乳房上极腺体瓣切除联合双平面隆乳术纠正轻度乳房下垂的效果

Resection of superior polar gland flap of the breast combined with dual plane augmentation through Ome-ga nipple root approach

目的探讨经乳头根部Ω切口行乳房上极腺体瓣切除联合双平面隆乳术纠正假性/轻度乳房下垂的可行性。方法 2019年1月至2021年1月, 沈阳百嘉丽医疗美容医院采用经乳头根部Ω切口, 行乳房上极腺体瓣切除联合微绒面解剖型硅凝胶假体对20例(40侧乳房)假性/轻度乳房下垂的女性患者行隆乳术治疗, 年龄24~37岁, 平均32.1岁。记录手术效果, 并进行随访。结果 20例患者术后无血肿感染、包膜挛缩、乳头乳晕感觉异常等并发症。随访3~18个月, 患者术后乳房丰满挺拔、外形良好、下垂基本得到矫正。19/20例术后满意, 20例对切口瘢痕满意。结论联合手术恢复乳房正常的解剖悬吊系统, 达到假体-肌肉-乳房腺体-皮肤4者之间长期的力学稳定, 患者对术后乳房形态满意度较高。

Objective To investigate the feasibility of superior polar gland flap resection com-bined with biplanar augmentation mammoplasty through the root of the nipple to correct pseudopto-sis/mild breast ptosis.Methods From January 2019 to January 2021,20 patients(40 breasts)with pseudoptosis/mild breast ptosis underwent augmentation mammoplasty with superior polar gland flap through the root of the nipple and microvilli anatomical silica gel prosthesis.Results No postopera-tive complications such as hematoma infection,capsular contracture and abnormal sensation of the nipple and areola were found in 20 patients.During the follow-up of 3 to 18 months,the patients breasts were plump and straight,the appearance was good,and the prolapse was basically corrected.Postoperative satisfaction was achieved in 20 cases(95%),and the satisfaction of incision scar was 1oo%.Conclusions The comprehensive surgery restores the normal anatomical suspension system of the breast,achieves a long-term mechanical stable balance among prosthesis,muscle,breast gland and skin,and receives high satisfaction with breast shape after operation.