Classification system and surgical design of developmental breast asymmetry
10.3760/cma.j.issn.1671-0290.2022.01.007
- VernacularTitle:发育性不对称乳房的外科分型与美学设计
- Author:
Feng QIN
1
;
Xiaojun WANG
;
Ang ZENG
;
Zhifei LIU
;
Zenan XIA
;
Wenchao ZHANG
;
Mingzi ZHANG
;
Lin ZHU
Author Information
1. 中国医学科学院北京协和医学院北京协和医院整形美容外科，北京 100730
- Keywords:
Breast;
Esthetics;
Developmental breast asymmetry;
Classification;
Surgery
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2022;28(1):26-29
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the classification and treatment strategies of developmental breast asymmetry (DBA).Methods:A retrospective study was conducted in adult female patients with developmental breast asymmetry deformity who underwent surgery between January 2005 to June 2019 in the Plastic Surgery Department of Peking Union Medical College Hospital. According to different clinical manifestations, DBA was divided into three types which adopted to different surgical strategies. Postoperative complications and patient satisfaction were evaluated.Results:A total of 203 patients were included in the study; 42.36% (86 cases) were type Ⅰ, 31.03% (63 cases) were type Ⅱ and 26.60% (54 cases) were type Ⅲ. The number of follow-up patients accounted for 79.3% (161/203). The mean follow-up time was 9 months. There were one case of poor healing of the axillary incision in latissimus dorsi muscle flap, two cases of seroma, five cases of Baker grade Ⅰ capsule contracture, two cases of Baker grade Ⅱ capsule contracture and one cases of small nodules in autologous fat breast augmentation. With regard to patient satisfaction, 80.1% (129 cases) felt satisfied with the aesthetic results, 15% (24 cases) felt good, 3.7%. (6 cases) felt average and 1.2% (2 cases) felt unsatisfied.Conclusions:This study shows that the clinical manifestations of DBA are varied, and our classification method is an effective and useful tool to guide the surgical treatment. Individualized surgical design is essential for aesthetical results.
