대한미용성형외과학회 2011년 4월 1-3일 박진석 원장 강연

박진석성형외과 박진석원장은 2011년 4월 코엑스에서 열린 대한미용성형외과학회에서 처진 가슴을 교정하는 방법에 대한 강연을 하였음.

 

Breast augmentation for the correction of small ptotic breasts

 

Introduction :

Large breast seems ptotic appearance due to its weight and gravity. In contrast with large breast, ptotic appearance in small breast is occurred by volume-envelope discrepancy as a result of pregnancy, lactation, weight loss, and aging.

Methods:

If nipple is located higher than the level of 2cm below the inframammary fold(IMF),  ptosis can be improved by simple augmentation with implant into the dual plane or retroglandular plane or fat graft. If we decide simple augmentation, we have to consider several things. First, the pushing force to soft tissue envelope is mainly directed to lower pole(below the nipple). For this purpose, unfortunately not yet approved in Korea, it is helpful using an anatomical implant of which the maximal projection point is lower than that of the round implant. Second we have to consider similar condition showing ptotic appearance such as lower pole hypoplasia and tubular breast. If the inframammary fold is located too highly, we have to add the lowering IMF in breast augmentation plan. If breast tissue is rigid and constricted, we have to add managing the parenchyma in operation plan. Sometimes internal pexy along the subglandular plane can be added in dual plane breast augmentation.  

Patient oriented treatment is also important The most appropriate correction method is not easy to decide, however it can be chosen if we consider several things such as patient physical condition, patient’s demand about size and shape, scar, and realistic expectation. I would like to give presentation about my various experiences.