Acta Chir Plast. 2022 Spring;64(1):18-22. doi: 10.48095/ccachp202218.
Breast ptosis is characterized by severe volumetric deficiency of the upper pole, excess of skin in the lower pole and descent of the nipple-areola complex (NAC). Mastopexy, also known as breast lifting, is the surgical operation aimed to reshape the ptotic breast. Recurrence of breast ptosis after mastopexy is common but to the best of our knowledge no study before has measured it.
The aim of this study was to measure the recurrence of breast ptosis after mastopexy in a prospective study.
Female patients affected by unilateral or bilateral moderate or severe breast ptosis were enrolled in the study. All the patients underwent mastopexy performed only with the removal of skin excess following a Wise pattern. The jugular notch-nipple distance was measured before surgery, immediately after surgery and after 1, 3, 6 and 12 months.
Ten patients were included in the study, four underwent unilateral mastopexy and six underwent bilateral mastopexy. The lifting of the NAC, measured in the immediate post-operative period, ranged from 3 to 8.5 cm, with an average value of 6.3 cm. This lifting, one year after surgery, ranged from 2 to 7 cm, with an average value of 4.6 cm. The percentage loss of the NAC lifting one year after surgery compared to the immediate post-operative time ranged from 12.5 to 41.7%, with an average value of 27.5%.
In our case series, the lifting of the NAC obtained immediately after surgery showed an average loss of 27.5% one year after surgery. Even if limited by the low number of patients included, this pilot study is eye-opening on a very common phenomenon that occurs after mastopexy. The patients should be informed about the possible recurrence of the breast ptosis.
乳房下垂的特征是上极体积严重不足、下极皮肤过多和乳头乳晕复合体（NAC）下降。乳房提升术（也称为乳房提升术）是一种旨在重塑下垂乳房的手术操作。乳房提升术后乳房下垂复发很常见，但据我们所知，之前没有研究测量过。
本研究旨在前瞻性研究中测量乳房提升术后乳房下垂的复发情况。
患有单侧或双侧中度或重度乳房下垂的女性患者被纳入研究。所有患者均采用 W 形切口行单纯皮肤切除的乳房提升术。术前、术后即刻、术后 1、3、6 和 12 个月测量颈静脉切迹-乳头距离。
本研究纳入 10 例患者，其中 4 例行单侧乳房提升术，6 例行双侧乳房提升术。术后即刻 NAC 的提升高度为 3 至 8.5cm，平均为 6.3cm。术后 1 年 NAC 的提升高度为 2 至 7cm，平均为 4.6cm。术后 1 年与术后即刻相比，NAC 提升高度的丢失率为 12.5%至 41.7%，平均为 27.5%。
在我们的病例系列中，术后即刻获得的 NAC 提升平均在术后 1 年丢失 27.5%。即使受到纳入患者数量较少的限制，这项初步研究也揭示了乳房提升术后常见的现象。应告知患者可能会出现乳房下垂复发。
