Complications After Breast Augmentation and Management Measures
Encyclopedic
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First: Capsular contracture, causing breast hardening.
Prevention involves meticulous surgical technique to minimize trauma; ensure sufficient pocket size to reduce tension. Treatment requires incising the capsule under anesthesia, removing the implant, completely excising the capsule, and re-expanding the pocket for reinsertion.
Second: Malposition.
Prevention involves symmetrical preoperative marking and dissection, plus restricting vigorous upper limb movement for 2 weeks. Treatment requires implant removal, redissection, and reinsertion.Prevention requires meticulous layered suturing.
Fourth: Aesthetic deformity.
This complication is highly dependent on the hospital's aesthetic standards, necessitating thorough preoperative communication.
Fifth: Hematoma.
Occurring in approximately 1% of cases, prevention involves precise dissection at the correct anatomical plane without deviation.Management involves removing the implant, clearing blood clots, achieving thorough hemostasis, then reinserting the implant. Sixth: Sensory abnormalities. Manifestations include hypersensitivity, reduced or lost skin sensation, nipple drooping, poor or absent nipple erection. Prevention requires familiarity with nerve anatomy and distribution, along with gentle dissection.
Seventh: Silicone Capsular Rupture. Prevention involves meticulous inspection of implant quality. Treatment entails aseptic removal of the implant, thorough clearance of silicone, and reinsertion of a new implant after thorough cleansing.
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