Hidalgo D A, Elliot L F, Palumbo S, Casas L, Hammond D
Albert Einstein College of Medicine at Montefiore Medical Center, New York, NY, USA.
Plast Reconstr Surg. 1999 Sep;104(3):806-15; quiz 816; discussion 817-8.
Current trends in the development of breast reduction surgery include a few minor refinements in classic inverted-T scar methods but, more, the increased use of vertical-scar reduction mammaplasty. The benefits of the latter, which include reduced scar burden and improved long-term projection, are attractive, although the technique itself has proved to be somewhat intuitive and more difficult to master. These shortcomings can be minimized and the technique safely learned by initially applying it to patients with minor degrees of macromastia and ptosis. New modifications and alternative approaches have been introduced recently to address the problematic areas of the vertical-scar technique. A survey of members of the American Society of Plastic and Reconstructive Surgeons was undertaken at the 1998 annual meeting to review the current role of various techniques in breast reduction. The results revealed a slow acceptance of vertical-scar methods and the dominance of the inferior/central pedicle inverted-T scar method for a wide variety of macromastia types. Other issues were reviewed; they revealed the minimal role of both blood transfusion and liposuction and that more than half of breast reductions are still performed on an inpatient basis.
目前乳房缩小手术的发展趋势包括对经典倒T形瘢痕方法进行一些细微改进，但更重要的是，垂直瘢痕缩小乳房成形术的使用越来越多。后者的优点包括减轻瘢痕负担和改善长期乳房形态，虽然该技术本身已被证明有些直观但更难掌握，但其优点很有吸引力。通过最初将其应用于轻度巨乳症和乳房下垂患者，可以将这些缺点降到最低，并安全地掌握该技术。最近引入了新的改良方法和替代方法来解决垂直瘢痕技术的问题区域。在1998年的年会上对美国整形与重建外科医师协会的成员进行了一项调查，以回顾各种技术在乳房缩小手术中的当前作用。结果显示垂直瘢痕方法的接受程度较慢，对于各种类型的巨乳症，下/中央蒂倒T形瘢痕方法占主导地位。还对其他问题进行了回顾；结果显示输血和抽脂的作用极小，并且超过一半的乳房缩小手术仍在住院患者中进行。
