Versaci A D, Rozzelle A A
Aesthetic Plast Surg. 1991 Fall;15(4):307-12. doi: 10.1007/BF02273878.
This article presents the tissue expansion technique for the treatment of the tuberous breast and its variant, the tubular breast. The treatment objectives are different in the two deformities, but, in general, one has to expand the base circumference of the breast, expand the skin of the lower hemisphere of the breast, release the skin tightness at the skin-areola juncture, lower the position of the inframammary fold, increase the volume of the breast skin envelope, reduce the size of the areola and correct its deformity, and perform a mastopexy when necessary. To achieve these objectives, we use a tissue expander introduced either beneath the breast or beneath the pectoral muscle through an incision along the inframammary fold. It is slowly expanded to the appropriate volume. The reconstruction is completed at the second stage when the size of the areola is reduced, the expander is exchanged for an implant, or the fill-port is removed. The tissue "herniation" is corrected and a mastopexy is performed when necessary. We treated seven tuberous breasts and three tubular breasts by the two-stage method. Eight reconstructions were completed successfully in two stages. An additional operation became necessary in two cases; one to treat an exposed expander, and another to correct a capsular contracture. The results have been uniformly good and compare favorably with those presented in the literature done by other methods. We recommend use of the combination expander/implant.
本文介绍了用于治疗乳房下垂及其变体筒状乳房的组织扩张技术。两种畸形的治疗目标有所不同，但总体而言，必须扩大乳房的基部周长，扩张乳房下半球的皮肤，缓解乳晕交界处的皮肤紧绷，降低乳房下皱襞的位置，增加乳房皮肤包膜的体积，减小乳晕尺寸并矫正其畸形，必要时进行乳房固定术。为实现这些目标，我们通过沿乳房下皱襞的切口，将组织扩张器置于乳房下方或胸大肌下方。将其缓慢扩张至合适体积。在第二阶段，当乳晕尺寸减小、扩张器更换为植入物或取出填充端口时，重建完成。矫正组织“疝出”，必要时进行乳房固定术。我们采用两阶段法治疗了7例乳房下垂和3例筒状乳房。8例重建分两阶段成功完成。2例需要额外手术；1例治疗外露的扩张器，另1例矫正包膜挛缩。结果均良好，与文献中其他方法的结果相比更具优势。我们推荐使用扩张器/植入物组合。
