0:01

Another question,

0:02

what kind of implant does this patient have based on this envelope view?

0:10

Alright, let's see your answer. Okay, is uh, everywhere.

0:15

Let's just review it.

0:18

The correct answer is D is uh, Rachel Porro saline implant.

0:24

So let's figure out the location first.

0:27

Here is a Pictor Riley's muscle over here,

0:30

right as you can see that this implant is behind the pictor Riley's

0:34

muscle. So is a retro pectoral implant.

0:39

So what's the competition of the implant? There is a, uh,

0:43

part over here. Normally ceiling implant has this, uh,

0:47

part for injection. So this, on this envelope view,

0:51

there is a retropectoral ceiling implant.

0:56

So it depends on the conversation location and the lu type.

1:00

There are all different kind of implant.

1:02

Silicone implant is more common than the, uh,

1:05

cell implant and also than, uh, retropectoral implant.

1:10

We also have a retro glandular implant means that, uh,

1:14

the implant just, uh,

1:16

directly behind the fibro glandular tissue before the, uh,

1:20

pectoral rallies muscle. And it could be single lumen, could it be double lumen?

1:25

But single lumen is much more common than the double lumen.

1:30

Also, remember that breast implant is not a, uh,

1:35

lifetime defined.

1:37

The average life spine for implant is approximately, um,

1:42

13 years.

1:44

So there are more imaging of breast implant on the, uh, mammogram.

1:49

On the CCC view, you cannot tell the difference. But on the, uh, envelope view,

1:54

you can tell the, uh, location. That's the one we just review.

1:58

This is another ceiling implant. They have a part over here.

2:02

This implant is, um, behind the, um,

2:05

fibro glandular tissue before the pectoral rallies muscle.

2:10

So this is retro glandular ceiling implant. Again, those are the,

2:15

uh, ceiling implant at two different location behind the pectoralis muscle

2:20

and behind the, uh, fibro glandular, um, tissue over here.

2:25

Sometimes on the T you can tell that the silicon appears more dense

2:30

mammogram. Then, um, the, uh, this is not clue.

2:35

You can tell, you know, the different conversation of an implant.

2:43

Another question.

2:45

35 year old woman presented with a palpable concern in the right breast.

2:50

I give you the mammogram and ultrasound.

2:53

What are the appropriate or assessment and recommendation for this patient?

3:00

So lets see. Answer over here. Okay,

3:03

you guys all got it right? This is so wonderful.

3:07

Let's just review it together. And, uh,

3:12

so based on this imaging I provide for you,

3:16

you know that this is a cell implant and that there is ultrasound that shows

3:21

a l um, structure, very organized over here,

3:26

right on the anti radio view.

3:28

And then you turn your probe around and then you found this one is so well

3:32

organized. That's exactly what the part look like.

3:36

So just let the patient know that what do your field, is this the, uh,

3:40

implant part you need to wor, you don't need to worry about that.