下蒂法联合真皮悬吊技术在巨乳缩小术中的应用<br />-《中国美容医学》

文章信息/Info

Title:: Application of Inferior Pedicle Method Combined with Dermal Suspension Sling
Technique in Reduction of Macromastia

Keywords:: Key words: inferior pedicle; dermal suspension; reduction mammaplasty; secondary breast ptosis; macromastia; breast dermal vault

摘要:: [摘要]目的：探讨将真皮悬吊技术应用于传统下蒂巨乳缩小术中，形成一种能更好保持术后远期乳房外形的巨乳缩小术式。
方法：在乳头乳晕与乳房下皱襞之间设计以锁骨中线为纵轴、宽约9～11cm的下蒂。将下蒂瓣两侧及原乳晕上方本应切除皮
肤区域的真皮组织保留形成真皮帽并将其包裹下蒂瓣，一并悬吊固定于胸壁筋膜上。结果：本组共10例乳房肥大患者应用该
术式行乳房缩小术，术后乳房外观丰满自然，乳头乳晕血运及感觉功能良好。经6～24个月随访，未见乳房下极过于饱满、
乳房继发性下垂等远期并发症发生，新建乳房形态满意。结论：真皮悬吊技术可有效增强剩余腺体与胸壁筋膜的粘合力度，
其对下蒂瓣的支撑作用可有效减少或避免单纯下蒂法乳房易下垂等远期并发症的发生可能。该法术后远期乳房外形较传统法
更满意，值得临床研究及推广。

Abstract:: Abstract: Objective To explore a technique of reduction mammaplasty whichkeeps good medial fullness and projection.
Methods The inferior pedicle was designed with medial and lateral triangular flaps in the areas, which would normally be
excised. These triangular flaps are deepithelialized and defatted. The flaps are attached to the chest wall above the inferior
pedical to create a dermal “cage”. Results A total of 10 women with breast hypertrophy underwent breast reduction. The
appearance of the breast was natural and the blood supply and sensory function of nipple areola were good. After 6 to 24
months of follow-up, no long-term complications such as hyperfullness of the breast and secondary breast prolapse were found,
and the shape of new breasts satisfactory. Conclusion Dermal suspension and horizontal dermal placation provides a structural
foundation to the inferior pedical. It is an effective method of treatment for reduction mammaplasty, in that the sensation and
lactation function of nipple-areolacomplex get further guaranteed, have nice breast projection and shape, and can be applied to
all cases of reduction mammaplasty.