Aesthetic Plast Surg. 2010 Jun;34(3):313-21. doi: 10.1007/s00266-009-9434-9. Epub 2009 Nov 19.
Augmentation with mastopexy is a commonly performed procedure and is done either simultaneously or in stages. The augmentation component can be accomplished by placing an implant in the subglandular, partial submuscular, or subfascial plane, and mastopexy can be performed using periareolar, vertical, or Wise pattern markings. These two components are independent of each other and any pocket can be combined with suitable external markings. The muscle-splitting submuscular biplane is a new pocket and is combined with conventional envelope reductions for mastopexy.
The submuscular biplane pocket was used in 44 consecutive patients for mastopexy and augmentation using vertical scar and periareolar markings. Of these, 13 had subglandular augmentation in the past. The mean age of the patients was 32.4 years (range = 21-46). Average blood loss was 44 g (range = 10-111 g). Drains were used selectively and the procedure was usually done as a day case.
The follow-up period of the included cases ranged from 4 months to 3 years. No infection, hematoma, or wound problems were seen. Minor revision was required for periareolar puckering in one case and three had dog-ears after vertical scar mastopexy. One periareolar mastopexy required conversion into a vertical scar as a revision and one vertical scar mastopexy had superficial infection with bilateral minor skin breakdown which responded completely to antibiotics.
The submuscular biplane technique is a good option for breast augmentation with mastopexy as a single or staged procedure.
乳房提升术联合乳房增大术是一种常见的手术方式，可同期进行，也可分期进行。增大组件可通过在胸肌下、部分胸肌下或筋膜下平面放置植入物来完成，乳房提升术可通过乳晕周围、垂直或 Wise 型切口标记来完成。这两个组件是相互独立的，任何口袋都可以与合适的外部标记相结合。肌肉劈开胸肌双层平面是一种新的口袋，与传统的包膜减少术联合用于乳房提升术。
在 44 例连续接受垂直瘢痕和乳晕周围标记的乳房提升术和增大术的患者中使用了胸肌双层平面口袋。其中 13 例患者既往有胸肌下增大术。患者的平均年龄为 32.4 岁（范围=21-46 岁）。平均失血量为 44 克（范围=10-111 克）。选择性使用引流管，该手术通常作为日间手术进行。
纳入病例的随访期为 4 个月至 3 年。未见感染、血肿或伤口问题。乳晕周围的小皱折在 1 例中需要修正，3 例垂直瘢痕乳房提升术后出现狗耳。1 例乳晕周围乳房提升术需要转为垂直瘢痕作为修正，1 例垂直瘢痕乳房提升术有双侧轻微皮肤破裂的浅表感染，对抗生素完全反应。
胸肌双层平面技术是乳房增大术联合乳房提升术的一种良好选择，可作为单一或分期手术。
