Preservé™ Breast Augmentation Before & After Results #49604
Procedures Performed
Patient Information
Procedure Details
Case Notes
The patient was marked with the assistance of the patient. Markings were made with 10cm stencil. The patient was brought to the operating theater and placed in the supine position with appropriate padding and SCDs in
place. Anesthesia type was TIVA. The patient was prepped using an aseptic technique. A Time-out was
performed per protocol verifying the names of the patient and surgeon, the operative sites, and the operative plan per the informed consent. All staff in the room verified the information and site(s) as correct.
The incision was marked along the IMF approximately 4cm in length and the planned placement of the implant was at the superomedial IMF. Local was injected along the incisions lines bilaterally in the amount above. An
incision was then made to the Right breast using a number 15 blade down through skin to the subcutaneous
tissue. Dissection proceeded with bovie electrocautery about 1 cm. A tumescent canula was inserted and local
was injected in a bolus technique 120cc each breast with US guidance ensuring we were in the plane below the breast tissue and above the muscle. We waited 10 minutes. A channel dilator was used to dilate in the
prepectoral plane which was confirmed with ultrasound and a lighted breast retractor. Next, the balloon dissector was placed and pumped to 250cc delated and reinflated. The balloon was deflated and pulled inferiorly into the channel. It was reinflated here 100cc and then deflated and removed. The channel was stretched with two army navys.
Fresh gloves were exchanged and a 230cc implant was placed with betadine irrigation and then placed into a
MOTIVA funnel. It was very not challenging to place.
The same procedure was performed to the Left side.
The patient was sat up and had good symmetry. The incision was closed with a 3.0 monocryl in the fascial layer followed by the deep dermal layer and then a 4.0 monocryl in a running cuticular stitch.
Dressings consisted of a telfa tegaderm and a surgical bra was placed.