박진석원장은 2009년 9월 4일부터 6일까지 코엑스 컨벤션센터에서 열린 제 1회 최소침습학회에 초청되어 강연을 함.
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The correction of ptotic breast
Introduction
Breast ptosis is caused by volume envelope discrepancy as a result of pregnancy, lactation, weight loss, and aging. Although surgical grading according to nipple level help the correction, in the viewpoint of the patient, ptotic appearance of the breast means various status from small flat skinny sagging breast to huge breast.
Characteristics of the ptotic breast:
In general the ptotic breast has some characteristics such as lower position of nipples, excess of envelope, lack of breast parenchyma, highly mobile parenchyma mainly due to loosening of subglandular space or failure of Cooper’s ligament action as supporters and well defined inframammary fold
Methods
Patient oriented treatment is not simple and we have to manage ptosis with considering many things such as patient physical condition, patient’s demand about size and shape, scar, and realistic expectation.
Ptosis can be improved by simple augmentation with implant into the dual plane or retroglandular plane or fat graft. If nipple is located 2cm below inframammary fold, mastopexy is more reliable and sometimes simultaneous augmentation mastopexy is needed.
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.
