Gardeil L, Delpierre V, Auquit Auckbur I
Service de chirurgie plastique, CHU de Rouen, 1, rue de Germont, 76000 Rouen, France.
Service de chirurgie plastique, Centre Hospitalier du Belvédère, 72, rue Louis Pasteur, 76131 Mont Saint Aignan, France.
Ann Chir Plast Esthet. 2022 Nov;67(5-6):291-296. doi: 10.1016/j.anplas.2022.06.006. Epub 2022 Jul 28.
Young women who have malformative breasts logically ask themselves the question of the functionality of their mammary gland and future breastfeeding. Several surgical techniques are possible and the ones that seem to hinder breastfeeding the most are breast reduction and breast prosthesis. Insufficient lactation is a quantitative milk disorder where the mother is unable to ensure sufficient milk production or transfer. It's clear that the calculation of its rate is today the best indicator to evaluate the lactation function. There are still very few studies using this criterion, but their results confirm an alteration in lactation whether after reduction or augmentation breast surgery. It's important to inform patients of the difficulties they may encounter, a high probability of mixed breastfeeding and a shorter duration. But also on the effects that a pregnancy can have on the aesthetic result: decrease of firmness, ptosis, modification of the volume.
乳房畸形的年轻女性自然会问自己乳腺功能及未来母乳喂养的问题。有几种手术方法可行，而似乎对母乳喂养阻碍最大的是乳房缩小术和乳房假体植入术。泌乳不足是一种乳汁量的紊乱，母亲无法确保产生足够的乳汁或进行乳汁传输。显然，目前计算其发生率是评估泌乳功能的最佳指标。使用这一标准的研究仍然很少，但其结果证实，无论是乳房缩小术还是隆乳术后，泌乳都会受到影响。告知患者她们可能遇到的困难、混合喂养的高可能性以及较短的母乳喂养持续时间很重要。还要告知她们怀孕对美学效果可能产生的影响：乳房紧致度下降、下垂、体积改变。
