目的:比较不同入路下假体隆乳术的术后效果。方法:2016年1月至2018年1月，长沙雅美医疗美容医院美容外科收治隆乳患者211例(年龄18~52岁，平均)。根据手术入路将患者分为腋窝入路组、乳晕入路组、乳房下皱襞入路组，对3个组患者术后疼痛、切口瘢痕、引流量及其他并发症进行观察。结果:乳晕入路组与乳房下皱襞入路组患者术后5 d的视觉模拟量表评分明显优于腋窝入路组(n F＝70.93，n P0.05)，乳房下皱襞组乳头乳晕感觉障碍发生少。n 结论:乳房下皱襞假体隆乳具有切口隐蔽、手术时间短、直视操作、疼痛较轻、手术损伤小、术后并发症发生率低等优点，值得临床应用。“,”Objective:To compare the clinical effects between axillary approach, periareolar approach and inframammary fold approach in breast augmentation.Methods:Two hundred and eleven patients in our department from Jan. 2016 to Jan. 2018 were involved in this study. According to the surgical approach, the patients were divided into the axillary approach group, periareolar approach group and inframammary fold approach group. Postoperative pain, incision scar, drainage fluid and several complications were observed in three groups.Results:Postoperative VAS score of patients in inframammary fold approach and periareolar approach group was lower than that in the axillary approach group (n F=70.93, n P0.05), and the nipple areola sensory disorder in the inframammary fold approach group was less.n Conclusions:Breast augmentation of inframammary fold approach has the advantages of relatively hidden incision, short surgical approach, direct vision operation, mild pain, less surgical injury and low postoperative complications. It is worthy of being promoted.