Abstract：
BACKGROUND: Vertical mammoplasty techniques have been widely used for breast reduction. The authors present the combination of superior pedicle vertical mammoplasty with liposuction in different regions in the treatment of severe breast hypertrophy in obese patients. We also propose some innovative methods in terms of surgical approach, breast parenchymal anatomy pattern and liposuction.
METHODS: A retrospective study of 50 female patients with severe hypertrophic breasts and obesity who underwent breast reduction in our department from February 2019 to February 2022 was performed. Pre- and postoperative photographs, breast parenchyma distribution and postoperative patient satisfaction were recorded.
RESULTS: Fifty patients underwent breast reduction. Through clinical examination, patient photo evaluation and satisfaction survey results. Good breast shape and projection, full upper pole of the breast, and high satisfaction results were obtained. There were no serious complications.
CONCLUSIONS: This technique is acceptable and reproducible. It is suitable for patients with varying degrees of breast hypertrophy, especially those with severe hypertrophic breasts and obesity. There are fewer associated complications and a lower rate of re-repair.
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 study of 50 female patients with severe hypertrophic breasts and obesity who underwent breast reduction in our department from February 2019 to February 2022 was performed. Pre- and postoperative photographs, breast parenchyma distribution and postoperative patient satisfaction were recorded.
RESULTS: Fifty patients underwent breast reduction. Through clinical examination, patient photo evaluation and satisfaction survey results. Good breast shape and projection, full upper pole of the breast, and high satisfaction results were obtained. There were no serious complications.
CONCLUSIONS: This technique is acceptable and reproducible. It is suitable for patients with varying degrees of breast hypertrophy, especially those with severe hypertrophic breasts and obesity. There are fewer associated complications and a lower rate of re-repair.
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：垂直乳房成形术技术已广泛用于乳房缩小。作者介绍了不同地区的上椎弓根垂直乳房成形术与吸脂术联合治疗肥胖患者的严重乳房肥大。我们还在手术方式方面提出了一些创新的方法，乳房实质解剖模式和吸脂术。
方法：对2019年2月至2022年2月在我科接受乳房缩小治疗的50例重度肥厚型乳房和肥胖女性患者进行了回顾性研究。术前术后照片,记录乳腺实质分布和术后患者满意度。
结果：50例患者接受了乳房缩小术。通过临床检查,患者照片评价和满意度调查结果。良好的乳房形状和投影，乳房的上极，取得了较高的满意效果。无严重并发症。
结论：该技术是可接受的和可重复的。适用于不同程度的乳房肥大患者，尤其是那些有严重肥厚乳房和肥胖的人.有较少的相关并发症和较低的再修复率。
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2019年2月至2022年2月在我科接受乳房缩小治疗的50例重度肥厚型乳房和肥胖女性患者进行了回顾性研究。术前术后照片,记录乳腺实质分布和术后患者满意度。
结果：50例患者接受了乳房缩小术。通过临床检查,患者照片评价和满意度调查结果。良好的乳房形状和投影，乳房的上极，取得了较高的满意效果。无严重并发症。
结论：该技术是可接受的和可重复的。适用于不同程度的乳房肥大患者，尤其是那些有严重肥厚乳房和肥胖的人.有较少的相关并发症和较低的再修复率。
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.
