微小组合假体隆乳术的初步报告

目的通过使用微小组合假体隆乳术，观察是否可较好地解决减小切口长度，减少包膜挛缩的发生率及硅胶渗漏．使隆乳术后的双侧乳房大小更加理想。方法切口可位于乳晕外缘周、乳房下皱褶或腋窝。在胸大肌后剥离腔穴，然后将10ml微小硅凝胶假体逐一置入，堆积塑形。结果已行5例10侧隆乳术，术后随访最长6年，最短3个月，无论外形手感，医生与隆乳者双方均感满意。结论微小组合假体隆乳术较传统单一大假体隆乳术有切口小、容易获得理想的乳房体积、便于双侧调节对称、外观自然、假体渗漏相对较少、包膜挛缩率低等优点。该法适用于隆乳术或乳房再造，尤其适用于乳房部分缺损的修复。

Augmentation mammaplasty with miniprostheses: a preliminary report

ObjectiveTo observe if augmentation mammaplasty with m in iprostheses can induce the length of incision and incidence of the capsular cont racture and silicone leakage in order to optimize the mammaplasty for micromasti a. Methods The study proposed a new augmentation mammaplasty w ith miniprostheses, which were a series of 10 ml siliconegel prostheses(minipros theses). The surgery was similar to the conventional augmentation mammaplasty. T he every miniprosthesis was inserted one by one beneath the pectoral muscle unti l the desired volume was achieved and defined very objectively during the surger y. The incision used was never more than 3 cm, and located in any of the sites a lready described in the literature. ResultsThe authors had per formed 5 cases of small breast. Follow-up duration ranged from 3 months to 6 y ears. The results were satisfictary. ConclusionsThere are some advantages of augmentation mammaplasty with miniprostheses, such as smaller inc isions, intraoperative assessment of the ideal size of the breast, low incidence of capsular contracture, facility in the handling of the technique, safety conc erning perforation of the implant and use for augmentation mammaplasty, and tot al and especially partial breast reconstruction.