Georgiade N G, Serafin D, Morris R, Georgiade G
Ann Plast Surg. 1979 Sep;3(3):211-8. doi: 10.1097/00000637-197909000-00003.
A technique utilizing the inferiorly based dermal pedicle nipple-areolar flap is described. The advantages of this technique are:(1) predictable breast shape based on preoperative markings; (2) direct visibility of all areas for ease of resection and hemostasis; (3) retention of normal nipple duct connections; (4) no impairment of subjective sensation; and (5) adequate blood supply. This technique has particular application in younger women, in whom nipple sensation is quite important. The interruption of the intercostal nerve branches is usually limited because of the thickness and width of the inferior pedicles. Utilizing our modifications of the technique originally described, this versatile flap can now be used routinely in reduction mammaplasties requiring the removal of either small amounts (200 gm) or quite large amounts (2,500 gm) of tissue with consistently satisfactory aesthetic results and excellent patient satisfaction.
本文描述了一种利用以下方为蒂的真皮蒂乳头乳晕皮瓣的技术。该技术的优点包括：（1）基于术前标记可预测乳房形状；（2）所有区域直接可见，便于切除和止血；（3）保留正常的乳头导管连接；（4）不损害主观感觉；（5）血供充足。该技术在年轻女性中具有特殊应用价值，因为乳头感觉对她们非常重要。由于下方蒂的厚度和宽度，肋间神经分支的中断通常有限。利用我们对最初描述的技术的改进，这种多功能皮瓣现在可常规用于需要切除少量（200克）或大量（2500克）组织的乳房缩小成形术，始终能获得令人满意的美学效果和患者满意度。
