腹拉+隆乳TABA參考文獻

  • 1.Augmentation mammoplasty with silicone implant using transumbilical approach at a subpectoral level.
    Lee W, Choi BK, Bang SI, Yang EJ.
    Ann Plast Surg. 2014 Sep;73(3):268-74. doi: 10.1097/SAP.0b013e31827a3820.
  • 2.Transumbilical breast augmentation.
    Handel N.
    Clin Plast Surg. 2009 Jan;36(1):63-74, vi. doi: 10.1016/j.cps.2008.07.003.
  • 3.Maximizing the use of abdominoplasty incision in oncoplastic and aesthetic breast surgery: four transabdominal (transumbilical-like) augmentations.
    Riggio E, Spano A, Ottolenghi J, Nava MB.
    Aesthetic Plast Surg. 2008 Jan;32(1):130-5.
  • 4.Transumbilical breast augmentation: a practical review of a growing technique.
    Brennan WA, Haiavy J.
    Ann Plast Surg. 2007 Sep;59(3):243-9.
  • 5.Why the transumbilical breast augmentation is safe for implants.
    Dowden RV.
    Plast Reconstr Surg. 2002 Jun;109(7):2576-9. No abstract available.
  • 6.Endoscopic transumbilical subglandular augmentation mammaplasty.
    Songcharoen S.
    Clin Plast Surg. 2002 Jan;29(1):1-13.
  • 7.Keeping the transumbilical breast augmentation procedure safe.
    Dowden R.
    Plast Reconstr Surg. 2001 Oct;108(5):1389-400; discussion 1401-8.
  • 8.Transumbilical breast augmentation (TUBA): patient selection, technique, and clinical experience.
    Pound EC 3rd, Pound EC Jr.
    Clin Plast Surg. 2001 Jul;28(3):597-605.
  • 9.Transumbilical breast augmentation: a new instrument for changing implants from the subglandular to the subpectoral position.
    Rey RM Jr.
    Plast Reconstr Surg. 2001 Apr 15;107(5):1310-1. No abstract available.
  • 10. Experience with transumbilical breast augmentation. Sudarsky L.
    Ann Plast Surg.
    2001 May;46(5):467-72; discussion 472-3.
  • 11.Transumbilical breast augmentation.
    Dixon P, Dowden R, Connor P, Klein C.
    AORN J. 2000 Oct;72(4):615-25; quiz 627, 629-32. Review.
  • 12.Transumbilical endoscopic breast augmentation: submammary and subpectoral.
    Caleel RT.
    Plast Reconstr Surg. 2000 Oct;106(5):1177-82; discussion 1183-4.
  • 13.Dispelling the myths and misconceptions about transumbilical breast augmentation.
    Dowden RV.
    Plast Reconstr Surg. 2000 Jul;106(1):190-4; discussion 195-6.
  • 14. Transumbilical approach to breast augmentation.
    Tebbetts JB.
    Plast Reconstr Surg. 1994 Jul;94(1):215-6. No abstract available.
  • 15.The endoscopic breast augmentation: the transumbilical insertion of saline-filled breast implants.
    Johnson GW, Christ JE.
    Plast Reconstr Surg. 1993 Oct;92(5):801-8.
  • 16. Prevention of Capsular contracture using leukotriene antagonists.R. Graf . PRS Journal Vol 136, Number 5. P. 592e~~596e

適應症

  • 1.男女皆可
  • 2.美容整形：以手術來增加乳房的尺寸、改善平胸、產後萎縮、大小胸
  • 3.乳房重建手術：因癌症或外傷移除的乳房組織、修復手術來修正或改良首次隆乳手術的結果、嚴重的乳房異常
  • 4.肥厚性疤痕體質、蟹足腫體質尤其適合

可合併手術

  • 1.提乳、乳頭縮小或凹陷拉提手術
  • 2.臉部手術如雙眼皮、眼袋、墊下巴、隆鼻、修唇等
  • 3.私密處手術如小陰唇、陰道、痔瘡
  • 4.身體整形如腹部拉皮
  • 5.醫美微整或光療雷射，如除毛、電波音波等

手術優點

  • 1.傷口只有一道
  • 2.出血量少
  • 3.傷口小而且少，適合不想因為留太多疤、或怕因疤漏餡的人
  • 4.肥厚性疤痕體質、蟹足腫體質尤其適合
  • 5.好照顧、恢復快、腫脹時間少
  • 6.材質選擇性多
  • 7.一般都是採用困難度較高之雙平面
  • 8.乳形比較易自然、水滴柔軟好看

手術缺點-
三高一長不容易

  • 1.醫師手術技術需求比腋下、乳下、乳暈高
  • 2.價格相對較高一些
  • 3.手術成本較高
  • 4.醫師學習此手術的時間，相對需要比較長，醫師learning curve長
  • 5.病人不容易找到會做的醫師→因為手術技術要求比較高，醫師學習此手術的時間相對長，非隆乳手術之主流派，會做及願意做的醫師鳳毛麟角，病人不容易遇到或找到會做的醫師

腹拉+隆乳TABA手術處置的成功率可能依病情、認知與體況不同而異，若無併發症，一般成功率約可達到95%以上

隆乳材質破裂、莢膜攣縮、重新手術、隆乳材質移除、疼痛、改變乳頭及乳房、傷口的感覺、感染、疤痕、感染、不對稱、皺褶、隆乳材質錯位/移位、隆乳材質可觸性/可見性、哺乳併發的問題、血腫血清腫、隆乳材質漏出、壞死、傷口癒合緩慢、乳房組織萎縮/變形、鈣沉澱、淋巴結病變等。

  • 1.罹患癌症或癌前期病變未經妥善治療
  • 2.懷孕中和哺乳中的婦女
  • 3.嚴重貧血、凝血不良之病人、有重大疾病者等
  • 4.心智不健康者
  • 5.鹽水袋隆乳需年滿18歲、果凍矽膠隆乳需年滿22歲
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