Ron Ofir, Inbal Amir, Arad Ehud, Zaretski Arik, Leshem David, Yanko Ravit, Gur Eyal, Barnea Yoav
Breast Reconstruction Unit, Department of Plastic and Reconstructive Surgery, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizmann St, 6423906, Tel-Aviv, Israel.
Aesthetic Plast Surg. 2018 Jun;42(3):639-647. doi: 10.1007/s00266-017-1015-8. Epub 2017 Dec 7.
The superomedial vertical scar breast reduction (SVBR) described by Hall-Findlay is gaining popularity among surgeons worldwide. The aim of this study was to evaluate its long-term aesthetic outcome, the extent of quality of life improvement and the factors that influence patient satisfaction and reviewers' evaluation of aesthetic/surgical outcome.
In this historical prospective study, we included women who underwent SVBR at least one year prior to enrollment and responded to a quality of life questionnaire. Their breasts were photographed, measured and evaluated by the plastic surgery staff.
A total of 40 patients responded to the questionnaire, and the breasts of 31 of them were measured and photographed. All 31 patients had good breast symmetry according to objective breast measurements. There was a clear correlation between the patients' and the reviewers' scores of breast symmetry, scar appearance and breast shape (r = 0.4-0.65, r = 0.432-0.495 and r = 0.335-0.403, respectively). The factor that most influenced reviewers' and patients' satisfaction with the overall aesthetic outcome was the breast-to-body proportion.
The proportions between the breast size and the patient's body habitus are pivotal to patient satisfaction and should be taken into consideration when planning a reduction mammaplasty. The SVBR technique for breast reduction provided good cosmetic outcome and symmetry over a long-term follow-up.
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霍尔-芬德利描述的超内侧垂直瘢痕乳房缩小术（SVBR）在全球外科医生中越来越受欢迎。本研究的目的是评估其长期美学效果、生活质量改善程度以及影响患者满意度和评审员对美学/手术效果评价的因素。
在这项历史性前瞻性研究中，我们纳入了在入组前至少一年接受SVBR并对生活质量问卷作出回应的女性。她们的乳房由整形外科工作人员进行拍照、测量和评估。
共有40名患者对问卷作出回应，其中31名患者的乳房被测量和拍照。根据客观乳房测量，所有31名患者的乳房对称性良好。患者和评审员在乳房对称性、瘢痕外观和乳房形状方面的评分之间存在明显相关性（分别为r = 0.4 - 0.65、r = 0.432 - 0.495和r = 0.335 - 0.403）。对评审员和患者对整体美学效果满意度影响最大的因素是乳房与身体的比例。
乳房大小与患者身体形态之间的比例对患者满意度至关重要，在计划乳房缩小整形手术时应予以考虑。SVBR乳房缩小技术在长期随访中提供了良好的美容效果和对称性。
证据水平IV：本期刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
