乳房隆胸-反重力皮瓣技术。

IF 2 3区 医学 Q2 SURGERY
Fernando S A Prado Filho, Camilo Canas, Melissa F Camahji, Diego S Cação, Carlos Nogueira, Osvaldo R Saldanha
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引用次数: 0

摘要

背景:本研究旨在评估利用内内侧真皮腺瓣旋转并固定于胸大肌外侧筋膜的隆胸术的有效性,并与锯肌一起,抵消重力对种植体的影响。目的是达到满意的效果,减少复发性上睑下垂,改善乳房形状和突出。材料与方法:对2011年至2020年间472例乳房隆胸患者进行回顾性研究。纳入标准为年龄在20 - 70岁之间,有不同程度的上睑下垂和中度至重度皮肤下垂。手术技术使用内内侧真皮腺瓣,根据乳房特征有特定的变化。术后1个月、6个月和1年分别进行随访评估。结果:反重力真皮腺瓣技术的综合并发症发生率为12.28%。4.44%的病例复发性上睑下垂,大多数病例需要额外的手术干预。76.3%的病例上极投影令人满意,部分病例因假性斜视需要进行矫正。随着时间的推移,乳房对称性在66%的病例中逐渐改善。3.17%的病例出现乳晕生存能力并发症,3.60%的患者出现疤痕质量问题。0.42%的患者出现种植体移位,0.42%的患者出现囊膜挛缩。结论:反重力真皮腺瓣技术是一种可重复的方法,可有效地抵消重力,达到美观的隆胸效果。然而,密切监测和手术干预可能是必要的特定并发症,如复发性上睑下垂和假性上睑下垂,以达到最佳效果。证据等级ii:本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述,请参阅目录或在线作者说明www.springer.com/00266。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Augmentation Mastopexy-Antigravity Flap Technique.

Background: This study aim to evaluate the effectiveness of an augmentation mastopexy technique utilizing an inferior-medial dermoglandular flap rotated and fixed to the lateral fascia of the pectoralis major muscle, along with the serratus muscle, to counteract the effect of gravity on the implant. The objective was to achieve satisfactory results with reduced recurrent ptosis and improved breast shape and projection.

Material and methods: A retrospective study involving 472 patients who underwent mastopexy augmentation between 2011 and 2020 was conducted. Inclusion criteria were age between 20 and 70 years old, with varying degrees of ptosis and moderate to severe skin sagging. The surgical technique used the inferior-medial dermoglandular flap, with specific variations based on breast characteristics. Follow-up evaluations were performed at one month, six months, and one year post-surgery.

Results: The antigravity dermoglandular flap technique resulted in a combined complication rate of 12.28%. Recurrent ptosis was observed in 4.44% of cases, with most cases requiring additional surgical intervention. The upper pole projection was satisfactory in 76.3% of cases, with some requiring revision for pseudoptosis. Breast symmetry improved progressively in 66% of cases over time. Areolar viability complications occurred in 3.17% of cases, and scar quality issues were noted in 3.60% of patients. Implant displacement occurred in 0.42% of cases, and capsular contracture was observed in 0.42% of patients.

Conclusions: The antigravity dermoglandular flap technique is a reproducible procedure that effectively counteracts the force of gravity, achieving aesthetically pleasing results in augmentation mastopexy. However, close monitoring and surgical intervention might be necessary for specific complications such as recurrent ptosis and pseudoptosis, to achieve optimal outcomes.

Level of evidence ii: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

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来源期刊
CiteScore
4.40
自引率
25.00%
发文量
479
审稿时长
3 months
期刊介绍: Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.
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