巨乳缩小与乳房悬吊术:整形外科医师的试金石

Reduction mammoplasty and mastopexy:a touchstone for plastic surgeons

巨乳症及乳房下垂是整形外科领域常见的乳房畸形。绝大多数患者都迫切需要矫正这类畸形,然而所能做到的还远不能满足患者的预期。为此现从手术设计、乳头乳晕复合体血运来源、瘢痕的预防及如何获得良好远期效果进行讨论,并通过回顾解决这些问题为例,说明巨乳缩小与乳房悬吊术是整形外科医师的试金石。

Mammary macrosomia and mastoptosis are common breast deformities encountered in plastic surgery practice. Most of the patients urgently need to correct these deformities. However, the limitations of the existing methods cannot satisfy patients’ expectations.Therefore, this article discusses the surgical design, blood supply of nipple-areolar complex, prevention of scarring, and the difficulties of achievement of a satisfactory long-term outcome. By reviewing and resolving these issues, the author hopes to illustrate that reduction mammoplasty and mastopexy are a touchstone for plastic surgeons.