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Table of Contents
General. You must prep with sterile gloves when you are prepping a case for her.
Breast reduction. Do I Users in fear pedicle and wise pattern predominantly. Will only use other particle for uncle plastic reduction. Line line dressing is glue and then Tegaderm with Telfa cut out a hole for the nipple so that it can be observed by a patch over the dryer.
Male to female Breast Augmentation
Setup:
Check bed to make sure it sits up correctly. Many beds at DH are chair beds and are funny.
Anesthesia performs pre-operative pectoralis blocks.
Arms out at 90 degrees. Wrap arms in blanket and take. Place take over upper arm (avoid elbow) and over hand to help point thumb upwards.
Resident Notes:
Fellows mark the patient. Residents tend to watch. She marks IMF, meridian, breast footprint, pitanguy's point.
Starts with lower incision.
Discharge instructions:
No lifting greater than 10 lbs
No lifting your arms over your head (ie 90 degrees limit).
Okay to shower for 48 hours
Wear surgical vest at all times except showering until your follow up appointment.
No submerging in water (pool, hot tub, etc.) for 4 weeks
No underwire bras for 6 weeks
Keep scar covered from sunlight for 1 month