] TRAM Flap (Transverse Rectus Abdominis Myocutaneous) Surgery: Suitable for patients who have completed childbearing and have sufficient abdominal fat. There are two main techniques: The rectus abdominis muscle, along with attached fat and skin, is rotated upwards to the chest defect. The muscle, fat, and skin are detached from the abdomen and transferred to the chest, where the blood vessels are reconnected. Latissimus Dorsi Flap Surgery: Tissue from the back (latissimus dorsi muscle, fat, and skin) is carefully transposed to the chest to reconstruct the breast. Because of the large surface area of skin available on the back, additional implants aren't always necessary. However, for increased volume, tissue expanders and implants can be used in conjunction with this flap. Complications: Seroma formation, longer scars, back asymmetry. DIEP Flap (Deep Inferior Epigastric Perforator) Surgery: A flap of skin and fat from the lower abdomen is transferred to the chest and reconnected using microsurgery. This technique spares the abdominal muscles, minimizing muscle damage and potentially improving outcomes. #BreastReconstruction #ImplantsVsAutologousTissue #DrHuangChiehHui #ImplantReconstruction #SalineImplants #SiliconeGelImplants #AutologousReconstruction Watch the full video from PresurgMedia: https://presurg.cc/NDYlfp Learn more about breast reconstruction (PresurgMedia): [When is the right time for breast reconstruction after breast cancer? Implants vs. autologous, cost, surgical methods] https://presurg.cc/JDYlzM Subscribe to PresurgMedia: https://presurg.cc/Taxo2K Find more surgical information from PresurgMedia: ⭐ Website｜https://presurg.cc/UaLLoS ⭐ Line｜https://presurg.cc/PaLLgN ⭐ Facebook｜https://presurg.cc/BaLLPL ⭐ Instagram｜https://presurg.cc/YaLLPm ＊The above text is excerpted from the PresurgMedia website. ＊Unauthorized reproduction, distribution, modification, or commercial use of all or part of this video's content is prohibited.