Pers M, Nielsen I M, Gerner N
Ann Plast Surg. 1986 Dec;17(6):449-55. doi: 10.1097/00000637-198612000-00003.
Reduction mammaplasty was performed on 365 patients using the technique of Pers and Bretteville-Jensen. Two to 13 years after the operation, the patients were asked to complete questionnaires; the answers were analyzed and compared with answers from a smaller group of patients who had undergone surgery with McKissock's technique. Primary complications to the procedure were few, and it is remarkable that total necrosis of the nipple was absent in the series. More than 80% of the patients had their general expectations fulfilled, but one third in both groups found the resulting scars unacceptable. The character of the scars seems to be more important than the location. Primary complications were more frequent in overweight patients, and preoperative weight regulation is recommended. An improvement in the character of scars after reduction mammaplasty would be beneficial, and detailed preoperative information is essential if postoperative disappointment is to be avoided.
采用Pers和Bretteville-Jensen技术对365例患者实施了缩乳术。术后2至13年，要求患者填写问卷；对答案进行分析，并与一小群采用McKissock技术进行手术的患者的答案进行比较。该手术的主要并发症较少，值得注意的是，该系列中未出现乳头完全坏死的情况。超过80%的患者实现了总体预期，但两组中均有三分之一的患者认为术后瘢痕难以接受。瘢痕的特征似乎比其位置更为重要。超重患者的主要并发症更为常见，建议术前进行体重控制。改善缩乳术后瘢痕的特征将大有裨益，若要避免术后失望，详细的术前信息至关重要。
