METHOD OF FORMING A POCKET FOR AN IMPLANT WITH A FULL MUSCULAR COATING IN AUGMENTATION MAMMOPLASTY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, specifically to plastic surgery. Augmentation mammoplasty is performed, including three stages, on the first of which the front wall of the upper pocket of the implant is formed. On the second stage, the front wall of the lower part. At the third stage – drainages removal, installation of the implant, layer wound suturing. Surgical intervention is carried out by periareolar access without breast dissection, using sub-glandular and submascular tissue dissection, complete muscular coating of the upper pole of the implant with a composite flap consisting of a greater pectoral muscle, a mammary gland, subcutaneous fat and skin, formation of the lower portion of the anterior wall of the pocket due to the hollow composite flap with inclusion of a lower portion of a greater pectoral muscle, a straight, an internal oblique, a toothed muscle, subcutaneous fat and skin, electrosurgical dissection of an internal surface of a greater pectoral muscle.;EFFECT: method provides higher safety and improved remote postoperative results of implantation methods of breast enlargement.;1 cl, 7 dwg, 7 ex