plastic surgery and systemic management

Many of the surgery in the field of cosmetic plastic surgery are day trips and I think that there are many relatively small scale cases of 1-2 hours. However, sometimes there are cases where you need to be systematically monitered after being hospitalized, with breast reconstruction, massive liposuction, or surgery using free tissue.

As mentioned in this blog before, patients need to stay away from blood thinning agents such as Vitamin E, fish oil, aspirin, etc., and during the surgery we use devices to prevent deep venous thrombosis by intermittently massaging instruments in the lower limbs.

When considering the risk factor of the patient side, factors such as age (65 years old and over), obesity index (30 or more), presence of smoking, presence of other basic diseases (diabetes etc.), etc. become a problem.

In addition, in case of surgical procedures for cosmetic purposes, when considering the balance between risk and benefit, it is required that the risk be lower than when treating disease.

Those things are difficult to understand for the general public, but since it is important to life, if you are planning for big surgery, please consult with your doctor once again.

On removal operation of breast augmentation bag

About several years after breast augmentation surgery, thick capsules are made around the implant with a considerable probability (up to 25%). This is called capsular contracture of a breast implants, and it is classified in three grades in the United States. Grade 1 has a slight wrinkle feeling when touched, but no visible abnormality; Grade 2 is one with wrinkles emerging on the skin surface, Grade 3 is a painful addition in addition to that, requires a removal operation.

Regarding the removal technique of breast enlargement bag, it is not a easy surgery. Simply removing the bag may result in inadequate results. It is necessary to remove capsules that are in close contact with the surface of the bag at the same time. In particular, capsules on the front of the bag should be removed. Otherwise, the capsule will remain around the entire circumference and become a cyst (Seroma).

Upon removal of the capsule, it may cause considerable bleeding. Therefore, at our office, we do not recommend doing such surgery as an outpatient surgery. Our doctor becomes your doctor, we recommend to operate at university hospital.

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Dr. Kure