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At wound closure that fixes the posterior lamella firmly as the deepest suture layer to the thoraco-abdominal fascia deeply, the integrity of the inferior fascial support is achieved. Vegas and del Yerro put a lot of effort into examining the supportive quality of the soft tissue covering the anterior chest wall, in particular the fascias, Cooper`s susp. Their findings did confirm the initial requirements we met to develop the additional steps of the 4-D pocket. The determination of Young’s elastic modulus for the pectoralis fascia with 100–2000 kPa and Cooper’s susp. Rehnke et al. have further explored the fascial system of the breast on the basis of Sir Ashley Cooper’s work . However, like any other surgical procedure, breast augmentation surgery with fat transfer carries benefits and risks.
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As an important additional step, vertical incisions at the lower border of the fascia profunda and the pectoralis major muscle are added. In 2018 and 2019, 90% of the implants implanted were Motiva Ergonomix Demi/Full und 10% Mentor Siltex Xtra. This stable fixation between the fascial sheets prevents IMF violation and bottoming out. When it comes to implants we use the leading brand Mentor (a Johnson and Johnson product).
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Surgeons experienced in either of these techniques are constantly challenged by the fact that predictable and constant long-term results without capsular contracture cannot be achieved in all patients by all methods. One of the downsides in submuscular implantation is unnatural animation deformity that may range between minimal distortion in 62.5%, moderate distortion in 10%, and severe distortion in 5% . Aesthetic breast augmentation remains among the top aesthetic surgical procedures and is considered to be a highly elective operation with considerable long-term liabilities for the patients.
Recent research indicates atrophy of breast parenchyma after subglandular, but not submuscular implantation. The preglandular and subglandular plexus supplies safe breast enhancement pills the parenchyma and the nipple-areola complex and complete dissection may significantly reduce gland perfusion. Strikingly retroglandular incisions play a significant role in modifying the shape in congenital breast deformities such as suggested by Puckett and Sierra-Renom .
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Thereby a bottoming out of the implant behind the new IMF due to the consequences of violation of an IMF can be prevented. In our experience, this does not weaken the hammock like function due to the fishnet-like structure of safe breast enhancement pills the strong Cooper’s ligaments within the breast tissue. Problems related to muscle release, such as shoulder instability, were not observed. In patients with tubular deformity or a hypoplastic lower breast pole, anatomical implants were chosen.
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Total Curve Cream is a breast enhancement cream provide a safe and natural alternative to surgical breast augmentation. Total Curve Cream can help to increase the size and fullness of the breasts, as well as improve their firmness and lift. That makes Total Curve ideal for women who’d like to address both lift and appearance.
