Stevens W Grant, Repta Remus, Pacella Salvatore J, Tenenbaum Marissa J, Cohen Robert, Vath Steven D, Stoker David A
Private Practice, Marina del Rey, CA, USA.
Aesthet Surg J. 2009 Mar-Apr;29(2):129-34. doi: 10.1016/j.asj.2008.12.002.
Combined cosmetic procedures have become increasingly popular. One of the most common combinations of cosmetic procedures includes abdominoplasty and cosmetic breast surgery. The shortened recovery and financial savings associated with combined surgery contribute to the increased demand for these combined surgeries.
The goal of this study was to evaluate the safety and efficacy of combined abdominoplasty and breast surgery at a single plastic surgery practice that performs a large volume of these cases. This is an update to a study published in 2006.
A retrospective review was performed for patients who underwent combined abdominoplasty and cosmetic breast surgery during the last 10 years at a single outpatient surgery center. Abdominoplasty inclusion criteria were defined as lower, mini, full, reverse, or circumferential abdominoplasty. Cosmetic breast surgery inclusion criteria were defined as augmentation, mastopexy, augmentation-mastopexy, reduction, or removal and replacement of implants. Pertinent preoperative and intraoperative data were recorded along with complications and revisions.
There were 268 patients during the 10-year period between 1997 and 2007. There were no cases of death, pulmonary embolism, deep venous thrombosis, or other life-threatening complications. The overall complication rate was 34%. Abdominoplasty seroma and scars requiring revision comprised 68% (n = 74) of the complications. The total revision rate was 13%.
Combined abdominoplasty and cosmetic breast surgery was safe and effective in this large series of cases performed at a single plastic surgery practice. The complication and revision rates of the combined surgery were similar to those reported for individually staged procedures.
联合美容手术越来越受欢迎。最常见的美容手术组合之一包括腹部整形术和美容乳房手术。联合手术带来的恢复时间缩短和费用节省推动了对这些联合手术需求的增加。
本研究的目的是在一家进行大量此类手术的整形手术机构评估联合腹部整形术和乳房手术的安全性和有效性。这是对2006年发表的一项研究的更新。
对在单一门诊手术中心过去10年中接受联合腹部整形术和美容乳房手术的患者进行回顾性研究。腹部整形术的纳入标准定义为低位、迷你、全腹、反向或环形腹部整形术。美容乳房手术的纳入标准定义为隆胸、乳房上提术、隆胸-乳房上提术、乳房缩小术或植入物取出及置换术。记录相关的术前和术中数据以及并发症和修复情况。
在1997年至2007年的10年期间有268例患者。没有死亡、肺栓塞、深静脉血栓形成或其他危及生命并发症的病例。总体并发症发生率为34%。腹部整形术血清肿和需要修复的瘢痕占并发症的68%（n = 74）。总修复率为13%。
在这一系列由单一整形手术机构进行的大量病例中，联合腹部整形术和美容乳房手术是安全有效的。联合手术的并发症和修复率与单独分期手术报告的相似。
