CAJ | 학술논문

目的探讨经乳晕内垂直切口双平面隆乳术治疗乳房过小和轻度、中度乳房下垂的可行性和临床效果.方法共对60例美容就医者行隆乳术,均为哺乳后,采用经乳晕内环乳头垂直切口,斜形进入乳腺至胸大肌筋膜,在胸大肌肋骨起点处弧形切断胸大肌下缘,内侧至与胸大肌相交的胸骨缘,在胸大肌下间隙剥离“腔穴”至术前设计范围,根据术前乳房不同情况分别进行Ⅰ型、Ⅱ型、Ⅲ型双平面的剥离.植入乳房假体后,假体上半部分在胸大肌下间隙,下半部分在乳腺后.结果 60例美容就医者中,20例行Ⅱ型双平面隆乳,4例行Ⅲ型双平面,其余行工型双平面.术后除1例发生血肿,1例出现包膜挛缩外,其余经3个月至2年随访,均达到满意效果.结论经乳晕内环乳头垂直切口可以完成Ⅰ型、Ⅱ型、Ⅲ型双平面隆乳操作,同时可以矫正乳房轻度、中度下垂.
목적 탐토경유훈내수직절구쌍평면륭유술치료유방과소화경도、중도유방하수적가행성화림상효과.방법 공대60례미용취의자행륭유술,균위포유후,채용경유훈내배유두수직절구,사형진입유선지흉대기근막,재흉대기륵골기점처호형절단흉대기하연,내측지여흉대기상교적흉골연,재흉대기하간극박리“강혈”지술전설계범위,근거술전유방불동정황분별진행Ⅰ형、Ⅱ형、Ⅲ형쌍평면적박리.식입유방가체후,가체상반부분재흉대기하간극,하반부분재유선후.결과 60례미용취의자중,20례행Ⅱ형쌍평면륭유,4례행Ⅲ형쌍평면,기여행공형쌍평면.술후제1례발생혈종,1례출현포막련축외,기여경3개월지2년수방,균체도만의효과.결론 경유훈내배유두수직절구가이완성Ⅰ형、Ⅱ형、Ⅲ형쌍평면륭유조작,동시가이교정유방경도、중도하수.
Objective To study the technology and the result of dual plane breast augmentation using nipple margin vertical incision of areola.Methods Totally 60 cases of augmentation mammaplasty were involved in this study.The nipple margin vertical incision of areola was applied obliquely into the breast through the pectoralis major fascia.The rib starting point of pectoralis major were cut off,medial to the side of the sternum.Under the pectoralis major the cavity was peeled according to the preoperative design range.Based on the different situation of the breast types Ⅰ,Ⅱ,Ⅲ,dual plane breast augmentations were stripped respectively.After implanting the breast prosthesis,the upper part of the prosthesis was under the pectoralis major and the lower part was under the mammary gland.Results The 60 patients were all after childbearing,20 of whom underwent type 2 dual plane breast augmentation,4 underwent type 3 double plane and the rest underwent type 1 double plane.After 3 months to 2 years follow-up,all cases got satisfactory results,except 1 case of postoperative hematoma and 1 case appeared capsular contracture.Conclusions The nipple margin vertical incision of areola can complete types Ⅰ,Ⅱ,Ⅲ dual plane breast augmentation operation,at the same time it can correct mild-to-moderate mastoptosis.