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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">spractice</journal-id><journal-title-group><journal-title xml:lang="ru">Хирургическая практика</journal-title><trans-title-group xml:lang="en"><trans-title>Surgical practice (Russia)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2223-2427</issn><publisher><publisher-name>АНО "Консорциум "Медицинская техника"</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.38181/2223-2427-2023-3-2</article-id><article-id custom-type="elpub" pub-id-type="custom">spractice-411</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ХИРУРГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>SURGERY</subject></subj-group></article-categories><title-group><article-title>Трехплоскостная структурная сохраняющая маммопластика при коррекции птоза I—III степени на импланте</article-title><trans-title-group xml:lang="en"><trans-title>Triple-Plane Structural Preservation Mammoplasty with Implant Integration for Grade I—III Ptosis Correction</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0008-0400-382X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Козлов</surname><given-names>А.  В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kozlov</surname><given-names>A.  V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Андрей Викторович Козлов, доктор медицинских наук, врач-хирург, доцент кафедры хирургии факультета усовершенствования врачей</p><p>630091, Новосибирск, Коммунистическая ул., 17/1</p><p>630091, Новосибирск, Красный проспект, 52</p></bio><bio xml:lang="en"><p>Andrey V. Kozlov, Associate Professor, the Faculty ofAdvanced Medical Education</p><p>Kommunisticheskaya St., 17/1, Novosibirsk, 630099</p><p>Krasny prospect 52, Novosibirsk, 630091</p></bio><email xlink:type="simple">microhand@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0458-7625</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Федорова</surname><given-names>П.  А.</given-names></name><name name-style="western" xml:lang="en"><surname>Fedorova</surname><given-names>P.  A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Полина Анатольевна Федорова, клинический ординатор</p><p>630091,  Новосибирск, Красный проспект, 52</p></bio><bio xml:lang="en"><p>Polina A. Fedorova, resident</p><p> Krasny prospect 52, Novosibirsk, 630091</p></bio><email xlink:type="simple">FPolina19@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1278-3180</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Анашкина</surname><given-names>А.  С.</given-names></name><name name-style="western" xml:lang="en"><surname>Anashkina</surname><given-names>A.  S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Анастасия Сергеевна Анашкина, клинический ординатор630091,  Новосибирск, Красный проспект, 52</p></bio><bio xml:lang="en"><p>Anastasia S. Anashkina, resident</p><p>Krasny prospect 52, Novosibirsk, 630091</p></bio><email xlink:type="simple">a.anashkina@g.nsu.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-5296-9767</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ким</surname><given-names>Д.  А.</given-names></name><name name-style="western" xml:lang="en"><surname>Kim</surname><given-names>D.  A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Денис Александрович Ким, кандидат медицинских наук, ассистент кафедры хирургии факультета усовершенствования врачей, врач-хирург</p><p>630091, Новосибирск, Коммунистическая ул., 17/1</p><p>630091, Новосибирск, Красный проспект, 52</p></bio><bio xml:lang="en"><p>Denis A. Kim, Associate Professor, the Faculty of Advanced Medical Education</p><p>Kommunisticheskaya St., 17/1, Novosibirsk, 630099</p><p>Krasny prospect 52, Novosibirsk, 630091</p></bio><email xlink:type="simple">dk_im@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Медицинский центр «Авиценна» группы компаний «Мать и дитя»; Новосибирский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>The Avicenna Multifunctional Clinical Hospital; Novosibirsk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Новосибирский государственный медицинский университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Novosibirsk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>07</day><month>10</month><year>2023</year></pub-date><volume>0</volume><issue>3</issue><fpage>19</fpage><lpage>31</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Козлов А.В., Федорова П.А., Анашкина А.С., Ким Д.А., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Козлов А.В., Федорова П.А., Анашкина А.С., Ким Д.А.</copyright-holder><copyright-holder xml:lang="en">Kozlov A.V., Fedorova P.A., Anashkina A.S., Kim D.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.spractice.ru/jour/article/view/411">https://www.spractice.ru/jour/article/view/411</self-uri><abstract><p>Цель — изучить эффективность трехплоскостной структурной сохраняющей маммопластики при коррекции птоза I—III степени на импланте.Материалы и методы. В исследование включены 40 женщин в возрасте от 24 до 46 лет, которым проведена коррекция птоза молочных желез. Пациентки разделены на две группы по 20 человек: в основной группе применяли технику трехплоскостной структурной маммопластики, а в группе сравнения использовали стандартные методы коррекции птоза (периареолярная, вертикальная и перевернутая Т-образная мастопексия). Отличием трехплоскостной техники от стандартных методик является формирование третьей плоскости над мембранозной пластиной с проведением отслойки кожи и подкожно-жировой клетчатки.Результаты. Трехплоскостная техника коррекции птоза молочных желез позволяет уменьшить интенсивность боли в 1,4 раза — до 5 ± 1 баллов (р ≤ 0,05), длительность экссудации (удаление дренажей) в 2,5 раза — до 18 ± 2 ч (р ≤ 0,05), способствует сокращению длительности госпитализации в 2 раза — до 23 ± 2 ч (р ≤ 0,05), дает возможность переходить на мягкие фиксаторы на 14-е сутки послеоперационного периода.Заключение. Трехплоскостная структурная сохраняющая маммопластика при коррекции птоза I—III степени на импланте является высокоэффективным методом, который сохраняет связочный аппарат молочной железы, позволяет снизить частоту осложнений и восстановить форму железы без разреза на коже нижнего полюса и сосково-ареолярной области, что улучшает эстетический результат и качество жизни пациентов.</p></abstract><trans-abstract xml:lang="en"><sec><title>Aim</title><p>Aim. To assess the effectiveness of triple-plane structural preservation mammoplasty in correcting grade I—III ptosis with breast implants.</p></sec><sec><title>Methods</title><p>Methods. This study comprised 40 women aged 24 to 46 who underwent breast ptosis correction. The patients were divided into two groups of 20 each: the main group underwent the triple-plane technique, while the comparison group received standard ptosis correction methods (periareolar, vertical, and inverted T-shaped mastopexy).</p></sec><sec><title>Results</title><p>Results: Employing the triple-plane technique for correcting breast ptosis led to a 1.4-fold reduction in pain intensity to 5 ± 1 points (p ≤ 0.05), a 2.5-fold decrease in exudation duration (drain removal) to 18 ± 2 hours (p ≤ 0.05), a 2-fold reduction in hospitalization time to 23 ± 2 hours (p ≤ 0.05), and allowed for the transition to soft fiatives by the 14th day of the postoperative period.</p></sec><sec><title>Conclusion</title><p>Conclusion. Triple-plane structural preservation mammoplasty for correcting grade I—III ptosis with breast implants proves highly effective. It preserves the mammary gland’s ligamentous structure, reduces complication rates, and restores glandular shape without requiring incisions on the lower pole and nipple-areolar region skin. This results in improved aesthetic outcomes and enhances patients’ quality of life.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>птоз молочных желез</kwd><kwd>мастопексия</kwd><kwd>маммопластика</kwd><kwd>коррекция птоза</kwd><kwd>подтягивание мягких тканей</kwd><kwd>двойная плоскость</kwd><kwd>карман импланта</kwd></kwd-group><kwd-group xml:lang="en"><kwd>breast ptosis</kwd><kwd>mastopexy</kwd><kwd>mammoplasty</kwd><kwd>ptosis correction</kwd><kwd>soft tissue lift</kwd><kwd>dual plane</kwd><kwd>implant pocket</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Fuente-Del-Campo A, García-García F, Ortiz-Monasterio-Todd I. Three-Flap Mastopexy with Reduction or Augmentation. 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