Bucaria V, Elia R, Maruccia M, Annoscia P, Boccuzzi A, Giudice G
Division of Plastic and Reconstructive Surgery, Mater Dei Hospital, 10 v. Samuel F Hahnemann, 70125, Bari, Italy.
Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.
Aesthetic Plast Surg. 2018 Dec;42(6):1439-1446. doi: 10.1007/s00266-018-1189-8. Epub 2018 Jul 9.
Nipple-areola complex (NAC) loss is one of the most devastating complications of mastopexy or breast reduction, and it requires revisional procedures with poor aesthetic outcome. In high-risk patients, a free nipple graft could be a choice, but it is associated with the same aesthetic concerns for both patients and surgeons. We report our experience with the septum-supero-medial-based mammaplasty to treat 22 patients with severe breast ptosis (nipple-to-sternal-notch distance > 40 cm). No NAC loss was observed. The study highlights surgical technical details and discusses anatomical considerations to justify the successful result. LEVEL OF EVIDENCE IV: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
乳头乳晕复合体（NAC）缺失是乳房上提术或乳房缩小术最严重的并发症之一，需要进行修复手术，美学效果不佳。在高风险患者中，游离乳头移植可能是一种选择，但患者和外科医生都对其美学效果有所顾虑。我们报告了基于鼻中隔-上内侧的乳房整形术治疗22例严重乳房下垂（乳头至胸骨切迹距离>40 cm）患者的经验。未观察到NAC缺失。该研究强调了手术技术细节，并讨论了解剖学考虑因素以证明手术结果的成功。证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
