Safety,Efficacy and Modifications of Dermal-bra Technique for Reduction Mammaplasty and Ptosis Correction:A10-year Retrospective Study
作者单位：华中科技大学同济医学院附属协和医院整形外科 湖北省整形外科学会 中国医师协会整形美容分会 武汉市整形外科学会 《中华医学杂志》 《中华临床医师杂志》 《中国美容医学杂志》 《组织工程和整形外科杂志》
会议名称：《2012全国中西医结合医学美容学术交流大会》
会议日期：2012年
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
关 键 词：dermal-bra technique reduction mammaplasty ptosis correction modification retrospective study
摘 要：Background:Dermal-bra technique was reported by us in 2003 for reduction mammaplasty and ptosis correction,thereafter,we had been summarizing and modifying continuously,and here we would like to share the experiences of modifications and analyze the long term safety and efficacy of this technique. Methods:347 patients received dermal-bra technique in our department from Oct. 2003 to Oct.2011,and 213 of them were successfully followed from 3m to 2y, patients before and after Oct.2006 were divided into early and late *** incidence of complications,long term satisfactory rate and developed modificationswere noted and analyzed. Results:Recent complications were presented in 55 breasts of 27 patients(7.9%), including hematoma(seroma),delayed wound healing,fat necrosis,deep folds, necrosis and numbness of nipple-areola complex(NAC).Long term complication were found in 28 breasts of 13 patients(6.6%),including widened scar & enlarged areola,irregular areola,secondary ptosis,sunken NAC,numbness of NAC,cyst andchronic *** one case of NAC numbness,all complications were successfully *** long term satisfactory rate was 95.7%.There were threemajor modifications:W or V shaped gland resection,medial rotation of gland flap and modified pursing *** these modifications,the recent and long term complication rates(p0.01) and satisfactory rate(p0.05) of the late group weresignificantly improved compared with the early group. Conclusions:Effective modifications have significantly improved the safety and efficacy of dermal-bra technique,and made it a matured approach for reduction mammaplasty and ptosis correction.