经乳晕不同层次假体置入矫正乳房不对称初步探讨

The investigation of correction to asymmetry breast with prosthesis insertion in various planes by areola incision

目的 针对各种原因的女性乳房不对称，采用不同大小和形状的假体分别置入两侧乳房不同组织层次的假体腔隙层面，以矫正乳房不对称。方法 采取乳晕下缘弧形切口，经乳腺下缘横行切开入路，按需要分离乳腺后各种不同组织层次的假体腔隙，置入术前选定的合适假体，调整两侧乳房大小、形态及手感达到对称一致。结果 术后均无感染和血肿发生，术后6个月内包膜挛缩发生率7％，均经及时、有效的按摩而消失。随访2—10年，两侧乳房基本对称，外形自然逼真，效果满意。结论 通过术前针对不同患者采取的个体化设计，经乳晕切口选择不同层次置入假体，可有效的解决假体隆乳术后不对称。

Objective To correct breast asymmetry with prosthesis insertion in various planes by areola incision. Methods Different implants selected preoperatively were inserted into the various tissue planes which were disconnected according to the patients＇ needs through cutting horizontally inferior border of mammary gland by arc incision on the inferior border of areola, and then they were adjusted to achieve symmetry of two breasts and natural contour. Results There were no hematoma and infection postoperatively. The incidence of contraeture of fibrous capsule was only 7% because of keeping massage. All patients were satisfied with the symmetrical breasts and natural shape after 2 years follow-up. Conclusion Correction of breast asymmetry with prosthesis insertion in various planes by areola incision is a prospective technique.