Manstein M E, Manstein C H, Manstein G
Albert Einstein Medical Center, Philadelphia, PA, USA.
Ann Plast Surg. 1997 Apr;38(4):421-4; discussion 424-5. doi: 10.1097/00000637-199704000-00019.
Multiple techniques for breast reduction in the giant breast have been used. The amputation technique with the free nipple/areolar graft has been the mainstay for severe macromastia since 1921. Traditional methods for amputation of the inferior pole of the breast have created fairly flat breast mounds. Projection of the mound was enhanced by an inferior pleat with a resulting vertical scar. A new technique employing a superiorly based dermal fat flap folded back behind the residual breast to improve projection and roundness has been developed. It has not only eliminated the vertical scar but improved the shape of the mound. It has also given patients who were not previously good candidates for reduction with other techniques an option for surgery despite the presence of old scars or the need for lumpectomy in the lower third of the breast. A clinical series is presented.
已采用多种技术来缩小巨乳。自1921年以来，带游离乳头/乳晕移植的乳房切除术一直是重度巨乳症的主要治疗方法。传统的乳房下极切除方法会形成相当扁平的乳房隆起。通过下褶襞可增强隆起的突出度，从而产生垂直瘢痕。一种新技术已被开发出来，即采用以乳房上方为蒂的真皮脂肪瓣，将其折叠回残留乳房后方以改善突出度和圆润度。它不仅消除了垂直瘢痕，还改善了乳房隆起的形状。对于那些以前因存在旧瘢痕或乳房下三分之一需要进行肿块切除术而不适合用其他技术进行缩乳手术的患者，它也提供了手术选择。本文展示了一个临床系列。
