Wilflingseder P
Langenbecks Arch Chir. 1977 Nov;345:163-72. doi: 10.1007/BF01305467.
Three distinct methods have proved practicable: The dermafat-transposition (DeCholnoky), the skin flap procedures, and the retromammary implants. The motivation of the patient must be carefully balanced against various complications. Frequently a constrictive fibrosis impairs the primary pleasant shape, position, and consistency of the breasts soon or many years after implantation of soft polydimethylsiloxane material, due to phagocytosis and decomposition of plastic particles. Capsulotomy, capsulectomy, or squeezing of the implants can regain approximately the original good appearance, but does not solve the problem of continuous foreign body reaction. The malignancy risks require close follow-up examinations.
真皮脂肪转移术（德乔尔诺基法）、皮瓣手术和乳房后植入物。必须仔细权衡患者的动机与各种并发症。由于塑料颗粒的吞噬作用和分解，在植入柔软的聚二甲基硅氧烷材料后不久或多年，常常会出现一种收缩性纤维化，损害乳房最初的良好形状、位置和质地。切开包膜、切除包膜或挤压植入物可大致恢复原来的良好外观，但无法解决持续的异物反应问题。恶性肿瘤风险需要密切随访检查。
