带下方隔蒂的三叶草皮瓣乳房上提术

目标: To introduce and evaluate a novel original technique of mastopexy involving three-segment fixation of the lower-septal pedicle — the Trefoil Technique — developed by the author . 介绍: Correction of breast ptosis remains a demanding task in aesthetic surgery, especially in achieving stable upper pole projection and symmetrical nipple-areola positioning in moderate to severe ptosis. Traditional mastopexy techniques often fail to ensure lasting aesthetic outcomes. 材料 / 方法: We operated on 108 patients aged 18 to 55 years with Regnault grade II–III breast ptosis from 2020 to 2024 according to the reported technique. The upper edge of the inferior-septal pedicle was vertically divided into three equal segments. Depending on the degree of ptosis, absorbable sutures were used to fix the segments to the pectoral fascia at 10, 12, and 2 o’clock: • anterior edge for grade III ptosis, • posterior edge for grade II-III, • inner surface of the pedicle for grade II. Patients were followed up for 12-18 months. 结果: No areolar necrosis or persistent sensory loss was observed. Minor T-junction healing delay occurred in 2.6% of cases, managed conservatively. In 96% of patients, stable upper pole fullness and optimal areolar centralization were achieved. Upper pole projection demonstrated greater long-term stability than that observed in standard inferior pedicle-based mastopexies. 总结: The Trefoil Technique is a novel mastopexy method that provides durable breast shape and consistent upper pole fullness through anatomical tissue repositioning and multi-point fixation. It offers reliable outcomes with minimal complications and preserves both nipple vascularity and sensitivity. This technique serves as a strong, implant-free alternative to traditional inferior pedicle mastopexy.