From the Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University.
Ann Plast Surg. 2024 Sep 1;93(3):290-296. doi: 10.1097/SAP.0000000000004009. Epub 2024 Jul 5.
Breast reduction surgery has witnessed significant advancements in recent years; however, it continues to pose challenges for both surgeons and patients when dealing with cases involving excessive breast volume and severe breast ptosis. This study aimed to assess the aesthetic outcomes and the impact on the quality of life, as measured by the BREAST-Q questionnaire, in patients with gigantomastia and severe breast ptosis who underwent reduction mammaplasty using the superomedial-based pedicle technique.
We present a retrospective series comprising 84 patients who underwent reduction mammoplasty utilizing the superomedial pedicle technique. The surgical resections exceeded 1 kg per breast, with a mean resection weight of 1506.58 g (right breast) and 1500.32 g (left breast). The preoperative mean suprasternal notch to nipple distance measured 40.50 cm (right breast) and 40.38 cm (left breast). Postoperatively, the patients were followed up for a minimum of 6 months. Both preoperative and postoperative BREAST-Q surveys were administered to the participants, and scores were analyzed using descriptive statistics.
Complications were observed in 3 patients (3.57%), characterized by partial loss of the areola, which resolved spontaneously over time. Additionally, 2 cases of hematoma and 2 instances of minor delayed wound healing were reported. All patients expressed satisfaction with their aesthetic outcomes, as they achieved a natural breast shape and minimal scarring, along with symptomatic relief.
The superomedial pedicle reduction mammaplasty technique has demonstrated its ability to produce satisfactory aesthetic outcomes and long-term benefits in patients with excessively large breasts. Careful patient selection and postoperative management are vital for achieving optimal results. Further investigations involving larger sample sizes and longer follow-up periods are warranted to validate our findings.
IV.
近年来，乳房缩小手术取得了显著进展；然而，对于外科医生和患者来说，当涉及到乳房体积过大和严重乳房下垂的病例时，仍然存在挑战。本研究旨在评估使用基于Superomedial 的蒂技术进行乳房缩小成形术的巨乳症和严重乳房下垂患者的美学效果和生活质量（通过 BREAST-Q 问卷测量）。
我们呈现了一个回顾性系列，包括 84 名接受基于 Superomedial 的蒂技术乳房缩小成形术的患者。手术切除每侧乳房超过 1 公斤，平均切除重量为 1506.58 克（右侧乳房）和 1500.32 克（左侧乳房）。术前胸骨上切迹至乳头的平均距离为 40.50 厘米（右侧乳房）和 40.38 厘米（左侧乳房）。术后对患者进行至少 6 个月的随访。对所有患者进行术前和术后 BREAST-Q 问卷调查，并进行描述性统计分析。
3 名患者（3.57%）出现并发症，表现为乳晕部分缺失，随着时间的推移会自发消退。此外，报告了 2 例血肿和 2 例轻微延迟愈合的病例。所有患者对他们的美学效果表示满意，因为他们实现了自然的乳房形状和最小的疤痕，以及症状缓解。
Superomedial 蒂乳房缩小成形术技术在治疗过大乳房的患者方面显示出了令人满意的美学效果和长期益处。仔细选择患者和术后管理对于实现最佳效果至关重要。需要进一步进行涉及更大样本量和更长随访期的研究来验证我们的发现。
IV 级。
