Hwang Dong Yeon, Park Sang Hoon, Kim Sang Wha
Department of Plastic Surgery, ID Hospital, Seoul, Korea; and Department of Plastic and Reconstructive Surgery, College of Medicine, Seoul National University, Seoul National University Hospital, Seoul, Korea.
Plast Reconstr Surg Glob Open. 2017 Feb 22;5(2):e1213. doi: 10.1097/GOX.0000000000001213. eCollection 2017 Feb.
Breast augmentations are commonly performed aesthetic surgical procedures. As the breast is a changeable structure, the ideal location of an implant would be a plane that can adjust to the dynamic changes of the breast. We present a modified dual-plane technique for breast augmentation using the fascia for thin patients.
Between June 2014 and June 2015, 27 patients with small breasts underwent breast augmentation using the modified dual-plane technique. The average age was 29.4 years (range, 20-41 y). The mean body mass index was 18.9 kg/m (range, 17.6-20.4 kg/m).
The mean size of the implant was 288.9 ml (range, 255-360 ml) on the right side and 281.6 ml (range, 255-360 ml) on the left side. All the patients returned to daily-life activities within 1 week. There have been no complications during minimum follow-up periods of 18 months. The mean follow-up was 25.6 months (range, 18-36 mo).
Visible, palpable implants and rippling after breast augmentation with implants are relatively common problems. Our modified dual-plane technique with the serratus anterior fascia can reduce visible rippling and yields a natural-looking breast, especially in thin patients.
隆胸手术是常见的美容外科手术。由于乳房是一个可变的结构，理想的植入物位置应该是一个能够适应乳房动态变化的平面。我们提出一种针对瘦患者使用筋膜的改良双平面隆胸技术。
2014年6月至2015年6月，27例小乳房患者采用改良双平面技术进行隆胸手术。平均年龄29.4岁（范围20 - 41岁）。平均体重指数为18.9 kg/m²（范围17.6 - 20.4 kg/m²）。
右侧植入物平均大小为288.9 ml（范围255 - 360 ml），左侧为281.6 ml（范围255 - 360 ml）。所有患者在1周内恢复日常生活活动。在至少18个月的随访期内无并发症发生。平均随访25.6个月（范围18 - 36个月）。
隆胸后植入物可见、可触及以及出现波纹是相对常见的问题。我们采用前锯肌筋膜的改良双平面技术可减少可见波纹，并产生自然外观的乳房，尤其对于瘦患者。
