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임신과 연관된 유방삽입물 주의 피막 구형 구축의 변화에 대한 임상적 연구
이윤호,임동헌,윤진호,강소라,김한중,배원배 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.6
It has been reported that the frequency of the development of peripheral capsuler contracture after breast augmentation surgery using silicone-gel implants amounts between 25 to 50%. Various treatments to cure or prevent the capsular contracture are mow being studied and introduced, including submuscular insertion of breast implants, steroid instillation, oral intake of Vit-E, postoperative breast massage, regional injection of antibiotics, and a saline-filled implantation without gel-bleed. This paper reports, along with the literal study, on the improvement of the softening of capsular contracture condition observed from 12 patients who have undergone pregnancy and delivery after breast augmentation surgery operated at the Plastic surgery departments of Ewha University Medical Center and Seoul National University Medical Center during 1985-1995. Conceivably, the softening of the capsular contracture is attributable to the hormonal change, immunologic and inflammatory alteration, and the masking effect resulting from mammary alveolar hypertrophy. It is believed that a study should be continued on the relationship between the pregnancy and the softening of capsular contracture condition.
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Periareolar incision을 이용한 mastopexy와 reduction mammoplasty
배원배,강소라,박흥식,윤진호,김한중 大韓成形外科學會 1997 Archives of Plastic Surgery Vol.24 No.5
As the general Population's interests increase in their physical, cosmetic attractiveness, The number of cases involving mammoplasty has a tendency to increase. And also various mammoplasties are newly introduced in technical aspect of mammoplasty. The main objectives of cosmetic breast surgery is to make a nice cone shaped breast with the minimum amount of scars left on the skin. In the case of reduction mammoplasty or mastopexy through periareolar incision, the areolar size increases or the shape becomes distorted Therefore, the "periareolar incision" procedure is performed only on the patients with small or moderate-sized breast. It has been reported that these problems were solved by Benelli with his "round block" method, but minor faults were also found. Authors using "mastopexy or reduction mammoplasty through periareolar incision" operated on12 patients with minor modifications compared to Benelli's method. As a result we reduced the possibility of enlargement or distortion of the nipple-areolar complex. Compared to the "round block" method, our method also reduced the area of deepithelized skin and minimized pleats around nipple-areolar complex. We also found that our method saved operation time, and was much easier to be operated. Our technique allows us to correct protrusion in the lower pole and accurately put the nipple-areola complex in position by the anchoring sutures.
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