Darras Osama, Yacoub Sara, Phuyal Diwakar, Gurunian Raffi, Bishop Sarah N
Department of Plastic Surgery, Cleveland Clinic, Ohio, USA.
JPRAS Open. 2024 Dec 5;43:340-346. doi: 10.1016/j.jpra.2024.12.001. eCollection 2025 Mar.
Breast revision surgery is often necessary in patients following postmastectomy breast reconstruction with free autologous flaps for aesthetic improvement. Indications for nipple-sparing mastectomy continue to be expanded oncologically. However, revision techniques for aesthetic concerns following breast reconstruction are underreported in the literature. Therefore, we describe a mastopexy technique following deep inferior epigastric perforator (DIEP) flap breast reconstruction after nipple-sparing mastectomy to correct ptosis and reshape the breast. The blood supply of the nipple-areolar-complex is through the microvasculature of the DIEP flap and subdermal plexus. We report three patients who underwent nipple preserving Wise-pattern mastopexy following DIEP flap breast reconstruction.
对于接受游离自体皮瓣乳房切除术后乳房重建的患者，为改善美观效果，通常需要进行乳房修复手术。保乳根治术的适应症在肿瘤学领域仍在不断扩大。然而，关于乳房重建后出于美观考虑的修复技术在文献中的报道较少。因此，我们描述了一种在保乳根治术后采用腹壁下深动脉穿支（DIEP）皮瓣乳房重建后进行乳房上提术的技术，以纠正乳房下垂并重塑乳房形态。乳头乳晕复合体的血供通过DIEP皮瓣的微血管系统和皮下丛。我们报告了3例在DIEP皮瓣乳房重建后接受保留乳头的 Wise 式乳房上提术的患者。
