Chen Constance M, Warren Stephen M, Isik F Frank
Department of Surgery, University of Washington Medical Center, Seattle, USA.
Ann Plast Surg. 2003 Jun;50(6):579-87. doi: 10.1097/01.SAP.0000069071.37622.46.
The vertical reduction mammaplasty can be challenging to learn. In addition, first attempts to perform the vertical reduction mammaplasty can lead to inconsistent aesthetic results. The authors describe their transition from a traditional inverted-T reduction mammaplasty to a modified vertical reduction mammaplasty based on a technique described by Elizabeth Hall-Findlay. In their early cases using the Hall-Findlay technique, they noted several aesthetic complications. These problems included a persistent vertical dog-ear deformity at the nadir of the incision, a teardrop deformity of the nipple-areola complex, lateral deviation of the nipple, and lateral axillary fullness. They developed several modifications to the Hall-Findlay technique to correct the aesthetic deficiencies and to simplify further the vertical reduction method. The authors think their innovations facilitate the transition from a traditional inverted-T breast reduction to a successful vertical reduction mammaplasty technique.
垂直双蒂乳房缩小术的学习可能具有挑战性。此外，首次尝试进行垂直双蒂乳房缩小术可能会导致美学效果不一致。作者描述了他们从传统倒T形乳房缩小术向基于伊丽莎白·霍尔 - 芬德利所描述技术的改良垂直双蒂乳房缩小术的转变。在他们早期使用霍尔 - 芬德利技术的病例中，他们注意到了一些美学并发症。这些问题包括切口最低点持续存在的垂直“狗耳”畸形、乳头乳晕复合体的泪滴形畸形、乳头的外侧移位以及腋窝外侧丰满。他们对霍尔 - 芬德利技术进行了一些改良，以纠正美学缺陷并进一步简化垂直缩小方法。作者认为他们的创新有助于从传统倒T形乳房缩小术顺利过渡到成功的垂直双蒂乳房缩小术技术。
