Hang-Fu L
Department of Surgery, UMDNJ-Robert Wood Johnson University Hospital, New Brunswick 08903-0019.
Aesthetic Plast Surg. 1991 Fall;15(4):297-302. doi: 10.1007/BF02273876.
There are an increasing number of young patients seeking an ideal reduction mammoplasty. The ideal procedure must obtain a youthful-looking result, minimal scarring, preservation of lactation, erotic sensitivity, and no postoperative complications. We have done a subjective comparison of six different reduction mammoplasty procedures by using a mail questionnaire. The questionnaire comprised three categories: (I) alleviating preoperative complaints, (II) postoperative appearance, and (III) postoperative complications. In category I, greater than 95% of all preoperative complaints were alleviated in all groups of patients. In category II, McKissock's and Robbins' procedures scored the best for nipple-areola position, with highest number of patients (40.5%) in the free nipple group appreciating the overall breast symmetry. In category III, the modified Regnault group (H/B) had the lowest overall complication rate. Only 33% of the patients in H/B group experienced failure to lactate and 26% experienced loss of erotic nipple sensation for longer than six months. In our study, we show that the H/B mammoplasty procedure was rated best overall and was the best compared with the concept of an "ideal" procedure.
越来越多的年轻患者寻求理想的缩乳术。理想的手术必须获得年轻化的效果、最小的疤痕、保留泌乳功能、性敏感且无术后并发症。我们通过邮寄问卷对六种不同的缩乳术进行了主观比较。问卷包括三类：（I）缓解术前症状，（II）术后外观，（III）术后并发症。在第一类中，所有患者组中超过95%的术前症状得到缓解。在第二类中，麦基索克法和罗宾斯法在乳头乳晕位置方面得分最佳，游离乳头组中欣赏整体乳房对称性的患者比例最高（40.5%）。在第三类中，改良雷诺法组（H/B）的总体并发症发生率最低。H/B组中只有33%的患者出现泌乳失败，26%的患者出现乳头性敏感丧失超过六个月。在我们的研究中，我们表明H/B缩乳术总体评分最佳，与“理想”手术的概念相比也是最佳的。
