Selinger R
Ann Chir Plast Esthet. 1996 Feb;41(1):11-24.
After a geometrical analysis studying the principle of the "inverted T" scar in mammoplasties and particularly the significance of the horizontal limb of the "T", the authors have developed a mammoplasty technique without a horizontal scar, based on the concept of preservation of the mammary implantation basis. Application of this principle to a preliminary series of 92 breasts in 48 patients over a period of two years enabled the authors to perform cone resection of the mammary gland, while producing a congruent vertical scar not extending onto the inframammary sulcus. This technique, in contrast with other vertical scar mammoplasty techniques, does not generate any skin excess in the inframmary sulcus and avoids the need for skin resorption devices (cutaneous undermining, frowns), thereby decreasing the risk of morphological distortion and unsightly scars.
在对乳房整形术中“倒T”形瘢痕的原理进行几何分析,特别是对“T”形的水平臂的意义进行研究之后,作者基于保留乳房植入基础的概念,开发了一种无水平瘢痕的乳房整形技术。在两年时间里,将这一原理应用于48例患者的92个乳房的初步系列研究中,使作者能够进行乳腺圆锥切除术,同时形成一条不延伸至乳房下皱襞的一致的垂直瘢痕。与其他垂直瘢痕乳房整形技术相比,该技术不会在乳房下皱襞处产生任何皮肤多余,避免了使用皮肤吸收装置(皮下剥离、皱眉)的需要,从而降低了形态变形和难看瘢痕的风险。