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Chaque patient doit arrêter de fumer <strong>une semaine</strong> avant l'intervention chirurgicale.</p></div><p> <strong><img alt=\"Emplacement_des_implants_subpectoraux_subglandulaires\" src=\"/ckfiles/images/Screen-Shot-2013-10-18-at-11_24_15-PM.png\" style=\"width:407px;height:271px;margin:0px 10px;float:right;\" /></strong></p></div><h2> Augmentation mammaire (mammoplastie d’augmentation)</h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p> <strong>L’augmentation mammaire</strong> est réalisée pour corriger l’asymétrie, améliorer l’apparence et la forme des seins. L'augmentation est réalisée à l'aide d'endoprothèses (implants). Les chirurgiens plasticiens modernes utilisent ces types d'implants :</p><ul><li> solution <strong>saline</strong> avec une solution saline normale ;</li><li> <strong>cohésif-gélifié.</strong></li></ul><p style=\"text-align:justify;\"><a></a> L'insertion de l'implant est réalisée par une petite incision (jusqu'à 4 cm), qui peut être pratiquée autour de la ligne de l'aréole, dans la région sous-mammaire, sous l'aisselle ou au niveau de la section médiane (à travers le nombril). La taille de l'implant, sa texture et le type d'incision sont déterminés individuellement, en fonction de l'anatomie du sein et des souhaits de la patiente.</p></div><h2> Réduction mammaire (mammoplastie de réduction) </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> La réduction mammaire est appliquée pour réduire la taille des seins trop volumineux, dont le poids provoque des maux de dos et d’autres sensations d’inconfort.<br /> La mammoplastie de réduction s'accompagne souvent d' <strong>une mastopexie</strong> , ou en d'autres termes, d'un lifting des seins.<a></a></p><p style=\"text-align:justify;\"> Immédiatement avant l'intervention chirurgicale, le chirurgien marque la ligne d'incision (le patient est en position verticale). Au cours de la procédure, l’excès de peau, de graisse et de tissu glandulaire est éliminé ; l'aréole et le mamelon sont déplacés vers une position plus haute. Ainsi, une nouvelle forme de poitrine est créée.</p></div><h2> Reconstruction mammaire </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"><img alt=\"Reconstruction_sein\" src=\"/ckfiles/images/rekonstrukciya-grudi-posle-mastektomii.jpg\" style=\"width:377px;height:200px;float:right;margin:5px 10px;\" /> La reconstruction mammaire est réalisée après mastectomie sans objet esthétique. Son objectif est de recréer une apparence naturelle de la poitrine.</p><p style=\"text-align:justify;\"> <strong>La restitution</strong> peut être :</p><ul><li> <strong>en une seule étape</strong> — réalisée après l'élimination des tumeurs malignes en une seule opération ;</li><li> <strong>tardif</strong> - effectué après un traitement complexe.</li></ul><p style=\"text-align:justify;\"> La reconstruction mammaire peut être réalisée à l'aide de diverses méthodes, qui diffèrent selon les types de tissus utilisés pour la restauration.</p><p style=\"text-align:justify;\"> Méthodes d'auto-tissus :</p><ul><li> restauration du volume mammaire par <strong>redistribution des graisses</strong> (à condition qu'il y ait suffisamment de graisse après mammectomie) ;</li><li> <strong>reconstruction avec des tissus locaux ;</strong></li><li> <strong>reconstruction avec lambeaux distants</strong> (délocalisés du dos ou de l'abdomen).</li></ul><p style=\"text-align:justify;\"> Si les chirurgiens ont retiré toute la peau et le tissu adipeux de la glande mammaire lors de l'excision de la tumeur, la restauration mammaire avec les propres tissus de la personne est difficile à réaliser.<a></a> Dans de tels cas, une reconstruction avec prothèse en silicone est une procédure de choix. Afin de laisser suffisamment de place à l'implant à l'endroit de la glande retirée, le médecin installe un expanseur, c'est-à-dire un récipient en silicone doté d'un orifice spécial pour remplir l'implant de solution saline. L’étirement cutané progressif suivant permet la pose d’un implant permanent en silicone.</p></div><h2> Comment se déroule une mammoplastie ? </h2><i class=\"fa fa-angle-down\"></i><div class=\"accordion-item-text\"><p style=\"text-align:justify;\"> La chirurgie plastique du sein est réalisée le matin à jeun. En raison du recours à une anesthésie générale, le patient doit rester sous surveillance médicale pendant au moins 24 heures après l'intervention chirurgicale. La durée de la mammoplastie dépend du type et de la complexité et dure généralement <strong>de 1 à 3 heures.</strong></p></div>"},"guide_mc":{"text":"<p>Jour 1</p><ul><li> Arrivée au pays.</li><li> Transfert VIP à la clinique.</li><li> Première consultation avec le chirurgien plasticien.</li><li> Tests médicaux pour évaluation préopératoire.</li></ul><p> Jour 2</p><ul><li> Consultation avec un anesthésiste.</li><li> Examens médicaux supplémentaires si nécessaire.</li><li> Préparation à la mammoplastie.</li></ul><p> Jour 3</p><ul><li> Une procédure de mammoplastie a lieu.</li><li> La durée de la procédure varie de 1 à 3 heures.</li><li> Une anesthésie générale est utilisée pendant la chirurgie.</li></ul><p> Jour 4</p><ul><li> Bilan postopératoire initial par le chirurgien.</li><li> Début des soins postopératoires en clinique.</li></ul><p> Jour 5-6</p><ul><li> Poursuite des soins postopératoires en clinique.</li><li> Évaluation des progrès de la récupération.</li></ul><p> Jour 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