Bonomi Riccardo, Johnson Miguel, Toussoun Gilles
Division of Oncoplastic and Cosmetic Breast Surgery, BMI Goring Hall Hospital, Worthing, UK.
Department of Plastic Reconstructive & Aesthetic Surgery, Queen Victoria Hospital NHS Trust, East Grinstead, UK.
J Surg Case Rep. 2020 Sep 24;2020(9):rjaa373. doi: 10.1093/jscr/rjaa373. eCollection 2020 Sep.
Tuberous breast deformity refers to a deformity of the breast that is characterized by varying degree of herniation of the breast parenchyma, widened nipple areolar complex, constriction of the breast base and may involve some degree of hypoplasia. Tuberous breast deformity is most often seen in young women who commonly presents due to dissatisfaction with breast symmetry, as this can be a source of significant psychosocial distress. Principles of reconstruction are focused on recreating an aesthetically pleasing breast shape and achieving symmetrization. Traditionally, reconstruction commonly involved utilization of breast implants or local flap to achieve these goals. The introduction of fat transfer has led to a paradigm shift in aesthetic breast surgery. Fat grafting is safe and can reliably achieve satisfactory aesthetic results in selected cases and reduces the need for implants or local flaps. Concepts that reduce scar burden allows for even more satisfactory aesthetic outcomes.
管状乳房畸形是指乳房的一种畸形，其特征为乳腺实质不同程度的疝出、乳头乳晕复合体增宽、乳房基部缩窄，且可能伴有一定程度的发育不全。管状乳房畸形最常见于年轻女性，她们通常因对乳房对称性不满意而就诊，因为这可能会导致严重的心理社会困扰。重建的原则侧重于重塑美观的乳房形状并实现对称。传统上，重建通常涉及使用乳房植入物或局部皮瓣来实现这些目标。脂肪移植的引入导致了美容乳房手术的范式转变。脂肪移植是安全的，在选定的病例中可以可靠地实现令人满意的美学效果，并减少了对植入物或局部皮瓣的需求。减少疤痕负担的理念可以带来更令人满意的美学效果。
