All Me Augmentation Explained скачать в хорошем качестве

All Me Augmentation Explained

The All Me Augmentation surgery is basically an abdominoplasty procedure but instead of simply taking the tissue out and removing it and discarding it you dissect out the perforated that's really the only difference in the abdomen and by using the microfascial incision where incision is between 1.2 and 2cm it's really not a big fast incision it's only in the antier sheath and therefore we're not really adding much morbidity to the abdomen. We're taking out the tissue with the blood vessel and the perforator and because we tip we don't need to use the entirety of the tissue. You can truly customize this shape of that tissue where you transplant the breasts in order to transplant only what you really want to in the breast. We're very careful we put the tissue underneath the pectoral's fascia we do that because there are concerns about what if this patient gets breast cancer in the future. Well if we've put it dermacyte up and we put it underneath the pectoral's fascia if god forbid that patient does get cancer in the future we can go back and do a mastectomy in a truly oncologically sound manner maintaining the DIEP flap tissue on the chest wall and in essence you've already done your breast reconstruction so that's another addition that we have to talk about For the most part in the chest the approach depends so much on what we're doing with the chest whether it's a primary augmentation, an augmentation that does not require a lift, or an augmentation with a capsulectomy. Removal of old implants so all of those have their own little nuances that we have to consider when we're doing the All Me Augmentation and I would say the feeling of getting into the All Me Augmentation is I think every DIEP flap surgeon knows that satisfaction when you're converting a failed implant and replacing it with a DIEP flap or if somebody's having um a nipple sparing mastectomy and you're doing an immediate reconstruction with a DIEP flap that's probably the greatest result. It's a similar feeling doing a primary breast augmentation mastopexy with your own tissue is kind of like that nipple aerial asparamusectomy with DIEP flap and similarly taking out an in-implant failed implant and replacing it with nice healthy tissue you just have that sense of satisfaction that patient is relieved of any foreign body for the rest of their life and then we have to talk about primary augmentation especially patients who don't need a lift. There are some advanced techniques that we do in those patients for the All Me Augmentation that allows to do very minimal axis incision we typically will make on the right side with a bloodthester we know in the chest or larger will make about a 6 centimeter incision will approach that will dissect the pocket and will prepare the vessels through that but on the contralateral side the left side will make a 4 centimeter incision and will put the flap through tunnel the pedicle over to the right side and do all of our microvascular work on the right side daisy chaining the flaps so we can truly do an augmentation that is not much different than a breast augmentation with implants. I think it's a very slick and very thoughtful very thoughtful approach.