乳头肥大伴小乳症的整形治疗

目的 对女性乳头肥大伴有小乳症者，进行综合手术治疗，以求达到乳房外形更加谐调完美的效果。方法 对9例双侧乳头肥大伴小乳症者应用改良的乳头肥大缩小术。同时，采用通过腑窝切口辅以内镜下剥离，将假体置入胸大肌下的隆乳术。结果 术后随机8例，3－12个月，肥大、下垂乳头得到矫正，乳头勃起功能正常，未出现乳头感觉异常，切口瘢痕不明显，整体外形满意。结论 通过乳头肥大缩小和隆乳术的综合治疗，可以使乳头和乳房的比例适度，外观美观。

Simultaneous correction procedures for nipple hypertrophy and micromastia

Objective The female nipple hypertrophy and mammary hypotrophy can be corrected by simultaneous operation to get more beautiful mammary profile. This study is to explore the new methods for mammary augmentation and nipple reduction. Methods The modified Regnault method was used to correct nipple hypertrophy. The procedures included removing a peripheral portion of the nipple and collapsing the distal portion of it. Other surgical technique was also applied for reduction of nipple height and diameter without affecting the central lactiferous ducts. Mammary augmentation was performed by putting a prosthesis in pectoralis major muscle through an endoscopy on transaxillary incision. Results The procedures were undertaken in 9 cases since 1998, in which 8 cases had been followed up for 3 to 12 months. The results of mammary augmentation and reduction of nipple were satisfactory. The appearance was fine with inconspicous scars, and there were no complications related to surgery. Conclusion The procedures for simultaneous plasty of the nipple hypertrophy and mammary hypotrophy are safe, simple and effective.