Richard L, Delay E, Payement G, Cresseaux P, Cantaloube D
Service de Chirurgie Plastique, Chirurgie Maxillo-Faciale et Stomatologie, Hôpital d'Instruction des Armées Desgenettes, Lyon, France.
Ann Chir Plast Esthet. 1998 Feb;43(1):69-77.
Over recent years, surgeons have tried to reduce the reduction mammaplasty scar. In this context, we use a surgical technique described by J.P. Chavoin, privileging "the remaining breast". Three advantages of this surgical method are derived from its technical choices: a superior dermal pedicle for preservation of the areolar nipple complex, preoperative drawing and finally a short incision with an inverted L scar. A retrospective study of 80 patients with 27 months of follow-up defines the advantages and disadvantages of this technique. Discomfort, indications, quality of results are evaluated with charts. Preoperative drawing and technique are described. This study shows this to be a reliable technique with good and constant results. Lastly, its indication is described in comparison with other techniques designed to achieve. Its preferential indication is moderately severe hypertrophy (500 g), which represents the majority of patients consulting us, but it can also be used in severe hypertrophy or even gigantomastia. Reduction of asymmetry also constitutes a good indication, facilitated by rigorous skin drawing based on precise anatomical landmarks. In addition to its broad indications, its advantages are marked vascular safety, rapid execution, constant results, while preserving the median part of the thorax from any scars.
近年来，外科医生一直试图减少缩乳术的瘢痕。在此背景下，我们采用了J.P. 沙万描述的一种手术技术，优先考虑“剩余乳房”。这种手术方法的三个优点源于其技术选择：用于保留乳晕乳头复合体的上真皮蒂、术前绘图以及最后形成倒L形瘢痕的短切口。一项对80例患者进行27个月随访的回顾性研究明确了该技术的优缺点。通过图表评估不适情况、适应症及效果质量。描述了术前绘图和技术。这项研究表明这是一种可靠的技术，效果良好且稳定。最后，与其他旨在实现相同目的的技术相比，描述了其适应症。其优先适应症是中度严重肥大（500克），这代表了大多数向我们咨询的患者，但它也可用于严重肥大甚至巨乳症。不对称性的改善也是一个很好的适应症，基于精确解剖标志进行的严格皮肤绘图有助于实现这一点。除了其广泛的适应症外，其优点还包括显著的血管安全性、操作迅速、效果稳定，同时使胸部中央部分无任何瘢痕。
