Dec Wojciech
Department of Plastic Surgery, Lenox Hill Hospital, New York, N.Y.
Plast Reconstr Surg Glob Open. 2018 Feb 14;6(2):e1685. doi: 10.1097/GOX.0000000000001685. eCollection 2018 Feb.
Breast reconstruction that leaves no visible scars on the breast is possible for a subset of patients. This article reviews a cohort of 10 patients who underwent 14 autologous breast reconstructions. To achieve a reconstruction without visible breast scars, the mastectomy and autologous reconstruction are carried out through a periareolar incision. At the completion of the reconstruction, a small skin paddle is externalized through the mastectomy incision and in a subsequent stage entirely incorporated into a nipple areola reconstruction. Following completion of the breast and nipple areola reconstruction, a tattoo is performed that extends beyond the perimeter of the reconstructed areola and conceals all scars on the breast mound. The ideal candidate for this technique has a small or medium size breast, which is non- or minimally ptotic, and a donor site that can yield a flap larger than the volume of the native breast. In properly selected patients, this technique consistently yields high-quality results, which match or even surpass the aesthetics of the original breast.
对于一部分患者来说，乳房重建后乳房上不留可见疤痕是可行的。本文回顾了一组接受14次自体乳房重建的10例患者。为了实现无可见乳房疤痕的重建，乳房切除术和自体重建通过乳晕周围切口进行。重建完成后，一个小皮瓣通过乳房切除术切口引出，在随后的阶段完全纳入乳头乳晕重建。乳房和乳头乳晕重建完成后，进行纹身，纹身延伸至重建乳晕的周边之外，遮盖乳房隆起处的所有疤痕。这项技术的理想候选人是乳房大小为中小号、不下垂或轻度下垂，且供区能提供比原乳房体积更大皮瓣的患者。在经过恰当选择的患者中，这项技术始终能产生高质量的效果，与原乳房的美学效果相当甚至更优。
