Raafat Sarah Sherif, Ezzat Sherif Z, Khachaba Youssif A, Aboul-Nasr Laila A
Department of Plastic Surgery, Faculty of Medicine, Cairo University, Egypt.
Plast Reconstr Surg Glob Open. 2020 Oct 15;8(10):e3126. doi: 10.1097/GOX.0000000000003126. eCollection 2020 Oct.
Autologous mastopexy is an alternative for patients with small breasts, ptosis and upper pole hollowness, who desire improvement in their breast shape without using an implant. A variety of techniques have been tried throughout the years. Recently the use of autologous fat grafting (AFG) for breast augmentation increased in popularity and showed satisfying cosmetic outcome in enhancement of size, shape and texture of the breast.
25 patients with grade 2 ptosis were included in this study. Lower Island Flap Transposition (LIFT) technique was modified and either done alone or in combination with lipofilling, whether at the same setting or as a second stage. Preoperative and postoperative measurements and pictures were documented.
Lateral upper pole projection measurements showed an average increase of 28.5% equal to about 1.8 cm. As for the maximum breast projection an increase of about 33% accounting for about 2 cm was documented.
This study shows that the combination of LIFT technique after its modification with AFG has proven to be an effective technique with consistent results for patients presenting with grade 2 ptosis and upper pole hollowness. The addition of AFG to the modified LIFT technique can be considered a step forward in achieving autoaugmentation and autologous mastopexy without using implants.
自体乳房上提术是乳房较小、下垂且上极凹陷的患者的一种选择，这些患者希望在不使用植入物的情况下改善乳房形状。多年来人们尝试了多种技术。最近，自体脂肪移植（AFG）用于隆乳越来越受欢迎，并且在增大乳房尺寸、改善乳房形状和质地方面显示出令人满意的美容效果。
本研究纳入了25例2级乳房下垂患者。改良了下蒂瓣转移（LIFT）技术，该技术可单独实施，也可与脂肪填充联合实施，可在同一阶段进行，也可分两阶段进行。记录术前和术后的测量数据及照片。
上外侧乳房突出度测量显示平均增加了28.5%，约为1.8厘米。至于最大乳房突出度，记录显示增加了约33%，约为2厘米。
本研究表明，改良后的LIFT技术与AFG联合使用，已被证明是一种有效的技术，对于2级乳房下垂和上极凹陷的患者能产生一致的效果。在改良后的LIFT技术中加入AFG可被视为在不使用植入物的情况下实现自体隆乳和自体乳房上提的一个进步。
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