Montemurro Paolo, Cheema Mubashir, Pellegatta Tommaso, Hedén Per
private practice in Stockholm, Sweden.
Department of Plastic Surgery, University Hospitals Birmingham, United Kingdom.
Aesthet Surg J Open Forum. 2023 Jan 12;5:ojad003. doi: 10.1093/asjof/ojad003. eCollection 2023.
Breast augmentation is a common aesthetic surgery procedure and surgeons are constantly trying to develop techniques that help improve patients' outcome. One of the most important aspects is achieving a favorable scar. The "traditional" breast augmentation scar is in the inframammary fold (IMF), whereas trans-axillary and trans-umbilical approaches have been described as an attempt to move the "location" of the scar and make it less noticeable. Nonetheless, relatively little attention has been paid to improving the IMF scar, which remains the most commonly used scar for silicone implants.
The authors have previously described a technique that uses an insertion sleeve and custom-made retractors to allow implant insertion through a shorter IMF scar. However, at the time, the authors did not evaluate the quality of the scar and patient satisfaction. In this manuscript, the authors describe patient and clinician-reported outcomes for this short scar technique.
All consecutive female patients, undergoing primary aesthetic breast augmentation with symmetric implants were included in this review.
Three different scar-assessment scales demonstrated good results at 1-year postop, as well as the good correlation between patient-reported and clinician-observed scores. BREAST-Q subscale for overall satisfaction also demonstrated good overall patient satisfaction.
Besides providing an added aesthetic value to the result of breast augmentation, a shorter scar may also appeal to patients who are concerned about the size and quality of postoperative scars and like to search for "before and after" pictures prior to scheduling consultations.
隆胸是一种常见的美容外科手术，外科医生一直在努力开发有助于改善患者手术效果的技术。其中一个最重要的方面是获得理想的疤痕。“传统”的隆胸疤痕位于乳房下皱襞（IMF），而经腋窝和经脐入路已被描述为试图改变疤痕的“位置”并使其不那么明显。尽管如此，对于改善乳房下皱襞疤痕的关注相对较少，而它仍然是硅胶植入物最常用的疤痕。
作者之前描述了一种使用插入套管和定制牵开器的技术，以使植入物能够通过较短的乳房下皱襞疤痕插入。然而，当时作者并未评估疤痕的质量和患者满意度。在本手稿中，作者描述了这种短疤痕技术的患者和临床医生报告的结果。
本综述纳入了所有接受对称植入物进行初次美容隆胸的连续女性患者。
三种不同的疤痕评估量表在术后1年显示出良好的结果，以及患者报告分数与临床医生观察分数之间的良好相关性。BREAST-Q总体满意度子量表也显示出患者总体满意度良好。
除了为隆胸结果增添美学价值外，较短的疤痕可能也会吸引那些担心术后疤痕大小和质量且喜欢在安排咨询前搜索“前后”照片的患者。
