摘要
目的 介绍经环乳晕切口采用乳腺瓣悬吊 ,并沿等高线呈梯级环缩缝合的乳房缩小成形术的方法和经验。方法 经乳晕周缘切口 ,在皮下脂肪组织和乳腺腺体之间广泛分离 ,形成“帐篷状”皮瓣和“圆椎形”乳腺腺体 ;在乳腺上部形成 3 宽纵向乳腺瓣 ,切除乳腺瓣内、外侧部分乳腺组织 ,将乳腺瓣上提折叠缝合固定 (或切断后重叠缝合 )以悬吊乳房 ;将“帐篷状”皮瓣和“圆椎形”乳腺腺体沿等高线环缩缝合 ,缝针交替穿经皮瓣和乳腺腺体 ,最后环乳晕间断缝合皮肤。结果 采用此法矫治轻中度巨乳房、单纯乳房下垂共 8例 16侧 ,术后乳房外形美观 ,效果满意。结论 本术式简便易行、瘢痕不明显 ,对轻中度巨乳及乳房下垂者可作为理想首选术式。
Objective To introduce an improved technique of periareolar incision mammoplasty using gland flap suspending and contour line circum-contraction suturing. Methods Through the periareolar incision, dissection was conducted between the subcutaneous tissue and the glandular tissue to detach the skin flap tent from the gland cone. A vertical glandular flap was formed in the upper portion to suspend the gland, with the gland tissue partially excised medial and lateral to the vertical glandular flap. Continuous contour line circum-contraction suturing was made for 2～3 rounds step by step from the cone bottom to the plateau, i.e. the nipple areola level. The suturing proceeded alternately from the flap tent to the glandular cone. Finally, the skin was sutured along the areolar incision. Results Sixteen breasts of eight patients were operated on using the present technique, including 10 cases of macromastia and 6 of breast ptosis. Satisfactory results were achieved with pretty breast shape and inconspicuous periareolar scar. Conclusion The contour line circum-contraction suturing periareolar incision mammoplasty is an optimal choice for moderate macromastia and breast ptosis.
出处
《中华医学美学美容杂志》
2004年第3期131-134,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
