Massiha H
Louisiana State University School of Medicine, New Orleans, USA.
Ann Plast Surg. 2000 Feb;44(2):143-6. doi: 10.1097/00000637-200044020-00003.
After breast augmentation, separation of breast tissue from the implant is common, especially in patients with well-formed preoperative breasts. This problem is enhanced to a marked deformity in cases of scar contracture with firm, fixed implants. This paper addresses this problem preoperatively and therapeutically in secondary correction of double-bubble and waterfall deformity. The author classifies and explains double-bubble deformity in patients in whom the implant is below the normal crease, with glandular breast tissue superior and anterior to the implant. In "waterfall" deformity (a term suggested by the author), the glandular breast tissue droops over the implant and is inferior and anterior to the implant. Treatment used consists of opening the breast tissue from its posterior surface using radial incisions to accommodate the implant. This allows the two structures--the breast tissue and the implant-to blend as one unit with satisfactory results. The technique is easy to perform and teach. Complications are similar to those of regular breast augmentation. Strangely, radial incisions have not increased complications, and there have been no cases of seroma or hematoma to date.
隆胸术后，乳腺组织与植入物分离很常见，尤其是在术前乳房形态良好的患者中。在疤痕挛缩且植入物坚硬固定的情况下，这个问题会加剧为明显的畸形。本文在双泡和瀑布畸形的二次矫正中，从术前和治疗方面解决了这个问题。作者对植入物位于正常皱襞下方、腺体乳腺组织位于植入物上方和前方的患者的双泡畸形进行了分类和解释。在“瀑布”畸形（作者提出的术语）中，腺体乳腺组织垂落在植入物上，位于植入物下方和前方。所采用的治疗方法包括使用放射状切口从乳腺组织后表面打开，以容纳植入物。这使得乳腺组织和植入物这两个结构融合为一个整体，效果令人满意。该技术易于操作和传授。并发症与常规隆胸的并发症相似。奇怪的是，放射状切口并未增加并发症，迄今为止也没有血清肿或血肿的病例。
