J Plast Reconstr Aesthet Surg. 2011 Feb;64(2):164-73. doi: 10.1016/j.bjps.2009.11.033. Epub 2009 Dec 31.
Peri-areolar mastopexy is commonly used for mild ptosis requiring no more than 3cm of nipple elevation. The nature of areolar scar and gland remodelling inherent to a circular skin reduction prompts circumspection when correcting more moderate-to-severe cases. The purpose herein is to convey the reproducibility and applicability of the Goes double-skin peri-areolar mastopexy without mesh, for breast ptosis requiring nipple elevation of 4-9cm, in a series outside the work of the principal innovator. A series of 217 consecutive patients underwent circumareolar eccentric skin excision based on four cardinal landmarks, deepithelialised dermal sleeve and glandular reshaping with and without implants (174 augmentation-mastopexies and 43 mastopexies). Implantation and implant change involved the use of saline implants placed in the subpectoral space. Average nipple elevation was 5.1cm in the augmentation-mastopexy group and 6.5cm in the mastopexy group. There were major complications in 4.4% of breasts and occurred only in the mastopexy-augmentation group. There was no nipple loss, serious infection or haematoma. There were minor complications in 13.1% of breasts (11.8% in the mastopexy-augmentation group, and 18.6% in the mastopexy group). A minimal (10%) areolar necrosis occurred on a breast in one patient undergoing augmentation-mastopexy for tubular breasts with micromastia. Revision rate was 4% for the entire series. Based on the principles of circular skin design with fixed skin landmarks, internal breast shaping and special attention when augmentation is done simultaneously, the peri-areolar double-skin mastopexy can be safe, effective and reproducible when applied to cases of increasing complexity.
乳晕周围乳房上提术常用于轻度乳房下垂，乳头提升不超过 3cm。乳晕瘢痕的性质和圆形皮肤减少所固有的腺体重塑，促使在矫正更中度至重度病例时要谨慎。本文旨在介绍一种无网片的 Goes 双皮乳晕周围乳房上提术，用于乳头提升 4-9cm 的乳房下垂，该系列手术是在主要创新者的工作之外进行的。一个连续的 217 例患者接受了乳晕周围偏心皮肤切除术，基于四个主要标志，真皮袖状切除和腺体重塑，同时或不使用植入物（174 例隆乳乳房上提术和 43 例乳房上提术）。植入物和植入物的改变涉及到将盐水植入物放置在胸肌下间隙。隆乳乳房上提组平均乳头抬高 5.1cm，乳房上提组平均乳头抬高 6.5cm。有 4.4%的乳房发生主要并发症，且仅发生在乳房上提隆乳组。没有乳头丢失、严重感染或血肿。有 13.1%的乳房发生轻微并发症（乳房上提隆乳组 11.8%，乳房上提组 18.6%）。在一例管状乳房伴小乳房的患者中，行隆乳乳房上提术时，一侧乳房出现 10%的乳晕坏死。整个系列的修订率为 4%。基于固定皮肤标志的圆形皮肤设计原则、内部乳房塑形以及同时进行隆乳时的特殊注意，乳晕周围双皮乳房上提术在应用于复杂程度增加的病例时可以是安全、有效和可重复的。
