Youn Eun Sung
BK Plastic Surgery Clinic, Nonhyun-dong, Gangnam-gu, Seoul, Korea.
Plast Reconstr Surg. 2006 Dec;118(7 Suppl):18S-31S; discussion 32S-34S. doi: 10.1097/01.prs.0000246235.00439.3d.
When the results of breast augmentation surgery are evaluated, the respective points of view of the surgeon and the patient can differ. Because of the nature of plastic surgery, evaluation of the results puts more emphasis on the patient's satisfaction than on medical knowledge. Among the patients who are satisfied with the size of their breasts after breast augmentation surgery, the factor that affects their satisfaction with their breast shape is the position of the nipple-areola complex. This is because the relative position of the nipple-areola complex on the inserted implant makes the most apparent change. Therefore, the relative position of the nipple-areola complex on the implant can be seen as one of the most important standards in evaluating the results.
Using a standardized protocol and standards based on analysis of the measurements of 100 patients (200 nipples), the author divided breast augmentation patients according to position of the nipple-areola complex. The operations were planned with this factor as the central consideration. The author also provided preoperative education to each group.
Between January 1, 2001, and July 31, 2004, 368 patients were divided into four types based on the position of the nipple-areola complex when the patient was in the upright position.
By performing the operations based on the nipple-areola complex, according to individual characteristics, predictable and desirable postoperative results were obtained.
在评估隆胸手术的效果时，外科医生和患者的观点可能存在差异。由于整形手术的性质，对手术效果的评估更强调患者的满意度而非医学知识。在隆胸手术后对乳房大小满意的患者中，影响其对乳房形状满意度的因素是乳头乳晕复合体的位置。这是因为乳头乳晕复合体在植入假体上的相对位置变化最为明显。因此，乳头乳晕复合体在假体上的相对位置可被视为评估手术效果的最重要标准之一。
作者基于对100例患者（200个乳头）测量数据的分析，采用标准化方案和标准，根据乳头乳晕复合体的位置对隆胸患者进行分组。手术计划以此因素为核心考量。作者还对每组患者进行了术前教育。
在2001年1月1日至2004年7月31日期间，368例患者根据站立位时乳头乳晕复合体的位置被分为四种类型。
根据个体特征，以乳头乳晕复合体为基础进行手术，获得了可预测且理想的术后效果。
