de Vita Roy, Zoccali Giovanni, Buccheri Ernesto Maria
Department of Plastic Surgery, Regina Elena Cancer Institute of Rome, Rome, Italy.
Aesthet Surg J. 2017 Oct 16;37(10):1114-1123. doi: 10.1093/asj/sjx142.
Optimal breast augmentation-mastopexy involves a reliable technique, fast recovery, minimal complications, and aesthetic results that are excellent and enduring.
The authors sought to determine whether the balcony technique of augmentation-mastopexy was safe and yielded satisfactory long-term outcomes in patients with breast ptosis and hypoplasia.
The authors conducted a retrospective review of 207 patients who underwent subglandular augmentation and inverted-T mastopexy with a customized Wise keyhole resection pattern and an inferior flap. Patient satisfaction was assessed anonymously on a visual analog scale via a questionnaire administered 4 years postoperatively.
A total of 182 women received follow-up for 48 months and were included in statistical analyses. High levels of satisfaction were determined using Fischer exact test for breast shape, size, and symmetry, but not for other items, such as scar appearance, body perception, or self-esteem. The most common complications were Baker II capsular contracture and wound dehiscence. No patient experienced nipple loss or skin flap necrosis.
The results of this long-term analysis demonstrate that the balcony technique of augmentation-mastopexy is suitable for patients with breast ptosis and hypoplasia.
理想的隆乳-乳房上提术需要可靠的技术、快速恢复、最少的并发症以及出色且持久的美学效果。
作者试图确定隆乳-乳房上提术的阳台技术对于乳房下垂和发育不全的患者是否安全且能产生令人满意的长期效果。
作者对207例行乳腺下隆乳术及采用定制的改良Wise匙孔切除术和下蒂瓣的倒T形乳房上提术的患者进行了回顾性研究。术后4年通过问卷调查以视觉模拟量表对患者满意度进行匿名评估。
共有182名女性接受了48个月的随访并纳入统计分析。使用Fischer精确检验确定在乳房形状、大小和对称性方面满意度较高，但在其他项目上，如瘢痕外观、身体感知或自尊方面并非如此。最常见的并发症是贝克II级包膜挛缩和伤口裂开。没有患者出现乳头丢失或皮瓣坏死。
这项长期分析的结果表明，隆乳-乳房上提术的阳台技术适用于乳房下垂和发育不全的患者。
4级。
