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乳房悬吊术联合自体脂肪移植。

Mastopexy with Autoaugmentation and Fat Transfer.

机构信息

Private Practice, CaloAesthetics Plastic Surgery Center, Louisville, KY, USA; CaloAesthetics Aesthetic Surgery Fellowship; Department of Surgery, University of Louisville Medical Center, 300 East Market Street, Louisville, KY 40202, USA; Division of Plastic Surgery, University of Kentucky, UK Healthcare, 1000 S Limestone, Lexington, KY 40508, USA.

Private Practice, Vancouver, WA, USA; Department of Plastic Surgery, Loma Linda University Medical Center, 111234 Anderson Street, Loma Linda, CA 92354, USA.

出版信息

Clin Plast Surg. 2021 Jan;48(1):17-32. doi: 10.1016/j.cps.2020.09.008.

Abstract

Patients have been requesting implant removal in revisional breast surgery and options for breast improvement without the use of breast implants in primary breast surgery. This article focuses on perioperative decision making and surgical technique in performing a mastopexy with autoaugmentation and fat grafting. The use of a lower island of breast parenchyma relocated to the upper pole through a central pedicle in primary surgery and a superior pedicle in postexplantation cases, along with fat grafting can provide improvement in global volume or simply additional volume in areas of deficiency, such as the upper poles and medial cleavage region.

摘要

患者在乳房修复手术中要求取出植入物,并且希望在初次乳房手术中不使用乳房植入物来改善乳房。本文重点介绍了在进行乳房上提术伴自体脂肪移植时的围手术期决策和手术技术。在初次手术中,通过中央蒂将下乳晕下乳腺实质岛转移到上极,在后取出植入物的病例中,通过上蒂进行转移,同时进行脂肪移植,可以改善整体体积,或者只是在缺陷区域(如上部和内乳间隙区域)增加额外的体积。

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