Pinsky Mark A
Aesthetic Plast Surg. 2005 Sep-Oct;29(5):391-9. doi: 10.1007/s00266-004-0072-y.
Concentric mastopexy presents many challenges to the plastic surgeon, especially when breast augmentation is part of the treatment plan. Radial plication is a reproducible and accurate technique for elevating the nipple-areolar complex and shaping the breast mound. Patient selection is important to the success of the radial plication procedure and concentric mastopexy in general. Although most surgeons agree that patients with smaller degrees of nipple ptosis and smaller breasts have better results than patients with greater degrees of nipple ptosis and larger breasts, there has never been an algorithm for patient selection. Regnault's classification of breast ptosis addresses the degree of nipple ptosis, but no consideration is given to breast volume. Radial placation proved to be a valuable tool in the treatment of 87 patients undergoing concentric mastopexy in the author's practice over the past 30 months. An algorithm addressing degrees of breast ptosis and breast volume is provided. The plastic surgeon can anticipate gratifying results if the algorithm provided is incorporated into his or her patient selection for concentric mastopexy. The concentric mastopexy technique is similar to the tailor tack procedure for standard mastopexy, allowing the plastic surgeon to mold and shape the breast before making a critical incision.
同心乳晕乳房固定术给整形外科医生带来了诸多挑战，尤其是当隆乳术作为治疗方案的一部分时。放射状折叠术是一种可重复且精确的技术，用于提升乳头乳晕复合体并塑造乳房外形。患者选择对于放射状折叠术以及一般的同心乳晕乳房固定术的成功至关重要。尽管大多数外科医生都认为，乳头下垂程度较轻且乳房较小的患者比乳头下垂程度较重且乳房较大的患者效果更好，但从未有过患者选择的算法。雷尼奥乳房下垂分类法涉及乳头下垂程度，但未考虑乳房体积。在作者过去30个月的临床实践中，放射状折叠术被证明是治疗87例接受同心乳晕乳房固定术患者的一种有价值的工具。本文提供了一种针对乳房下垂程度和乳房体积的算法。如果将所提供的算法纳入其同心乳晕乳房固定术的患者选择中，整形外科医生可以预期获得令人满意的效果。同心乳晕乳房固定术技术类似于标准乳房固定术的裁缝标记法，使整形外科医生在进行关键切口之前能够塑造乳房外形。
