Gruber Ronald, Denkler Keith, Hvistendahl Yngvar
Departments of Plastic and Reconstructive Surgery, University of California (SF), Stanford University, USA.
Aesthetic Plast Surg. 2006 May-Jun;30(3):269-74; discussion 275-6. doi: 10.1007/s00266-005-0138-5.
Problems with periareola or circumareolar mastopexy procedures include areola spreading, hypertrophic scar, and recurrence of the ptosis largely because of tension on the closure. To minimize this tension associated with a conventional crescent mastopexy procedure, the authors modified the operation by excising parenchyma with the crescent of skin as well as two small triangles of parenchyma on either side of the areola. Implant augmentation was performed at the same time. The described operation is indicated for patients who have a small to moderate amount of ptosis. The best candidate is the patient whose areola-inframammary distance is not excessive. Nine such patients received this "extended crescent mastopexy with augmentation" and were followed for up to 3 years. Areola spreading and hypertrophic scar were kept to a minimum. Although not the final answer for ptosis patients, the extended crescent mastopexy with augmentation has been a step in the right direction.
乳晕周围或乳晕下乳房上提术存在的问题包括乳晕扩大、瘢痕增生以及乳房下垂复发，这主要是由于缝合时的张力所致。为了将传统新月形乳房上提术相关的张力降至最低，作者对手术进行了改良，即切除带有新月形皮肤的乳腺组织以及乳晕两侧的两个小三角形乳腺组织。同时进行了植入物隆乳术。所描述的手术适用于轻至中度乳房下垂的患者。最佳人选是乳晕至乳房下皱襞距离不过长的患者。9例此类患者接受了这种“扩大新月形乳房上提并隆乳术”，并随访了长达3年。乳晕扩大和瘢痕增生均减至最低程度。尽管这并非乳房下垂患者的最终解决方案，但扩大新月形乳房上提并隆乳术已朝着正确方向迈出了一步。
