Paracelsus Clinic Hannover, Hannover, Germany.
Aesthetic Plast Surg. 2010 Aug;34(4):447-54. doi: 10.1007/s00266-010-9471-4. Epub 2010 Feb 21.
A new method of autoaugmentation mammaplasty is presented to correct ptosis and to increase the projection and volume of the breast in patients who would like a reposition augmentation mammaplasty after breast implant removal but do not want a new implant.
Between 1999 and 2007, a total of 27 patients (age = 54 +/- 7.3 years) underwent mammaplasty using an inferior-based flap of deepithelialized subcutaneous and breast tissue modularized to its pedicle which was inserted beneath a superior pedicle used for correction of ptosis and to increase the projection and apparent volume of the breast.
The results confirmed that autoaugmentation mammaplasty of the breast following removal of the implant yields longstanding results. It corrects ptosis and increases the projection and apparent volume of the breast when mastopexy is planned without use of a new implant. Twelve months after surgery the degree of descent of the inframammary fold generally parallels that of the nipple. The mean level of the inframammary fold was below the mean level of the nipple. Postoperatively, the optimum distance had been largely achieved.
The advantages of the technique presented here are that it minimizes the skin scar in cases using vertical mammaplasty techniques and optimizes the breast shape after breast implant removal in patients who do not want a new implant.
提出了一种新的自动脂肪隆乳术方法，用于矫正乳房下垂，并在患者希望在取出乳房植入物后进行重新定位隆乳术但又不想使用新植入物的情况下增加乳房的突出度和体积。
在 1999 年至 2007 年期间，共有 27 名患者（年龄=54 +/- 7.3 岁）接受了乳房整形手术，使用了一种基于下侧的皮瓣，将其深层的皮下和乳腺组织模块化，然后将其插入用于矫正下垂和增加乳房突出度和表观体积的上侧皮瓣下方。
结果证实，在取出植入物后进行自体脂肪隆乳术可获得长期效果。它在不使用新植入物的情况下纠正了乳房下垂，并增加了乳房的突出度和表观体积。手术后 12 个月，乳晕下皱襞的下降程度通常与乳头的下降程度平行。乳晕下皱襞的平均水平低于乳头的平均水平。术后，已经达到了最佳距离。
这里提出的技术的优点是，它在使用垂直乳房整形技术的情况下最大限度地减少了皮肤疤痕，并在不希望使用新植入物的情况下优化了乳房植入物取出后的形状。
