Few industries have experienced explosive development of surgical cosmetic surgery in the last fifty years. The predominantly reconstructive techniques or minor correction, practiced sporadically reached Possibility to change any aspect of our appearance, secure, assisted by experienced professionals.
This development occurred both because of the interest shown by potential patients as well as structuring and individualization specialty of plastic surgery as a separate surgical field, having its own organization with institutions that have been set up the way for developing scientific protocols and modes of action for each type of disease / intervention. Stadnardizarea plastic surgery practices, the growing number of studies and research in this area has enabled us continue dezvotarea surgical techniques and medical procedures for an increasingly number of patients who now have almost unlimited possibilities of correction or cosmetic remodeling .
Cosmetic surgery was by nature since the very beginning, one of the safest surgical branches. This is due both patients, who often are in a perfect state of health and the fact that intervention programs are implemented, allowing rigorous analysis of each case. Coding each intervention and repeated analysis, studies, materials used are two other factors that allow us to say that cosmetic surgery incidents are exceptionally rare in the present. Contributed to this obviously anesthesia and improving processes and developing new techniques tailored cosmetic surgery procedures. One example is used for liposuction intumescent anesthesia. Current anesthetic substances also marks a huge advance even if you compare it to existing ones just ten years ago. Analgesia in present times allow performing complex reconstructive surgery, up to ten hours long, patient safely, without side effects or adverse reactions.
The idea that aesthetic interventions are among the safest and brought a contibutie and imaging development, exploration and magnetic resonance, computed tomography, ultrasound Doppler, now allow remote surveillance results obtained with high specificity and can detect whether the body on which it occurred evolving normal or if there is a local pathological changes. That greatly reduced biocompatibility talks on various substances or devices used because it allows vizalizarea any time by loco-regional medical situation.
Substances and techniques for analgesia evolved so spur pharmacological industry and as a result of the needs of patients who may today to traverse extensive surgical procedures, sophisticated, not to feel any pain as well as in both postoperative recovery period.
The first breast augmentation in late 19th century, using fat harvested from a patient’s lipoma passes through augmentation techniques using flaps musculre or appearance in the sixties of the first breast implants initially filled silicon were subsequently developed in parallel and those with saline breast augmentation interventions have been the mainstay of the development of plastic surgery. Evolution of silicone implants, which were imposed in front of saline was also spectacular today having a choice of implnte anatomical bespoke anatomical conformation in hand. Surgical techniques have evolved the way they approach initially inframammary, periareolar mostly today, there are techniques to approach remote axillary example, up to module placement, subglandular or submuscular, again depending on the anatomy of each case part.
Last method developed breast enhancement system called Brava and was invented by the American surgeon R. Khouri. At the core of this method lies observation that exerting pressure, or a used tissue can alter the shape of that structure, the expansion of the tissue. San assumed until now that the use of expander, a device inserted under the skin gradually swells with saline which led to an increase in local volume, this increase including a skin surface in the region. Expander was then replaced with a silicone breast implant fixed volume. Dr. Khouri replace the expander with a device similar to a bra with two stiff cups are fixed tight to the chest that are coupled with a micro-local vacuum pump which creates a negative pressure, low, controlled by a micro-processor . Wearing this device Brava system for a period of ten weeks cite ten hours a day will lead to a breast augmentation up to 200 cc, the equivalent of two cups in bra size. This increase is stable over time, time tracking the current seven years. The results Brava method can be further improved, especially in breast reconstructions after mastectomy using a special technique of autologous adipose tissue conductance. That means it is harvested from the patient’s fatty tissue in areas where it is present in excess, centrifuged and concentrated then injected after a predetermined pattern for each case, in the breasts. Grafted fat tissue causes local augmentation to achieve the patient’s own cells without surgery, without pain, without risk and without implants.
The first such interventions in Romania were conducted by Mrs. Doctor Clinic Proestetic Dana Jianu after an internship conducted in the clinic Dr. Khouri in Miami. Our results with this method allows us to say that after a long wait, patients seeking breast augmentation but do not want to use silicone implants are now available ideal technique with results tested durable. Pacinetele requiring breast reconstruction, following surgery, trauma, or patients with breast asymmetry can benefit from this technique more so how the lack of any implanted material allows for excellent local surveillance remote area by imaging methods course .
We trust in the new process, Brava System received FDA and other authorizations method is practiced both in the United States as well as in almost all European countries, and we appreciate that, without replacing silicone implants, is an ideal alternative to them.
Dr. Eduard Ursuleanu surgeon Proestetic Bucharest Medical Center