Abstract：
BACKGROUND: Augmentation/mastopexy represents one of the most complex procedures in the setting of cosmetic surgery, and there is still an ongoing debate about the most suitable approach to undertake to avoid major complications and deliver the desired result. The present study aims to offer a further contribute to the topic by presenting our personal experience with an implant-guided tailor-made mastopexy technique to manage moderate breast ptosis and hypotrophy.
METHODS: A retrospective analysis of our database was carried out, and a total of 194 women who underwent a tailor-made resection pattern mastopexy plus implant from November 2016 to December 2021 were enrolled. All patients included in the study presented breast hypoplasia and ptosis classified as Regnault grade II. At the first-year follow-up visit, patients received an anonymous written questionnaire that addressed their self-perception of cosmetic results and overall satisfaction.
RESULTS: The technique presented in the study showed a favorable safety profile with a total complication rate accounting for an 8.2% and an overall reoperation rate as low as 4.6%. Major concerns including wound dehiscence, implant exposure, and nipple necrosis are not reported. Patients\' self-reported outcomes revealed high satisfaction rates and stable results in the long-term follow-up.
CONCLUSIONS: The described approach ensures proper reshaping together with the desired increased breast volume minimizing the chance of implant exposure due to wound dehiscence or any sort of tissue necrosis from devascularized skin edges. The surgical procedure described herein is safe and reliable.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
METHODS: A retrospective analysis of our database was carried out, and a total of 194 women who underwent a tailor-made resection pattern mastopexy plus implant from November 2016 to December 2021 were enrolled. All patients included in the study presented breast hypoplasia and ptosis classified as Regnault grade II. At the first-year follow-up visit, patients received an anonymous written questionnaire that addressed their self-perception of cosmetic results and overall satisfaction.
RESULTS: The technique presented in the study showed a favorable safety profile with a total complication rate accounting for an 8.2% and an overall reoperation rate as low as 4.6%. Major concerns including wound dehiscence, implant exposure, and nipple necrosis are not reported. Patients\' self-reported outcomes revealed high satisfaction rates and stable results in the long-term follow-up.
CONCLUSIONS: The described approach ensures proper reshaping together with the desired increased breast volume minimizing the chance of implant exposure due to wound dehiscence or any sort of tissue necrosis from devascularized skin edges. The surgical procedure described herein is safe and reliable.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
摘要：
背景：扩增/乳房固定术是整容手术中最复杂的程序之一，关于采取最适当的方法来避免重大并发症并实现预期结果的辩论仍在进行中。本研究旨在通过使用植入物引导的量身定制的乳房固定术技术来管理中度乳房下垂和肥大，从而为该主题提供进一步的贡献。
方法：对我们的数据库进行了回顾性分析，从2016年11月至2021年12月,共有194名女性接受了量身定制的切除模式乳房固定术加植入物治疗.研究中包括的所有患者均表现为乳腺发育不全和上下垂，分类为RegnaultII级。在第一年的后续访问中，患者接受了一份匿名的书面调查问卷,调查了他们对美容效果的自我认知和总体满意度.
结果：研究中提出的技术显示出良好的安全性，总并发症发生率为8.2％，总再手术率低至4.6％。主要问题包括伤口开裂，植入物暴露,乳头坏死未报告。患者自我报告的结果在长期随访中显示出很高的满意度和稳定的结果。
结论：所描述的方法确保了适当的重塑以及所需的乳房体积的增加，从而最大限度地减少了由于伤口裂开或来自断流皮肤边缘的任何类型的组织坏死而导致的植入物暴露的机会。本文所述的外科手术是安全可靠的。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：对我们的数据库进行了回顾性分析，从2016年11月至2021年12月,共有194名女性接受了量身定制的切除模式乳房固定术加植入物治疗.研究中包括的所有患者均表现为乳腺发育不全和上下垂，分类为RegnaultII级。在第一年的后续访问中，患者接受了一份匿名的书面调查问卷,调查了他们对美容效果的自我认知和总体满意度.
结果：研究中提出的技术显示出良好的安全性，总并发症发生率为8.2％，总再手术率低至4.6％。主要问题包括伤口开裂，植入物暴露,乳头坏死未报告。患者自我报告的结果在长期随访中显示出很高的满意度和稳定的结果。
结论：所描述的方法确保了适当的重塑以及所需的乳房体积的增加，从而最大限度地减少了由于伤口裂开或来自断流皮肤边缘的任何类型的组织坏死而导致的植入物暴露的机会。本文所述的外科手术是安全可靠的。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
