Dr Pacifico is a plastic surgeon in private practice in Tunbridge Wells, UK.
Aesthet Surg J. 2021 Jan 1;41(1):16-30. doi: 10.1093/asj/sjaa039.
Breast augmentation in primary or secondary patients with long lower pole lengths but appropriately sited nipples is at high risk of "bottoming out" following surgery. The lower pole mastopexy-augmentation (LPMA) was developed to correct long lower pole lengths or preempt bottoming out in breasts deemed at risk, avoiding the requirement for periareolar and vertical breast scar as well as minimizing the requirement for the utilization of synthetic mesh.
The goal of this short report was to analyze outcomes in patients who underwent the LPMA to determine its application and limitations.
The author reviewed 12 consecutive cases of both primary and secondary situations over a 6-year period. Cases were objectively assessed according to the relationship of the nipple to the point of maximal breast projection on lateral view as well as the upper to lower pole breast proportions.
All cases provided good outcomes, with improvements in both the position of the nipple in relation to the point of maximal breast projection and with respect to the upper to lower pole breast ratios.
LPMA is a useful addition to the armamentarium in dealing with complex situations in breast augmentation.
对于长下极长度但乳头位置适当的原发性或继发性患者，乳房隆乳术后存在“底部外露”的高风险。下极乳房悬吊隆乳术（LPMA）的发展是为了矫正长下极长度或预先防止被认为有风险的乳房“底部外露”，避免乳晕和垂直乳房瘢痕的需要，并最大限度地减少对合成网片的使用。
本短篇报告的目的是分析接受 LPMA 的患者的结果，以确定其应用和局限性。
作者回顾了 6 年内连续的 12 例原发性和继发性病例。根据侧位乳头与最大乳房突出点的关系以及乳房上极到下极的比例，对病例进行客观评估。
所有病例均获得良好效果，乳头在最大乳房突出点的位置以及乳房上极到下极的比例均得到改善。
LPMA 是乳房隆乳术复杂情况下的有用辅助手段。
