乳腺组织瓣联合真皮帽悬吊术矫正轻中度乳房下垂

目的 探讨乳腺组织瓣旋转联合真皮帽悬吊的垂乳上提技术矫正轻中度乳房下垂的临床效果.方法 根据乳房下垂程度设计形成真皮帽后,分离乳房皮肤和腺体,于乳腺外上方行部分腺体切除或直接纵行切开腺体,并同时形成外侧腺体瓣,掀起腺体瓣向内侧旋转固定,缩小乳房基底,再行真皮帽上提固定和乳房塑形.结果 2006年3月至2010年3月,于临床应用46例,术后效果满意,其中2例出现单侧血肿,无其他严重并发症.对40例患者随访6个月至4年,乳房外形满意,无继发下垂、乳房扁平、乳头乳晕感觉障碍等并发症.结论 乳腺组织瓣旋转联合真皮帽悬吊垂乳上提术可商塑造饱满、坚挺的乳房,术后瘢痕不明显,远期效果满意.

Abstract：

Objective To investigate the therapeutic effect of glandular flap combined with dermal flap suspension for correction of mild and moderate breast ptosis. Methods The dermal flap was formed according to the breast ptosis and dissection was performed between the skin and gland. The superior-lateral gland was partially resected or cutted vertically only to form the lateral glandular flap. Then the glandular flap was rotated medially and fixed to shrink the glandular base area. Then the breast was up-positioned and fixed with dermal flap to remodel the breast shape. Results From Mar. 2006 to Mar. 2010, 46 cases were treated with satisfactory result. There was no severe complication, except for 2 cases of unilateral hematoma. 40 cases were followed up for 6 months to 4 years with good breast shape. No secondary ptosis,breast flatten and NAC sensation disorder was happened. Conclusions Glandular flap combined with dermal flap suspension is a good method for mild and moderate breast ptosis with reliable long-term results.The breasts have busty appearance and good projection with inconspicious scar.

Correction of mild and moderate breast ptosis with glandular flap combined with dermal flap suspension

Objective To investigate the therapeutic effect of glandular flap combined with dermal flap suspension for correction of mild and moderate breast ptosis. Methods The dermal flap was formed according to the breast ptosis and dissection was performed between the skin and gland. The superior-lateral gland was partially resected or cutted vertically only to form the lateral glandular flap. Then the glandular flap was rotated medially and fixed to shrink the glandular base area. Then the breast was up-positioned and fixed with dermal flap to remodel the breast shape. Results From Mar. 2006 to Mar. 2010, 46 cases were treated with satisfactory result. There was no severe complication, except for 2 cases of unilateral hematoma. 40 cases were followed up for 6 months to 4 years with good breast shape. No secondary ptosis,breast flatten and NAC sensation disorder was happened. Conclusions Glandular flap combined with dermal flap suspension is a good method for mild and moderate breast ptosis with reliable long-term results.The breasts have busty appearance and good projection with inconspicious scar.