Reshape Clinic, Reshape House, 2-4 High Street, West Malling, Kent, ME19 6QR, UK.
Yeovil District Hospital, Yeovil. Somerset, BA21 4AT, UK.
Eur J Med Res. 2022 Aug 27;27(1):159. doi: 10.1186/s40001-022-00790-0.
Removal of implants without replacement is often requested, and the procedure is more commonly performed today than ever before. However, the resultant loss of body image, secondary to the loss of breast volume, is not an outcome, that a patient is looking forward to. There is a lack of information on the options available to the patients following explantation. This case series presents an option of breast volume preservation and reshaping during mastopexy after breast implant removal that can be offered to selected patients. In the current case series, de-epithelialised dermoglandular flap mastopexy was used as an autologous tissue for breast reshaping and remodelling.
Since 2015, ten patients were selected for de-epithelialised dermoglandular mastopexy using wise pattern or vertical scar. Surgery was performed under general anaesthesia as a day case. A vertically oriented bipedicular dermoglandular flap was used for vertical scar mastopexy in two patients, and eight patients had Wise pattern incisions. Of these eight patients, four had superomedial and four had inferiorly based flaps for dermoglandular mastopexy and closure. All patients had a preoperative cup size D or larger.
All patients had adequate results with an acceptable breast cup size. There was no skin breakdown, nipple loss, haematoma or infection.
De-epithelialised dermoglandular flap mastopexy is a safe procedure and can be used as an option in selected patients.
IV.
去除植入物而不进行更换的要求经常被提出，而且这种手术比以往任何时候都更常见。然而，由于乳房体积的丧失而导致的身体形象的丧失并不是患者所期望的结果。对于接受植入物取出后的患者，缺乏关于可用选择的信息。本病例系列介绍了在乳房植入物去除后进行乳房悬吊术时保留和重塑乳房体积的选择，可提供给选定的患者。在目前的病例系列中，去表皮真皮腺皮瓣乳房悬吊术被用作乳房重塑和塑形的自体组织。
自 2015 年以来，选择了 10 名患者进行去表皮真皮腺皮瓣乳房悬吊术，采用明智模式或垂直疤痕。手术在全身麻醉下作为日间手术进行。两名患者采用垂直定向双足真皮腺皮瓣进行垂直疤痕乳房悬吊术，八名患者采用 Wise 切口。这八名患者中，有四名患者采用了上内侧和下内侧皮瓣进行真皮腺皮瓣乳房悬吊术和闭合。所有患者术前乳房杯尺寸均为 D 或更大。
所有患者均获得了足够的结果，乳房杯尺寸可接受。没有皮肤破裂、乳头丢失、血肿或感染。
去表皮真皮腺皮瓣乳房悬吊术是一种安全的手术方法，可作为选定患者的选择之一。
IV。
