A review of the progress in breast plastic and cosmetic surgery

ZHANG Yong; QI Fazhi

doi:10.3969/j.issn.1673-7040.2024.06.002

Abstract：In recent years,significant progress has been made in breast plastic and cosmetic surgery.The safety of breast augmen-tation with implants,especially concerning the risk of anaplastic large cell lymphoma,has been rationalized.The dual-plane endoscopic breast augmentation via the axillary approach has become a distinctive technique in China,while the submammary fold incision for implant augmentation has significantly increased in recent years.The debate around triple-plane techniques has been arisen by some scholars.Au-tologous fat grafting for breast augmentation has further developed,with continuous improvement in transplantation techniques and related theories,allowing safe injection of small amounts of fat locally.The combined application of autologous fat and implants is gradually being promoted.The number of breast reduction surgeries has significantly increased in recent years.Among various reduction surgical methods,the vertical scar superior pedicle reduction mammaplasty has become a preferred choice for more surgeons and patients.In breast recon-struction,immediate breast reconstruction using implants has become one of the main methods alongside improved radical mastectomy with skin preservation and the clinical application of acellular dermal matrix domestically.However,due to the difficulty of achieving symmetry with implant-based breast reconstruction,autologous tissue breast reconstruction remains an indispensable option.Collaboration between breast surgeons and plastic surgeons is essential for addressing this effectively.Additionally,minimally invasive techniques for male breast reduction,combined with liposuction for body contouring,aim not only to remove glandular tissue but also to maintain a natural,non-con-cave chest wall appearance postoperatively.