Department of Surgery, Section of Plastic and Reconstructive Surgery, Louisiana State University Health Sciences Center, New Orleans, LA.
Louisiana State University Health Sciences Center, School of Medicine, New Orleans, LA.
Aesthet Surg J. 2020 Mar 23;40(4):NP152-NP158. doi: 10.1093/asj/sjz217.
Improving the ptotic breast with mastopexy and restoring upper pole fullness with augmentation continues to be a challenging issue for plastic surgeons. Autologous fat grating (AFG) for shaping and contouring of implant augmented breasts has shown positive outcomes with few complications.
The objective of this study was to evaluate our experience with combined mastopexy and fat grafting for women with existing breast ptosis who prefer not to receive prosthetic breast implants but do desire volume enhancement.
A retrospective review of patients undergoing a single staged mastopexy with AFG, from 2006 to 2017, was performed. Inclusion criteria were women with breast ptosis or tuberous breasts desiring improved breast shape and volume. Patients were excluded if they were undergoing implant removal before the procedure. Clinical aesthetic outcomes were assessed by fellow plastic surgeons according to the Telemark Breast Scoring system.
A total of 284 breasts, in 140 women, underwent a single staged mastopexy with AFG. The mean amount of fat grafted per breast was 299.4 mL (range, 50-710 mL). There were no surgical site infections, hematomas, or seromas. There were 3 major and 8 minor (0.06%) postoperative breast complications. A total of 13 plastic surgeons, of the 183 invited (7.1%), completed the breast outcomes survey. Regarding each category, there was significant improvement (P ≤ 0.0001) in upper pole fullness, ptosis, overall aesthetics, and symmetry postoperatively.
AFG combined with mastopexy is not associated with significant postoperative complications and results in excellent breast aesthetic outcomes.
对于整形外科医生来说，通过乳房提升术改善乳房下垂并通过隆胸术恢复上极饱满度仍然是一个具有挑战性的问题。自体脂肪移植（AFG）用于塑造和修整隆胸后的乳房已显示出良好的效果，且并发症较少。
本研究旨在评估我们对存在乳房下垂且不愿接受假体植入物但希望增强体积的女性进行乳房提升术联合脂肪移植的经验。
对 2006 年至 2017 年间接受单次乳房提升术联合 AFG 的患者进行回顾性研究。纳入标准为乳房下垂或乳房结节的女性，她们希望改善乳房形状和体积。如果患者在手术前进行了假体取出，则排除在外。根据特莱马克乳房评分系统，由同行整形外科医生评估临床美学结果。
共有 140 名女性的 284 个乳房接受了单次乳房提升术联合 AFG。每个乳房平均移植的脂肪量为 299.4 毫升（范围为 50-710 毫升）。无手术部位感染、血肿或血清肿。有 3 例主要并发症和 8 例次要并发症（0.06%）。183 位受邀的整形外科医生中，共有 13 位（7.1%）完成了乳房结果调查。关于每个类别，术后上极饱满度、下垂、整体美学和对称性均有显著改善（P≤0.0001）。
AFG 联合乳房提升术不会引起明显的术后并发症，并能获得极好的乳房美学效果。
