Yasunaga Yoshichika, Tsuchiya Aya, Nakajima Yuta, Kondoh Shoji, Noguchi Masahiko, Yuzuriha Shunsuke
Director of the Division of Plastic and Aesthetic Surgery, Ina Central Hospital, Ina, Japan.
Department of Plastic and Reconstructive Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
Aesthet Surg J Open Forum. 2019 Apr 9;1(2):ojz010. doi: 10.1093/asjof/ojz010. eCollection 2019 Jun.
Breast augmentation for women with asymmetric pectus excavatum (PE) has a characteristic problem in that surgeons need to select implants while considering the left-right difference in breast volume, contour, and position. We herein report a 33-year-old woman with severe asymmetric PE who presented with residual breast asymmetry after chest wall correction using the Nuss procedure. Her right breast appeared hypoplastic and the right anterior chest wall remained depressed. Augmentation of the right breast with a silicone implant was performed, selecting the inserted implant preoperatively with the assistance of three-dimensional (3D) simulation. The breast asymmetry and anterior chest wall depression were improved to a natural appearance. Three-dimensional simulation represents an advantageous way to preoperatively select optimal implants for breast augmentation in asymmetric PE women with breast asymmetry.
对于患有不对称漏斗胸（PE）的女性进行隆胸手术存在一个特殊问题，即外科医生在选择植入物时需要考虑乳房体积、轮廓和位置的左右差异。我们在此报告一名33岁患有严重不对称漏斗胸的女性，她在使用Nuss手术进行胸壁矫正后仍存在乳房不对称。她的右乳发育不全，右前胸壁仍然凹陷。在三维（3D）模拟的辅助下术前选择了植入物，对右乳进行了硅胶植入隆胸。乳房不对称和前胸壁凹陷得到改善，外观自然。三维模拟是术前为患有乳房不对称的不对称漏斗胸女性选择最佳隆胸植入物的一种有效方法。
