RESUMEN
Objective To evaluate the effect of Lejours' procedure in the treatment of breast prolapse.Methods From July 2014 to July 2018,the Second People's Hospital of Guangdong Prov ince accepted 36 female patients with breast prolapse and correction failure,aged 25 42 years,with an average age of 32.1 years.According to the preoperative design,the pedicel epidermis,the redundant skin,the prosthesis and capsule were removed,and the mammary flap was fixed on the fascia of pectoralis major muscle,and the nipple and areola were fixed and sutured layer by layer.Results In 36 cases,the shape of breast was improved,the scar of incision was smaller,and the color of scar became lighter with time.There were no serious complications such as nipple and areola necrosis.The breast was straight and round after operation.After 6-24 months follow-up,one patient had delayed wound healing and received repeated dressing changes for 7 days.Conclusions The design of the op eration is simple,with little scar,few complications and good long term effect.The shape of the breast after repair is round and straight,which can be used as one of the feasible operation methods for the repair of breast ptosis.
RESUMEN
Objective: To explore the effectiveness of liposuction technique assisted superomedial pedicle with a vertical incision in reduction mammaplasty. Methods: Between March 2014 and March 2019, 65 patients (127 sides) with breast hypertrophy had undergone breast reduction by using liposuction technique assisted superomedial pedicle with a vertical incision. The patients were 21 to 58 years old, with an average of 42.2 years. Body mass index ranged from 18.8 to 26.5 kg/m 2, with an average of 21.3 kg/m 2. Among them, 62 cases were bilateral operations and 3 cases were unilateral operation. The degree of mastoptosis was rated as degreeⅡ in 73 sides and degree Ⅲ in 54 sides according to the Regnault criteria. Results: The unilateral breast removed 432 g on average (range, 228-932 g); the distance of nipple upward was 4.5-9.5 cm (mean, 6.5 cm); the volume of unilateral liposuction was 50-380 mL (mean, 148 mL). There were 2 sides (1.58%) of unilateral intramammary hematomas after operation, 4 sides (3.15%) of bilateral breast vertical incisions slightly split, and 1 side (0.79%) of the nipple-areola epidermis necrosis. All patients were followed up 6 months to 5 years, with an average of 18 months. During the follow-up, there was no evident re-dropping of the breast and no enlargement of the areola. No patient underwent scar excision. At last follow-up, the effectiveness was evaluated by the surgeons. There were 52 cases with very satisfactory, 10 cases with satisfactory, and 3 cases with unsatisfactory for the breast shape and symmetry. There were 51 cases with very satisfactory, 11 cases with satisfactory, and 3 cases with unsatisfactory for the nipple position and areola diameter. The incision scar was obvious in 25 cases and was not obvious in 40 cases. The results of self-assessment showed very satisfactory for the breast shape in 48 cases, satisfactory in 12 cases, and unsatisfactory in 5 cases; very satisfactory for the incision scar in 40 cases, satisfactory in 17 cases, and unsatisfactory in 8 cases. Overall evaluation of the patient was very satisfactory in 52 cases, satisfactory in 7 cases, and unsatisfactory in 6 cases. Conclusion: The liposuction technique assisted superomedial pedicle with a vertical incision in reduction mammaplasty is a safe and reliable surgical method with a satisfactory result.
RESUMEN
Objective@#To review and discuss the new method ology of mastopexy for moderate mastoptosis.@*Methods@#Periareolar double-circle incisions were made, and the epidermis between the incisions was removed.Separating was performed widely between subcutaneous tissue and gland tissue. The tongue glandular flap, which was made in the below portion of the breast glands, was transferred upward to the mammary space. Then, the glands on both sides of the lower pole of the breast tissue were sutured to shrink the glandular base area.Vertical incision was made in the middle line of the superior portion of the gland. The medial glandular flap was rotated outward, lateral glandular flap was transferred inward and suture fixed was completed. The appearance of breast was reshaped and the nipple-areola complex was elevated.@*Result@#From Oct. 2008 to Jun. 2017, 15 patients were selected to this method for correcting moderate mastoptosis.All cases healed in good shape, no hematoma, infection, nipple necrosis and other serious complications.3 to 24 months follow-up after operation, two breast were symmetrical with nice shape and nipple sensory function properly. Average pre and postoperative left nipple-to-right nipple distance[(20.43±1.22) cm, (19.73±0.80) cm, P<0.05], sternum notch-to-nipple distance[left (23.03±0.99) cm, (20.40±0.71) cm, P<0.05; right (23.17±0.94) cm, (20.43±0.70) cm, P<0.05], mammary areola diameter[left (4.97±0.55) cm, (4.63±0.68)cm, P<0.05; right (4.97±0.50)cm, (4.57±0.50)cm, P<0.05], lower pole of breast-to-inframammary fold distance [left (2.70±0.36) cm, (0.22±0.38) cm, P<0.05; right (2.77±0.44) cm, (0.22±0.38) cm, P<0.05], thoracic circumference at the nipple[(84.29±1.81) cm, (87.83±2.22) cm, P<0.05]. The differences in the those data are statistically significant.@*Conclusions@#Upward transfer of glandular flap provides a new approch for correcting moderate breast ptosis.
RESUMEN
Objective To explore the key points of surgical techniques in individualized breast augmentation via inframammary fold (IMF) incision.Methods Fifty-six patients of our department from March 2014 to March 2017 in this group were followed up for 3-18 months,with average 12 months.According to the patients' characteristics to determine the size and dimensions of the implant and the exact position of new IMF,via IMF incision we inserted an implant part under the pectoralis major muscle and part posterior to the breast after precisely stripping and forming the implant pocket,which were the dual-plane augmentation mammoplasty.Results Compared with traditional endoscope-assisted breast augmentation via axillary incision,the breast augmentation via inframammary fold incision was more accurate,the operation time was shortened by an average of one hour,the intraoperative hemorrhage decreased by about 20 ml on average,the postoperative drainage fluid was reduced by about 70 ml on average,the hospitalization time was shortened by about 3 days,the postoperative breast shape was naturally upright,and the incision was hidden at the new inframammary fold.No hematoma,infection,significant hypertrophic scar,capsule contracture and other complications were noted.Conclusions The individualized dual-plane augmentation mammoplasty via IMF incision can hide the incision in the inframammary fold.The operation under direct vision and no use of special equipments make it an ideal breast augmentation surgery.