目的对腋窝、乳晕、下皱襞3种切口入路双平面隆乳术后形态变化进行对比研究。方法自2018年2月至2019年12月,广东省第二人民医院整形外科对50例初次行双平面法假体隆乳术的患者,按手术入路方式不同分为3组:腋窝入路组(20例)、下皱襞入路...目的对腋窝、乳晕、下皱襞3种切口入路双平面隆乳术后形态变化进行对比研究。方法自2018年2月至2019年12月,广东省第二人民医院整形外科对50例初次行双平面法假体隆乳术的患者,按手术入路方式不同分为3组:腋窝入路组(20例)、下皱襞入路组(10例)、乳晕入路组(20例)。采用Vectra 3D扫描系统对所有患者乳房进行三维扫描,采集术前及术后6个月的乳房三维图像,对三维模型采用Geomagic Studio 19.0软件进行分析。结果3组手术前后胸骨上切迹至乳头的直线距离(SN-N)及乳头至胸骨正中线的距离(N-M)变化,差异无统计学意义(P>0.05);腋窝入路组术后与术前比较,差异有统计学意义(P<0.05);下皱襞入路组乳晕入路组术后与术前比较,差异无统计学意义(P>0.05)。术后胸骨上切迹在乳房下皱襞最低点水平的距离(SN-LIMF)变化,下皱襞入路组术后与术前比较,差异有统计学意义(P<0.05);腋窝入路组、乳晕入路组与术前比较,差异无统计学意义(P>0.05)。3组术后乳房总体积,乳头水平面上、下体积均较术前增加;各组术后乳房总体积均小于预期体积,差异有统计学意义(P<0.05);乳头水平面以上体积百分比较术前减少,而乳头水平面以下体积百分比增加,3组术前、术后体积及其百分比的变化差异均无统计学意义(P>0.05)。结论腋窝、乳晕、下皱襞3种入路双平面隆乳术均可使乳房外形更完美、自然,术后总体效果差异不大。展开更多
Aim:Breast augmentation has traditionally been performed in either the subglandular or submuscular plane.Dual plane augmentation has been described before and captures the advantages of both of these techniques but re...Aim:Breast augmentation has traditionally been performed in either the subglandular or submuscular plane.Dual plane augmentation has been described before and captures the advantages of both of these techniques but reduces the trade-offs.The biplane muscle splitting technique adopts the similar advantages seen with the dual plane method without the need for extensive costal muscle fibre release at the infra-mammary fold.Methods:Thirty-five patients underwent bilateral breast augmentation using the biplanar technique from November 2007 to December 2008.All operations were performed by the senior author and followed up prospectively.Results:Follow up ranged from 9 months to 21 months.All of the patients achieved precise and reliable implant placement with no revisions or patient dissatisfaction.There have been no cases of implant misplacement/migration;synmastia,dynamic breast deformity,capsular contracture or infections.A single case of unilateral haematoma occurred early in the series.Conclusion:Our operative cases and early follow-up supports the use of this novel biplanar technique for breast augmentation.It optimizes the advantages of subglandular and submuscular breast augmentation with simpler dissection and less complications than other submuscular techniques.It can be used in a wide variety of breast types with predictable results.展开更多
文摘目的对腋窝、乳晕、下皱襞3种切口入路双平面隆乳术后形态变化进行对比研究。方法自2018年2月至2019年12月,广东省第二人民医院整形外科对50例初次行双平面法假体隆乳术的患者,按手术入路方式不同分为3组:腋窝入路组(20例)、下皱襞入路组(10例)、乳晕入路组(20例)。采用Vectra 3D扫描系统对所有患者乳房进行三维扫描,采集术前及术后6个月的乳房三维图像,对三维模型采用Geomagic Studio 19.0软件进行分析。结果3组手术前后胸骨上切迹至乳头的直线距离(SN-N)及乳头至胸骨正中线的距离(N-M)变化,差异无统计学意义(P>0.05);腋窝入路组术后与术前比较,差异有统计学意义(P<0.05);下皱襞入路组乳晕入路组术后与术前比较,差异无统计学意义(P>0.05)。术后胸骨上切迹在乳房下皱襞最低点水平的距离(SN-LIMF)变化,下皱襞入路组术后与术前比较,差异有统计学意义(P<0.05);腋窝入路组、乳晕入路组与术前比较,差异无统计学意义(P>0.05)。3组术后乳房总体积,乳头水平面上、下体积均较术前增加;各组术后乳房总体积均小于预期体积,差异有统计学意义(P<0.05);乳头水平面以上体积百分比较术前减少,而乳头水平面以下体积百分比增加,3组术前、术后体积及其百分比的变化差异均无统计学意义(P>0.05)。结论腋窝、乳晕、下皱襞3种入路双平面隆乳术均可使乳房外形更完美、自然,术后总体效果差异不大。
文摘Aim:Breast augmentation has traditionally been performed in either the subglandular or submuscular plane.Dual plane augmentation has been described before and captures the advantages of both of these techniques but reduces the trade-offs.The biplane muscle splitting technique adopts the similar advantages seen with the dual plane method without the need for extensive costal muscle fibre release at the infra-mammary fold.Methods:Thirty-five patients underwent bilateral breast augmentation using the biplanar technique from November 2007 to December 2008.All operations were performed by the senior author and followed up prospectively.Results:Follow up ranged from 9 months to 21 months.All of the patients achieved precise and reliable implant placement with no revisions or patient dissatisfaction.There have been no cases of implant misplacement/migration;synmastia,dynamic breast deformity,capsular contracture or infections.A single case of unilateral haematoma occurred early in the series.Conclusion:Our operative cases and early follow-up supports the use of this novel biplanar technique for breast augmentation.It optimizes the advantages of subglandular and submuscular breast augmentation with simpler dissection and less complications than other submuscular techniques.It can be used in a wide variety of breast types with predictable results.
