三平面双向减张假体隆乳技术的临床应用

Clinical application of triple-plane and bidirectional tension release technique on breast augmentation

目的探讨三平面双向减张假体隆乳术的手术技巧和临床效果。方法自2016年10月至2022年10月我们对83例女性进行了三平面双向减张假体隆乳术,取乳晕切口,将假体上三分之一置入胸大肌后间隙,假体中间部分置入乳头乳晕复合体深面的乳腺后间隙,假体下三分之一置入乳房下极的复合肌群下,通过对假体覆盖组织的双向减张达到自然高凸的隆乳效果。结果受术者随访6~36个月,术后恢复快,患者对术后效果满意度高。术后因按摩引起继发血肿1例,乳房外侧可触及假体边缘3例,无假体移位、包膜挛缩等。结论此法能明显改善假体与置入腔隙的生物力学关系,是在传统隆乳方法基础上改进的一种较为理想的隆乳术。在形态、动感、手感上都获得了自然、仿真的隆乳效果。

Objective To discuss the advantages and feasibility about the Triple-plane and bidirectional tension release technique on breast augmentation.Methods From October 2016 to October 2022,a total of 83 female patients treated with Triple-plane and bidirectional tension release technique breast augmentation by horizontal incision around nipple board in the areola.After bidirectional tension release of the pectoralis major over prosthesis,we implanted prosthesis in three planes,upper third of the prosthesis placed in space under pectoralis major,the middle portion implanted in space under mammary glands at the nipple-areola complex level,and lower third placed under the compound muscles of chest wall correspond to the breast.Results Patients were followed up for6 months to 36months,all patients recovered quickly.All cases had satisfactory results.one case suffered with secondery hematoma caused by massage after operation.Three cases can touch the prosthesis on the lateral border of the breast,no other complications such as malposition,fibrous capsular contracture or deformation occured.Conclusion The Triple-plane and bidirectional tension release technique on breast augmentation can improve biomechanics relations between the prosthesis and the implanted space,which could be an ideal operation modified according to traditional breast augmentation.On shape and dynamic and touch aspects,We achieved a natural and artificial effect of breast augmentation.