Persoff Myron M
Aesthet Surg J. 2003 Jan-Feb;23(1):34-9. doi: 10.1016/s1090-820x(03)90021-5.
Because the technique for mastopexiy with augmentation is difficult to perform and entails the risk of complications, some surgeons perform it as a 2-stage procedure.
A technique is described that takes advantage of the "minimal scar" from the vertical mastopexy and uses the Spectrum adjustable implant (Mentor Corp, Santa Barbara, CA) to minimize complications and improve the appearance of the breast after operation.
The keyhole skin in an area around the areola was deepithelialized. The skin was undermined, and a "tunnel" was created underneath the areola. The "skin-gland" bridge of inferior tissues was divided, and medial and lateral breast "columns" were created by undermining the gland. The fibers of the pectoralis major muscle were undermined to create a pocket for the implant. After the implant was placed and filled, the muscle incision was closed, and the previously created breast columns were excised and sutured together. The nipple-areolar complex (NAC) was sutured to the keyhole apex, and the base of the keyhole was closed around the base of the NAC pedicle. The reservoir was attached, and the remainder of the areola was closed. The implants were expanded, and excess fluid was released after several weeks.
A series of 26 patients underwent the procedure between February 1998 and April 2001. Results of 3 representative cases are presented.
Use of an implant adjustable after operation for a single-stage mastopexy with augmentation procedure enables the surgeon to avoid many of the complications inherent in simultaneous breast lift and augmentation.
由于隆乳上提术操作困难且有并发症风险，一些外科医生将其作为两阶段手术来进行。
描述一种利用垂直乳房上提术的“最小疤痕”技术，并使用频谱可调式植入物（美国加利福尼亚州圣巴巴拉市曼托公司）来尽量减少并发症并改善术后乳房外观。
乳晕周围区域的钥匙孔状皮肤进行去上皮化处理。皮下潜行分离皮肤，在乳晕下方创建一个“隧道”。分离下方组织的“皮肤-腺体”桥，通过皮下潜行分离腺体创建内侧和外侧乳房“柱状物”。分离胸大肌纤维以创建植入物的腔隙。植入并填充植入物后，缝合肌肉切口，切除先前创建的乳房柱状物并缝合在一起。将乳头乳晕复合体（NAC）缝合到钥匙孔顶端，钥匙孔底部围绕NAC蒂部基部闭合。连接储液器，闭合乳晕其余部分。扩张植入物，数周后排出多余液体。
1998年2月至2001年4月期间，一系列26例患者接受了该手术。展示了3个代表性病例的结果。
使用术后可调节的植入物进行单阶段隆乳上提术，使外科医生能够避免同时进行乳房提升和隆乳所固有的许多并发症。
