Innocenti Alessandro, Paderi Marta, Dreassi Emanuela
Plastic and Reconstructive Microsurgery, Careggi University Hospital, Florence, Italy.
Dipartimento di Statistica, Informatica, Applicazioni (DiSIA), Viale Giacomo Matteotti 42, 50132, Florence, Italy.
Aesthetic Plast Surg. 2025 Mar;49(6):1715-1727. doi: 10.1007/s00266-024-04415-1. Epub 2024 Oct 9.
Although in breast reshaping, the restoration of a suitable mammary cone is the main goal of the procedure, long-lasting upper pole fullness preservation is the most common weak point of all mastopexy. Mastopexy is a challenging procedure, and a surgical procedure to create desirable long-lasting results has not been well standardized. In this paper, the authors report their experiences in structural mastopexy procedures, describing three different adipo-glandular flaps, each repositioned as auto-prosthesis to reshape upper pole contour in patients affected by a severe degree of breast ptosis.
A 6-year retrospective iconographic-chart and review was performed on 89 patients undergoing mastopexy between January 2016 and December 2021. Surgical candidates reported grades 2 and 3 of ptosis following Regnault classification. Minimum follow-up was 24 months. Pre- and postoperative data for all patients were collected in the same standard conditions.
89 patients affected with bilateral breast ptosis were included in the study, for a total of 178 breasts. Patients' mean age at the time of surgery was 40.45 years, ranging between 28 and 59 years. Follow-up ranged between 2 and 6 years with an average of 47.13 months. Out of 89 patients, 50 underwent general anesthesia, and the remaining 39 underwent local anesthesia. Among the 178 treated breasts, 10 (17.8%) experienced minor complications: No major complications were reported.
Autologous tissue displacement, collecting parenchyma wherever surplus can be recruited, permits the transfer of extra tissue to the lack of volume, recontouring satisfactory breast shape and ensuring long-lasting results.
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尽管在乳房重塑手术中，恢复合适的乳房圆锥形态是该手术的主要目标，但持久保持上极丰满度是所有乳房上提术最常见的薄弱环节。乳房上提术是一项具有挑战性的手术，能产生理想持久效果的手术方法尚未得到很好的规范。在本文中，作者报告了他们在结构性乳房上提术方面的经验，描述了三种不同的脂肪 - 腺体瓣，每种都作为自体假体重新定位，以重塑重度乳房下垂患者的上极轮廓。
对2016年1月至2021年12月期间接受乳房上提术的89例患者进行了为期6年的回顾性影像学图表分析和综述。手术候选者根据雷格诺分类法报告为2级和3级下垂。最短随访时间为24个月。所有患者的术前和术后数据均在相同标准条件下收集。
89例双侧乳房下垂患者纳入研究，共178个乳房。患者手术时的平均年龄为40.45岁，年龄范围在28至59岁之间。随访时间为2至6年，平均为47.13个月。89例患者中，50例接受全身麻醉，其余39例接受局部麻醉。在178个接受治疗的乳房中，10个（17.8%）出现轻微并发症：未报告重大并发症。
自体组织移位，在有多余组织的任何部位收集实质组织，可将额外组织转移到容量不足的部位，重塑出令人满意的乳房形状并确保持久效果。
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