Austin Ryan E, Lista Frank, Ahmad Jamil
Division of Plastic and Reconstructive Surgery, University of Toronto, 149 College Street, 5th Floor, Suite 508, Toronto, Ontario M5T 1P5, Canada.
Division of Plastic and Reconstructive Surgery, University of Toronto, Toronto, Ontario, Canada.
Clin Plast Surg. 2016 Apr;43(2):383-93. doi: 10.1016/j.cps.2015.12.004. Epub 2016 Feb 11.
Recurrent or persistent macromastia can occur after breast reduction. This may be due to inadequate primary volume reduction, poor postoperative shape, and breast or nipple-areola complex asymmetry. Postpartum breast changes, weight change, and aging can also contribute to recurrent macromastia. The concern in these cases is the altered blood supply to the nipple-areola complex and the safety of nipple-areola complex transposition. Literature on the safety of repeated breast reduction is limited with conflicting approaches. This article discusses an approach to recurrent or persistent macromastia and outlines a modified breast reduction technique that is safe in cases of repeated breast reduction.
乳房缩小术后可能会出现复发性或持续性巨乳症。这可能是由于初次缩乳量不足、术后外形不佳以及乳房或乳头乳晕复合体不对称所致。产后乳房变化、体重改变和衰老也可能导致复发性巨乳症。这些病例中需要关注的是乳头乳晕复合体血供的改变以及乳头乳晕复合体移位的安全性。关于重复乳房缩小术安全性的文献有限，且方法存在争议。本文讨论了复发性或持续性巨乳症的处理方法，并概述了一种改良的乳房缩小技术，该技术在重复乳房缩小术的情况下是安全的。
