FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely plastic and aesthetic surgery. A marking is applied to the skin of the mammary glands, as shown in dwg. 1. After that, incisions are made of the skin of the mammary glands and an incision around the skin of the areola with a diameter of 4.2 cm using an areolar knife to the dermis, followed by deepidermization of this area. After that, a glandular flap is formed. Next, the areola is fixed in a new position, marked on the preoperative marking, to the edges of the skin wound at four points. Tubular Redon drainage is removed through an additional incision up to 5 mm, fixed to the skin with a seam. Next, the resulting flap of the gland is tucked under the areola and fixed to the pectoralis major muscle in the projection of the 3rd rib with 1-5 nodular sutures. The areola is fixed to the edges of the skin wound with suture material, the skin is sutured with intradermal suture material. The lateral and medial edges of the gland are brought together by invagination and stitched together in three places with upward hypercorrection. At the same time, resection of the tissues of the lower slope of the mammary glands is further performed with the formation of a new breast crease, starting with the complete cutting off of the breast crease. After that, from the lateral and medial sides towards the center to the place under the third suture of invagination, excision is performed with a single block of tissues of the lower slope of the mammary gland, as shown in dwg. 2, bulging after invagination. The vertical component is sutured with nodules inside, in the lower part of the vertical component of the surgical wound, a semi-purse suture is applied. One uncut end is left, with the help of a continuous winding seam running from top to bottom of the vertical component of the surgical wound, the skin wound is crimped. At the same time, its length is ultimately 6 cm, and the skin is straightened after each stitch when applying a continuous winding seam. After that, the ends of the threads are connected with the formation of a new lower slope, which ends 2 cm above the old breast crease marked before the operation with the formation of a new breast crease located 1.5-2 cm above the old one.
EFFECT: method makes it possible to achieve the most acceptable aesthetic shape of the breast, a stable and long-term result.
1 cl, 1 ex, 2 dwg
