A prospective study of scars after breast implantation with different incisions
10.3760/cma.j.issn.1009-4598.2018.02.006
- VernacularTitle: 中国女性假体隆乳术不同切口瘢痕的前瞻性对比研究
- Author:
Jingjing SUN
1
;
Jie LUAN
;
Dali MU
;
Chunjun LIU
;
Minqiang XIN
;
Su FU
;
Lin CHEN
;
Meng ZHANG
Author Information
1. Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing 100144, China
- Publication Type:Clinical Trail
- Keywords:
Augmentation mammoplasty;
Axillary incision;
Periareolar incision;
Inframammary fold incision;
Vancouver Scar Scale;
Patient satisfactionn
- From:
Chinese Journal of Plastic Surgery
2018;34(2):101-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the scar condition after breast implantation with axillary, periareolar and inframammary fold (IMF) incisions.
Methods:The consecutive patients who were diagnosed as breast hypoplasia and underwent breast implantation surgeries between May 2012 to December 2014 were included in the research. The scars were assessed at 1, 6 and 12 months after surgery with VSS and patient satisfaction scoring. The results were analyzed with Variance and Kruskal-Wallis test based on the data type.
Results:The scars of 173 patients were assessed 3 times with the follow-up rate being 82.4%. The VSS scores of every incision declined with time, and the patient satisfaction scores increased gradually. At one month after surgery, the media VSS scores were 6 in axillary group and 4 in periareolar and IMF groups, the differences had statistical significance (P<0.05). The media scores of patients satisfaction were 8 in periareolar group and 7 in axillary and IMF groups. The scores of periareola group were higher than those of axillary with statistical significance(P<0.05). When 6 months after surgery, the media VSS scores were 4 in axillary group and 3 in periareolar and IMF groups. The scores of axillary group were higher than those of IMF with statistical significance(P<0.05). The media scores of patients satisfaction were 8 in 3 groups. When 12 months after surgery, the media VSS scores were 0.5 and 1 in periareolar group (left and right respectively), and 2 in axillary and IMF groups. The media scores of patients satisfaction were 9 in 3 groups. No differences were found in VSS and patients satisfaction scores among three kinds of incisions (P>0.05).
Conclusions:The scars of three incisions achieved similar cosmetic effects and patient satisfaction at long-time follow-up.
