| BODYCO Figure 4 e 4Intraoper aoperative view of e view of
chest enhancement using a custom-made implant to get a more square look and define the whole contour
t enhancement using a e look and define
BODY CONTOURIN
OURING | PEER--REVIEREV EVIEW
downwards), as th, as there is a risk of piercing the musc lateral aspect, w into the subcu been created, th remaining m
t, which may lead to extrusion of th bcutaneous area. Once both poc
electrocautery und
y lead to extrusion of the implan th pockets have
ry under direct vision using a ligh ed fibr witnessed bleeding a
en bluntly or via g a lighted fibre-
g the muscle at ts at i its plant
d, the author checks the space and any muscular fibre is broken bl
optic retractor. The implane implants are then pla ed. Then placed. The author does not usuall
The musc e incision is tightly c sutures. The closure has to be perf and separate the implant from th sacral tunnels cls completely.
et author then lea
The skin is then closed using 3-0 V cry sutur s a small, 8-
ench h is e through a stab incision and n The interrupted subcutaneous sti che
access. Finally, the skin is closed 3-0 Monocryl suture.
intradermal 3-0 M
patient is pla da
bi The wound is dr ssed and a gir tien er tion; h
pressure in the subcuhe subcutaneous tunnel, which is extracted ab incision and never via the sacral wound. pted subcutaneous stitches are anchored to
ed
the de-epithelialised strielialised strip of dermis left in the midline of ally,
drugs for 7 days.. The patient can get up and sit 24 hoursours after the operation; however, she/he has to avoid the dorsal decubitus position for 5 to 6 days. Patients cannot exercise for 8 weeks and should wear a girdle at all times. After this period, they can resume normal activity. Nine cases have been performed since 2009. In six. In six patients oval implants were used and round for the rest. The smallest volume placed was 250 cc and the largest 350 cc. There was one complication (displacement), which required reoperation to reposition the implant.
nd is dressed and a girdle is placed. The aced on antibiotics and anti-inflammatory Th
tics and an an g
e/he has t tion for 5 t 6 da 8 w
riod, th s ha l im
r Pectoral
The author performs a thor measure the c (different sha
performs a thorough e each hemithorax), rib curv gh evaluation t tion to assess or
e chest contour, the perimeter, asymmetries ape and volume of the muscles and width of thorax), rib curvature,
chondrosternalernal th of red r an r been perf
t volume placed was 250 c mp
per ion t
und for the r st. es
tion (displa ement), tion th
plant. ear a gir cti tien ann t 2
s then closed using 3-0 Vicryll sutures.. The eaves a small, 8-French drain under negative eous tunnel, w
The er negati
e anchored to e of
the skin is closed with a buried,th a buried, ocryl su
The author performs a thorough
evaluation to assess or measure the chest contour, the perimeter, asymmetries, rib curvature,
chondrosternal
prominences and scoliosis.
le incision is tightly closed using 2-0 Vicryl closure has to be perfectly performed t try plant from the subcutan
y performed to try taneous and
ually place drains he has have very rarely g at the end of the procedure. g 2
cryl
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