Ozerdem Omer Refik, Anlatici Recep, Maral Tuğrul, Demiralay Akin
Başkent University, *Adana, dagger Ankara, and double dagger Alanya Research and Teaching Centers, Turkey.
Ann Plast Surg. 2002 Nov;49(5):506-10. doi: 10.1097/00000637-200211000-00011.
Classic free nipple graft reduction mammaplasty often yields flat, boxy breasts with poor projection. The authors modified this technique using superior and inferior pyramidal dermoglandular flaps to increase the fullness and projection of the breast. Six patients (12 breasts) with gigantomastia underwent breast reduction by this method. The results were aesthetically pleasing, with conically shaped breasts and good projection. The technique is easy to perform and it is possible to switch from pedicled nipple-areolar transposition to this method intraoperatively in patients in whom perfusion of the nipple is questionable.
经典的游离乳头移植缩乳术常常会导致乳房扁平、呈方形且突出不佳。作者采用上、下锥形真皮腺体瓣对该技术进行改良，以增加乳房的丰满度和突出度。6例巨乳症患者（12侧乳房）采用该方法行缩乳术。结果在美学上令人满意，乳房呈圆锥形且突出良好。该技术操作简便，对于乳头血供存疑的患者，术中可从带蒂乳头乳晕移位术转换为此方法。
