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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

J Plast Reconstr Aesthet Surg 2018 Nov 22. 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

Plast Reconstr Surg 2019 Jan;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

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

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

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

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

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

Aesthetic Plast Surg 2018 Dec 12. 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

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

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

J Plast Reconstr Aesthet Surg 2018 Nov 9. 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

Ann Chir Plast Esthet 2018 Nov 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

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

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

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

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

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

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

Aesthetic Plast Surg 2018 Sep 26. 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

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

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

Plast Reconstr Surg 2018 Nov;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

J Reconstr Microsurg 2018 Aug 12. 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

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

Plast Reconstr Surg 2018 10;142(4):610e-611e

Private practice, Scottsdale, Ariz.

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

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

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

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

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

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

Aesthet Surg J 2018 Nov;38(12):1316-1317

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

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

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

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

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

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

Mod Pathol 2018 Jul 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

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

Aesthet Surg J 2018 Apr;38(5):502-518

Clinical Associate Professor, Department of Plastic Surgery, Indiana University School of Medicine, Indianapolis, IN.

Background: Mastopexy and reduction mammaplasty are often limited by the patient's poor native soft tissue quality, resulting in ptosis recurrence and loss of rejuvenated surgical results. Surgical scaffolds and acellular dermal matrices are used in these procedures to provide physical and mechanical stabilization of weakened or compromised tissue. GalaFLEX scaffold, made from poly-4-hydroxybutyrate (P4HB), is a next-generation product for soft tissue reinforcement that resorbs gradually while aiding tissue regeneration to achieve excellent outcomes. Read More

Ann Plast Surg 2018 May;80(5):475-480

Background: The acceptance of nipple-sparing mastectomy for the treatment of breast cancer in selected patients has introduced ancillary procedures to improve breast shape, correct ptosis, and enhance breast symmetry. Mastopexy before or at the time of nipple-sparing mastectomy has been performed to correct ptosis, but there have been no reports on secondary Wise pattern mastopexy after completion of staged subcutaneous expander/implant reconstruction.

Methods: Between 2005 and 2015, 155 patients (255 breasts) underwent staged subcutaneous implant/expander-based reconstruction after inframammary nipple-sparing mastectomy. Read More

Am J Surg 2018 Sep 31;216(3):547-550. Epub 2018 Jan 31.

Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Surgical Services, John L. McClellan Memorial Veterans Hospital, Central Arkansas Veterans Healthcare System, Little Rock, AR, USA. Electronic address:

Introduction: Gynecomastia can be a significant impediment to quality of life for men who suffer from this affliction. Numerous surgical techniques have been described in the literature ranging from minimally invasive options such as liposuction to incision based reductions. The standard for the general surgeons at our institution has been subcutaneous mastectomy through a circumareolar incision, which often proved inadequate for patients with grade II or III gynecomastia. Read More

Aesthetic Plast Surg 2018 Dec 1;42(6):1704-1706. Epub 2018 Feb 1.

Clinic of Plastic and Reconstructive Surgery, Academic Hospital of Udine, Department of Medical Science, University of Udine, Udine, Italy.

The advantages and disadvantages of acellular dermal matrix (ADM) in breast reconstruction have been well documented. ADM is commonly used in breast reconstruction, but it adds cost to the procedure and has been associated with an increased risk of seroma, flap necrosis and infectious complications. A dermal autograft may be a useful alternative to matrices, and it has a lot of advantages: more biocompatible and more likely to be retained as a free graft, low cost, well tolerated, readily available and integrated. Read More

Ann Plast Surg 2018 Mar;80(3):207-211

Background And Objectives: Massive weight loss (MWL) can result in variable contour deformities of the breasts. The Pittsburgh Rating Scale (PRS) was designed to describe the multitude of deformities after MWL and recommends operations to consider for surgical improvement. We present the first comprehensive description of breast deformities in a large sample of MWL patients, examine factors affecting the severity of deformities, and report the correlation between PRS score and surgical decision making. Read More

Microsurgery 2018 Jan 31. Epub 2018 Jan 31.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.

Background: The transverse myocutaneous gracilis (TMG) flap is a widely used alternative to abdominal flaps in autologous breast reconstruction. However, secondary procedures for aesthetic refinement are frequently necessary. Herein, we present our experience with an optimized approach in TMG breast reconstruction to enhance aesthetic outcome and to reduce the need for secondary refinements. Read More

Aesthet Surg J 2018 Mar;38(4):374-384

Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO.

Mastopexy and mastopexy-augmentation are aesthetic breast surgeries that seek to create youthful, beautiful appearing breasts. Age, hormonal changes, or weight loss can lead to alterations that require addressing the skin envelope and breast parenchyma. Many surgical approaches have been described including periareolar, vertical, and Wise pattern techniques, but most modern mastopexies include manipulation of the breast parenchyma to improve the longevity of breast ptosis correction. Read More

Aesthetic Plast Surg 2018 Aug 22;42(4):936-940. Epub 2018 Jan 22.

Plastic and Reconstructive Surgery Unit, Campus Bio-Medico University of Rome, Via Alvaro del Portillo 200, Rome, Italy.

Introduction: This study aimed to analyse the long-term outcomes following breast reconstruction and contralateral management to evaluate the stability of breast symmetry and patient satisfaction.

Materials And Methods: The study population consisted of women who had undergone implant-based monolateral breast reconstruction and contralateral management. Patients answered the BREAST-Q reconstruction module. Read More

Surg Innov 2018 Apr 12;25(2):110-114. Epub 2018 Jan 12.

1 Bulent Ecevit University, Zonguldak, Turkey.

Introduction: Preoperative planning is an essential prerequisite for the success of plastic surgery. In procedures such as breast reduction, freehand drawings may be associated with a number of challenges during the determination of axes vertical and parallel to the surgical site. Furthermore, many procedures involve subjective maneuvers, such as attempts aimed at positioning both nipples on the same line and transferring nipple-areola complexes in a well-matched manner. Read More

Ann Plast Surg 2018 Apr;80(4):328-332

Background: Techniques in breast reconstruction have significantly advanced the possibility to create more natural and aesthetically appealing breasts. Despite thorough preoperative planning and vigilant operative technique, symmetry remains a concern for select patients who have undergone autologous breast reconstruction. Although symmetry procedures of the contralateral breast have been well described in the literature, little has been published regarding secondary revision in the autologous reconstructed breast, leaving uncertainty as to the appropriate timing and technique for revision procedures that will not hinder the viability of the flap. Read More