| Objecrtive: This retrospective study, double ring incisions and vertical reduction mammoplastysurgery incision reduction mammaplasty with double vertical pedicleflaps plastic operation as representative, of two kinds of surgicaloperative technique, postoperative results and postoperativesatisfaction aspects of comparative studies, analysis of two operativecauses of postoperative complications and how to deal with prevention.Method: Selected breast mast syndrome patients related cases 30 cases, age 26-44 age, married has Yu 20 cases, unmarried not fertility 10 cases, according to double ring method and vertical incision vertical double pedicle flap method two species surgery way will 30 cases patients is divided into a,, and b two group, a, group 15 cases patients application double ring method incision giant breast narrowed plastic operation; b group 15 cases patients application vertical incision vertical double pedicle flap method giant breast narrowed plastic operation. According to the patient’s preoperative clinical symptomsand breast for preoperative planning data, in accordan-ce with precisepreoperative planning operations, earnestly postoperative care,observe, detect complications. Observed preoperative planning,intraoperative, postoperative breast operation and incision scars andcomplications and postoperative Lingua.Results: A group of 15 patients with double ring incisions breast reduction surgery in patients with postoperative 3 cases of unilateral areola local water Bubble, Darken, after timely treatment improved and restored a few days later. Occurred in 4 patients the scar hyperplasia, postoperative incision Purse-string suture the incision folds obviously does not appear fat necrosis, seroma, hematoma, and so on. After 6-12 One-month follow-up, patients with bilateral breast symmetry, filling, full breasts, nipple feel good, the cut Good recovery of SCAR, scar proliferation of patients at 6 months after surgery scar is also getting better.Postoperative breasts feel natural, edge of the areola incision scar gradually subsided, lax wrinkled texture. Appeared before surgery for the breast Symptoms produced are too large and too heavy to be a good improvement. To improve the quality of life in patients with initial design Pattern decides the final surgery results. Removal of breast tissue breast size after how much of his operation.15 cases of Group b With a vertical incision double vertical pedicle flap in reduction mammaplasty for patients,1 wound healing after surgery,1 triangle Pointed flap of skin necrosis and 1 scar hyperplasia without fat necrosis, seroma, hematoma, and so on. After operation 6-12-months follow-up, patients with bilateral breast shape roughly symmetrical, filling, full breasts, nipple feel good Good recovery of the scar, scar proliferation of patients at 3 months after surgery, drug injection scars soften Things gradually improved. Breasts feel natural after surgery, triangle pointed flap incision scars a little obvious. Ago due to breast Good improvement in the symptoms associated with excessive. Quality of life can be greatly improved.Conclusion: Double ring incisions and vertical reduction mammoplasty surgery incision after double vertical pedicle breast reduction works well, two kinds of operation has its own advantages and disadvantages, complications occur without too much difference, early complications of hematoma. Double ring incisions reduction mammoplasty surgery mainly suitable for mild to moderate breast PTOSIS of the breast reduction and correction, and postoperative incisional scar, postoperative effect of aesthetics, satisfaction is high. Surgical design for demanding, prone to hematomas after operation, affect the sensitivity of the nipple and areola. Vertical incision reduction mammaplasty with double vertical pedicle flaps plastic operation applies to patients with moderate or severe breast hypertrophy, results after surgery but the scar is obvious. |
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