Zelken Jonathan, Tobbia Dalia, Lin Yi-Ling, Cheng Ming-Huei
Z Plastic Surgery, Clinic, Newport Beach, Calif.
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taipei, Taiwan.
Plast Reconstr Surg Glob Open. 2018 Jul 13;6(7):e1723. doi: 10.1097/GOX.0000000000001723. eCollection 2018 Jul.
The inframammary fold (IMF) approach for augmentation mammaplasty is less popular in Asia. The incision was modified to lateral IMF(L-IMF) for easy access and better outcome. The aim of this study was to evaluate if L-IMF approach is feasible in Asian women.
Between 2002 and 2016, 53 patients with 96 augmentation mammaplasties were performed using lateral (L-IMF, 31 cases, 56 breasts) and traditional IMF approaches (T-IMF, 22 cases, 40 breasts). Surgical outcome was compared between L-IMF and T-IMF groups. Scar was assessed using photographic images by 4 assessors with a modified Manchester Scar Score, and telephone surveys available in L-IMF group.
The average age was 41 ± 10.7 years (range, 20-73 years). There were no statistical differences in demographics in both groups besides of implant type ( < 0.01). At a follow-up of 80.1 months (range, 20-173 months), the capsular contracture rate and overall complication rate were statistically lower in L-IMF group, 3.6%, and 3.6%, than in T-IMF group, 15%, and 20% ( = 0.05, and < 0.01, respectively). The modified Manchester Scar for L-IMF scars was 8.47 ± 2.4. The average score of 24 of 31 patients with L-IMF incision was 3.8 ± 0.96/5 points with patient-reported questionnaire. Nineteen patients (79.2%) would recommend or strongly recommend the procedure to friends.
The scar of L-IMF group healed satisfactorily with lower capsular contracture and overall complication rates than T-IMF group. Patients were satisfied with the outcome of breast augmentation and scar appearance using L-IMF approach.
乳房下皱襞（IMF）入路隆乳术在亚洲不太常用。切口被改良为外侧乳房下皱襞（L-IMF）入路，以便于操作并获得更好的效果。本研究的目的是评估L-IMF入路在亚洲女性中是否可行。
2002年至2016年期间，对53例患者实施了96例隆乳术，其中采用外侧（L-IMF，31例，56侧乳房）和传统IMF入路（T-IMF，22例，40侧乳房）。比较L-IMF组和T-IMF组的手术效果。由4名评估者使用改良的曼彻斯特瘢痕评分法通过照片评估瘢痕，并对L-IMF组进行电话调查。
平均年龄为41±10.7岁（范围20 - 73岁）。除植入物类型外，两组的人口统计学特征无统计学差异（<0.01）。在80.1个月（范围20 - 173个月）的随访中，L-IMF组的包膜挛缩率和总体并发症发生率分别为3.6%和3.6%，统计学上低于T-IMF组的15%和20%（分别为=0.05和<0.01）。L-IMF瘢痕的改良曼彻斯特评分为8.47±2.4。采用患者报告问卷，31例L-IMF切口患者中24例的平均评分为3.8±0.96/5分。19例患者（79.2%）会向朋友推荐或强烈推荐该手术。
L-IMF组的瘢痕愈合良好，包膜挛缩率和总体并发症发生率低于T-IMF组。患者对采用L-IMF入路的隆乳效果和瘢痕外观满意。
