摘要
巨乳缩小整形术为近年施行较多的整形外科和基本外科手术。国外的方法很多,并大都能形成外观美好(?)房。不过,当这些西方学者的手术方法被用于中国妇女巨乳症的治疗时,它们都有一个严重的缺点,即它们在(?)前中部都有皮肤切口,以致胸前中部在手术后常有宽而且厚的增生性瘢痕。作者为了避免此缺点,把手术切口完全做在胸部的下外侧。33例的手术结果显示新乳房的功能和形态都好,特别在胸前正中没有切口瘢痕。因些报告如下。
There are many reduction mammaplasty operations, e.g., the operations of Strombeck, Skoog, McKissock, Wiener, Pitanguy, Onizuka, etc. All of these operations can produce very good results. Nonetheless, all of these classical procedures when they are used to treat large ptotic breasts of oriental young females, have a serious disadavantage, i.e.they all leave incisional scars at the parasternal region. Which often become hypertrophic or keloid. The skin of the lower lateral part of the chest wall is looser and less likely to have hypertrophic scars than the front sternal region. On account of this, I changed my operative field of reduction mammaplasty from the lower central to the lower lateral region of the large ptotic breast since 1963. After several modifications, my present technique is about the same as the Pitanguy's operation, but there is no visible scars at the anterior surface of the chest wall because no surgery has been done here. This lower lateral technique of reduction mammaplasty had been presented at the First Conference of Aesthetic Plastic Suregery for the Orientals, held in Tokyo, Japan, on Oct. 24-26, 1988. It had received good remarks at the meeting.
