Xiong Ling-yun, Sun Jia-ming, Guo Neng-qiang
Department of Plastic and Reconstruction, Union Hospital, Huazhong Science & Technique University, Wuhan 430022, China.
Zhonghua Zheng Xing Wai Ke Za Zhi. 2011 May;27(3):187-90.
To investigate the therapeutic effect of glandular flap combined with dermal flap suspension for correction of mild and moderate breast ptosis.
The dermal flap was formed according to the breast ptosis and dissection was performed between the skin and gland. The superior-lateral gland was partially resected or cut vertically only to form the lateral glandular flap. Then the glandular flap was rotated medially and fixed to shrink the glandular base area. Then the breast was up-positioned and fixed with dermal flap to remodel the breast shape.
From Mar. 2006 to Mar. 2010, 46 cases were treated with satisfactory result. There was no severe complication, except for 2 cases of unilateral hematoma. 40 cases were followed up for 6 months to 4 years with good breast shape. No secondary ptosis, breast flatten and NAC sensation disorder was happened.
Glandular flap combined with dermal flap suspension is a good method for mild and moderate breast ptosis with reliable long-term results. The breasts have busty appearance and good projection with inconspicuous scar.
探讨腺体瓣联合真皮瓣悬吊术矫正轻、中度乳房下垂的治疗效果。
根据乳房下垂情况形成真皮瓣，在皮肤与腺体之间进行剥离。将上外侧腺体部分切除或仅垂直切开以形成外侧腺体瓣。然后将腺体瓣向内旋转并固定，以缩小腺体基部面积。接着将乳房上提并用真皮瓣固定，重塑乳房形态。
2006年3月至2010年3月，共治疗46例，效果满意。除2例单侧血肿外，无严重并发症发生。40例随访6个月至4年，乳房形态良好。未发生继发性下垂、乳房扁平及乳头乳晕感觉障碍。
腺体瓣联合真皮瓣悬吊术是治疗轻、中度乳房下垂的良好方法，远期效果可靠。乳房外形丰满，凸度良好，瘢痕不明显。
