Treatment of tuberous breasts utilizing tissue expansion.

作者: Armand D. Versaci , Arlene A. Rozzelle

DOI: 10.1007/BF02273878

关键词: ImplantCapsular contractureAreolaTissue expansionSurgeryMedicinePlastic surgeryInframammary foldTuberous breastsMastopexy

摘要: This article presents the tissue expansion technique for treatment of tuberous breast and its variant, tubular breast. The objectives are different in two deformities, but, general, one has to expand base circumference breast, skin lower hemisphere release tightness at skin-areola juncture, position inframammary fold, increase volume envelope, reduce size areola correct deformity, perform a mastopexy when necessary. To achieve these objectives, we use expander introduced either beneath or pectoral muscle through an incision along fold. It is slowly expanded appropriate volume. reconstruction completed second stage reduced, exchanged implant, fill-port removed. “herniation” corrected performed We treated seven breasts three by two-stage method. Eight reconstructions were successfully stages. An additional operation became necessary cases; treat exposed expander, another capsular contracture. results have been uniformly good compare favorably with those presented literature done other methods. recomment combination expander/implant.

参考文章(16)
THOMAS D. REES, SHERRELL J. ASTON, The tuberous breast. Clinics in Plastic Surgery. ,vol. 3, pp. 339- 347 ,(1976) , 10.1016/S0094-1298(20)30232-7
John Gibney, The Long-Term Results of Tissue Expansion for Breast Reconstruction Clinics in Plastic Surgery. ,vol. 14, pp. 509- 518 ,(1987) , 10.1016/S0094-1298(20)31520-0
Craig B. Bass, Herniated areolar complex. Annals of Plastic Surgery. ,vol. 1, pp. 402- 406 ,(1978) , 10.1097/00000637-197807000-00007
Chedomir Radovan, Breast Reconstruction after Mastectomy Using the Temporary Expander Plastic and Reconstructive Surgery. ,vol. 69, pp. 195- 206 ,(1982) , 10.1097/00006534-198202000-00001
Melvyn I. Dinner, Richard V. Dowden, The tubular/tuberous breast syndrome. Annals of Plastic Surgery. ,vol. 19, pp. 414- 420 ,(1987) , 10.1097/00000637-198711000-00005
Louis C. Argenta, Malcolm W. Marks, William C. Grabb, Selective use of serial expansion in breast reconstruction. Annals of Plastic Surgery. ,vol. 11, pp. 188- 195 ,(1983) , 10.1097/00000637-198309000-00003
THOMAS RAY VECCHIONE, A method for recontouring the domed nipple. Plastic and Reconstructive Surgery. ,vol. 57, pp. 30- 32 ,(1976) , 10.1097/00006534-197601000-00006
Geoffrey Williams, Saul Hoffman, Mammoplasty for tubular breasts. Aesthetic Plastic Surgery. ,vol. 5, pp. 51- 56 ,(1981) , 10.1007/BF01981682