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Table of Contents
Dr. Chong
Why leave the fascia on the muscle during the dissection? So you will have a strong layer of tissue to suture too.
What suture style do you use for weaker tissue? Figure of 8 because it has greater surface area and won't “cheese wire” the tissue.
What is Red Breast Syndrome? Type IV hypersensitivity (delayed) reaction to acellular dermal matrix.
What is the incidence of Tissue Expander infections? 7-10%
What is the blood supply to the pectoralis major muscle? Type V Mathes and Nahai flap. Dominant supply pectoral branch of thoracoacromial trunk. Segmental supply of IMA perforators.
What is pitanguys line?
What is pitanguys point?
Why is this patient going to bleed? Patients with uremia have platelet dysfunction.
Why smooth expanders? Because smooth implants have been associated with ALCL and the only link is previous textured tissue expanders?
What are the aesthetic units of the breast?
Liposuction – Will ask to thoroughly explain procedure. Asks if you are doing liposuction on neck and abdomen which do you infiltrate first? Neck first, because it is highly vascular (»abdomen) and will absorb local anesthesia before you get to abdomen. This way you are not having peak absorption of local anesthesia at the same time.
Why wait after infiltrating to start liposuction? For the onset of epinephrine. Onset time 8 minutes. Peak effect 26 minutes.
Primary venous drainage system of abdomen? - superficial system
What is blood supply to pectoralis major? pectoral branch from thoracalacromial trunk, IMA perforators
What is dual plane for breast implants?
Hematoma could be from surrounding tissue or from a vein clot and now leaking from flap
Strongest suture tech? vertical matress
best suture tech for everting? horizontal matress
Most ischemic stitch? horizontal matress
