Innocenti Alessandro
Plastic and Reconstructive Microsurgery, Careggi University Hospital, Viale Giacomo Matteotti 42, 50132, Florence, Italy.
Aesthetic Plast Surg. 2025 Mar;49(5):1340-1348. doi: 10.1007/s00266-024-04451-x. Epub 2024 Oct 24.
Breast asymmetry is a common disorder, which can lead to significant emotional distress. Despite this, there is currently no widely accepted approach for managing this prevalent condition. Due to the high dimorphism of the breast, despite a satisfactory result in the short-term post-op, the recurrence of asymmetry is one of the most common weak points of breast recontouring. The purpose of this paper is to investigate the long-lasting maintenance of breast symmetry in women who have undergone surgical correction of asymmetric breasts through mastopexy or reduction mammoplasty and to try to identify some specific elements to achieve more stable outcomes in the long term.
A retrospective study was conducted on 1,984 breast surgical procedures carried out between 2002 and 2020 to evaluate patient satisfaction and the recurrence rate of asymmetry disorders. All the patients enrolled in this study were given a questionnaire to evaluate their satisfaction level. A retrospective iconographic-chart review was investigated by the same senior surgeon, who recorded the presence or the absence of recurring breast asymmetry.
In total, 1984 patients were enrolled who respected the minimum standard of the study; 596 showed up at post-op follow-up longer than three years. Most of the patients showed great satisfaction with the results, even if several recurrences of asymmetry were reported.
The recurrence of asymmetry is one of the most common weak points of breast asymmetry correction procedures due to the high dimorphism of the breasts. In order to fully assess the results of asymmetric breast correction, patients should be required to attend a post-op follow-up examination after a long time frame. Indeed, the strength of this paper lies in the focus on long-term postoperative follow-up.
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 the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
乳房不对称是一种常见病症，会导致严重的情绪困扰。尽管如此，目前尚无广泛接受的方法来处理这种普遍情况。由于乳房的高度二态性，尽管术后短期内效果令人满意，但不对称的复发是乳房重塑最常见的弱点之一。本文旨在研究通过乳房上提术或缩乳术对不对称乳房进行手术矫正的女性乳房对称性的长期维持情况，并试图确定一些特定因素以实现更稳定的长期效果。
对2002年至2020年间进行的1984例乳房手术进行回顾性研究，以评估患者满意度和不对称病症的复发率。本研究纳入的所有患者均接受问卷调查以评估其满意度水平。由同一位资深外科医生进行回顾性图像图表审查，记录乳房不对称复发的情况。
总共纳入了1984例符合研究最低标准的患者；596例患者术后随访时间超过三年。大多数患者对结果表示非常满意，尽管报告了几例不对称复发情况。
由于乳房的高度二态性，不对称的复发是乳房不对称矫正手术最常见的弱点之一。为了全面评估不对称乳房矫正的结果，应要求患者在较长时间框架后进行术后随访检查。事实上，本文的优势在于关注术后长期随访。
证据水平V：本期刊要求作者为每篇文章指定证据水平。有关这些循证医学评级的完整描述，请参阅目录或在线作者指南www.springer.com/00266 。
