5个D来浸泡狗:预防垂直缩胸和隆胸中狗耳轮廓异常的回顾性临床回顾。

Eplasty Pub Date : 2023-01-01
Swapnil D Kachare, Milind D Kachare, Bradley J Vivace, Brooke E Barrow, Michael Ablavsky, Sara Abell, Joshua H Choo, Bradon J Wilhelmi
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引用次数: 0

摘要

背景:2020年,乳房缩小和乳房切除术占整形外科医生进行的所有乳房手术的34.2%。各种方法的皮肤切口这些程序已被描述。由于其较低的疤痕负担,垂直模式已成为越来越受欢迎的选择。然而,它很容易沿切口的尾端形成狗耳。在这里,我们描述了5个技术步骤,以消除狗耳患者接受垂直乳房整形手术。方法:回顾性分析资深作者2008年至2020年间所有行垂直缩乳和乳房固定术的患者。在消除狗耳所采用的5个步骤被描绘和图解。结果:共手术58例,89个乳房。白人占66.6%,非裔美国人占33.3%,西班牙裔1例。平均年龄53.2岁(19 ~ 73岁),平均BMI为31.5 kg/m2 (21.3 ~ 42.7 kg/m2)。乳房复位和乳房固定术患者的平均切除重量分别为479克(100-1500克)和58.1克(18-100克)。平均随访10.5个月(1 ~ 35个月)。只有1例患者双侧乳房(2.2%)出现狗耳(1.7%);然而,患者并未要求复查。我们13年来的修正率保持在0%。结论:利用这5个技术步骤可以降低狗耳畸形的风险,从而减少了接受短疤痕垂直乳房成形术患者翻修手术的总体需求。
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The 5 D's to Dunk the Dog: A Retrospective Clinical Review to Prevent Dog-Ear Contour Abnormalities in Vertical Breast Reductions and Breast Lifts.

Background: In 2020, reduction mammoplasties and mastopexies comprised 34.2% of all breast surgeries performed by plastic surgeons. Various approaches for the skin incision of these procedures have been described. The vertical pattern has become an increasingly popular option due to its lower scar burden. However, it is prone to dog-ear formation along the caudal aspect of the incision. Herein, we describe 5 technical steps to eliminate the dog-ear in patients undergoing vertical mammoplasties.

Methods: A retrospective chart review was performed on all patients who underwent vertical breast reduction and mastopexy between the years 2008 and 2020 performed by the senior author. The 5 steps employed in eliminating the dog-ear are delineated and depicted pictorially.

Results: A total of 58 patients and 89 breasts were operated upon. A majority of 66.6% were Caucasian, 33.3% were African American, and 1 patient was of Hispanic descent. The mean age was 53.2 years (19-73 years), and average BMI was 31.5 kg/m2 (21.3-42.7 kg/m2). The average resection weights for reduction and mastopexy patients were 479 grams (100-1500 grams) and 58.1 grams (18-100 grams), respectively. Mean follow-up was 10.5 months (1-35 months). Only one patient developed a dog-ear (1.7%) in bilateral breasts (2.2%); however, the patient did not request a revision. Our revision rate over 13 years remained at 0%.

Conclusions: Utilizing these 5 technical steps reduces the risk of dog-ear deformity and thereby diminishes the overall need for revisional surgery in patients undergoing short scar vertical mammoplasties.

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