Hester T R, Cukic J
Emory University School of Medicine, Atlanta, Georgia.
Clin Plast Surg. 1988 Oct;15(4):613-25.
We have found the central pedicle, free-hand technique applicable across the spectrum of surgical endeavors that seek to alter breast volume and revise the skin envelope for aesthetic and functional improvement. The rate of occurrence of significant complications has been low. The primary advantages of this approach are that (1) excellent pedicle vascularity has virtually eliminated the need for free nipple-areolar grafting in major reductions and correction of severe ptosis, and (2) in addition to its application in a wide variety of standard breast pathology, the technique allows individualization of volume change and skin brassiere alteration, which has significantly improved aesthetic results in more difficult cases such as the severe asymmetries presented.
我们发现，中心蒂徒手技术适用于各种旨在改变乳房体积并修复皮肤包膜以实现美学和功能改善的外科手术。严重并发症的发生率一直很低。这种方法的主要优点是：（1）出色的蒂血管供应几乎消除了在大幅缩胸和矫正严重乳房下垂时进行游离乳头乳晕移植的必要性；（2）除了应用于各种标准的乳房病变外，该技术还允许对体积变化和皮肤胸罩进行个体化调整，这在诸如严重不对称等更困难的病例中显著改善了美学效果。
