FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to aesthetic surgery. Perform marking: as 0 hours, take the direction of the line coming from the center of the nipple-areola complex and passing through the seam after resection. On the skin of the breast, a 6-hour line is drawn, two lines are drawn from the margin of the areola to the base of the mammary gland after 4 and 8 hours. Their length is measured and a point is placed on each line, which is 1/3 of the measured length from the edge of the areola. Resulting points are connected by a straight line crossing the line for 6 hours, after which a skin flap is cut out, the inner edge of which is formed by a paraareolar incision of the skin from 3 to 9 hours. Outer edge of the flap is formed from 3 to 9 hours by a semilunar incision of skin, retreating 1 cm from the paraareolar incision. Sew the wound with a cosmetic suture. In this case, a full-layer "bridge" skin flap is formed from 3 to 9 hours at the lower pole of the areola 1 cm wide, while the pedicles at the lateral and medial bases are preserved to 7 mm. Then this flap is moved to the upper pole, where by means of it the skin defect is replaced from the descent of the nipple-areola complex. Upper and lower edges of the skin flap are sealed with a locking suture with a 7–0 prolene, the donor zone is sewn on the lower edge of the areola layer by layer with 4/0 monocryl.
EFFECT: method allows to exclude additional postoperative scars of mammary glands, to create the optimal aesthetic form of the mammary glands, to receive a cosmetic cutaneous wound that does not require postoperative care.
1 cl, 1 ex, 4 dwg
