PDF(Pubmed)
Abstract：
Patients undergoing bariatric surgical procedures usually exhibit breast ptosis due to the quick weight loss. In this type of patients, the mastopexy represents a challenge for plastic surgeons considering the abundance of dystrophic cutaneous tissue, the loss of subcutaneous tissue and the impossibility to employ heterologous devices in the setting of Italian public healthcare. In addition, it is necessary to consider that patients undergoing post-bariatric surgery have increasingly high expectations. We describe a new reconstructive technique which combines and utilizes both the AICAP and LICAP flaps as \"autoprosthesis\". It could be considered a valid option for patients exhibiting a deficiency in the upper poles with hypotrophic and hypoelastic skin texture, associated with poor glandular representation. This procedure proves to be an excellent alternative to breast implants both in the reconstructive surgery and aesthetic surgery settings.
摘要：
接受减肥手术的患者通常由于体重迅速减轻而表现出乳房下垂。在这类病人中,考虑到大量营养不良的皮肤组织，乳房固定术对整形外科医生来说是一个挑战，皮下组织的损失以及在意大利公共医疗保健环境中不可能使用异源设备。此外,有必要考虑到接受减肥手术后的患者的期望越来越高。我们描述了一种新的重建技术，该技术结合并利用了AICAP和LICAP皮瓣作为“自动假体”。对于表现出营养不足和弹性不足的皮肤纹理的上极缺乏的患者，它可以被认为是一种有效的选择。与腺体表现不佳有关。在重建手术和美学手术设置中，此程序被证明是乳房植入物的绝佳替代方案。
