Hammond D C
Plast Reconstr Surg. 1999 Mar;103(3):890-901; discussion 902. doi: 10.1007/3-540-27218-6_6.
A method of breast reduction is presented that maintains the blood supply and innervation to the nipple and areola complex by means of an inferior pedicle, reduces the breast volume by removing tissue from the periphery of the breast, maintains breast shape with internal plication sutures, and limits the scar using a periareolar technique with a short inferior vertical-to-oblique extension. There were 167 breasts in 98 patients reduced in this fashion. The average resection volume was 632 g per breast, with an average follow-up of 7.6 months. The complication rate was similar to that observed using traditional inferior pedicle techniques with the inverted-T cutaneous scar. This technique has proven to be versatile, technically straightforward, and applicable to breasts of all sizes for both breast reduction and mastopexy. By combining the aesthetic advantage of less cutaneous scarring with the safety and familiarity of the inferiorly based pedicle, superior results in breast reduction can be obtained that are consistent, long-lasting, and satisfying for both patient and surgeon alike.
本文介绍了一种乳房缩小术，该方法通过下蒂保留乳头乳晕复合体的血供和神经支配，通过切除乳房周边组织来减小乳房体积，使用内部折叠缝合维持乳房形状，并采用乳晕周围技术及短的下垂直至斜向延伸切口来限制瘢痕。98例患者共167个乳房采用此方法进行了缩小术。平均每个乳房切除量为632克，平均随访7.6个月。并发症发生率与采用传统下蒂技术及倒T形皮肤瘢痕观察到的相似。该技术已被证明具有通用性、操作简单，适用于各种大小乳房的乳房缩小术和乳房固定术。通过将较少皮肤瘢痕的美学优势与下蒂的安全性和熟悉度相结合，可以获得乳房缩小术的卓越效果，对患者和外科医生而言都是一致、持久且令人满意的。
