Courtiss E H, Goldwyn R M
Plast Reconstr Surg. 1977 Apr;59(4):500-7.
Patients with massive macromastia, or severe ptosis, should be candidates for a reduction mammaplasty by the inferior pedicle transposition technique, instead of by free nipple and areola grafting. With the inferior pedicle technique the blood supply to the nipple and areola remains generous, coming from the entire width of the inframammary fold. By using a keyhole skin flap pattern, a conical breast shape is achieved when the medial and lateral skin flaps are brought together as a skin brassiere. The methods seems safe and simple, and the results have been satisfactory. An unexpected benefit has been the excellent postoperative sensation of the nipple, areola, and the skin of the breasts.
患有巨乳症或重度乳房下垂的患者，应采用下蒂移位技术进行乳房缩小整形术，而非游离乳头乳晕移植术。采用下蒂技术时，乳头乳晕的血供依然充足，其血供来自乳房下皱襞的整个宽度。通过采用钥匙孔皮瓣模式，将内侧和外侧皮瓣作为皮肤胸罩拉拢在一起时，可形成圆锥形乳房形状。该方法似乎安全简单，效果也令人满意。一个意外的好处是术后乳头、乳晕及乳房皮肤的感觉极佳。
