Department of Plastic and Reconstructive Surgery, Functional Unit of Plastic Pediatric, La Fe University Hospital, Valencia, Spain.
, New York, USA.
Aesthetic Plast Surg. 2020 Apr;44(2):264-269. doi: 10.1007/s00266-019-01531-1. Epub 2019 Oct 31.
Tuberous breast deformity in the adolescent can be a source of anxiety and social isolation. Current techniques of implant placement and flap reconstruction are not always feasible in this population.
The authors evaluated the use of autologous fat grafting with percutaneous fasciotomy and reduction in the nipple-areolar complex for correction of tuberous breast deformity in teenagers.
A retrospective chart review was conducted for nine teenaged patients with tuberous breast deformity who received autologous fat grafting between January 2016 and December 2018. The recipient site was prepared with the use of percutaneous fasciotomies to release the constricted lower pole of the breast, lowering of the inframammary crease, and reduction in the nipple-areolar complex. Fat was harvested by conventional liposuction prior to injection through three designated sites located at the inframammary fold, anterior axillary line, and upper pole. Complications were recorded.
Patients had an average age of 14.9 years at the time of surgery. An average of 1.8 filling sessions were required with a mean of 220 cc of fat injected per breast. Patients were followed for an average of 21 months postoperatively. No serious complications were noted. All patients reported satisfaction with their final outcomes.
Autologous fat grafting in conjunction with percutaneous fasciotomy and reduction in the nipple-areolar complex is a safe and effective treatment of the tuberous breast deformity in teenage patients. It provides an esthetic result with minimal scarring and high satisfaction rates while eliminating the need for flaps or implants.
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青少年的乳房畸形可能会导致焦虑和社交孤立。目前，对于该人群，植入物放置和皮瓣重建等技术并不总是可行的。
作者评估了经皮筋膜切开术联合乳头乳晕复合体自体脂肪移植矫正青少年乳房畸形的效果。
对 2016 年 1 月至 2018 年 12 月期间接受自体脂肪移植的 9 例乳房畸形青少年患者进行了回顾性病历分析。使用经皮筋膜切开术准备受体部位，以松解乳房下部的限制，降低乳房下皱襞，并缩小乳头乳晕复合体。在注射之前，通过位于乳房下皱襞、前腋前线和上极的三个指定部位常规抽吸获取脂肪。记录并发症情况。
患者手术时的平均年龄为 14.9 岁。平均需要进行 1.8 次填充治疗，每侧乳房注射 220cc 脂肪。术后平均随访 21 个月。未发生严重并发症。所有患者均对最终结果表示满意。
经皮筋膜切开术联合乳头乳晕复合体自体脂肪移植是治疗青少年乳房畸形的一种安全有效的方法。它可以提供美学效果，疤痕最小，且患者满意度高，同时消除了对皮瓣或植入物的需求。
证据等级 IV：本刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述，请参考目录或在线作者指南（www.springer.com/00266）。
