Swanson Eric
Swanson Center, Leawood, Kans.
Plast Reconstr Surg Glob Open. 2020 Sep 21;8(9):e3092. doi: 10.1097/GOX.0000000000003092. eCollection 2020 Sep.
Numerous augmentation/mastopexy methods have been described in the literature, including those reported in 16 publications in 2019. However, objective measurements of breast dimensions are lacking, leaving little information on which to base treatment selection. The goal is to increase upper pole projection using an implant and correct ptosis by elevating the lower pole with the mastopexy.
A PubMed search was conducted to identify published augmentation/mastopexy methods. Lateral photographs were matched for size and orientation and then compared using a 2-dimensional measurement system. Measurements were compared for 5 common approaches-vertical; periareolar; inverted-T, central mound; inverted-T, superior pedicle; and inverted-T, inferior pedicle. Four publications not fitting these 5 groups were also evaluated. Measurement parameters included breast projection, upper pole projection, lower pole level, breast mound elevation, nipple level, area, and breast parenchymal ratio.
A total of 106 publications were identified; 32 publications included lateral photographs suitable for comparison. Twenty-eight publications fitting 1 of the 5 groups were compared. All published augmentation/mastopexy methods increased breast projection and upper pole projection, although not significantly for inverted-T methods. Vertical augmentation/mastopexy was the only method that significantly raised the lower pole level ( < 0.05). The vertical technique also significantly ( < 0.01) increased the breast parenchymal ratio. Periareolar; inverted-T, central mound; and inverted-T, inferior pedicle methods produced nonsignificant increments in the breast parenchymal ratio.
Breast implants increase breast projection and upper pole projection. Only vertical augmentation/mastopexy significantly elevates the lower pole. This method also significantly increases the breast parenchymal ratio, achieving the surgical objectives.
文献中已描述了多种隆乳/乳房上提术方法，包括2019年16篇出版物中报道的那些方法。然而，缺乏对乳房尺寸的客观测量，几乎没有可供治疗选择参考的信息。目标是使用植入物增加上极突出度，并通过乳房上提术抬高下极来矫正乳房下垂。
进行PubMed检索以确定已发表的隆乳/乳房上提术方法。将外侧照片按大小和方向进行匹配，然后使用二维测量系统进行比较。对5种常见方法进行测量比较——垂直法；乳晕周围法；倒T形、中央隆起法；倒T形、上蒂法；倒T形、下蒂法。还评估了不符合这5组的4篇出版物。测量参数包括乳房突出度、上极突出度、下极水平、乳房隆起高度、乳头水平、面积和乳房实质比例。
共识别出106篇出版物；32篇出版物包含适合比较的外侧照片。比较了符合5组中1组的28篇出版物。所有已发表的隆乳/乳房上提术方法均增加了乳房突出度和上极突出度，尽管倒T形方法增加不显著。垂直隆乳/乳房上提术是唯一显著提高下极水平的方法（P<0.05）。垂直技术还显著（P<0.01）增加了乳房实质比例。乳晕周围法；倒T形、中央隆起法；倒T形、下蒂法在乳房实质比例上增加不显著。
乳房植入物增加乳房突出度和上极突出度。只有垂直隆乳/乳房上提术能显著抬高下极。该方法还显著增加了乳房实质比例，实现了手术目标。
