Makboul Mohamed, Abdelhamid Mahmoud, Al-Attar Ghada
Plastic Surgery Department, Faculty of Medicine, Assiut University, Egypt.
Plastic Surgery Department, Faculty of Medicine, Aswan University, Egypt.
World J Plast Surg. 2017 Jan;6(1):82-87.
Surgery for hypertrophied breast represents a challenge for plastic surgeons. The search for a good cosmetic breast has led to the development of many techniques. Objectives for reduction mammoplasty are to achieve elevated, symmetrical breasts, with round shape, good projection, small cicatrices that are not very perceptible, and a lasting result.
This study was carried out on 60 cases who had done reduction mammoplasty from January 2009 to December 2014. All patients were examined and asked for late post-operative results and overall patients' satisfaction.
Long term projection and contour of the breast were more satisfactory among patients who had superomedial pedicle with a statistical significant difference. No statistical significant difference was observed between patients undergone either types of operations concerning breast symmetry, nipple symmetry and sensation. The mean score of satisfaction was higher among patients undergone superomedial pedicle than inferior pedicle.
The superomedial pedicle shows better long term cosmetic result in reduction mammoplasty.
肥大乳房手术对整形外科医生来说是一项挑战。对美观乳房的追求促使了多种技术的发展。乳房缩小成形术的目标是获得高耸、对称、圆形、突出良好、瘢痕不明显且持久的乳房效果。
本研究对2009年1月至2014年12月期间行乳房缩小成形术的60例患者进行。对所有患者进行检查，并询问术后远期效果及患者总体满意度。
采用上内侧蒂的患者乳房的长期突出度和外形更令人满意，差异有统计学意义。在乳房对称性、乳头对称性和感觉方面，两种手术方式的患者之间未观察到统计学显著差异。采用上内侧蒂的患者满意度平均得分高于下蒂患者。
在上乳房缩小成形术中，上内侧蒂显示出更好的长期美容效果。
