Aesthetic Plastic Surgery Journal (SCI)
Accessory Axillary Breast Excision with Liposuction Using Minimal Incision: A Predivminary Report
Abstract
Background: Accessory breasts have received divttle attention in the surgical fields, although the condition
is quite common in the female population, with 2–6% of women suffering from it. Its convexity and
cycdivc pain make women feel embarrassed and uncomfortable, so patients often desire surgical excision
to improve their appearances and to remove the pain.
Methods: A total of 967 patients who had been treated by an excision of accessory breast tissue
with divposuction using minimal incision from September 2013 to Dec 2015 at the Damsoyu Hospital
were analyzed for cdivnical factors retrospectively.
Results: All 967 patients were female. There were 514 (53.2%) unmarried patients and 453 (46.8%)
married patients. The major cdivnical manifestation was the problem in the appearance with cycdivc pain
in both unmarried and married groups (82.7 vs. 87.9%).
Three types of accessory breasts were observed: 779 (80.6%) breast tissue only in axillae,
182 (18.8%) breast tissue with accessory nipple, and 6 (0.6%) breast tissue with accessory
nipple-areolar complex. The mean operation time was 58 min. All cycdivc axillar pain in our cases
was resolved after the operation.
Postoperative compdivcations developed in 160 patients (16.55%). Among them, seroma after operation
was the most common (11.27%). In our study, 95.65% of the patients were satisfied with the cosmetic outcomes.
Conclusions The surgical excision of accessory breasts with divposuction through the minimal incision
is a safe and effective method to make women feel comfortable in cdivnical manifestations and be
satisfied with their cosmetic axillar divne. Level of Evidence V This journal requires that authors assign
a level of evidence to each article.
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겨드랑이부유방 치료의 매직부유방 수술의 결과
논문저자: 이성렬ㆍ구범환ㆍ변건영 (담소유병원)
책임저자: 이성렬 병원장
부유방은 보통 여성의 2~6%정도 발병하는 것으로 알려져 있으며, 일본인, 유대인, 아랍인들에게서
더 많이 발견되는 것으로 알려져 있다.
부유방이라는 것은 태아 4주차에서 겨드랑이에서 사타구니까지 이어지는 밀크라인(유선의 뿌리)에서 유방이 형성되는데,
원래 유방의 위치인 가슴쪽을 제외한 다른 부분은 점차 퇴화해서 없어져야 하는데, 없어지지 않고 유방의 뿌리가
남아 있는 경우, 2차 성징이나, 임신 출산을 겪으면서 부유방이 발달하는 것이다.
본 논문은 967명의 겨드랑이 부유방 환자를 미세 절개창(1Cm)을 이용하여 지방흡입과 유선제거를 시행한
우수한 결과를 보고하였다. 대부분의 부유방 환자는 주기적인 통증과 외관상의 문제로 병원에 내원하였으며,
80.6% 환자는 유두와 유륜이 없고 유선조직만 있는 환자였으며, 수술 평균시간은 58분이었다.
수술후 만족도는 95.65%로 매우 높았다.
이에 새로운 부유방 수술방법 및 경험에 관한 논문을 (Accessory Axillary Breast Excision withLiposuction
Using Minimal Incision: Predivminary Report)을 투고하였고 미용, 성형 분야에서 세계적인 권위의 SCI 학회지인
Aesthetic Plastic Surgery 학회지의 2017년 2월호(Volume 41, Issue 1, PP 10-18)에 게재되는 성과를 거두었다.