Yousif N J, Larson D L, Sanger J R, Matloub H S
Department of Plastic and Reconstructive Surgery, Medical College of Wisconsin, Milwaukee.
Plast Reconstr Surg. 1992 Mar;89(3):459-67; discussion 468. doi: 10.1097/00006534-199203000-00011.
We describe a technique to eliminate the vertical portion of the inverted-T incision in patients who have combined enlargement of the breasts and moderate to severe ptosis. Initial preoperative markings are made, placing the new nipple site at the level of the transposed inframammary crease. The nipple-areola complex is then retained on a vascularized pedicle, with major reduction of the breast tissue being done in the medial and lateral quadrants. The nipple and breast tissue are then tucked underneath the superior skin segment and placed in this new position as one would do with the umbilicus in an abdominoplasty. Excess vertical skin is removed, and horizontal excess is collected at the midline as a small dog-ear. We have found that this dog-ear reduces markedly with time, rounding out the inferior portion of the breasts. The remaining small amount of excess skin can then be removed under local anesthetic at a later date. We have performed this procedure on 20 patients, with follow-up from 6 to 24 months.
我们描述了一种用于消除乳房增大合并中度至重度下垂患者倒T形切口垂直部分的技术。首先进行术前标记，将新乳头位置置于移位后的乳房下皱襞水平。然后将乳头乳晕复合体保留在带血管蒂上，在内侧和外侧象限对乳腺组织进行大幅缩减。接着将乳头和乳腺组织折叠到上方皮肤段下方，并像在腹壁整形术中处理肚脐一样放置在这个新位置。切除多余的垂直皮肤，将水平多余皮肤在中线处收集成一个小皮赘。我们发现这个皮赘会随着时间显著缩小，使乳房下部变得圆润。剩余少量多余皮肤可在日后局部麻醉下切除。我们已对20例患者实施了该手术，随访时间为6至24个月。
