1.
Choose suitable doctors
Plastic and aesthetic surgery is a spiritual satisfaction for people in a
much broader spiritual dimension with very strict
requirements to the plastic surgeons. In order to
get satisfactory operation effect, you have to
choose a most suitable plastic surgeons for yourself
by complying with the following three principles.
Firstly, you need to see if this surgeon has the
state-authorized qualification of plastic surgeon
including Practicing Physician Qualifications of
Ministry of Health, the registration status of
practicing physician and so on. Secondly, you need
to listen. Whether the physician is patient enough
to listen attentively to your expressions on your
pursue of beauty, motivation of beauty and
requirements on beauty especially to his analysis
and comments on your pursue and motivation of beauty
and his solutions according to your requirements;
whether the physician is always compliant with your
will,; whether the solution is objective,
scientific, feasible and credible especially whether
it integrates with your practice and your demands.
Thirdly, you need to analyze. Whether the
implementation solutions based on your requirements
on
cosmetology
provided by the physician is scientific. To analyze
and know about the surgeons including his practical
aesthetic faculty,
morality of profession and practical ability to
accomplish this solution.
Choose
suitable products
1)Currently,
silicone gel filled breast implant and normal saline
breast implant are most commonly used.
2)
In terms of shape, implants include hemisphere type,
cone type and anatomical type, and are selected
according to personal preference, body form and age.
Generally speaking, the former is suitable for young
ladies and the latter is suitable for mature ladies.
3)In terms
of surface, implants include smooth surface and
textured surface; textured surface implants can
reduce the capsular contracture incidence.
3.
Psychological Preparation
Patients who need a breast augmentation operation may have much
psychological obstacles including anxiety, nervous,
melancholy, loneliness, shyness and dread during the
period of being in hospital. It is very important to
give some certain psychological nursing and guide to
these patients to ensure a successful operation.
1)
Timid Psychology
Having a good think before operation, the patients who need a breast
augmentation operation always hope to talk with
female doctors and pay more attention to the
operation effect and the possible danger. So the
nurses and surgeons need to explain to the patients
patiently, sincerely and carefully and take out
albums to let the patients know the process and
effect of the operation so as that the patients have
enough confidence. Through the talk between surgeons
and patients to decide operation solution fatherly
and according to the breast size, height, body type
and shape of the patients to choose a suitable
breast implant. Because some patients are afraid
that the exposure of operation would be commented by
people, we need to understand this sort of
psychology of patients ,try to meet the patients¨
demand and respect the patients¨ private right.
2)Anxiety
and Dread Psychology
As for some young and unmarried female, who usually haven¨t gone through
the cosmetic operations in the breast augmentation
operation rooms, would be too afraid of the pain of
the operation and the scar left due to the fail of
operations that they can not have a good rest before
the operation especially the night before the
operation. It is necessary to explain the importance
of preparation before operations to the patients,
who have some psychological problems affecting the
preparation work of operation.. They might be
impatient, without sufficient preparations before
operation, be afraid that long time in the hospital
would affect their work and ask to have operations
upon arriving in the hospital. Meanwhile the routine
examinations would be better taken before the
patients being in the hospital to consider the
practical status of patients. According to the
economic conditions and health status of patients,
the surgeons would select suitable
anaesthesia
method of breast augmentation operations. If there
are patients who have experienced the breast
augmentation operations living in the ward, the
surgeons may let the patients who have gone through
the operations help the new patients out of the
unnecessary anxiety and apprehension.
3)Melancholy
and Lonely
Having suffered from the abnormality of small breasts, they are affected
deeply in loving, applying for a job and couple life
after marriage with depressive psychology. Being
afraid of being discovered by others, they usually
go to visit the surgeons alone. They worry if their
relatives would be satisfied at the operation and if
the couple relationship would be affected by it.
Because there are no one to accompany and visit, in
addition to the trouble made by pain of operation,
the patients usually are melancholy and lonely. The
medical personal should care about the patients
after operations initiatively and actively and
communicate with patients in order to eliminate the
patients¨ melancholy and lonely emotion. Besides,
the chat among the patients in the same ward is
helpful and meaningful to the life after operation
and recovery of patients.
4. Care after operation
Good care after operation can reduce pain of patient. It is very
important to discover abnormal complications. Items
of care after operation include observation of an
patient¨s body temperature, pulse, blood pressure,
etc. Proper care should be given according to some
special conditions after the operation.
1) Body
temperature: Antibiotics should be
intramuscularly injected or intravenously dripped 3
days after a breast augmentation operation, and
stancher can be used appropriately. Some patients
may have a fever after the operation. If the body
temperature does not exceed 38＜c,
they just have a normal absorption reaction; If a
patient has a high fever after 4-5 days (the body
temperature is above 38＜c),
infection of the operation spot or other spots
should be considered (such as a cold), and check the
cut or skin of breast for any inflammation when
necessary. If supporting treatment takes no effect
and the cut has fluctuation, the patient is
identified to be infected. Open the cut, remove the
implant and drain completely.
2) Body position: Patients
should adopt semi-reclining position right after the
breast augmentation operation, and are encouraged to
move around after operation to assist recovery.
Patients with prosthesis implanted to the posterior
pectoralis major space should not lift the two arms,
hold weights or engage in strenuous exercise with
two weeks after the operation so as to prevent
translocation of the implant caused by mighty
contraction of pectoralis major.
3)Pain: Patients often
feels pain in the breast after the operation, and
sometimes ordinary painkillers have no effect.
Patients with good economic conditions can ask an
anesthetist to use an ease pain pump continuously to
maintain a painless state within 2-3 days after the
operation.
4)Observation of drainage: Patients having used
a drainage-tube should observe the drainage status
after operation to see if the tube is smooth and pay
attention to quantity and color of drainage. If the
pain persists and the drained matter is blood of
cardinal red and of large quantity, hematoma may
have been formed.
5)Check
bonding status and replace dressings. Gauze, cotton
cushion or chest strap is generally used after a
breast augmentation operation for pressed fixation.
Good bandage can support the breast, assist shaping
of the breast, reduce pain and bleeding after the
operation and prevent complications. Too small
pressure is unfavorable to fixation and shaping of
breast and hemostasis; too large pressure may lead
to difficulty in breathing. Check the tightness of
bandage frequently after the operation. If no
particular situation occurs, replace dressings 3-4
days after the operation. In the case of little
drainage quantity (daily drainage quantity on both
sides is less than 10~30ml), pull out the drainage
tube. While replacing dressings, observe of shape,
position and size of two breasts are in symmetry,
and adjust promptly in the case of any abnormality.
6)Massage
after operation: Since the silicone gel-filled
implant is a foreign object, cell membrane
contracture may be caused by rejection reaction of
the body after the operation and lead to hardening
of the breast. Therefore, regular breast massage is
needed within 7 days after the operation to prevent
cell membrane contracture and promote blood
circulation and healing of the cut. Breast massage
should be maintained more than 2 years after the
operation.
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