Bustos R A
Plast Reconstr Surg. 1992 Apr;89(4):646-57; discussion 658-9.
A mammaplasty technique through a periareolar incision and inferior pedicle trilobar flap with inclusion of a silicone supporting sheet was used in 485 patients between July of 1985 and December of 1989. The indications for the surgical treatment were ptosis, moderate to severe hypertrophy, or the association of both. The results were satisfactory in 458 patients (94.4 percent). The mean follow-up period was 22 months (range 6 to 50 months) in 427 patients without recurrences or functional alterations. No pathologic processes were observed as a result of use of the prosthesis. The silicone sheet did not interfere with manual, mammographic, or xeromammographic periodic examinations of the gland performed during the follow-up period. This technique has made it possible to mold the breast properly and to preserve its anatomic and functional unity, and in addition, it minimizes the scar and avoids recurrences.
1985年7月至1989年12月期间，485例患者采用了经乳晕切口和包含硅胶支撑片的下蒂三叶瓣乳房成形术。手术治疗的适应证为乳房下垂、中度至重度肥大或两者并存。458例患者（94.4%）效果满意。427例无复发或功能改变的患者平均随访期为22个月（范围6至50个月）。未观察到因使用假体而出现的病理过程。硅胶片不影响随访期间对腺体进行的手动、乳腺X线摄影或干板乳腺X线摄影定期检查。该技术能够使乳房塑形良好并保持其解剖和功能完整性，此外，它还能使瘢痕最小化并避免复发。
