Figure 3: Ultrasound structure and blood flow of the right mammary gland
Patient 1, 45 years old, 9 years after ABA
patients who underwent ABA. The indications for ABA were
correction of hypomastia, ptosis and asymmetry of breast soft tissues.
Materials and methods Seventeen patients aged 26–45 years were enrolled into the study. The subjects underwent breast augmentation with application of hydrophilic gel Aquafilling®. The volume of the injected gel amounted to 150–250 ml in each breast’s soft tissue. The volume of 250 ml was injected in two stages, as the recommended volume of
gel for
each procedure is 150 ml. The follow-up period ranged from
2 to 9 years. The investigation was conducted using ultrasound device LOGIQ-P5 at the medical centre ‘La Vita Sana’, Kharkiv, Ukraine, from 24 April 2013 till 20 May 2013. During the long-term
postoperative period the following indices were examined in all patients: ■Parenchyma of mammary glands ■Ligaments ■Blood flow in the tissues, adhered to the implant
■Axillary lymph nodes. A particular focus was given to
investigation of the implant structure, its homogeneity, and character of perifocal manifestations in the surrounding tissues.
Discussion In all cases, the gel was observed in the form of homogeneous hypoechoic mass placed in the retromammary space. There were no signs of gel migration. A very thin capsule around the implant can be seen, which densely adheres to the walls of the retromammary space. Implant invasion with connective tissue was not recorded, as well as
sonogr“Ultrasound can be
Patient 1, 45 years old, 9 years after ABA
Figure 3: Ultrasound structure and blood flow of the right mammary gland
Patient 2, 26 years old, 2 years after ABA Patient 2, 26 years old, 2 years after ABA
aphy
considered a screening
method in the monitoring of mammary glands in the patients after ABA.
”
Figure 4 Ultrasound structure and blood flow of the left mammary gland. (A) Patient 1, 45 years old, 9 years after ABA; (B) Patient 2, 26 years old, 2 years after ABA
availability of calcificates. Nothing abnormal with regard to blood flow in the tissues of the mammary glands during Doppler sonography was detected. Axillary glands did not increased. Figures 1–4 show comparative data of ultrasonographic pictures of mammary glands in two patients with implantation terms of 2 and 9 years after ABA. No vital distinctions in the structure of the mammary glands and surrounding tissues were detected in these patients.
Conclusions Ultrasound sonography can be considered a screening method in the monitoring of mammary glands in the patients after Aquafilling®
structure of the implant injected into the retromammary space, or any other degenerate processes in the tissues of the mammary glands, were recorded during the long-term follow-up period. Taking into consideration a distinct differentiation between the tissues of
implant, ultrasound sonography makes it
different abnormal processes in the mammary gland tissues at the early stages of development, unobstructed by gel.
mammary glands and the possible to monitor
Figure 4: Ultrasound structure and blood flow of the left mammary gland
Patient 1, 45 years old, 9 years after ABA Patient 1, 45 years old, 9 years after ABA
Figure 4: Ultrasound structure and blood flow of the left mammary gland
Patient 2, 26 years old, 2 years after ABA Patient 2, 26 years old, 2 years after ABA
Figure 3 Ultrasound structure and blood flow of the right mammary gland. (A) Patient 1, 45 years old, 9 years after ABA; (B) Patient 2, 26 years old, 2 years after ABA
Further information Breast Augmentation (ABA). No changes to the space
info@aquafilling.com,
www.aquafilling.com
prime-journal.com | October 2013 ❚
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