Khan Umar D
From Reshape House, Kent, United Kingdom.
Plast Reconstr Surg Glob Open. 2024 Aug 1;12(8):e6016. doi: 10.1097/GOX.0000000000006016. eCollection 2024 Aug.
Breast and chest asymmetries are extremely common, and primary augmentation mammoplasty can be challenging in these cases. However, there is a paucity of information on the relative distribution of these asymmetries and the implant sizes used in these patients.
A retrospective chart review of all consecutive cases of primary augmentation mammoplasty performed by a single surgeon from May 1999 to May 2012 was conducted. Patients with chest and breast asymmetries were noted by clinical examination and observation. These patients were selected to review how many patients had similar or different-sized implants. Patients presenting with unilateral or bilateral ptosis and requiring mastopexy were excluded.
A total of 2051 patients underwent primary augmentation mammoplasty. Uneven chest wall or uneven ribs were noted in 274 patients (right more prominent 72, left more prominent 202). Of these, 169 patients had implants of the same size, and 37 patients had implants of different sizes. Similarly, 1008 patients presented with uneven breasts, and of these, 272 patients had different-sized implants. One patient needed revision surgery for implant size and breast volume readjustment.
Chest and breast asymmetries are extremely common. Routine clinical examination is more than adequate to delineate such asymmetries. The majority of these patients have small differences, and not all patients with asymmetries require implants of different sizes.
乳房和胸部不对称极为常见，在这些情况下进行一期隆乳术可能具有挑战性。然而，关于这些不对称的相对分布以及这些患者所使用的植入物大小的信息却很匮乏。
对1999年5月至2012年5月由一名外科医生连续进行的所有一期隆乳术病例进行回顾性图表审查。通过临床检查和观察记录有胸部和乳房不对称的患者。选择这些患者以审查有多少患者使用了相似或不同大小的植入物。排除出现单侧或双侧乳房下垂且需要乳房上提术的患者。
共有2051例患者接受了一期隆乳术。274例患者存在胸壁或肋骨不对称（右侧更明显72例，左侧更明显202例）。其中，169例患者使用了相同大小的植入物，37例患者使用了不同大小的植入物。同样，1008例患者存在乳房不对称，其中272例患者使用了不同大小的植入物。1例患者需要进行植入物大小和乳房体积调整的修复手术。
胸部和乳房不对称极为常见。常规临床检查足以明确此类不对称情况。这些患者中的大多数差异较小，并非所有不对称患者都需要不同大小的植入物。
