| 摘要 |
FIELD: medicine.SUBSTANCE: 7 days before a principal stage of the operation, a lipofilling procedure is performed within a layout; lipografts are implanted in three layers: superficial subcutaneous - above a femoral fascia, deep subcutaneous - under the femoral fascia, and intramuscularly - in the thickness of a broadest muscle of back. After 7 days, a skin-preserving mastectomy is performed with removing a lymph node basin en bloc from a subaxillary incision. A pre-expanded musculocutaneous flap is cut out from the broadest muscle of back so that a superficial thickened layer of subcutaneous fat compensates an existing soft tissue defect in a donor area, whereas the thickened deep layer of the subcutaneous fat and broadest muscle of back are used to fill the volume of the removed breast; the flap is moved and used to fill a skin case of the breast; the flap is fixed in the wound by inner sutures.EFFECT: method enables improving the aesthetic effect of the breast by increasing the volume of the musculocutaneous flap as soon as the required volume is achieved, and electing not to use a silicone implant.12 dwg, 1 ex |
