乳房整形与再造进入精准化、个性化时代

Breast plastic reconstruction surgery in China arrives a new era of precision and personalization

乳房整形与再造技术在很多方面仍有大量细节问题未能解决,要满足不同患者的个性化需求,要求不断探索和掌握新的技术,同时不断细化美学和技术标准。近年来,国内在乳房整形与再造技术方面取得了巨大进步,本期发表了几篇国内代表性的前沿性研究:(1)应用BREAST-Q量表对乳房再造患者的调查和对比研究,均发现再造患者的各项指标显著高于未再造患者,而腹部皮瓣乳房再造患者腹部功能满意度有明显下降。(2)应用游离横行股薄肌肌皮瓣(TUG)乳房再造,对于国内乳房再造技术是一个非常好的补充和完善,适合皮肤缺损较少、健侧体积较小的乳房,以及双侧同时乳房再造。(3)皮肤软组织扩张后假体置入同期行自体脂肪颗粒移植进行乳房再造,可以解决扩张后假体软组织覆盖不足的问题,获得更好的手感、更柔和自然的外观和更佳的对称性。(4)乳房缩小整形术不同程度肥大乳房的新乳头定位设计方法,对于不对称乳房肥大以及乳房再造术后对侧乳房缩小手术有很大的实用价值。本期发表的乳房整形与再造的学术论著,突出显示了近年来我国乳房整形与再造的发展,同时代表了乳房再造精准化与个性化发展的趋势,预示着乳房整形与再造已进入精准化、个性化时代。

There still remains a great amount of details in many aspects of mammaplasty and breast reconstruction. To meet personal requirements of different individuals, it is necessary to continuously explore and master new techniques, while constantly refining aesthetic and technical standards. In recent years, great technical progress has been made in mammaplasty and breast reconstruction in China. Here we published several domestic representative frontier studies in current issue:(1)Through investigation and comparative study of breast reconstruction patients by using BREAST-Q scale, it was found that the indexes were significantly higher in patients who underwent breast reconstruction than those who did not, while the satisfaction with the abdominal function considerably decreased in patients of breast reconstruction with abdominal flaps.(2)As a remarkable supplement to domestic breast reconstruction technique, applying transverse upper gracilis flap(TUG) could be well-indicated for patients with less skin defects and smaller unaffected breast, and for bilateral simultaneous breasts reconstruction.(3)Breast reconstruction with simultaneous implant placement and autologous fat granules grafting after tissue expansion can solve the problem of insufficient coverage on implant resulted from tissue expansion, and therefore provide better palpability, appearance and symmetry of reconstructed breasts.(4) The new method of positioning the nipple in reduction mammaplasty for different degrees of breast hypertrophy is of great practical value to asymmetrical hypermastia and contralateral breast reduction operation following unilateral breast reconstruction.The academic literature on mammaplasty and breast reconstruction published in this issue highlights the domestic developments in this domain in recent years. It represents the trend in refining and individualizing breast reconstruction, indicating a new era of precise and personalized mammaplasty and breast reconstruction has arrived.