Sultan Mark R, Schwartz Jamie A, Smith Mark L, Samson William, Dayan Joseph
Division of Plastic and Reconstructive Surgery, St Luke's-Roosevelt Hospital Center and Beth Israel Medical Center, New York, NY, USA.
Ann Plast Surg. 2013 Sep;71(3):300-3. doi: 10.1097/SAP.0b013e31829190af.
A small percentage of patients who undergo Wise pattern mammaplasties request revisions to address recurrent macromastia or poor breast shape. Reuse of the Wise pattern method at times results in disappointing aesthetic results. Recently, in a series of 15 consecutive patients, we used vertical techniques with glandular reshaping to perform these revisions. Advantages include the ability to significantly improve breast shape and to avoid reopening of potentially problematic inframammary scars. No major complications occurred. Patients have been uniformly pleased with the significant improvement in their breast contour, width, and size. In summary, despite the use of the Wise pattern method for the original procedure, consideration should be given to use vertical techniques for revisions in that they are safe and can better address patient goals. Gratifying results can be achieved.
一小部分接受“Wise模式”乳房整形术的患者要求进行修复手术，以解决复发性巨乳症或乳房外形不佳的问题。有时重复使用“Wise模式”方法会导致令人失望的美学效果。最近，在连续15例患者中，我们采用垂直技术并进行腺体重塑来进行这些修复手术。其优点包括能够显著改善乳房外形，并避免重新切开潜在有问题的乳房下皱襞瘢痕。未发生重大并发症。患者对乳房轮廓、宽度和大小的显著改善一致感到满意。总之，尽管最初的手术使用了“Wise模式”方法，但修复时应考虑使用垂直技术，因为它们安全且能更好地实现患者的目标。可以取得令人满意的效果。
