基于黄金分割比例的多平面乳房成形术
Multiplanar Assembly Mammaplasty Based on the Divine Proportion.
作者信息
Pereira Filho Osvaldo, BIns Ely Jorge, Lee Kuang Hee, Paulo Elizabeth Machado, Granemann Alfredo Spautz
机构信息
Plastic Surgery Department, Clinica Jane - Hospital Ilha - UFSC, Florianópolis, Santa Catarina, Brazil.
Universidade Federal de Santa Catarina - UFSC, Florianópolis, Santa Catarina, Brazil.
出版信息
Plast Reconstr Surg Glob Open. 2019 Feb 13;7(2):e1979. doi: 10.1097/GOX.0000000000001979. eCollection 2019 Feb.
BACKGROUND
The study sought to plan mastopexy and breast reduction according to the principle of the divine proportion, represented by the letter phi, via the convergent assembly of multiple layers to create the new breast. This strategy is based on the constancy of the submammary fold and the orientation of the vertex of a V-shaped triangle opening at approximately 60° at the umbilicus, with each branch opening in the direction of the acromioclavicular joint.
METHODS
The strategy was prospectively investigated in 265 patients (n = 530 breasts). The mean patient age was 36 years. The follow-up ranged from 6 months to 3 years.
RESULTS
A total of 220 patients (83%) received a good score (1-4) according to Strasser grading. Complications were few, but included delayed healing with minimal scar ulceration in 19 patients (7%), asymmetry in 16 (6%), and partial nipple necrosis in 4 (1.5%).
CONCLUSIONS
This approach adds precision to mammaplasty, reduces the laxity in the axillary region, promotes bulk in the upper pole, and eases nipple-areola complex elevation.
背景
本研究旨在根据以希腊字母φ表示的黄金比例原则，通过多层的汇聚组合来塑造新乳房，从而规划乳房上提术和乳房缩小术。该策略基于乳房下皱襞的恒定以及一个V形三角形顶点的方向，该三角形在脐部开口约60°，每个分支朝着肩锁关节方向开口。
方法
对265例患者（共530侧乳房）进行了前瞻性研究。患者平均年龄为36岁。随访时间为6个月至3年。
结果
根据施特拉塞尔分级，共有220例患者（83%）获得了良好评分（1 - 4分）。并发症较少，但包括19例患者（7%）出现延迟愈合伴轻微瘢痕溃疡，16例（6%）出现不对称，4例（1.5%）出现部分乳头坏死。
结论
这种方法提高了乳房整形手术的精确性，减少了腋窝区域的松弛，增加了乳房上极的丰满度，并便于乳头乳晕复合体的提升。
Zotero 插件