Gruber R P, Jones H W
Plast Reconstr Surg. 1980 Jan;65(1):34-8.
A previously described technique of mastopexy is employed whereby a donut-shaped portion of periareolar skin is deepithelized. The radius of the skin to be removed is usually 2 to 3 cm and includes a portion of the areola. The resulting wound is closed, leaving only a periareolar scar. The primary motivation for such a mastopexy was (1) minimizing scar to the periareolar area, (2) complete preservation of nipple sensation, and (3) ease and short duration of surgery. It is often used to correct a protuberant nipple-areolar complex ("Snoopy" deformity). Follow-up on 13 patients who underwent the procedure for ptosis indicated that surgery is brief and easy to perform, and nipple sensation is preserved. However, ptosis may recur even in small breasts; the periareolar scar often becomes hypertrophic; the breasts assume a more globular shape; and areolar spreading occurs to some extent in most cases. In view of the potential problems with the donut mastopexy it is suggested that (1) the procedure be reserved for very small breasts or those with only a protuberant nipple-areolar complex, where there is little weight to hasten areolar stretching and recurrent ptosis, and (2) the new areolar should be made smaller than desired in anticipation of post-operative stretching.
采用一种先前描述的乳房上提术技术，即对乳晕周围呈甜甜圈状的皮肤部分进行去上皮处理。要切除的皮肤半径通常为2至3厘米，包括一部分乳晕。将产生的伤口闭合，仅留下乳晕周围的瘢痕。这种乳房上提术的主要动机是：（1）尽量减少乳晕区域的瘢痕；（2）完全保留乳头感觉；（3）手术简便且时间短。它常被用于矫正突出的乳头乳晕复合体（“史努比”畸形）。对13例行该手术治疗乳房下垂的患者进行随访表明，手术操作简便、时间短，且乳头感觉得以保留。然而，即使是小乳房，下垂也可能复发；乳晕周围的瘢痕常变得肥厚；乳房呈更圆球状；并且在大多数情况下，乳晕会在一定程度上出现扩大。鉴于甜甜圈状乳房上提术存在的潜在问题，建议：（1）该手术仅适用于非常小的乳房或仅有突出乳头乳晕复合体的乳房，因为此类乳房重量小，不易加速乳晕伸展和复发下垂；（2）预期术后会发生伸展，新乳晕应做得比预期小。
