Nonsurgical Breast Enlargement Using an External Soft-Tissue Expansion System
Nonsurgical Breast Enlargement Using an External Soft-Tissue Expansion System
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DOI：
10.1097/00006534-200006000-00032
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发表时间：
2000-06
影响因子：
3.6
通讯作者：
R. Khouri;I. Schlenz;B. Murphy;T. J. Baker
中科院分区：
文献类型：
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作者：
R. Khouri;I. Schlenz;B. Murphy;T. J. Baker
不到1%的女性有兴趣有更大的乳房选择有手术隆乳插入乳房植入物。本报告的目的是描述和测试一种非手术丰胸方法的有效性，该方法基于组织在受到受控分散机械力时的生长能力。17名健康女性（年龄18至40岁）谁的动机，以实现丰胸参加了一项单组研究。参与者被要求佩戴类似胸罩的系统，该系统在10周内每天向每个乳房施加20 mmHg的真空牵引力10至12小时。在治疗期间和治疗后定期通过三种不同的方法测量乳房大小。在月经周期的同一阶段，通过磁共振成像扫描，在治疗前后观察乳腺组织水密度和结构。12例受试者完成了研究; 5例受试者因方案不依从而退出研究。在10周的治疗过程中，所有女性的乳房大小都有所增加，并在第10周（最终治疗）达到峰值;每位女性的平均增幅为98 ± 67%。在终止治疗后的第一周观察到部分回缩，在长达30周的随访后没有显著的进一步尺寸减小。乳房大小的长期稳定增长为55%（范围为15%至115%）。磁共振图像显示无水肿，并证实脂肪和纤维腺体组织成分成比例增大。在研究过程中，体重出现了统计学上的显著下降，自尊问卷的分数也显著提高。所有参与者都对结果非常满意，并报告称该器械佩戴舒适。器械使用期间或治疗后未记录不良事件。我们的结论是，真正的丰胸可以实现与日常使用的适当设计的外部扩张系统。这种非手术和非侵入性的丰胸方法是有效的，耐受性良好。
Less than 1 percent of the women interested in having larger breasts elect to have surgical augmentation mammaplasty with insertion of breast implants. The purpose of this report is to describe and test the efficacy of a nonsurgical method for breast enlargement that is based on the ability of tissues to grow when subjected to controlled distractive mechanical forces. Seventeen healthy women (aged 18 to 40 years) who were motivated to achieve breast enlargement were enrolled in a single-group study. The participants were asked to wear a brassiere-like system that applies a 20-mmHg vacuum distraction force to each breast for 10 to 12 hours/day over a 10-week period. Breast size was measured by three separate methods at regular intervals during and after treatment. Breast tissue water density and architecture were visualized before and after treatment by magnetic resonance imaging scans obtained in the same phase of the menstrual cycle. Twelve subjects completed the study; five withdrawals occurred due to protocol noncompliance. Breast size increased in all women over the 10-week treatment course and peaked at week 10 (final treatment); the average increase per woman was 98 ± 67 percent over starting size. Partial recoil was seen in the first week after terminating treatment, with no significant further size reduction after up to 30 weeks of follow-up. The stable long-term increase in breast size was 55 percent (range, 15 to 115 percent). Magnetic resonance images showed no edema and confirmed the proportionate enlargement of both adipose and fibroglandular tissue components. A statistically significant decrease in body weight occurred during the course of the study, and scores on the self-esteem questionnaire improved significantly. All participants were very pleased with the outcome and reported that the device was comfortable to wear. No adverse events were recorded during the use of the device or after treatment. We conclude that true breast enlargement can be achieved with the daily use of an appropriately designed external expansion system. This nonsurgical and noninvasive alternative for breast enlargement is effective and well tolerated.