巨乳缩小成形固定术

Reduction Mammaplasty

自1982～1989年对15例巨乳症患者28侧乳房行巨乳缩小成形固定术后,经6月～7年随访,随访1年以上8例,5年以上4例,已妊娠、生育哺乳者3例,均获得较好效果,手术以Pitanquy’s术式为基础,在乳头定位、乳头乳晕转移及真皮瓣形成上作了改进,使乳房形态、固定及疤痕阴蔽方面有较好的效果。进而提出巨乳症的治疗应以缩小体积,改善形态和保留哺乳为目的,并对乳头定位、转移及乳腺切除及固定方法进行了讨论。

Twenty-eight breasts of 15patients with macromastia underwent re-duction mammaplasty from 1982 to 1989. Wefollowed up these patients postoperativelyfor 6 months to 7 years. The follow-up timefor 8 patients was over 1 year, and 4 pa-tients over 5 years.And 3 patients laboredand lactated. These 15 patients were satis-fied with this operative results. The opera-tive technology was based on Pitange'smethod. This method improved the site ofthe nipple, transposition of nipple-areolacomplex, and design of dermal pedicle, sothat it had better effects in the breastshape, breast fixation and incision scarconcealed. We suggest that the purpose ofmacromastia treated is reducing volume,improving breast shape, preserving lactat-ing function. This paper also discusses themethods for nipple site. nipple-areola com-plex transposition. breast resection andmastopexy.