Loonen Martain, Tahir Adnan
King's College Hospital London, Adnan Tahir, UAE.
World J Plast Surg. 2019 Sep;8(3):305-310. doi: 10.29252/wjps.8.3.305.
The combination of the superomedial pedicle with the traditional Wise-pattern skin resection has gained increasing popularity for its versatility and ability to achieve significant reduction of breast parenchyma and skin envelope.
The author describes a reproducible new dermal suspension technique for cranial stabilization and fixation of the superomedial pedicle in Wise inverted T breast reductions to prevent pseudoptosis.
One patient had a small dermal skin abscess caudal from the right areola as a tissue reaction on the remaining suture. The other peri- and post-operative cases were uncomplicated. Two patients experienced a two-week postoperative pain in the areas treated by liposuction. There was no reduced or increased sensibility of the nipple-areola complex. No signs of (pseudo) ptosis were seen. There was a 100% patient satisfaction rate.
Our technique denoted to a direct support of the pedicle using a non-interrupted dermal suspension flap continued with the pedicle to be a medial, caudal and lateral support for the pedicle. The dermal sling reduced the anterior force generated by the pedicle. The pedicle enfolded by the dermal flap formed a vital basis for ingrowth in the surrounding tissue.
超内侧蒂与传统 Wise 模式皮肤切除相结合，因其多功能性以及显著减少乳腺实质和皮肤包膜的能力而越来越受欢迎。
作者描述了一种可重复的新真皮悬吊技术，用于在 Wise 倒 T 形乳房缩小术中稳定和固定超内侧蒂以防止假下垂。
1 例患者右侧乳晕下方出现一个小的真皮皮肤脓肿，为对剩余缝线的组织反应。其他围手术期和术后病例均无并发症。2 例患者在吸脂治疗区域术后疼痛两周。乳头乳晕复合体的感觉没有减退或增强。未见（假）下垂迹象。患者满意度为 100%。
我们的技术通过使用不间断的真皮悬吊皮瓣对蒂进行直接支撑，该皮瓣与蒂相连，为蒂提供内侧、尾侧和外侧支撑。真皮吊带减少了蒂产生的向前力。被真皮瓣包裹的蒂为周围组织的向内生长形成了重要基础。
