Effectiveness of circumvertical mastopexy with internal shaping using inferior dermal-glandular flap for correction of breast ptosis

中华医学美学美容杂志 Pub Date : 2019-10-15 DOI:10.3760/CMA.J.ISSN.1671-0290.2019.05.012

Y. Lang, Bi Li, Jian-Xun Ma, Y. Xia, Jie Zhang

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Abstract

Objective To evaluate the clinical effect of circumvertical mastopexy with internal shaping using inferior dermal-glandular flap for correction of breast ptosis. Methods From April 2010 to November 2017, 33 cases of breast ptosis were treated in our department. The patients required nipple elevation of 3-6 cm and had unpleasing result after circumareolar mastopexy were treated with the technique of circumvertical lift with breast suspension and internal shaping with inferior dermal-glandular flap which pedicle was on the inframammary crease and tack technique for removing excessive skin precisely. Results 33 cases had their drainage tubes removed at the 2~3 days and suture removed at the 12~14 days postoperatively. All had primary healing of incision and no complications such as necrosis of NAC and dehiscence of incision occurred. Elastic bra was asked to wear for three to six months and then stable shape was achieved. Follow-up lasted for 6-60 months. All cases were satisfied with their new breast shape. Conclusions Circumvertical mastopexy with internal shaping using inferior dermal-glandular flap is a simple and effective method with relatively short scar and good shape for correction of the medium grade breast ptosis. Key words: Mammaplasty; Breast ptosis; Mastopexy; Circumvertical incision; Tack technique

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下皮腺瓣内整形术矫正乳房下垂的效果

目的评价下真皮腺瓣内成形环垂直乳突固定术治疗乳腺下垂的临床效果。方法自2010年4月至2017年11月，我科收治33例上睑下垂患者。对乳晕周围乳头固定术后乳头抬高3～6cm，效果不理想的患者，采用悬乳环垂直提拉法，以乳下折痕为蒂的下真皮腺瓣内塑形，采用钉扎法精确去除多余皮肤。结果33例患者术后2～3d取下引流管，12～14d取下缝线。切口基本愈合，无NAC坏死、切口裂开等并发症发生。弹性文胸被要求穿三到六个月，然后达到稳定的形状。随访6～60个月。所有病例均对其新的乳房形状感到满意。结论应用下真皮腺瓣内成形环垂直乳突固定术是一种简单有效、瘢痕较短、外形良好的中等程度上睑下垂矫正方法。关键词：乳房整形术；乳房下垂；肥大固定术；环垂直切口；Tack技术

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来源期刊

中华医学美学美容杂志

自引率

0.00%

发文量

4641

期刊介绍： "Chinese Journal of Medical Aesthetics and Cosmetology" is a high-end academic journal focusing on the basic theoretical research and clinical application of medical aesthetics and cosmetology. In March 2002, it was included in the statistical source journals of Chinese scientific and technological papers of the Ministry of Science and Technology, and has been included in the full-text retrieval system of "China Journal Network", "Chinese Academic Journals (CD-ROM Edition)" and "China Academic Journals Comprehensive Evaluation Database". Publishes research and applications in cosmetic surgery, cosmetic dermatology, cosmetic dentistry, cosmetic internal medicine, physical cosmetology, drug cosmetology, traditional Chinese medicine cosmetology and beauty care. Columns include: clinical treatises, experimental research, medical aesthetics, experience summaries, case reports, technological innovations, reviews, lectures, etc.