垂直切口乳房缩小术

Vertical reduction mammaplasty

目的 探讨应用垂直切口巨乳缩小术以减少术后瘢痕的方法与体会。方法 采用Lejour手术设计 ,切除乳房下方的皮肤、腺体 ,乳头乳晕以上方真皮腺体组织蒂转移提高到正常位置 ,进行乳房塑形 ,术后仅留有垂直瘢痕。结果 采用垂直切口巨乳缩小术治疗 2 4例 ,手术效果满意。 1例术后 6个月切口下端局部修整残留的“猫耳朵”。 1例单侧乳头乳晕完全坏死。结论 垂直切口巨乳缩小术疗效良好 ,术后瘢痕细小 ,乳房形态良好。

Objective The inverted “T” operation is a typical and classic method for breast hypertrophy. Although having good results,it leaves significant scar and tends to have bottom-out deformity with time. The purpose of this study is to introduce our experience in vertical mammaplasty. Methods The typical Lejour's design was used. The lower part of the breast was excised. The nipple-alveolar complex was elevated to a proper position with the superior dermal-glandular pedicle. Only vertical scar was left after the skin was closed. Results 24 patients were treated using this method. The results were satisfactory except unilateral nipple-alveolar complex necrosis occurred in one patient. Another patient had a minor revision for the dog-ear 6 months after breast reduction. Conclusions Vertical reduction mammaplasty is effective with reduced scar and highly satisfactory results. It deserves recommendation. ;