经乳头根部乳晕内双环形切口行乳晕缩小术

The Experience of Areola Reduction Surgery About Double Circular Line Incision Within the Root Nipple and Areola

目的:总结分析经乳头根部乳晕内双环形切口行乳晕缩小术的临床效果。方法:回顾性分析2010年1月至2016年6月我科行乳晕缩小术的20例患者,均采用经乳头根部乳晕内双环形切口,保留真皮蒂,采用"荷包"缝合的方法收紧切口,间断缝合皮肤,术后10~14d拆线。结果:随访1~3年,20例患者对手术效果均满意,无乳头感觉减退及皮肤坏死等并发症;3个月后术区瘢痕不明显,早期乳晕皮肤有皱褶感显得不自然,但3~6个月后均恢复自然,乳晕颜色变浅,对乳房轻度下垂者有一定的改善作用,无复发者。结论:经乳头根部乳晕内双环形切口行乳晕缩小术,能有效纠正增大的乳晕,术后瘢痕不明显,无复发者,无乳头感觉减退,值得在临床上推广运用。

Objective To summarize and analyze the clinical effect of double circular incision within the root nipple and areola.Methods We retrospectively analyzed20patients of areola reduction from January2010to June2016in the Department,which used the double circular incision within the root nipple areola,kept genuine leather,adopted the method of"pouch"to tighten incision and continuously sutured the skin,took out stitches after10to14days.Results For1to3years,follow-up visited the20patients who all satisfied the surgical effect.No complications such as hypoesthesia of no nipple and cutaneous necrosis happened.The scar was unobvious after3months,areola skin was unnatural early,but recovered after3-6months.Also the areola color became shallow,which can improve the breast mide prolapse to a certain degree.The areola reduction was no recurrent.Conclusion The areola reduction surgery about double circular line incision can effectively correct the increscent areola.The postoperative scar unobvious scar after the surgery,no relapse patients,hypoesthesia of no nipple.The technique is worth popularizing in clinic.