Objective To evaluate an improved technique of vertical mammaplasty with purse string suture for correction of breast ptosis and its clinical application.Methods The adjustable markings of vertical mammaplasty was improved with an upper pedicle for the areola,and breast reduction was adapted with the lower part.The breast tissue was lifted and fixed on the second rib level to reshape the breast,which did not rely on the skin,with purse string suture for the lower half of vertical incision.32 patients with breast ptosis had been operated from May 2009 to February 2014.Results 32 cases were treated with vertical mammaplasty with short scar.The shape of the breasts was strengthen,without obvious scar,and follow-up results of patients were satisfied.Conclusions The vertical mammaplasty with short scar design is simple,operation is convenient,breast shape is plump,and postoperative long-term effect is great.This procedure can be used as one of the feasible operation for breast ptosis correction.%目的 评价荷包直线法乳房成形术矫正乳房下垂的临床效果.方法 对32例乳房下垂患者行乳房下垂矫正术.采用荷包直线法乳房成形术设计切口,保留乳房上部乳头乳晕的血供,将剩余乳腺组织上提固定于第2肋水平,重塑乳房外形,皮肤无张力缝合,垂直切口下1/2采用荷包缝合.结果 32例术后乳房外形挺拔,瘢痕不明显,术后3个月至5年共随访27例,均对乳房外形满意,乳头乳晕感觉正常.术后未发生乳头乳晕坏死,2例发生积液,给予抽液并加压包扎后痊愈.结论 荷包直线法乳房成形术设计简单,操作方便,且术后远期效果好,乳房外形饱满,可作为乳房下垂矫正的可行术式之一.
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