Azzam Carole, De Mey Albert
Department of Plastic, Aesthetic, and Reconstructive Surgery, Brugmann University Hospital, Place Van Gehuchten, Brussels, Belgium.
Aesthetic Plast Surg. 2007 May-Jun;31(3):294-8. doi: 10.1007/s00266-006-0227-0.
Since 1996, the original technique of superior pedicle vertical scar mammaplasty described by Lejour has been modified by decreasing skin and glandular undermining, limiting liposuction, avoiding tight glandular stitches, and adding a small horizontal scar for very large breasts. Between 1996 and 2002, 115 consecutive patients underwent a bilateral reduction mammaplasty of more than 500 g per breast using the modified Lejour technique. The early, late, and delayed complications were studied according to four parameters: glandular resection, age, smoking habits, and body mass index (BMI). There was no difference in terms of complications according to the glandular resection. Patients with a high BMI were found to have a higher rate of wound dehiscence. The occurrence of partial areolar necrosis proved to be related to smoking habits. Patients younger than 20 years presented a lower rate of seroma. The modified Lejour technique has proved to be safe and effective for large breasts.
自1996年以来，勒茹尔描述的上蒂垂直瘢痕乳房成形术的原始技术已得到改进，包括减少皮肤和腺体剥离、限制抽脂、避免腺体缝合过紧，以及为非常大的乳房增加一条小的水平瘢痕。1996年至2002年期间，115例连续患者采用改良的勒茹尔技术接受了双侧乳房缩小成形术，每侧乳房切除量超过500克。根据四个参数研究了早期、晚期和延迟并发症：腺体切除量、年龄、吸烟习惯和体重指数（BMI）。根据腺体切除量，并发症方面没有差异。发现BMI高的患者伤口裂开率较高。部分乳晕坏死的发生被证明与吸烟习惯有关。20岁以下的患者血清肿发生率较低。改良的勒茹尔技术已被证明对大乳房是安全有效的。
