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What items are reimbursed by medical insurance for breast augmentation surgery in Southwest Hospital?
merits and demerits

This method has been widely used in the world since the birth of silicone prosthesis in the 1960s. It is a traditional and mature breast augmentation method. Prosthesis can be divided into silica gel and water sac.

Advantages:

1, used for decades is a mature breast augmentation surgery;

2. The prosthesis can be completely taken out when it is not needed.

Disadvantages:

1, there will be an indelible incision scar if there is a surgical incision;

2. The breast prosthesis is placed under the pectoralis major, which feels different from normal breasts. As soon as the muscles contract, the breasts will harden, and there will be an embarrassing situation that people often say that "a hug will turn into stone".

Complications:

1, breast "hardening" (according to the latest report, the contracture hardening rate is below 5%);

2. Prosthesis rupture (according to the latest report, the rupture rate of 10 prosthesis is below 5%). Once it is broken, if it is a water bag, it will have little effect on the body. If it is liquid silica gel, especially silicone oil, it will penetrate into body tissues, and it is difficult to completely remove it, which is harmful to the body. Therefore, it is also risky to use a prosthesis to lower the chest.

3 silicone breast augmentation editor

Silicone breast augmentation can kill two birds with one stone for people with more local fat accumulation, and can also play the role of losing weight and shaping beautiful curves. Breast augmentation silicone

Plastic breast augmentation has a wide temperature range, good histocompatibility, no carcinogenic, mutagenic and teratogenic problems, and satisfactory tear resistance, hardness and elastic retraction. Moreover, silicone breast augmentation is easy to process and shape, and it is also very convenient to use. As for the effect, it must depend on individual circumstances. After breast augmentation with silicone prosthesis, if there is no sharp injury, generally silicone will not break. In case of rupture, the silica gel will not flow due to the tight gel-gel connection and can be taken out cleanly. In addition, if a silicone bag is implanted in the breast, a film will automatically form around the prosthesis, making the prosthesis relatively closed. There is no evidence that breast milk contains silica gel. Silicone prosthesis will not spread far even after the prosthesis breaks.

4 injection breast augmentation surgery editor

Injection breast augmentation is to fill an artificial chemical into the breast space by injection to make the breast full. It was introduced from 1997 and approved for clinical use in China, which caused controversy. 1998 stopped using for three months, and the State Administration of Medical Supplies held an expert demonstration meeting in Beijing 199 1, saying that it can continue to be used.

Since the use of 1997, a large number of women in China have received breast augmentation by injection, and most of them have achieved good results. However, due to simple operation and lax management, it is widely used even in beauty salons. So there are many complications, such as infection, bleeding, uneven distribution, induration and so on. Some doctors did not handle these complications correctly, which brought more harm to patients. Later, the State Administration of Medical Supplies once again stipulated that it can only be used in "top three" hospitals.

Usually the materials used for breast augmentation by injection are artificial fats, including Ogilvy and Ingfarol. Its chemical composition is hydrophilic polyacrylamide hydrogel, which is itself a polymer, and this polymer is non-toxic. However, it is unknown whether it can be decomposed and whether the decomposed monomer will produce some poisoning symptoms of polyacrylamide monomer in the body. However, patients who have been injected with breast augmentation will have local induration, pain, inflammation and other unexplained pain. In addition, because this substance is injected into the breast without capsule, it can flow everywhere, so after a long time, some patients will have symptoms such as breast deformation, and the injection will flow to unexpected parts of the breast. Due to various unsafe factors in breast augmentation by injection, the country has officially banned its use to ensure that no one is threatened by it again.

Danger:

1, upper limb chest pain. Because Ogilvy has lumps around his chest, it often makes people feel unbearable pain.

2, breast and subcutaneous can touch induration. Because it is Ogilvy injection for breast augmentation, it will wander around the human body, with lumps everywhere, and some people even have them on their feet.

3, substance diffusion Because Ogilvy has a certain fluidity, the injected substance will "flow" under the abdomen due to gravity, so it can be seen everywhere.

4. Abnormal breast morphology. Because Ogilvy & Mather goes everywhere, it is rich but not rich, flat and uneven!

5, the performance of physical resistance decline. Ogilvy disturbs the normal metabolism of the human body. At this time, people's resistance drops rapidly, and it is easy to catch a cold and get sick.

5 prosthesis material editing

Development history of prosthetic materials

Prosthetic breast augmentation surgery began in the 1960s. Silica gel first appeared in World War II, as a filler to fill the depressed and damaged parts of patients, and then it was widely used in cardiology and stomatology.

The application of silicone prosthesis in breast augmentation has been affirmed by more people. It has good histocompatibility, no carcinogen, no mutation and no deformity, and its tear resistance, hardness and elastic retraction force are also satisfactory.

Selection of materials

Size selection/shape selection/parameters selection of breast augmentation prosthesis.

Prostheses are divided into: domestic, joint venture and imported.

6 autologous fat breast augmentation editor

Autologous fat breast augmentation is a kind of breast augmentation surgery, which transplants fat particles from fat parts such as waist, abdomen, buttocks and legs to the chest. Excess fat of breast augmentation patients is sucked out by fine needle, activated and treated into pure fat particles, which are evenly injected into breast augmentation area through microtubule needle to make them survive. No surgery, no bleeding, the breast enhancement effect is real and natural, and the effect of losing weight and shaping is achieved at the same time.

Surgical procedure

1. Suction of fat: In the obese parts such as waist, abdomen, thighs, buttocks, etc., use local swelling anesthesia technology, and use a liposuction tube with a diameter of 3-4mm to quickly shape the curve and suck out excess fat (about1500-2000 c.c.). This is the first step of autologous fat breast enhancement surgery, extracting surgical materials.

2. Extraction of fat particles: The fat collected in the liposuction bottle is repeatedly washed with a large amount of physiological saline and antibiotics to remove fibers and serum, and glucose water and insulin are added to provide fat cell nutrition when necessary to extract purified complete fat particles (about 300-400 c.c) and fill them into a 50CC syringe, which is the second step of autologous fat breast enhancement surgery.

3. Granular fat transplantation: inject granular fat into the chest from armpit or navel with a long needle. 14- 16, which must be evenly distributed under the skin. The outer breast space and the sub-pectoral space (about100-150 c on each side) strictly require that the fat particles transplanted at each single point should be less than 0.5c.c, and it is forbidden to inject into the breast, and then massage shaping and bandage protection should be carried out immediately, which is the third step of autologous fat breast enhancement.

Autologous fat breast augmentation surgery is characterized by no operation, ultra-low minimally invasive, high cell survival rate, natural and seamless, real feel, safety and no side effects, no influence on breastfeeding and thymus development, and weight loss and breast enhancement kill two birds with one stone.

Adapt to the crowd

Who is suitable for autologous fat breast enhancement?

1, there is a lot of fat in the body.

2, the whole body has no contraindications contained in surgery.

3. Have primary breast dysplasia.

4. Natural breasts will shrink after pregnancy.

5. People with asymmetrical breasts or slightly drooping breasts.

6, breast tissue lesions, or trauma lead to abnormal breast development.

superiority

1, after autologous fat breast enhancement, the breast feels very real and natural, without any abnormal feeling, and the chest skin is delicate and smooth, which is acceptable to many people.

2, using your own fat as breast enhancement material, there will be no harm, no rejection, and no problem for future life, including breastfeeding.

3. Autologous fat breast enhancement will not change human endocrine, and the operator can avoid worrying about the danger of this operation. This breast enhancement operation is very good compared with others.

4, autologous fat breast enhancement has only one eye of a needle, and the trauma is very small. It doesn't need to be as troublesome as traditional surgery, and it needs a knife. Operating with a knife is not only dangerous, but also easy to leave scars.

5. Autologous fat breast enhancement surgery uses its own tissue as breast enhancement material, so patients with autologous fat breast enhancement will not have immune reaction to autologous fat tissue injected by human body, and autologous fat breast enhancement surgery will not have rejection reaction. Autologous fat breast enhancement surgery can kill two birds with one stone for people with more local fat accumulation, and can also play the role of losing weight and shaping beautiful curves.

6. Autologous fat breast enhancement surgery After fat transplantation, it feels soft, its shape is true, and its skin is delicate. From the psychological feelings of women and their partners, autologous fat breast augmentation surgery has a better real feeling for the breast enlarged by autologous fat transplantation, so autologous fat breast augmentation surgery is more acceptable to patients.

7 Fill position editing

1, under breast, under pectoralis major. Putting the filling material under the breast, that is, the space between the breast and pectoralis major, will be favored by those who pursue the appearance and shape of the breast, but it may hinder the secretion of milk, so it is not recommended for infertile women to choose this as the filling position. To choose a prosthesis to be placed in the space between the breast and pectoralis major, the areola incision must be selected.

2. The prosthesis is placed behind the pectoralis major. Choose an axillary incision. It puts the prosthesis under the pectoralis major, which is a natural anatomical space and easy to separate, so it is more reliable and does not affect breastfeeding. After the operation, the surface of the prosthesis was covered with multi-layer tissue structures such as pectoralis major, breast tissue and subcutaneous fat, which felt good.

8 contraindications editor

1, people who are not psychologically prepared;

2, breast tissue inflammation or skin inflammation near the surgical incision;

3. Suffering from schizophrenia or mental disorder;

4, heart, liver, kidney and other important organs have lesions;

5. Suffering from diseases of immune system or hematopoietic system;

6, breast cancer postoperative recurrence or metastasis tendency.

9 preoperative and postoperative editing

Preoperative preparation

1, avoid menstrual period.

2, comprehensive physical examination, no serious internal diseases and local infections.

3, breast augmentation surgery should stop taking contraceptives, estrogen, aspirin and other drugs one month before surgery.

4, communicate with the doctor, understand the required effect, choose prosthesis, etc.

5. Choose a regular plastic surgery hospital and plastic surgeon.

postoperative care

1, after breast augmentation surgery, there is usually pain and bruising in the chest, and the degree varies from person to person, depending on the method, nature and personal physique of the operation. The pain usually lasts about two to three days, and it can be controlled by taking medicine on time according to the doctor's advice. The swelling will subside in a week or two.

2. Rest for two to three days, and you can usually resume your daily activities two to three days after the operation. You can go to work as usual five to seven days after the operation. Avoid lifting arms and heavy objects in the first week after operation, and avoid steam bath and swimming for two weeks. Strenuous exercise can only be performed two weeks after the operation.

3. There will be a simple dressing for the wound after operation, and there will be a bandage to fix the position of the breast. You can go to the doctor for a follow-up visit in two or three days, and then you can take a normal bath. Arrange follow-up for another week, month and half a year. The suture of the wound will dissolve automatically within ten days.

4. In the first month after operation, you should wear either a fitted soft bust or a positioning chest strap according to the doctor's instructions, or let the chest tissue form naturally without wearing a bust. The breast will feel swollen and soft at first, and the texture and shape of the breast will be more natural after one to two months. When you mentally integrate it into your body and stop paying attention to the existence of the prosthesis, you will fully recover.

5. Wire should not be used to penetrate the chest within half a year after the operation, so as to prevent the deformation of the chest from causing capsule twins (capsule fibrosis).

6, two weeks after surgery should avoid sex, so as not to touch the breast.

7. If you are preparing for pregnancy, it is best to wait for the breast shape to stabilize six months after the operation. Breast augmentation surgery generally does not affect breastfeeding ability.

8. Start breast massage one week after the operation. The method is to push the breast upward, inward and outward as far as possible, keep this posture for ten seconds, and do the left and right breasts for five minutes respectively. Twice in the morning and evening in the first month. Once every two months and once a year. After one year, I changed to irregular massage. Breast massage can loosen the capsule fiber tissue around the prosthesis and effectively reduce the occurrence of capsule twins, so it should be persistent.

9. In addition, taking 800 units of vitamin E (400 units in the morning and 400 units in the evening) every day for six months after the operation will help prevent twin sclerosis of the thoracic capsule tissue.

10. Normal physiological phenomena such as sclerosis, swelling and redness will appear in the first three months after operation, but most of them will fade into inconspicuous traces in about half a year.

1 1. A few patients may feel paralyzed after operation, but they will return to normal after a few months.

12. For women with thin figure and weak chest tissue, the edge of subcutaneous prosthesis may be slightly felt under touch, especially the lower part and side of breast. Choosing silicone prosthesis material and placing the prosthesis under the pectoral muscle can reduce but not completely avoid these problems.

13, the material of atrial prosthesis can withstand the general pressure of prone, collision and extrusion, so don't worry too much about the fracture of the prosthesis. There is absolutely no problem with flying.

14. Most women feel ideal and satisfied with the effect of breast augmentation surgery, and there are no remaining problems. However, if you find that the breasts are not soft, different in height and shape, or have unsatisfactory scars, you should consult a doctor.