改良双环法乳房下垂矫正术

目的:介绍改良双环法行乳房悬吊术的方法和经验。方法:采用传统的双环法环乳晕切口,切除双环间表皮,在皮肤与上半乳腺的腺体表面之间剥离,去除上半腺体后松弛的浅筋膜深层,上提腺体至正常位置并固定于深筋膜,同时进行腺体的适当折叠塑形或置入乳房假体增加丰满程度。结果:共行轻、中度下垂28例(4例为单侧下垂),其中悬吊加假体隆乳9例;腺体瓣交叉缝合悬吊塑形19例。术后乳房外形改善满意,乳头、乳晕感觉良好,效果持久。结论:本手术方法安全易行,组织损伤小,瘢痕不明显,是矫治轻、中度乳房下垂的一种比较理想的方法。

Modif ication of periareolar mastopexy

Objective To introduce the method and experience of modified periareolar mastopexy. Methods Through a periareolar incision,The epidermal tissue was incised between the out side and the inside ring.The upper quadrant of the breast was just peeled off.The flabby deep layer of the superficial fascia beneath the upper breast gland was completely removed.Then the gland was lifted up to the normal position and the superior pole of the gland was fixed to the pectoral fascia at the second intercostal space,rotated toward each other and moulded.Implant augmentation was simultaneously employed to enhance the projection,if necessary.Results A total of 28 cases of mild to moderate breast ptosis was treated with this technique,including 9 cases of mastopexy with implant augmentation,19 cases of mammary glandular flap rotated each other.Satisfactory results were achieved with pretty breast shape and inconspicuous periaerolar scar.Conclusion This method is simple,safe and effective.It is an optimal choice for breast ptosis in mild to moderate degree.