Saint-Petersburg State Pediatric Medical University, Saint Petersburg, Russia.
Aesthetic Plast Surg. 2021 Feb;45(1):40-47. doi: 10.1007/s00266-020-01977-8. Epub 2020 Oct 8.
Type I tuberous breast deformity (according to Grolleau's classification) is characterized by the hypoplasia of the lower medial quadrant of the mammary gland and ptosis of the lower lateral quadrant. This results in an aesthetic imbalance in the breast that has an unnatural and unattractive appearance. The study aims to propose a surgical technique ensuring the successful correction of hypoplasia of the lower medial gland quadrant combined with ptosis. The essence of the technique is augmentation mastopexy with circumlateral vertical access. In the presence of pronounced ptosis of the breast, it is combined with the horizontal component and rotation of the gland flap.
The participants in the study were 26 patients (51 breasts) who were treated for type I tuberous breast deformity from 2015 to 2020. The average age of the patients was 34 years (within the range of 27-42 years). Patients from Group I were treated using the technique of circumlateral vertical mastopexy, and patients from Group II using circumlateral vertical augmentation mastopexy with a horizontal component.
The average follow-up period was 36 months (9-60 months). Treatment was aimed to correct tuberous breast deformations of type I (according to Grolleau) combined with varying degrees of ptosis. The complication rate for all patients in this study was 5.4%-1 patient (1.8%) had a hematoma, 1 (1.8%) had postoperative implant malposition, and 1 (1.8%) had visibility and palpability of the implant edges.
Circumlateral vertical access can be applied for augmentation mastopexy in patients who wish to simultaneously correct ptosis and type I tuberous breast deformity and perform breast augmentation.
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I 型结节状乳房畸形（根据 Grolleau 分类）的特征是乳腺下内侧象限发育不良和下外侧象限下垂。这导致乳房的美学失衡，呈现出不自然和不吸引人的外观。本研究旨在提出一种手术技术，确保成功矫正下内侧象限乳腺发育不良并同时矫正下垂。该技术的本质是采用环绕垂直入路进行隆乳乳房上提术。在乳房明显下垂的情况下，它与水平部分和腺体皮瓣旋转相结合。
本研究纳入了 2015 年至 2020 年期间接受 I 型结节状乳房畸形治疗的 26 名患者（51 侧乳房）。患者的平均年龄为 34 岁（27-42 岁）。I 组患者采用环绕垂直乳房上提术治疗，II 组患者采用环绕垂直隆乳乳房上提术联合水平部分。
平均随访时间为 36 个月（9-60 个月）。治疗目的是矫正 I 型（根据 Grolleau）结节状乳房畸形，同时矫正不同程度的下垂。本研究中所有患者的并发症发生率为 5.4%-1 例（1.8%）发生血肿，1 例（1.8%）发生术后植入物位置不当，1 例（1.8%）出现植入物边缘可见和可触及。
环绕垂直入路可应用于希望同时矫正下垂和 I 型结节状乳房畸形并进行乳房增大的患者。
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