Private Practice, Kultur Mah, Sair Esref Bul, No:61 Bahar Apartmanı K:2 D:5, Alsancak/İzmir, Turkey.
Department of Plastic, Reconstructive and Aesthetic Surgery, Izmir Katip Celebi University Medical Faculty, Izmir Katip Celebi University, Basın Sitesi, Karabağlar, 35360, İzmir, Turkey.
Aesthetic Plast Surg. 2024 Oct;48(19):3896-3903. doi: 10.1007/s00266-024-03986-3. Epub 2024 Mar 28.
Breast ptosis may occur with increasing age, after pregnancy, after breastfeeding, or after weight loss. Understanding the vascular structure of the breast and nipple-areolar complex has guided the reshaping of the breast and thus paved the way for the emergence of different techniques. This study aimed to evaluate the results of tunneled glandular flaps used to increase projection in patients undergoing breast lift surgery.
Patients who underwent breast lift and breast reduction between January 2020 and January 2022 were examined through their files and included in the study. Deepithelialization of the superomedial pedicle was performed. A tunnel was created under the pedicle. A medial or lateral based glandular flap was prepared from the inferir. The prepared glandular flap was passed through the tunnel and fixed to the pectoral muscle.
A total of 32 patients were included in the study. The average age of the patients was 44.31. Thirteen patients were smokers. Diabetes mellitus was present in 5 patients. To increase projection, medial glandular flap was used in 20 patients and lateral glandular flap was used in 12 patients. The average amount of tissue excised from the patients was 785.31 g. The average follow-up period was 14 months.
Tunneled glandular flaps prepared on a lateral or medial basis will be useful in increasing the projection in breast lift surgery.
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随着年龄的增长、怀孕、哺乳或减肥后，乳房可能会出现下垂。了解乳房和乳晕复合体的血管结构指导了乳房的重塑，从而为不同技术的出现铺平了道路。本研究旨在评估隧道式腺体皮瓣在乳房提升手术中增加乳房突出度的效果。
通过查阅文件，对 2020 年 1 月至 2022 年 1 月期间行乳房提升和乳房缩小术的患者进行检查，并将其纳入研究。对超级内侧蒂进行脱上皮化。在蒂下创建一个隧道。从下方准备一个内侧或外侧的腺体皮瓣。准备好的腺体皮瓣通过隧道并固定在胸肌上。
共有 32 例患者纳入研究。患者的平均年龄为 44.31 岁。13 例患者为吸烟者。5 例患者患有糖尿病。为了增加突出度，20 例患者使用内侧腺体皮瓣，12 例患者使用外侧腺体皮瓣。从患者身上切除的组织平均量为 785.31 克。平均随访时间为 14 个月。
在乳房提升手术中，使用基于外侧或内侧的隧道式腺体皮瓣将有助于增加突出度。
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