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Sub-muscular Breast Augmentation Using Tumescent Local Anesthesia
- Source :
- Aesthetic plastic surgery. 43(1)
- Publication Year :
- 2018
-
Abstract
- Tumescent local anesthesia (TLA) consists of infiltration of saline solution with lidocaine and epinephrine into the tissues to obtain regional anesthesia and vasoconstriction. The use of TLA in augmentation mammoplasty has been described for sub-glandular positioning. We describe a modified TLA technique for primary sub-muscular breast augmentation reporting our experience during the past 7 years. From 2010 to 2017, 300 patients underwent bilateral primary sub-muscular breast augmentation under TLA and conscious sedation. The tumescent solution was prepared with 25 mL of 2% lidocaine, 8 mEq of sodium bicarbonate, and 1 mL of epinephrine (1 mg/1 mL) in 1000 mL of 0.9% saline solution. Firstly, the solution was infiltrated between the pectoral fascia and the mammary gland, secondarily, during surgery, under the pectoralis major muscle. The average amount of tumescent solution infiltrated while performing TLA was 740 mL per breast. No signs of adrenaline or lidocaine toxicity were reported and conversion to general anesthesia was never required. In all patients, no pain nor discomfort was reported during the pre-operating infiltration and surgical procedure. We reported a major complication rate of 3.3% (4 hematomas and 6 seromas) and a minor complication rate of 6.0% (8 implant dislocation and 10 dystrophic scars formation). TLA represents a safe and efficacious technique for performing breast augmentation surgery with sub-muscular implant positioning. This technique guarantees good pain control during and after surgery and has low incidence of postoperative side effects. Patients subjected to sub-muscular breast augmentation with TLA were satisfied. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
- Subjects :
- Sub-muscular
Adult
medicine.medical_specialty
Lidocaine
Epinephrine
Esthetics
Breast Implants
030230 surgery
Risk Assessment
Pectoralis Muscles
Cohort Studies
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
medicine
Humans
Breast augmentation
Breast implants
Tumescent local anesthesia
Anesthesia, Local
Breast Implantation
Drug Combinations
Female
Middle Aged
Pain Measurement
Retrospective Studies
Sodium Bicarbonate
Solutions
Treatment Outcome
Wound Healing
Anesthesia
Local anesthesia
business.industry
Pectoralis major muscle
Surgery
Plastic surgery
medicine.anatomical_structure
Local
Augmentation Mammoplasty
Implant
Pectoral fascia
business
medicine.drug
Subjects
Details
- ISSN :
- 14325241
- Volume :
- 43
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Aesthetic plastic surgery
- Accession number :
- edsair.doi.dedup.....3ef73cc0ae82d6dd96e07c4a4ba08f25