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Step 1 

Marking is done accurately according to the size of implant to be used

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Step 2 

After application of Povidone-Iodine (Brownish Solution) Infiltration is done in desired plane

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Step 3

Axillary crease incision is made

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Step 4

Dissection is carried out and plane is defined under the Pectoralis Major Muscle

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Step 5

Blunt dissection is carried out under the muscle without any trauma

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Step 6

Dissection of Medial Muscle is carried out endoscopically to achieve a perfect pocket

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Step 7

Complete dissection of full extent of pocket is confirmed

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Step 8

Pocket is cleaned with thorough irrigation

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Step 9

Irrigation with Anti-Septic Povidone-Iodine and Hemostatic Solution

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Step 10

Closure view of clear effluent indicating clean cavity


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Step 11

Anti-Biotic solution is sprinkled in the pocket

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Step 12

Implant is taken out from the sterile packing

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Step 13

Implant is checked for Integrity

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Step 14

Anti-Biotic Solution is sprinkled over the implant

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Step 15

Implant being inserted (Right Side)

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Step 16

Side View : Implant being inserted right side

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Step 17

Perfect and symmetric position of implant is ensured

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Step 18

Closure view left side sub-muscular pocket

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Step 19

Implant being inserted (left side)

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Step 20

Closure of Muscle layer safe guarding implant

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Step 21

Muscle layer closed ensuring symmetric position of implant inside

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Step 22

Second (Axillary Fat) layer being closed

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Step 23

Skin closure achieved with fine dissolvable suture (Not visible outside)

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Step 24

Dressing First layer


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Step 25

Dressing Second layer

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Step 26

Dressing third layer

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Step 27

Before and After


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