Reus W F, Mathes S J
Department of Surgery, University of California, San Francisco.
Plast Reconstr Surg. 1988 Oct;82(4):644-52. doi: 10.1097/00006534-198810000-00014.
In reduction mammaplasty by the inferior pedicle technique, the dermal-breast pedicle can be manipulated to form a central breast mound and enhance breast projection. When this technique is applied both to macromastia and breast asymmetry, excellent early results are reported. To study the effects of time on breast reduction, 22 patients were followed for an average of 4.7 years. Contour of the breast mound and projection are well preserved. However, evaluation of long-term results reveals a gradual increase in the inframammary fold to inferior areola distance. Since no increase in the midclavicle to nipple distance is observed, inferior migration of the breast parenchyma and superior displacement of the nipple-areola with respect to the breast mound occur after reduction mammaplasty with the inferior pedicle technique.
在采用下蒂技术的缩乳术中，可通过操作真皮 - 乳腺蒂来形成中央乳房隆起并增强乳房突出度。当将该技术应用于巨乳症和乳房不对称时，早期效果良好。为研究时间对缩乳效果的影响，对22例患者进行了平均4.7年的随访。乳房隆起的外形和突出度保持良好。然而，长期效果评估显示，乳房下皱襞至乳晕下缘的距离逐渐增加。由于未观察到锁骨中点至乳头距离增加，采用下蒂技术行缩乳术后，乳腺实质向下移位，乳头 - 乳晕相对于乳房隆起向上移位。
