超高位双平面(三平面)假体隆乳术的疗效观察和优势分析OACSTPCD

Objective To analyze the clinical results of breast augmentation surgery with ultra-high dual-plane implants and explore more suitable methods for breast augmentation in Asians.Methods A total of 289 patients,aged 18-56 years with an average age of 35.7 years,who underwent breast augmentation with prostheses between August 2019 and August 2022 were selected.The modified dual-plane technique was used to horizontally dissect the pectoralis major muscle at the nipple and areola,with the broken ends retracting upwards and downwards to form two baggy muscle flaps.The upper flap covered the upper pole of the prosthesis,while the lower flap placed the prosthesis in a bag,The nipple and areola position after the retraction of the broken muscle end is covered with a prosthesis behind the breast fascia.Results The postoperative follow-up was 13-36 months,with an average follow-up of 19 months.After cutting the pectoralis major muscle at an ultra-high position,the retracted muscle flap covers the upper pole of the prosthesis,reducing the sense of edge and skin wrinkles of the prosthesis.The retracted pouch-shaped muscle flap packs the prosthesis into the bag,improving the fullness of the lower breast pole,reducing the tactile sensation of the prosthesis,and improving its stability.In addition,when the pectoralis major muscle is cut offat a super high position and retains the motor nerve innervation for the contraction of the upper muscle flap,the muscle contracts in a horizontal vector,minimizing the downward movement of the prosthesis.The lower muscle flap,which loses its innervation,counteracts the downward pressure generated by chest muscle contraction on the prosthesis,effectively reducing animation deformities and double bubble deformities.All patients had good aesthetic breast shape,soft and realistic feeling,no obvious boundary of the prosthesis,normal breast mobility,and high satisfaction of patients.Conclusion The improved ultra-high biplane breast augmentation technique can provide good tissue coverage and natural and long-lasting effects on the prosthesis,reducing the shortcomings and defects of traditional dual-plane breast augmentation surgery and making it more suitable for Asian breast augmentation surgery.