PMC:4134643 / 5140-6699 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/4134643","sourcedb":"PMC","sourceid":"4134643","source_url":"https://www.ncbi.nlm.nih.gov/pmc/4134643","text":"Operative procedure\nAll cases were operated under general anaesthesia with endotracheal intubation. After anaesthesia, tumescent infiltration was done. The infiltration was about 1:1 with the expected aspiration volume, and covered the marked area of the chest with additional area for feathering from the clavicle to below the inframammary fold.\nAfter infiltration is complete, de-epithelisation of the marked area (between 1st and 3rd markings) was done in circular manner [Figure 4b] and liposuction is started with a 3 mm Mercedes Benz cannula through a small stab incision made along the outer lateral margin of the de-epithelised area.\nAfter the liposuction was completed, the lateral margin of stab incision for liposuction was extended 2-2.5 cm further. Through this window, the redundant portion of the breast tissue was removed by sharp dissection keeping 1.5-2 cm breast tissue under the nipple-areola complex.\nThe margin of the areola was then fixed at mid-humerus lavel just medial to the mid-clavicular line with pectoralis fascia at 10, 2, and 6 o'clock position with 3-0 monocryl. Outer border of the de-epithelised area was sutured by subdermal 3-0 monocryl suture, which gave a purse-string effect and made close contact of the two incision lines. These two lines were further apposed by few half buried horizontal mattress sutures [Figure 4c].\nA suction or a small corrugated rubber drain were inserted through a separate stab incision over anterior axillary line and usually removed after 24 hr. Compressive dressing were used for 6 weeks.","divisions":[{"label":"title","span":{"begin":0,"end":19}},{"label":"p","span":{"begin":20,"end":346}},{"label":"p","span":{"begin":347,"end":641}},{"label":"p","span":{"begin":642,"end":921}},{"label":"p","span":{"begin":922,"end":1362}}],"tracks":[]}