Dr. 利百特 Ultrasound Interview:
Silicone gel breast implants offer women beautiful, natural-looking results from their breast augmentation. 这些植入物内部的硅胶厚而粘，提供稳定性和自然的运动. 然而, 这种稳定性还意味着，如果发生破裂，硅胶可能会停留在外壳附近，而不会表现出破裂的物理症状. 美国食品和药物管理局建议植入硅胶乳房的女性在隆胸三年后做一次核磁共振扫描，在植入物使用期间每两年做一次. 不幸的是, 核磁共振成像扫描既昂贵又耗时，导致许多女性推迟了她们的扫描. 我们采访了. 迈克尔。利百特, 整形外科集团的高级合伙人讨论了一种新的更容易的无声破裂检测方法.
What Is High Resolution Ultrasound?
超声波设备使用非侵入性声波来创建你体内发生的实时图像. 新的高分辨率技术使这幅图比以往任何时候都更清晰, and allowing the surgeon to see breast implants specifically. Dr. 通过他的团队参与一项全国性的研究，利百特一直处于这项技术的前沿. He explains his first impressions of high-resolution ultrasound (HRUS). “So far, I have been amazed at how well the resolution is. 很明显, there is a learning curve, and we are learning more and more as to what we are looking at, 特别是当我们处理光滑的内壁植入物和有纹理的表面植入物的区别时. 我们很快就会在这里建立一个库在不久的将来它将会给我们评估任何与植入物有关的东西的能力.
Why Is Silent Rupture Detection Important?
Every woman has the right know what is happening inside her body. 病人应该知道破裂的情况，这样他们才能决定如何继续他们的医疗保健. 根据博士. 利百特, “超声, 乳房x光检查和核磁共振扫描是长期以来用于监测患者的成像技术. 这些都是非常重要的诊断工具，跟踪妇女的乳房和植入物的健康. We do a tremendous volume of reconstruction, as well as cosmetic breast surgery, so we have thousands of implants that we have been following over the years.”
How Do Women Benefit from High Resolution Ultrasound vs. 核磁共振成像?
为什么高分辨率超声是一个令人兴奋的新发展为女性硅胶乳房植入? Dr. 利百特告诉我们, “Recommendations from the FDA are to do MRI scans three-years after surgery and then every two-years thereafter; and mammograms when necessary. These are expensive tests, 特别是对于那些不属于需要做乳房x光检查的年龄组的年轻女性. So, 有一个快速的工具，可以方便地评估乳房，而且便宜，可以提供给我们的病人，因为他们需要它, is a tremendous benefit. So when we had the opportunity to take part in this national study, 我们马上就开始了因为我们觉得这将是我们实践中的一个工具它将被用来提供非侵入性治疗, inexpensive way of monitoring silicone gel implant, 尤其是现在有数据显示，有纹理的植入物可以帮助ALCL患者. Even though it is rare, people are still concerned. 他们只是很想知道植入物的状况以及我们是否能提供给他们, that is just a great bonus.”
“我非常清楚地告诉我的所有患者，这些植入物不是终身的，它们有可能会失败. So, 能够每年对它们进行评估，并发现容易处理的失败或缺陷, many times in the office under local anesthesia, is a huge bonus to these patients. So, I find that this does not scare the patients. 他们只是认为这是一种评估植入物的方式植入后会更有安全感. So, I think at this point in time, it is a win/win situation for everybody.”
女性应该多久去看一次外科医生来评估无声破裂检测?
Older implants have a statistically higher rate of rupture, but that does not mean newer implants cannot rupture. The truth is, breast implants, both old and new can rupture at any time. So, making time for regular checks with your surgeon is important. Dr. 利百特 explains that at The Plastic Surgery Group, “I have been fortunate in that ever since I have been in practice, I recommend all of my silicone gel breast implant patients see me every year. 当他们做完乳房x光检查后，我要求他们把检查结果发给我. 现在, 在现实中, 如果幸运的话, I get 50% of those women to follow up on a regular basis, 但仍, that is better than nothing. With the new ultrasound, 我们可以和病人交流，告诉他们有一种方法可以让他们在15分钟内在办公室里对植入物进行评估. 这样做的能力变得非常重要，并鼓励他们定期跟进.”
How Do Patients Feel About Ultrasound For The Detection Of Silent Rupture?
如何博士. 利百特’s patients respond to this new technology? 根据他的说法, 每个参与的病人都说这很好，因为这对他们来说很容易. They get to lay there and get to watch the exam live. So, 他们可以在ipad上看到，他们对自己所看到的东西着迷，因为他们通常没有机会看到自己乳房的内部. All they could do was tell by how their breast implant feels. They do not know what this little bubble is or what that little wrinkle is, and it gives them the ability to understand by watching it live. So, 我相信, within the next year, we are going to have 100+, 也许更多, 他们会参与进来，因为每个人都对此非常积极. 他们会, “Oh, you mean I can do this while I am in the office, 按年计算, 在15分钟? 我在!” So, I think that is going to be very important to them.”
Can High Resolution Ultrasound Help Women In Other Ways?
最近, FDA发布了关于表面有纹理的乳房植入物和BIA-ALCL之间正规的足球购彩app的信息. 博士. 利百特 mentioned above, 他经常看到一些病人担心自己的丰胸植入物的质感和ALCL. We asked how the recent FDA announcement has affected his practice. Dr. 利百特的回应, “我们现在开始看到一些患者，因为有纹理的植入信息已经传开了. We are getting more people who are concerned about their implant, especially if they know it is textured.” I have always used smooth implants, 差不多, 我想说的, 85 to 90% of the time for all of my patients, 除了乳房切除术后的重建和早期来自Allergan的BIOCELL植入物. So, very few of my primary augmentation patients have textured implants. 我们研究的一些病人最近植入了有纹理的植入物, 我们在研究中招募的大多数早期患者都植入了光滑的假体. We are now starting to learn the slight, subtle changes that may be apparent with a textured implant, vs. a smooth implant, as more of the textured implant patients come in. So, I think it will be valuable to us. 它会改变我们制作有纹理植入物的方式吗? “I am not sure it will change a whole lot, 但它仍将为患者提供更多数据，帮助他们做出决定，他们想要做什么.”
博士访问. 利百特和他在整形外科小组的同事来评估你的隆胸. Dr. 利百特 is one of the most experienced plastic surgeons in 辛辛那提, Ohio and in the Crestview山, 肯塔基州地区. At The Plastic Surgery Group, he offers the latest technology for safe and efficient cosmetic enhancement. 要了解更多关于您的选择与隆胸，正规的足球购彩app整形外科集团今天. Concerning breast implants in 辛辛那提, Ohio or Crestview山, 肯塔基州, contact The Plastic Surgery Group today to discuss your options. Simply call 513-791-4440, or visit http:\\theplasticgroup.com. The offices are located at 4850 Red Bank Expressway, 辛辛那提, OH 45227; and 340 Thomas Moore Parkway, Crestview山, KY 41017.