678 results match your criteria Breast Mastopexy


Multiplanar Assembly Mammaplasty Based on the Divine Proportion.

Plast Reconstr Surg Glob Open 2019 Feb 13;7(2):e1979. Epub 2019 Feb 13.

Clinica Jane, Plastic Surgery Department, Cirurgia Plástica, Florianópolis, Santa Catarina, Brazil.

Background: The study sought to plan mastopexy and breast reduction according to the principle of the divine proportion, represented by the letter phi, via the convergent assembly of multiple layers to create the new breast. This strategy is based on the constancy of the submammary fold and the orientation of the vertex of a V-shaped triangle opening at approximately 60° at the umbilicus, with each branch opening in the direction of the acromioclavicular joint.

Methods: The strategy was prospectively investigated in 265 patients (n = 530 breasts). Read More

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http://dx.doi.org/10.1097/GOX.0000000000001979DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6416132PMC
February 2019

Gland Suspension Improves Breast Augmentation Outcomes.

Plast Reconstr Surg Glob Open 2018 Nov 19;6(11):e2032. Epub 2018 Nov 19.

University of Florida, Gainesville, Fla.

Background: While dual plane breast augmentation successfully addresses low ptosis grades, concomitant hypomastia and greater ptosis often requires combined immediate or staged mastopexy with extended incisions beyond those required for breast augmentation. In an attempt at offering a minimal scar in a single procedure, we evaluated the benefit of a gland suspension maneuver in addition to a dual plane dissection and implant placement to improve breast contour, avoid postoperative ptosis, and thus reduce staged reintervention procedures.

Methods: A consecutive group of 73 patients presenting ptotic hypomastia were jointly categorized and underwent implant placement, dual plane dissection level 3, and gland suspension maneuver. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002032DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6414090PMC
November 2018

The Utility of Google Trends Data for Analyzing Public Interest in Breast Procedures.

Ann Plast Surg 2019 Mar 12. Epub 2019 Mar 12.

Division of Plastic Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA.

Background: Google Trends (GT) is a free, open-source tool that permits customizable analysis of search term volumes entered into the Google search engine. Google Trends data may offer useful and actionable insight to plastic surgeons pertaining to worldwide, national, and regional evolution of patient interest for breast procedures and other common surgeries.

Methods: Search terms were generated using the "related queries" feature of GT. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001806DOI Listing
March 2019
1 Read

Malignant and High-Risk Lesions in the Contralateral Breast Symmetry Mastopexy and Reduction Specimens When Performing Large-Volume Displacement Oncoplastic Surgery.

Ann Plast Surg 2019 Apr;82(4S Suppl 3):S185-S191

Department of Surgery, Tufts Medical Center, Boston, MA.

Background: Large-volume displacement oncoplastic surgery using mastopexy/reduction mammaplasty designs is becoming increasingly popular in breast cancer surgery. A contralateral symmetry operation using similar mastopexy or breast reduction designs is also commonly performed by the plastic surgeon. Our goal was to analyze contralateral symmetry specimens to review the prevalence of high-risk or malignant lesions. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001910DOI Listing

Mastopexy Autoaugmentation by Using Vertical and Triangular Flaps of Mammary Parenchyma Through a Vertical Ice Cream Cone-Shaped Approach.

Aesthetic Plast Surg 2019 Mar 6. Epub 2019 Mar 6.

Post-Graduate Course of Plastic Surgery of the ACA - Institute of Assistance in Plastic Surgery of São Paulo, Division of Plastic Surgery at General Hospital São Rafael, Brazilian Society of Plastic Surgery and Brazilian Medical Association, Rua Afonso de Freitas 641, São Paulo, SP, 04006-052, Brazil.

Background: Mastopexy autoaugmentation by using an extended vertical flap and two transverse triangular flaps of mammary parenchyma was performed through an adjustable vertical ice cream cone-shaped approach.

Method: A vertical rectangular flap with the length of the inferior pole and thickness of the mammary parenchyma was supported at the inframammary fold. Dissection of the vertical flap was extended underneath the areola until the projection of its upper limit, adding 4-5 cm to the length of the vertical flap. Read More

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http://dx.doi.org/10.1007/s00266-019-01337-1DOI Listing
March 2019
1 Read

Breast Reconstruction Following Breast Implant-Associated Anaplastic Large Cell Lymphoma.

Plast Reconstr Surg 2019 03;143(3S A Review of Breast Implant-Associated Anaplastic Large Cell Lymphoma):51S-58S

Houston, Texas; Perth, Western Australia; Toronto, Canada; and Sydney, New South Wales, Australia From the Departments of Plastic and Reconstructive Plastic Surgery, Hematology, and Breast Surgery, The University of Texas MD Anderson Cancer Center; Department of Surgery, University of Toronto; Department of Plastic and Reconstructive Plastic Surgery, Macquarie University; and private practice.

Background: Standard of care treatment of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) involves surgical resection with implant removal and complete capsulectomy. We report a case series of BIA-ALCL reconstruction with proposals for timing and technique selection.

Methods: We retrospectively reviewed and prospectively enrolled all BIA-ALCL patients at 2 tertiary care centers and 1 private plastic surgery practice from 1998 to 2017. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005569DOI Listing

3D Mammometric Changes in the Treatment of Idiopathic Gynecomastia.

Aesthetic Plast Surg 2019 Feb 27. Epub 2019 Feb 27.

Division of Hand, Plastic and Aesthetic Surgery, University Hospital, LMU Munich, Pettenkoferstraße 8a, 80336, Munich, Germany.

Background: Three-dimensional surface imaging (3DSI) has shown promise for plastic surgeons to objectively assess changes in body contour and breast volume.

Objectives: To assess the surgical outcome after bilateral subcutaneous mastectomy (BSM) and water jet-assisted liposuction (WAL) as treatment for idiopathic gynecomastia, using 3DSI to document changes regarding nipple-areolar complex (NAC) and breast volume.

Methods: Thirty male patients (Simon II A to B) receiving BSM and WAL were enrolled. Read More

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http://dx.doi.org/10.1007/s00266-019-01341-5DOI Listing
February 2019
1 Read

Breast Reduction and Mastopexy for Repair of Asymmetry After Breast Conservation Therapy: Lessons Learned.

Aesthetic Plast Surg 2019 Feb 25. Epub 2019 Feb 25.

Plastic and Reconstructive Breast Surgery Unit, Department of Plastic and Reconstructive Surgery, Tel-Aviv Sourasky Medical Center, Affiliated with the Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizmann St., 6423906, Tel Aviv, Israel.

Background: Breast conservation therapy (BCT) can cause breast distortion and asymmetry. Repair of this asymmetry by means of breast reduction or mastopexy procedures can be challenging and harbor considerably high rates of complications.

Methods: In this retrospective study, we describe our experience in repairing post-BCT breast asymmetry by performing breast reduction or mastopexy. Read More

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http://dx.doi.org/10.1007/s00266-019-01338-0DOI Listing
February 2019

Combined Breast Reduction Augmentation.

Aesthetic Plast Surg 2019 Feb 6. Epub 2019 Feb 6.

Institute of Plastic Surgery Dr. Ivan Mañero, Barcelona, Spain.

Background: Numerous methods have been designed to reduce breasts size and weight. The goal today is to not only to reduce size but also to create a pleasing shape. Breast reduction techniques do not obtain the desired upper pole fullness, and commonly recurrent ptosis develops. Read More

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http://dx.doi.org/10.1007/s00266-019-01318-4DOI Listing
February 2019
1 Read

Aesthetic Breast Surgery Under Cold Tumescent Anesthesia: Feasibility and Safety in Outpatient Clinic.

Ann Plast Surg 2019 Jan 21. Epub 2019 Jan 21.

Clinic Michelangelo, Olbia.

Throughout the last decade, aesthetic breast surgery has enormously spread in the outpatient clinic setting where plastic surgeons perform the vast majority of procedures under local anesthesia as day-case operations. The "tumescent anesthesia" is defined as the injection of a dilute solution of local anesthetic combined with epinephrine and sodium bicarbonate into subcutaneous tissue until it becomes firm and tense, which is "tumescent." The "cold tumescent anesthesia" (CTA) derives from Klein's solution with the introduction of a new concept, which is the low temperature (4°C) of the injected solution. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001798DOI Listing
January 2019
7 Reads

Pediatric Breast Fibroadenomas: A Systematic Review and Algorithm for Treatment.

Ann Plast Surg 2019 Jan 9. Epub 2019 Jan 9.

Columbia University Vagelos College of Physicians and Surgeons, New York, NY.

Background: Pediatric breast masses cause concern for both the patient and their family, although malignancy represents less than 1% of lesions in this population. No studies have systematically described resection and reconstructive methods for different sizes and locations of pediatric breast fibroadenomas. The aim of this study was to perform a recent systematic review of the literature regarding the surgical resection of pediatric breast fibroadenomas and to propose an algorithm for safe and effective treatment that maximizes both therapeutic and aesthetic goals while acknowledging possible future need for nipple-sparing mastectomy. Read More

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http://Insights.ovid.com/crossref?an=00000637-900000000-9711
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http://dx.doi.org/10.1097/SAP.0000000000001717DOI Listing
January 2019
3 Reads

Sub-muscular plane for augmentation mammoplasty patients increases silicone gel implant rupture rate.

J Plast Reconstr Aesthet Surg 2019 Mar 22;72(3):419-423. Epub 2018 Nov 22.

Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin 70300, Israel.

Background: Breast augmentation is one of the most common aesthetic procedures performed worldwide. One of the worst associated complications is implant rupture, a topic that will be addressed in the present study. The risk of developing silicone gel breast implant rupture following breast augmentation is associated with multiple factors, including: older generation implant, increased implant age, implant type, specific manufacturer, severe capsular contracture (Baker grade III or IV), and the presence of local symptoms. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815183041
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http://dx.doi.org/10.1016/j.bjps.2018.11.009DOI Listing
March 2019
8 Reads

Persistent Opioid Use and High-Risk Prescribing in Body Contouring Patients.

Plast Reconstr Surg 2019 01;143(1):87-96

Ann Arbor, Mich.; and Toledo, Ohio From the Section of Plastic Surgery, Departments of Surgery and Orthopedic Surgery, the Section of General Surgery, Department of Surgery, the Department of Anesthesiology, University of Michigan; and the University of Toledo School College of Medicine and Life Sciences.

Background: Opioid misuse occurs commonly among obese patients and after bariatric surgery. However, the risk of new persistent use following postbariatric body contouring procedures remains unknown.

Methods: The authors examined insurance claims from Clinformatics Data Mart (OptumInsight, Eden Prairie, Minn. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311715PMC
January 2019
2 Reads

Muscle-Splitting Augmentation-Mastopexy: Implant Protection With an Inferior Dermoglandular Flap.

Ann Plast Surg 2019 Feb;82(2):137-144

Hospital Moinhos de Vento, Porto Alegre, Rio Grande do Sul, Brazil.

Simultaneous augmentation-mastopexy can achieve excellent patient and surgeon satisfaction but continues to pose a challenge, with revision rates of up to 25%. Recurrent ptosis and poor overall breast shape are 2 common reasons for reoperation, whereas some of the most feared complications is breast implant exposure, infection, and loss secondary to wound breakdown; excessively large implants or too much tension during closure are possible contributing factors. We describe a technique for augmentation-mastopexy combining a muscle-splitting pocket for implant placement along with an inferior flap, which helps secure the implant in place and provides coverage in case of wound dehiscence. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001689DOI Listing
February 2019
12 Reads
1.458 Impact Factor

Intra-Capsular Versus Extra-Capsular Breast Mastopexy of Previously Augmented Breast.

World J Plast Surg 2018 Sep;7(3):301-306

Department of Plastic and Reconstructive Surgery Department, Ain Shams University, Cairo, Egypt.

Background: The augmented breast frequently becomes ptotic by time and most of the patients may seek mastopexy. Although the rate of breast lift surgeries after breast augmentation is increasing, there are few studies regarding the nature of these procedures.

Methods: Sixty patients with moderate grade ptosis and previously augmented breast by breast implants seeking breast mastopexy. Read More

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http://dx.doi.org/10.29252/wjps.7.3.301DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290301PMC
September 2018

Female Sexual Function and Sexual Well-being Before and After Breast Reduction: A Pilot Cross-sectional Study and Review of Literature.

Ann Plast Surg 2018 Dec 13. Epub 2018 Dec 13.

Dr Szczyt's Plastic Surgery Clinic, Warsaw, Poland.

Background: Breast reduction is one of the most frequently performed procedures in plastic surgery practice. Patients often undergo this procedure for not only aesthetic but also functional reasons because breast hypertrophy may hinder daily activities because of chronic spinal pain. Breast reduction has a documented impact on quality of life. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001742DOI Listing
December 2018
1 Read

The Medial Pillar Island Flap for Oncoplastic Breast Reconstruction of Upper Pole Defects.

Ann Plast Surg 2019 Apr;82(4):375-381

Surgical Oncology, Department of Surgery, University of Massachusetts Medical School, Worcester, MA.

Background: Breast deformity is common following lumpectomy. Use of ptotic lower pole tissue for restoration of volume in the upper pole is quite appealing since it allows for a concomitant lift. This study presents the medial pillar island flap technique of oncoplastic breast reconstruction of upper pole defects. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001673DOI Listing
April 2019
14 Reads

Standardized Practice Reduces Complications in Breast Augmentation: Results with the First 290 Consecutive Cases Versus Non-standardized Comparators.

Aesthetic Plast Surg 2019 Apr 12;43(2):336-347. Epub 2018 Dec 12.

Plastic Surgery, Health Park, Via Michelangelo Schipa 40, 80122, Naples, Italy.

Background: Several systematic methods for breast augmentation have been published, providing key principles and technical steps for minimizing complications and optimizing patient satisfaction. The aim of this study was to compare complication rates in patients receiving a breast augmentation performed using a structured, standardized approach versus comparator patients operated on without a standardized approach.

Methods: This was a single-center, retrospective review of 290 consecutive breast augmentations performed between October 2016 and September 2017 based on a standardized technique (Randquist's "five P's" combined with Adams' 14-point plan), and 235 comparators who underwent breast augmentations prior to standardization between April 2014 and September 2016. Read More

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http://dx.doi.org/10.1007/s00266-018-1291-yDOI Listing
April 2019
1 Read

New Approach to Oncoplastic Breast Conservation: Combining Autologous Volume Replacement and the Wise-pattern Mammaplasty.

Plast Reconstr Surg Glob Open 2018 Oct 16;6(10):e1987. Epub 2018 Oct 16.

Georgia Breast Surgery, Lawrenceville, Ga.

Background: Oncoplastic breast-conserving surgery describes a set of techniques that allow for generous oncological resection with immediate tumor-specific reconstruction. These techniques are classically divided into either volume displacement (local breast flaps and or reduction mammaplasty/mastopexy strategies) versus volume replacement strategies (transfer of autologous nonbreast tissue from a local or distant site and, less commonly, implant placement). There have been few descriptions of merging these 2 classical approaches to facilitate breast-conserving surgery. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001987DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250486PMC
October 2018
5 Reads

Prevalence of Depressive Symptoms in Patients Requesting Cosmetic Breast Surgery in Midwestern Brazil.

Plast Reconstr Surg Glob Open 2018 Oct 2;6(10):e1899. Epub 2018 Oct 2.

Hospital das Clínicas Teaching Hospital, Federal University of Goiás, Goiânia, Goiás, Brazil.

Background: The prevalence of depressive symptoms (DS) before cosmetic breast surgery was analyzed in the public (PbI) and private (PrI) institutions, comparing types of surgery and patients' sociodemographic characteristics.

Methods: A cross-sectional, observational, analytical study to evaluate the prevalence of DS in 185 patients of 18-71 years of age requesting 4 different cosmetic breast surgeries (with and without implants) at public and private institutions. Patients were assessed using the Beck Depression Inventory and analyzed for statistical comparison. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001899DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250461PMC
October 2018
1 Read

Systematic review of outcomes and complications in nonimplant-based mastopexy surgery.

J Plast Reconstr Aesthet Surg 2019 Feb 9;72(2):243-272. Epub 2018 Nov 9.

Department of Plastic, Reconstructive and Aesthetic Surgery, Lausanne University Hospital, Lausanne, Switzerland.

Background: Mastopexy is one of the most performed cosmetic surgery procedures in the U.S. Numerous studies on mastopexy techniques have been published in the past decades, including case reports, retrospective reviews, and prospective studies. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.10.018DOI Listing
February 2019
1 Read

[Reduction mammaplasties on irradiated breasts: A litterature review].

Ann Chir Plast Esthet 2019 Feb 16;64(1):11-16. Epub 2018 Nov 16.

Service de chirurgie oncologique et reconstructrice, institut Bergonié, université Bordeaux 2 Segalen, 33000 Bordeaux, France.

Introduction: Breast reduction is a very common intervention in plastic surgery. Its benefit on the quality of life of patients is certain. With the increasing number of conservative surgeries for breast cancer, the potential number of breast reduction on the irradiated breast has increased. Read More

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http://dx.doi.org/10.1016/j.anplas.2018.10.006DOI Listing
February 2019
8 Reads

Breast Reshaping After Massive Weight Loss.

Clin Plast Surg 2019 Jan 23;46(1):71-76. Epub 2018 Oct 23.

3550 Terrace Street, 6B Scaife Hall, Pittsburgh, PA 15261, USA. Electronic address:

The technique of dermal suspension, parenchymal reshaping mastopexy is a useful procedure for patients with massive weight loss with a typical presentation. The operation is tailored to the individual deformity, powerfully reshapes the breast, and can be safely combined with other commonly performed procedures. It is long-lasting and associated with minor complications that are easily treated in an office setting. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183006
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http://dx.doi.org/10.1016/j.cps.2018.08.009DOI Listing
January 2019
11 Reads

Pain Management and Body Contouring.

Clin Plast Surg 2019 Jan;46(1):33-39

Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, PO Box 208062, New Haven, CT 06520-8062, USA. Electronic address:

Body contouring procedure is a catchall that includes mastopexy, abdominoplasty, liposuction, and lower body lift. It is well known that optimal postoperative pain control decreases hospitalization length of stay and promotes early ambulation, which in turn decreases the incidence of complications. There have been many innovations in pain control beyond opiate medications, including prolonged administration of local anesthesia, regional blocks, and the use of a multimodal regimen which utilizes nonopiates. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183006
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http://dx.doi.org/10.1016/j.cps.2018.08.005DOI Listing
January 2019
15 Reads

Plastic Surgery for Women.

Prim Care 2018 Dec;45(4):705-717

Department of Family Medicine, University of Kansas School of Medicine, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA. Electronic address:

Plastic surgery is a broad field, including maxillofacial surgery, reconstruction after injuries, hand surgery, and skin flaps and grafts, but the most common procedures for women are liposuction and body contouring, breast surgery, and facial cosmetic procedures. Techniques of face and brow lifts, blepharoplasty, and rhinoplasty are discussed as well as botulinum toxin and filler injections, and laser and pulsed light techniques that may delay or eliminate the need for surgery. Comparison of the surgeries for breast reconstruction, reduction, augmentation, and mastopexy is discussed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00954543183007
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http://dx.doi.org/10.1016/j.pop.2018.07.008DOI Listing
December 2018
25 Reads

Painful Complications After Cosmetic Surgery: Management of Peripheral Nerve Injury.

Aesthet Surg J 2018 Oct 22. Epub 2018 Oct 22.

Department of Plastic and Reconstructive Surgery, The Johns Hopkins Hospital, Baltimore, MD.

Background: Aesthetic procedures are among the most common surgeries performed by plastic surgeons. The prevalence of persistent pain remains unknown and underappreciated in the plastic surgery literature.

Objectives: The purpose of this article was to increase awareness of this problem while describing the diagnostic and management strategies for patients with postoperative pain after aesthetic plastic surgery. Read More

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http://dx.doi.org/10.1093/asj/sjy284DOI Listing
October 2018
2 Reads
2.034 Impact Factor

Poly-4-Hydroxybutyrate (P4HB) Scaffold Internal Support: Preliminary Experience with Direct Implant Opposition During Complex Breast Revisions.

Aesthet Surg J 2018 Oct 13. Epub 2018 Oct 13.

Private practice in Laguna Beach, CA.

Background: The GalaFLEX Scaffold is a mesh composed of resorbable P4HB monofilament fibers that aids in providing immediate internal soft tissue support, such as that of an underwire bra, to the breast after either breast reduction, lift, or augmentation. It has been described extensively as an adjunct for mastopexy and even facelifts to great success.

Objectives: Our goal is to explore the possibility of GalaFLEX as an internal support that will help aid in the prevention of future sagging, predominantly in the lower pole of the breast. Read More

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https://academic.oup.com/asj/advance-article/doi/10.1093/asj
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http://dx.doi.org/10.1093/asj/sjy276DOI Listing
October 2018
13 Reads

Photometric Evaluation of Long-term Changes in Breast Shape after Breast Augmentation and Vertical Mammaplasty.

Authors:
Eric Swanson

Plast Reconstr Surg Glob Open 2018 Jun 18;6(6):e1844. Epub 2018 Jun 18.

Private practice, Leawood, Kansas.

Background: Little information is presently available regarding the long-term effects of breast augmentation and mammaplasties on breast shape. Existing studies typically use 1-dimensional measurements and mean follow-up times seldom exceed 1 year.

Methods: Twenty women were studied: breast augmentation (n = 5), mastopexy (n = 5), augmentation/mastopexy (n = 5), and breast reduction (n = 5). Read More

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http://Insights.ovid.com/crossref?an=01720096-201806000-0000
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http://dx.doi.org/10.1097/GOX.0000000000001844DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157947PMC
June 2018
6 Reads

Breast Reduction: The Superolateral Dermoglandular Pedicle Revisited.

Aesthetic Plast Surg 2019 Feb 26;43(1):36-45. Epub 2018 Sep 26.

General Surgery Service, Hospital Nossa Senhora da Conceição, Porto Alegre, Brazil.

Background: Breast hypertrophy, generally found in association with ptosis, is a common problem in postadolescent women. Beyond the psychological burden of excessively heavy, droopy breasts, physical symptoms compound the condition, with neck, shoulder and back pain. Reduction mammaplasty is one of the most common cosmetic operations, especially to improve patient's musculoskeletal symptoms, with proven benefits in patient satisfaction and self-esteem postoperatively. Read More

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http://link.springer.com/10.1007/s00266-018-1225-8
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http://dx.doi.org/10.1007/s00266-018-1225-8DOI Listing
February 2019
3 Reads
1.190 Impact Factor

Trends in Lumpectomy and Oncoplastic Breast-Conserving Surgery in the US, 2011-2016.

Ann Surg Oncol 2018 Dec 21;25(13):3867-3873. Epub 2018 Sep 21.

Plastic Surgery Private Practice, San Francisco, CA, USA.

Background: Oncoplastic breast surgery aims to optimize efficacy of surgical resection and cosmesis to maximize patient satisfaction; however, despite the benefits, oncoplastic techniques have not been widely adopted in the US. This study examined trends in the incidence of lumpectomy (partial mastectomy) with or without oncoplastic techniques from 2011 to 2016.

Methods: This was a retrospective analysis of claims from the Optum Clinformatics database (January 2010-March 2017). Read More

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http://dx.doi.org/10.1245/s10434-018-6760-7DOI Listing
December 2018

Current practice and short-term outcomes of therapeutic mammaplasty in the international TeaM multicentre prospective cohort study.

Br J Surg 2018 Dec 22;105(13):1778-1792. Epub 2018 Aug 22.

Population Health Sciences, Bristol Medical School, Bristol, UK.

Background: Therapeutic mammaplasty, which combines breast reduction and mastopexy techniques with tumour excision, may extend the boundaries of breast-conserving surgery and improve outcomes for patients, but current practice is unknown and high-quality outcome data are lacking. This prospective multicentre cohort study aimed to explore the practice and short-term outcomes of the technique.

Methods: Consecutive patients undergoing therapeutic mammaplasty at participating centres between 1 September 2016 and 30 June 2017 were recruited to the study. Read More

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http://doi.wiley.com/10.1002/bjs.10959
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http://dx.doi.org/10.1002/bjs.10959DOI Listing
December 2018
23 Reads

Impact of Chronic Steroid Use on Plastic Surgery Outcomes: Analysis of 94,140 Cases.

Plast Reconstr Surg 2018 11;142(5):770e-779e

Chicago, Ill. From the Division of Plastic, Reconstructive, and Cosmetic Surgery, University of Illinois at Chicago.

Background: Chronic steroid use suppresses inflammation, edema, and autoimmunity, and delays wound healing. Using data from the American College of Surgeons National Surgical Quality Improvement Program, this study characterizes the risk of perioperative chronic steroid use for complications in plastic surgery cases.

Methods: A retrospective study was performed on 94,140 plastic surgery cases from the American College of Surgeons National Surgical Quality Improvement Program database for the years 2006 to 2015. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004865DOI Listing
November 2018
1 Read

Impact of Contralateral Symmetry Procedures on Long-Term Patient-Reported Outcomes following Unilateral Prosthetic Breast Reconstruction.

J Reconstr Microsurg 2019 Feb 12;35(2):124-128. Epub 2018 Aug 12.

Division of Plastic and Reconstructive Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.

Background:  One aim of unilateral postmastectomy breast reconstruction (BR) is to restore symmetry with the contralateral breast. As such, unilateral prosthetic reconstruction often requires a contralateral symmetry procedure (CSP). There is sparse literature on the impact of CSPs on long-term patient-reported outcomes (PROs) such as satisfaction and health-related quality of life (HRQoL). Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1667365
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http://dx.doi.org/10.1055/s-0038-1667365DOI Listing
February 2019
20 Reads

Subacute Arterial Bleeding After Simultaneous Mastopexy and Breast Augmentation with Implants.

World J Plast Surg 2018 May;7(2):235-239

Lithuanian University of Health Sciences Hospital, Kaunas Clinics Plastic and Reconstructive Surgery Department, Kaunas, Lithuania.

Breast augmentation with implants is one of the most commonly performed plastic surgery procedures. The goal of the operation is to increase the size, shape or fullness of the breast. It is accomplished by placing silicone, saline or alternative composite breast implants under the chest muscles, fascia or the mammary gland. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6066703PMC
May 2018
1 Read

Why Choose the Septum-Supero-Medial (SSM)-Based Mammaplasty in Patients with Severe Breast Ptosis: An Anatomical Point of View.

Aesthetic Plast Surg 2018 Dec 9;42(6):1439-1446. Epub 2018 Jul 9.

Division of Plastic and Reconstructive Surgery, Department of Emergency and Organ Transplantation, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy.

Nipple-areola complex (NAC) loss is one of the most devastating complications of mastopexy or breast reduction, and it requires revisional procedures with poor aesthetic outcome. In high-risk patients, a free nipple graft could be a choice, but it is associated with the same aesthetic concerns for both patients and surgeons. We report our experience with the septum-supero-medial-based mammaplasty to treat 22 patients with severe breast ptosis (nipple-to-sternal-notch distance > 40 cm). Read More

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http://dx.doi.org/10.1007/s00266-018-1189-8DOI Listing
December 2018
11 Reads

Quantitative assessment and risk factors for nipple-areolar complex malposition after nipple-sparing mastectomy.

Breast Cancer 2019 Jan 6;26(1):58-64. Epub 2018 Jul 6.

Department of Oral and Maxillofacial Surgery, Gunma University Hospital, Maebashi, Japan.

Purpose: Nipple sparing mastectomy (NSM) for breast cancer preserves the nipple-areola complex (NAC) and has limited the extent of the scar, giving good cosmetic results. However, NAC malposition may occur. The aim of this study is to evaluate NAC malposition after NSM and to determine factors associated with malposition in two-stage reconstruction. Read More

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http://dx.doi.org/10.1007/s12282-018-0890-4DOI Listing
January 2019

Basic Oncoplastic Surgery for Breast Conservation: Tips and Techniques.

Ann Surg Oncol 2018 Oct 2;25(10):2823-2828. Epub 2018 Jul 2.

Ironwood Cancer and Research Centers, Scottsdale, AZ, USA.

Background: The demand for oncoplastic breast surgery has increased significantly in recent years. However, these procedures are often not taught in standard training for breast surgeons, and a simple guide for surgeons to start performing basic oncoplastic breast surgery techniques is not available.

Methods: The basic concepts of oncoplastic breast surgery and the tools needed prior to starting these types of procedures are discussed, and the procedure, in a stepwise pattern, for the building blocks of oncoplastic techniques is outlined. Read More

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http://dx.doi.org/10.1245/s10434-018-6604-5DOI Listing
October 2018
6 Reads

Reverse-Muscle Sling Reduces Complications in Revisional Mastopexy-Augmentation.

Aesthetic Plast Surg 2018 Oct 20;42(5):1202-1212. Epub 2018 Jun 20.

Graduate Program in Medicine and Health Sciences School of Medicine PUCRS, Antônio Carlos Berta 475 - 7th Floor, Porto Alegre, RS, 91340-020, Brazil.

Background: Simultaneous augmentation-mastopexy is a particularly tricky operation with a considerable reoperation rate. The pectoralis muscle sling has proven to be a suitable alternative technique for long-term results in breast parenchyma suspension without silicone implants. This study aims to propose a promising approach to simultaneous augmentation-mastopexy revisional surgery using an inverted dual-plane technique acting as a muscular sling. Read More

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http://dx.doi.org/10.1007/s00266-018-1178-yDOI Listing
October 2018
3 Reads

Outcomes analysis of breast reduction in Brazilian women using the BREAST-Q® questionnaire: a cross-sectional controlled study.

Clinics (Sao Paulo) 2018 18;73:e313. Epub 2018 Jun 18.

Programa de Pós-graduação em Cirurgia Translacional, Universidade Federal de Sao Paulo, Sao Paulo, SP, BR.

Objective: The aim of this study was to analyse patient-reported outcomes of reduction mammoplasty among Brazilian women.

Methods: A total of 100 women were enrolled in this cross-sectional controlled study, 50 with breast hypertrophy (Hypertrophy Group) and 50 who had undergone breast reduction at least six and up to 12 months before (Mammoplasty Group). The Brazilian version of the BREAST-Q® was applied to assess patient-reported outcomes. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5996439/?report
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http://dx.doi.org/10.6061/clinics/2018/e313DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5996439PMC
September 2018
45 Reads

The Tuck-in Mastopexy.

Ann Plast Surg 2018 Sep;81(3):257-262

Plastic Reconstructive and Aesthetic Surgery Department, Izmir Katip Celebi University, Ataturk Training and Research Hospital.

Background: Breast ptosis is an inevitable consequence of gravity and time. Every breast tends to become ptotic in different shapes and degrees. Many surgical techniques were described to solve this problematic issue. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001535DOI Listing
September 2018
26 Reads

Seasonal Impact on Surgical-Site Infections in Body Contouring Surgery: A Retrospective Cohort Study of 602 Patients over a Period of 6 Years.

Plast Reconstr Surg 2018 09;142(3):653-660

Linz, Wels, and St. Pölten, Austria; and Munich, Germany From the Section of Plastic and Reconstructive Surgery and the Department of Surgery, Kepler University Hospital Linz; Upper Austrian State Medical Insurance; private practice; the Department of Plastic and Reconstructive Surgery, University Clinic St. Pölten; and the Department of Plastic and Hand Surgery, Technical University Munich.

Background: Postoperative surgical-site infections are severe complications following body contouring surgery. Here, the authors evaluate whether surgical-site infection rates are influenced by higher temperatures during the summer season.

Methods: We enrolled 602 patients who underwent body contouring surgery between 2009 and 2015 in a retrospective cohort study. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004677DOI Listing
September 2018
10 Reads

Pyoderma Gangrenosum of the Breast After Mastopexy.

Wounds 2018 May;30(5):E52-E56

Introduction: Pyoderma gangrenosum (PG) is a rare, inflammatory, noninfectious skin disorder that is idiopathic in nature; however, it may occur as a rare complication of breast surgery. The mainstay of treatment is medical immunosuppression.

Case Report: This report describes the case of a 46-year-old woman who developed PG of both breasts following bilateral reduction mammoplasty and mastopexy. Read More

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May 2018
10 Reads

Single Stage Nipple-Sparing Mastectomy and Reduction Mastopexy in the Ptotic Breast.

Plast Surg Int 2018 12;2018:9205805. Epub 2018 Mar 12.

The Plastic Surgery Center, The Institute for Advanced Reconstruction, Egg Harbor Township, NJ, USA.

Purpose: Given the proposed increased risk of nipple-areolar complex (NAC) necrosis, nipple-sparing mastectomy (NSM) is generally not recommended for patients with large or significantly ptotic breasts. NAC preserving strategies in this subgroup include staged or simultaneous NSM and reduction mastopexy. We present a novel approach towards simultaneous NSM and reduction mastopexy in patients with large, ptotic breasts. Read More

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http://dx.doi.org/10.1155/2018/9205805DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5867609PMC
March 2018
2 Reads

Oncoplastic surgery for the conservative treatment of breast cancer in Perú's National Cancer Institute.

Ecancermedicalscience 2018 1;12:815. Epub 2018 Mar 1.

Breast Surgical Oncology Department, National Cancer Institute of Perú (INEN).

Background: Oncoplastic surgery for breast cancer (OPS) has been a surgical trend for the past 25 years. In 2012, OPS has been introduced as the standard treatment for a selected group of patients at the National Cancer Institute of Peru (INEN). The aim of this study is to describe our findings. Read More

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http://dx.doi.org/10.3332/ecancer.2018.815DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5880228PMC
March 2018
5 Reads

Quality of Life After Breast Enlargement With Implants Versus Augmentation Mastopexy: A Comparative Study.

Aesthet Surg J 2018 Nov;38(12):1304-1315

Oslo Plastic Surgery Clinic, Oslo, Norway.

Background: Research regarding quality of life (QoL) among women who have undergone breast aesthetic surgery is expanding. A comparative, anonymous study between the two main breast aesthetic procedures is needed.

Objectives: The authors compared patient characteristics and aspects of QoL among women who underwent breast enlargement with implants (BI group) and those who underwent augmentation mastopexy (AM group). Read More

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http://dx.doi.org/10.1093/asj/sjy047DOI Listing
November 2018
13 Reads

Results of mammary glands topometry among yakut women with focus on age and importance of age in augmentation mammoplasty.

Wiad Lek 2017;70(6 pt 1):1042-1046

Medical Institute of North-Eastern Federal University Named After M. K. Ammosov, Yakutsk, Russia.

Objective: Introduction: In connection with the development of plastic and aesthetic surgery, there is a steady growth in aesthetic mammoplasty. Modern aesthetics require an emphasis on and accentuation of mammary glands. For our region it is obvious that the physical and sexual development of girls living in the harsh continental climate of Yakutia has its own characteristics. Read More

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June 2018
6 Reads

Anatomic and terminological description and processing of breast pathologic specimens from oncoplastic large volume displacement surgeries.

Mod Pathol 2018 07 15;31(7):1004-1011. Epub 2018 Feb 15.

Department of Surgery, Tufts Medical Center, Boston, MA, USA.

Oncoplastic surgery provides breast cancer patients with greater aesthetic satisfaction without compromising disease-free survival or overall survival rate. Large volume displacement oncoplastic surgical techniques have become increasingly popular as a strategy for improving aesthetic outcomes and extending the option of breast conservation therapy. They often involve breast reduction or mastopexy reconstructive techniques to facilitate resection of large breast volumes on the side of the breast cancer and accompanied with symmetry contralateral breast reductions or mastopexies. Read More

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http://dx.doi.org/10.1038/s41379-018-0020-zDOI Listing
July 2018
3 Reads

SUBACUTE ARTERIAL BLEEDING AFTER SIMULTANEOUS MASTOPEXY AND BREAST AUGMENTATION WITH IMPLANTS: CASE REPORT.

Acta Chir Plast 2017 ;59(2):92-96

Breast augmentation with implants is one of the most commonly performed plastic surgery procedures. The goal of the operation is to increase the size, shape or fullness of the breast. It is accomplished by placing silicone, saline or alternative composite breast implants under the chest muscles, fascia or the mammary gland. Read More

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January 2017
12 Reads