로고가슴성형부작용ac컵?박진석성형외과상담글수술전후물방울가슴
box온라인상담box수술후기box
box홈페이지바로가기boxbox병원오시는길box
box
boxUPF그레이드를 요구해야하는이유box박진석원장의 학술활동box
box박진석원장의 신앙간증box
신앙간증논문개제스포츠조선가슴성형일기
텍스트
로고가슴성형부작용ac컵?박진석성형외과상담글수술전후물방울가슴
서브타이틀

박진석원장은 가슴성형에 필요한 실전해부학에 대한 내용으로 2011년 대한 미용성형외과학회 프로그램의 하나로 성형외과전공의를 위한 instruction course에서 강연을 시행함

이 강연에서 가슴성형을 위한 기초적인 내용과 해부학적 주의사항, 물방울모양의 가슴을 만들기 위한 노하우등을 발표하였다.

The practical anatomy for breast surgery

강의제목: 가슴성형을 위한 실전해부학

 

Object: To obtain anatomic essentials for

1.     the bloodless pocket

2.     reducing the double bubble appearance.

3.     making V-valley and reducing symmastia

4.     better shape

목표: 다음을 위한 해부학적 지식을 획득하기

1.     출혈 없는 공간 만들기

2.     이중선 예방하기

3.     가슴사이 계곡은 만들되 합체증은 예방하기

4.     예쁜 모양만들기

 

Introduction(소개):

Anatomy is fundamentally important in all surgery, so I would like to share practically my experiences in anatomical aspect for the better, consistent and safe results.(해부학은 모든 수술에 기본적으로 중요하므로 저의 실전 경험을 공유하여 전공의 선생님들이 좀 더 좋은 결과를 안전하게 얻을 수 있도록 알려드리겠습니다.)

Bony structure(골격구조):

If the angle of the rib cage at the anterior axillary line is acute, implant tends to move medially. In case of the prominent sternocostal junction, implant tends to move laterally. Anterior convexity of the rib cage affects breast shape and size. (겨드랑이앞선을 따라 내린 선의 위치에서 흉곽모양이 급하게 꺽인 경우가 있는데 이런 경우는 보형물이 안으로 더 이동하려는 경향이 있으며, 흉골과 늑연골 사이 부분이 돌출된 경우는 보형물이 바깥쪽에 위치하려는 경향이 있습니다. 흉곽의 전방돌출도에 따라 가슴 모양과 크기에 영향을 줍니다.)

Muscular structure(근육구조):

The pectorlis muscle action affects the result in case of submuscular placement. The pushing direction of muscle changes whether muscle cuts or not. Narrow muscle width and sternalis muscle act as a laterally displacing cause. At the second and third costal cartilages, the muscle is thickened and attached more laterally, which is occurred by decussation of muscle fibers. Detachment of muscle origin at this portion is important for better shape, however surgeon should be careful due to perforators. Serratus tends to tether overlying soft tissue, so in case of blindly making pocket with abduction of shoulder, detachment of soft tissue from serratus should be done enough.

Fascial system(근막층):

From superficial to deep layer, superficial layer of superficial fascia, deep layer of superficial fascia, pectoralis fascia(pectoralis major and minor). Breast is located between superficial and deep layer of superficial fascia. Interfascial space is avascular layer, so surgeon should make pocket through interfascial space.

Nerves, arteries and veins(신경 및 혈관):

The most important nerve is known as the lateral cutaneous branch of the fourth intercostals nerve, however it seems that other nerves may be substitute; especially lateral and anterior branches from the third to the fifth intercostal nerve. In case of transaxillary approach, thoracoepigastric vein should be dealt carefully. As several perforators arise consistently, surgeon can make dry pocket with the intended cauterization.

댓글을 달아 주세요

  1.  댓글주소  수정/삭제  댓글쓰기 moncler online 2013.01.04 14:18

    Each of the following elements have been accurately programmed into Cessna simulator software to give you a stunningly realistic piloting experience:-- The airplane controls-- The responsiveness of the airplane-- The reaction of the airplane to several external forces, such as wind, http://www.moncleroutletespain.com/ http://www.moncleroutletespain.com/, temperature variance, http://www.moncleroutletespain.com/ moncler, and precipitation-- The aircraft reaction to several internal forces, http://www.moncleroutletespain.com/ moncler españa, such as weight, center of gravity, and the exertion of G-forces-- The virtual flight simulator "world" that you can fly through, http://www.moncleroutletespain.com/ moncler online, with all its airports and landmarksCessna simulator software are, http://www.moncleroutletespain.com/ moncler outlet, in light of all of the above mentioned attributes, truly the "next best thing" to actually aviating a real Cessna plane, http://www.moncleroutletespain.com/ moncler chaquetas. With the only exception being that it costs a LOT less!Related articles:


    http://jubong2k.tistory.com/222 http://jubong2k.tistory.com/222

    http://squall1027.tistory.com/96 http://squall1027.tistory.com/96