Department of Surgery, College of Medical Sciences, Campinas State University, São Paulo, Brazil.
Aesthetic Plast Surg. 2012 Dec;36(6):1320-8. doi: 10.1007/s00266-012-9972-4. Epub 2012 Sep 7.
Many reports have described various technical aspects of reduction mammaplasty and mastopexy procedures. The authors present their technique, which combines a number of techniques already described in the literature regarding repositioning of the nipple-areola complex, reduction of the diameter of the base of the breast, and long-term retention of mammary cone projection. This study evaluated the results for patients of various ages and phenotypes in terms of scar dimensions, breast positioning, and patient satisfaction in the short, medium, and long terms.
Mammaplasty was performed using the inverted T technique. The preoperative skin markings differed from those described in the literature in that they did not use the future position of the nipple-areola complex as the main reference point. A running circular suture was used to fix the breast to the pectoralis major fascia and to reduce the diameter of the base of the breast, resulting in a reduced horizontal scar in the inframammary fold. The skin-marking technique allowed for better postoperative breast symmetry regardless of preoperative variations in shape and volume.
The outcomes were considered satisfactory in the majority of cases by both the patient (p = 0.78) and the physician (p = 0.58). Adequate fullness of the upper pole was maintained in 94.7 % of the breasts.
The described technique results in a reduced diameter of the base of the breast, repair of ptosis, repositioning of the nipple-areola complex, and long-term upper pole fullness. Complications can occur with any technique, but it is important to choose a technique with good quality outcomes overall.
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许多报告已经描述了缩乳术和乳房提升术的各种技术方面。作者介绍了他们的技术，该技术结合了文献中已经描述的多种技术，包括乳头乳晕复合体的重新定位、乳房基底直径的缩小以及长期保持乳房圆锥体突出。本研究评估了不同年龄和表型患者的手术结果，包括疤痕尺寸、乳房位置以及短期、中期和长期的患者满意度。
采用倒置 T 形技术进行缩乳术。术前皮肤标记与文献中描述的标记不同，不以乳头乳晕复合体的未来位置作为主要参考点。采用连续环形缝线将乳房固定在胸大肌筋膜上，并缩小乳房基底的直径，从而在乳晕下形成横向疤痕较小。皮肤标记技术使术后乳房对称性更好，无论术前形状和体积如何变化。
大多数患者（p=0.78）和医生（p=0.58）都认为结果令人满意。94.7%的乳房保持了足够的上极饱满度。
所描述的技术可使乳房基底直径缩小、修复下垂、重新定位乳头乳晕复合体，并保持长期上极饱满。任何技术都可能发生并发症，但重要的是要选择总体效果好的技术。
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