Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Bari, Italy.
Division of Plastic and Reconstructive Surgery, Mater Dei Hospital, Bari, Italy.
Breast J. 2019 Jul;25(4):590-596. doi: 10.1111/tbj.13291. Epub 2019 May 11.
Massive weight loss is associated with the ptosis of the breast, loss of the upper pole fullness, medialization of the nipples and volume depletion. Post bariatric patients often need breast reshaping with mastopexy or breast reduction. We report the author's experience with the medial central septum based mammoplasty for breast reshaping after massive weight loss.
We retrospectively reviewed the records of 85 women who underwent a medial-central septum based mammaplasty, analyzing patients (age, BMI, comorbidities) and operation specific characteristics' (surgical technique, complications) to identify the advantages and the drawbacks of the adopted technique. All the procedures were performed at a single institution by the senior author of this article.
85 patients were included in the review, in total 170 medial-central septum based mammaplasty were performed over a five years period. Early complications, as hematoma and seroma occurred in 2 patients. No total or partial nipple-areola losses were recorded and the viability of the nipple-areola complex (NAC) was excellent in all the treated patients. Sensation was retained in all breasts. Nine patients showed delayed wound healing at the joint of the T scar; in 5 patients we observed spreading scars.
The medial-central septum based mammaplasty seems to be an effective and safe choice for breast reshaping after massive weight loss, as none of our patients experienced nipple loss and all of them reported good nipple sensation. Moreover, the technique is versatile and can be applied to patients with hypertrophic breasts or gigantomastia.
大量体重减轻会导致乳房下垂、上极丰满度丧失、乳头内移和体积减少。减肥后的患者通常需要乳房整形，包括乳房提升术或乳房缩小术。我们报告作者在大量体重减轻后采用基于内侧中央隔的乳房成形术进行乳房整形的经验。
我们回顾性地审查了 85 名接受基于内侧中央隔的乳房成形术的女性患者的记录，分析了患者（年龄、BMI、合并症）和手术特异性特征（手术技术、并发症），以确定所采用技术的优缺点。所有手术均由本文的资深作者在一家机构进行。
85 例患者被纳入回顾性分析，5 年内共进行了 170 例基于内侧中央隔的乳房成形术。有 2 例患者出现早期并发症，如血肿和血清肿。没有记录到乳头乳晕完全或部分缺失，所有接受治疗的患者的乳头乳晕复合体（NAC）的活力均良好。所有乳房均保留感觉。9 例患者在 T 形瘢痕的交界处出现延迟愈合；5 例患者观察到瘢痕扩散。
基于内侧中央隔的乳房成形术似乎是一种有效的、安全的选择，适用于大量体重减轻后的乳房整形，因为我们的患者中没有发生乳头缺失，并且所有患者均报告了良好的乳头感觉。此外，该技术具有多功能性，可应用于乳房肥大或巨乳症患者。
