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Italian
Association for Research into Tissue Plasticity
ADDITIVE
MASTOPLASTY IN LOCAL ANAESTHESIA
Institute for Research
into Tissue Plasticity
Via Parenzo 12
00198 ROMA
e-mail: info@airpt.org
http: www.airpt.org
Ph: 39.06.8557096
Q&A
With Pasquale
Fruscella M.D.
What
is the advantage of additive mastoplasty under local anaesthesia?
The main advantage consists of eliminating the risks related to general anaesthesia.
The wetting solution, used for subcutaneous infiltration, consists of lidocaine,
sodium bicarbonate and epinephrine. Antibiotics and non-narcotic analgesics are
given pre-operatively, and the patient remains perfectly awake during the operation.
Why do you use anthropometry before surgery?
Anthropometrical analysis is the starting point for surgical planning because
it helps me to choose the volume and shape of the prostheses, correlating the
mammary region to standardised models.
Is
local anaesthesia a painful procedure?
Frozen metallic plates are placed over the points where infiltration will be carried
out, in order to avoid pain from the needle.
Subcutaneous infiltration is painless, thanks to the pH of the solution, which
is compatible with body tissues.
What
is the most common incision used?
The infra-mammary incision is indicated in this local procedure, because it provides
better and faster exposure of the operative field. The only drawback is a more
noticeable scar than that left by the axillary incision, which requires an endoscope
and sedation. The peri-aureolar incision can also be used in local mastoplasty
with minimal scarring, but increased incidence of nipple paresthesia. The umbilical
incision is not used in local additive mastoplasty.
What
kinds of mammary implant are used?
Both saline and silicone gel mammary implants can be used.
Where
is the implant placed?
The implant is placed below the breast tissue and above the muscular fascia. Subpectoral
placement may be chosen in patients with very thin subcutaneous tissue, where
more camouflage of the implant is needed.
©
2004 Associazione Italiana Ricerche sulla Plasticità Tessutale.
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