Emory School of Medicine, Atlanta, GA, USA.
Emory Division of Plastic and Reconstructive Surgery, 3200 Downwood Circle Northwest, Atlanta, GA, 30327, USA.
Aesthetic Plast Surg. 2024 Oct;48(19):3810-3816. doi: 10.1007/s00266-024-03896-4. Epub 2024 Mar 6.
Reduction mammoplasty is a common reconstructive and esthetic procedure with variable long-term outcomes regarding breast shape, projection, and nipple-areolar complex. One common complaint is recurrent breast ptosis, which may be mitigated by sufficient support of the inferior pole. This review will look at the effects of mesh in mitigating postoperative ptosis following reduction mammoplasty.
A comprehensive review of the literature was performed using the PubMed database. Manuscripts that provided data with respect to the effects of mesh on cosmetic outcomes, patient-reported outcomes, complications, and surveillance were utilized.
Six studies with a total of 634 patients were included in this review. There is limited evidence to support a cosmetic benefit with the use of mesh in reduction mammoplasty patients. While subjective satisfaction was demonstrated in one paper, few others had objective measurements of the impact of mesh. Complications included infection, skin necrosis, and loss of nipple sensation. Mammography was found to not be affected by mesh placement.
The use of mesh during reduction mammoplasty is a relatively modern innovation that does not appear to have a significantly different risk profile than that of traditional reduction procedures. There is limited cosmetic value based on currently available data. More objective future analysis is necessary in order to justify the use of mesh in reduction mammoplasty for its claimed cosmetic benefits.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.springer.com/00266.
缩乳术是一种常见的重建和美容手术，其乳房形状、突出度和乳头乳晕复合体的长期效果存在差异。常见的抱怨之一是乳房复发性下垂，通过充分支撑下极可以减轻这种情况。本综述将探讨网片在减轻缩乳术后乳房下垂的作用。
使用 PubMed 数据库对文献进行全面综述。使用提供了有关网片对美容效果、患者报告结果、并发症和监测影响的数据的文献。
本综述纳入了 6 项共 634 例患者的研究。有有限的证据支持在缩乳术患者中使用网片可获得美容益处。虽然有一篇论文证明了主观满意度，但其他几篇论文都没有对网片的影响进行客观测量。并发症包括感染、皮肤坏死和乳头感觉丧失。乳房 X 线摄影未发现网片放置对其有影响。
在缩乳术中使用网片是一种相对较新的创新，其风险特征似乎与传统的缩乳术没有明显不同。根据目前可用的数据，其美容价值有限。为了证明网片在缩乳术中声称的美容益处是合理的，需要进行更客观的未来分析。
证据水平 III：本期刊要求作者为每篇文章分配一个证据水平。有关这些循证医学分级的更详细说明，请参考目录或在线作者指南 www.springer.com/00266。
