de la Plaza Rafael, de la Cruz Luis, Moreno Carlos
Aesthet Surg J. 2005 Jan-Feb;25(1):31-6. doi: 10.1016/j.asj.2004.11.006.
Many procedures have been described in the search for the ideal mastopexy technique, ranging from simple cutaneous reduction, with or without glandular remodelling, to the use of dermal flaps fixed to the pectoral fascia, or even the use of silicone mesh or sheets.
We describe a technique that uses a dermoglandular hammock flap to achieve optimal position and shape of the breast; well located, good quality scars that are as short as possible; and satisfactory early- and long-term results.
A superior pedicle dermoglandular flap was raised from the lower pole of the breast and transposed to the upper pole. The flap is fixed like a hammock to the pectoral fascia and the wedge-shaped donor defect is closed by approximation and fixation of the medial and lateral pillars with absorbable sutures, thus releasing the tension in the skin suture line.
Twenty-eight patients aged 19 to 58 years underwent the procedure. Adequate shape and projection were achieved in all cases. Partial dehiscence of the suture line developed in 1 patient. The scar quality was excellent, except in 2 cases in which some degree of temporary hypertrophy occurred.
In our experience with this technique, we obtained satisfactory position and shape; good quality, well-placed scars; long-lasting results; and preservation of the patient's ability to breast feed. The technique is simple to perform and is indicated in cases of moderate ptosis.
在寻找理想的乳房上提技术的过程中，已经描述了许多手术方法，从简单的皮肤缩减（有无腺体重塑）到使用固定于胸肌筋膜的真皮瓣，甚至使用硅胶网或片材。
我们描述一种使用真皮腺体吊床瓣的技术，以实现乳房的最佳位置和形状；瘢痕位置良好、质量高且尽可能短；并获得满意的早期和长期效果。
从乳房下极掀起一个上蒂真皮腺体瓣，并转移至乳房上极。该瓣像吊床一样固定于胸肌筋膜，通过用可吸收缝线拉拢并固定内侧和外侧支柱来闭合楔形供区缺损，从而减轻皮肤缝线处的张力。
28例年龄在19至58岁的患者接受了该手术。所有病例均获得了足够的形状和凸度。1例患者出现缝线部分裂开。除2例出现一定程度的暂时性增生外，瘢痕质量良好。
根据我们对该技术的经验，我们获得了满意的位置和形状；高质量、位置合适的瘢痕；持久的效果；并保留了患者的哺乳能力。该技术操作简单，适用于中度乳房下垂病例。
