Przybilski R
Z Plast Chir. 1981 Jun;5(2):93-101.
Since January 1966, 1,390 reduction mammaplasty have been carried out at our clinic. 685 patients on whom we had operated were sent questionnaires containing the following questions: 1. Date of first appearance of the breast hypertrophy 2. Pre-operative complaints arising from too large breasts 3. Patient's post mammaplasty opinion of the breast shape and size. Answers were received from 532 Patients and the following conclusions may be drawn: To 1.: In the majority of cases, hypertrophy of the breasts occurred during puberty and following the first pregnancy. To 2.: Psychological disturbances caused by a too large breast were predominant. However, this was frequently combined with physical complaints. To 3.: Approx. 90% of our patients are satisfied with the post-operative results. Every second patient experiences some change in sensitivity in the region of the mammilli following the operation. Because the patients' post-operative judgment of the aesthetic result is closely correlated with scar tissue formation, we use the less noticeable L-cut in the case of gland resection under 200--300 g and the T-cut only in the case of extensive mammaplasty reduction operations.
自1966年1月以来，我们诊所已进行了1390例乳房缩小整形手术。我们向685例接受手术的患者发送了问卷，其中包含以下问题：1. 乳房肥大首次出现的日期；2. 术前因乳房过大而产生的不适；3. 患者术后对乳房形状和大小的看法。收到了532例患者的回复，可得出以下结论：关于问题1：在大多数情况下，乳房肥大发生在青春期和首次怀孕之后。关于问题2：乳房过大引起的心理障碍占主导。然而，这常常伴有身体上的不适。关于问题3：约90%的患者对术后效果满意。每两名患者中就有一名在术后乳头区域感觉有变化。由于患者对美学效果的术后判断与瘢痕组织形成密切相关，对于200至300克以下腺体切除的情况，我们采用不太明显的L形切口，仅在广泛的乳房缩小整形手术中采用T形切口。
