Đánh giá bước đầu cải thiện đường mổ quanh quầng vú với mũi khâu vòng Purse-String để đặt túi Gel nâng to ngực khó thấy sẹo

Objectives: three main approaches used In breast augmentation were Inframammary, periareolar and axillary approach. Scars after surgery always should be considered. In this report, the authors evaluated the technique using perlareolar approach with purse string suture to hide the scars under the nipples in breast augmentation. Methods: 38 patients with no breast ptosis or mild ptosis admitted at Department of Plastic and Aesthetic Surgery at Choray Hospital for breast augmentation from Jan 2010 to Jan 2011. All the patients whose periareolar diameters were from 4 cm to 6 cm were operated using periareolar incisions. Results: the incision was 4 cm, which was enough for dissecting the pocket and placing the implants. The surgical time was 1 hour and 45 minutes for both sides. The incisions hidden under the nipples were invisible. The scars were well-healed in 81.5 percent; were hypopigmented in 18.5 percent. the authors had 5 complication: infection (1 case), loss of nipple sensation (4 cases). Conclusions: periareolar approach with purse string suture could hide the scar under the nipples. The scars were less invisible compared with classical incision.