改进剥离范围在提高隆乳外形美中的应用

目的探讨改善隆乳外形效果的方法。方法提出扩大胸大肌后间隙内、下方剥离范围的改进措施。1995年10月～1996年10月,用于隆乳术28例56侧。结果 1例因间隙内侧方剥离过度致双侧乳房距离过近有欠自然外,其余效果满意。结论认为腋部切口径路,胸大肌的肋胸骨处附着点剥离不充分以及术后胸大肌收缩致假体过度上移是以往隆乳乳房外形不佳的两个主要因素,而改进剥离范围则是消除上述不良因素的有效措施。

Extended dissection to improve appearance of the augmented breast

Objective Subpectoral space is the common site to insert breast implant, but unsatis- factory result is also not uncommon. According to the authors's observation and study, when using axil- lary approach, inadequate dissection and postoperative contraction of the pectoral muscle to push the im- plant upwards are the two main factors. Therefore, the authors advocate enlargement of the space medi- ally and inferiorly to overcome the above adverse factors. Methods Since October 1995 to October 1996, the authors have used this modified dissection in 56 breasts of 28 cases. Results All the patients obtained satisfactory results. Conclusion It is suggested that an extended subpectoral dissection for augmentation mammaplasty should be used.