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Neurocirugia (Astur : Engl Ed) 2022 Feb 28. Epub 2022 Feb 28.

Servicio de Cirugía Plástica, Estética y Reparadora, Hospital Universitario La Zarzuela, Madrid, Comunidad de Madrid, Spain.

Isolated injury to the axillary nerve associated with the patient's surgical position is a very rare complication, and in most cases it is associated with the prone during spinal surgery. The presentation of this pathology in relation to surgeries of another nature is exceptional, with only a few cases in the scientific literature. We present the case of a patient who developed symptoms of isolated left axillary nerve palsy after undergoing lipoabdominoplasty and breast reduction, in which the prone and supine positions were alternated. Read More

Plast Reconstr Surg 2022 Mar;149(3):549-558

From the Lipoplastic Hospital de Cirurgia Plastica; Villa Bella Clinic; Plastic Surgery Academy; and Department of Surgical Science, Tor Vergata University of Rome.

Background: Breast reduction is a time-consuming procedure with a relatively high complication rate. Furthermore, recurrent breast enlargement can occur in case of postoperative weight gain. The authors describe a breast reduction technique based on liposuction, followed mostly by skin resection alone, which makes this operation easier, faster, and safer, with more stable results. Read More

Aesthetic Plast Surg 2022 Jan 22. Epub 2022 Jan 22.

Hôpital américain de Paris, 63, boulevard Victor-Hugo, Via Nomentana 295, Roma 00161, 92200, Neuilly-sur-Seine, France.

Introduction: Revising unsatisfactory outcomes in breast augmentation represents one of the most challenging procedures in aesthetic breast surgery. Different techniques for revising unsatisfactory outcomes in breast augmentation have been described, which can be summarized in two options: implant replacement procedures and implant explantation procedures. Implant explantation procedures can be performed alone or in combination with other techniques to restore volume. Read More

Aesthet Surg J Open Forum 2021 Jan 12;3(1):ojab002. Epub 2021 Jan 12.

Plastic and Reconstructive Surgery Department, Centre Hospitalier Universitaire de Tivoli, La Louvière, Université Libre de Bruxelles (U.L.B.), Brussels, Belgium.

Background: Tranexamic acid (TXA) use in surgical procedures due to its hemostatic effects has been gaining an increased interest. In plastic surgery, the effects of TXA have been studied intravenously (IV), and there have been some reports regarding local use.

Objectives: A comparative study examining the combined effect of IV and local TXA was conducted. Read More

Neurocirugia (Astur : Engl Ed) 2021 Jun 18. Epub 2021 Jun 18.

Servicio de Cirugía Plástica, Estética y Reparadora, Hospital Universitario La Zarzuela, Madrid, Comunidad de Madrid, España.

Isolated injury to the axillary nerve associated with the patient́s surgical position is a very rare complication, and in most cases it is associated with the prone during spinal surgery. The presentation of this pathology in relation to surgeries of another nature is exceptional, with only a few cases in the scientific literature. We present the case of a patient who developed symptoms of isolated left axillary nerve palsy after undergoing lipoabdominoplasty and breast reduction, in which the prone and supine positions were alternated. Read More

Aesthet Surg J 2021 11;41(12):1483-1491

Division of Plastic Surgery, West Virginia University, Morgantown, WV, USA.

Background: Although many plastic surgeons seek to optimize their online presence and reach a broader patient base, no studies to our knowledge have evaluated the general public's perceptions of one of the most valued informational tools: transformation photos.

Objectives: The aim of this study was to evaluate the general public's preferences for viewing transformation photos online.

Methods: Respondents representative of the US public, crowdsourced through Amazon Mechanical Turk, answered a survey assessing perceptions of the posting of before-and-after photos. Read More

Aesthetic Plast Surg 2021 04 27;45(2):431-437. Epub 2020 Oct 27.

Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany.

Background: The enlarged nipple-areola-complex (NAC) is a characterizing aspect of gynecomastia.

Objective: The purpose of this study was to multidimensionally quantify the reduction of the NAC after a subcutaneous mastectomy (SCM) with or without ultrasound-assisted liposuction (UAL).

Materials And Methods: A retrospective assessment of patients who underwent SCM +/- UAL due to gynecomastia over a period of 11 years was conducted. Read More

Aesthetic Plast Surg 2021 02 13;45(1):78-91. Epub 2020 Jul 13.

, İzmir, 35220, Turkey.

Background: In a vertical mammaplasty, various types of pedicles have been proposed for the nipple-areola transposition. The preparation of any type of nipple-areola flap necessitates disconnecting the nipple-areola from the breast gland, except for the pedicle bearing glandular part. These flap-dependent techniques not only impair the functions of the breast but also do not provide enough fullness to the upper pole. Read More

J Cosmet Dermatol 2020 Nov 12;19(11):2898-2905. Epub 2020 Apr 12.

Universidade Estácio de Sá, Rio de Janeiro, Brazil.

Background: Localized fat is a matter of great concern among individuals from today's society. Cryolipolysis is a noninvasive technique that have shown great results in reducing localized fat.

Aims: To analyze the efficacy of cryoplipolysis on visible local fat reduction in submental region, arms, or male breast (pseudogynecomastia) in Brazilian subjects, and to assess possible factors associated with treatment success. Read More

Aesthetic Plast Surg 2020 04 26;44(2):435-441. Epub 2019 Aug 26.

Plastic, Reconstructive and Aesthetic Surgery Clinic, Istanbul Aydin University Medical Park Hospital, Istanbul, Turkey.

Introduction: Whereas body-contouring surgery after massive weight loss in women receives much attention, little attention has been devoted to accentuating the male physique. Male patients after massive weight loss often suffer from redundant skin and soft tissue in the anterior and lateral chest region, causing various deformities of pseudogynecomastia. The authors present their approach to high-grade pseudogynecomastia correction with preservation of the NAC on an inferior dermoglandular pedicle with transverse scar only closure and without any meaningful liposuction. Read More

Gland Surg 2019 Jun;8(3):287-293

Department of Plastic & Reconstructive Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Surgical correction of gynaecomastia correction sometimes necessitates skin reduction in addition to resection of glandular tissue and liposuction of the fat deposits. Many skin reduction techniques have been described but all suffer from very noticeable and often poor scars that can manifest as hypertrophic or keloid scars in patients with dark skin. Three large gynaecomastia patients undergoing a modification of the Lalonde "no vertical scar" breast reduction technique designed to reduce the extent of scarring were reviewed. Read More

Ann Plast Surg 2019 09;83(3):308-317

From the Departments of Plastic and General Surgery.

Background: Upper limb lymphedema is a common problem after axillary lymph node dissection. Lymphatic drainage can be improved by microvascular lymph node transfer, whereas liposuction can be used to reduce arm volume and excess of adipose tissue. We present the results of chronic lymphedema patients who have undergone lymph node transfer and liposuction simultaneously in 1 operation and compare the results with patients who have undergone lymph node transfer without liposuction. Read More

Plast Reconstr Surg Glob Open 2018 Aug 16;6(8):e1912. Epub 2018 Aug 16.

Department of Clinical Sciences, Lund University, Malmö, Sweden.

Background: Arm lymphedema is a well-recognized complication after breast cancer surgery that negatively impacts patients' quality of life, both physiologically and psychologically. Lymph stasis and inflammation result in excess formation of adipose tissue, which makes removal of the deposited subcutaneous fat necessary to eliminate the excess volume. Liposuction, combined with postoperative controlled compression therapy (CCT), is the only treatment that gives complete reduction of the excess volume. Read More

J Plast Reconstr Aesthet Surg 2018 05 31;71(5):691-698. Epub 2018 Jan 31.

Department of Plastic, Reconstructive and Maxillofacial Surgery, Henri Mondor Hospital, 51 avenue du Maréchal de Lattre de Tassigny, Créteil 94010, France.

As older people increasingly care for their body image and remain active longer, the demand for reduction mammaplasty is increasing in this population. Only a few studies of reduction mammaplasty have specifically focussed on the outcomes in elderly women. We developed a new breast reduction technique: the Liposuction-Assisted Four Pedicle-Based Breast Reduction (LAFPBR) that is especially indicated for elderly patients. Read More

Stem Cells Transl Med 2017 08 27;6(8):1666-1672. Epub 2017 Jun 27.

Departments of Plastic Surgery, Odense University Hospital, Odense, Denmark.

Breast cancer-related lymphedema (BCRL) is a debilitating late complication with a lack of treatment opportunities. Recent studies have suggested that mesenchymal stromal cells can alleviate lymphedema. Herein, we report the results from the first human pilot study with freshly isolated adipose-derived regenerative cells (ADRC) for treating lymphedema with 6 months follow-up. Read More

Lymphat Res Biol 2017 03 30;15(1):87-98. Epub 2017 Jan 30.

1 Department of Clinical Sciences in Malmö, Lund University , Malmö, Sweden .

Abstracts Background: Arm lymphedema after breast cancer surgery affects women both from physical and psychological points of view. Lymphedema leads to adipose tissue deposition. Liposuction and controlled compression therapy (CCT) reduces the lymphedema completely. Read More

Lymphology 2016 Jun;49(2):85-92

The objective of this study was to assess erysipelas incidence before and after liposuction treatment for patients suffering from post-mastectomy lymphedema. A prospective cohort study of 130 patients at Skåne University Hospital in Malmö, Sweden with postmastectomy arm lymphedema, who had poor outcomes from prior conservative treatment and clinical signs of subcutaneous adipose tissue hypertrophy, underwent liposuction between 1993-2012. Pre- and postoperative incident data on erysipelas were available for all of them. Read More

Ann Plast Surg 2016 Dec;77(6):609-614

From the Division of Plastic Surgery, University of Massachusetts Medical School, Worcester, MA.

It is generally claimed that short-scar mammaplasty is limited to small-to-medium reductions. Its use in patients with severe macromastia has been associated with a high rate of complications. This report presents our experience of reduction mammaplasty greater than 1000 g per breast using a short-scar technique. Read More

Aesthetic Plast Surg 2015 Dec 7;39(6):916-21. Epub 2015 Oct 7.

Division of Plastic & Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon.

Acceptable scar positioning on the anterior male chest is very limited. In Gynecomastia surgery, an obvious areolar incision is the most sensitive indicator of a previous operation; a less apparent scar is indispensable for the patient's psychological satisfaction. Whenever only areolar diameter reduction is required, the circumareolar incision must be performed in a position leaving the least conspicuous scar. Read More

Aesthetic Plast Surg 2011 Jun 26;35(3):402-7. Epub 2010 Oct 26.

Department of Trauma, Plastic, Reconstructive, and Hand Surgery, University Hospital Wuerzburg, Oberduerrbacherstrasse 6, Wuerzburg, Germany.

Background: Breast reduction by liposuction alone is an appealing technique that has failed to gain widespread acceptance. Despite numerous studies on liposuction, the majority of surgeons remain skeptical. This study aimed to review the indication and limitations of this procedure. Read More

Dermatol Surg 2010 Sep 9;36(9):1406-11. Epub 2010 Jul 9.

Department of Dermatology, Erasmus M.C., Rotterdam, The Netherlands.

Background: Liposuction for female breast reduction is a new treatment modality that has many advantages over the generally accepted procedure of excision, which can damage glandular tissue and impair breastfeeding capacity.

Objective: To assess any potential damage to glandular tissue caused by liposuction of the female breast.

Methods: Specimens of the aspirate from 61 consecutive female patients who underwent liposuction of the breast using tumescent local anesthesia (TLA) and powered cannulae (PCs) were sent for histologic evaluation. Read More

Aesthet Surg J 2010 May-Jun;30(3):470-5

Department of Plastic Surgery, The Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA.

Background: As a consumer-driven industry, cosmetic plastic surgery is subject to ebbs and flows as the economy changes. There have been many predictions about the short, intermediate, and long-term impact on cosmetic plastic surgery as a result of difficulties in the current economic climate, but no studies published in the literature have quantified a direct correlation.

Objectives: The authors investigate a possible correlation between cosmetic surgery volume and the economic trends of the three major US stock market indices. Read More

Int J Surg 2009 Dec 30;7(6):550-8. Epub 2009 Sep 30.

Department of Plastic and Reconstructive Surgery, SpR Plastic Surgery, Addenbrooke's Hospital, Cambridge, United Kingdom.

Introduction And Aim: The National Health Service (NHS) provides treatment free at the point of delivery to patients. Elective medical procedures in England are funded by 149 independent Primary Care Trusts (PCTs), which are each responsible for patients within a defined geographical area. There is wide variation of availability for many treatments, leading to a "postcode lottery" for healthcare provision in England. Read More

J Plast Reconstr Aesthet Surg 2009 Nov 29;62(11):1473-8. Epub 2008 Aug 29.

Department of Plastic and Reconstructive Surgery, St Georges' Hospital, Blackshaw Road, Tooting, London SW17 0QT, UK.

Gynaecomastia reduction surgery is a common male cosmetic procedure. Our clinical experience suggested far lower rates of satisfaction than previously reported. Therefore we evaluated our patient group using a detailed questionnaire designed specifically to assess patient satisfaction with breast attributes and quality-of-life outcome following surgery. Read More

J Laparoendosc Adv Surg Tech A 2008 Jun;18(3):433-7

Department of Surgery, Shuguang Hospital, LuWan District, Shanghai, PR China.

Background: Gynecomastia is an abnormal enlargement of one or both breasts in men. Breast-reduction surgery can help those patients who feel anxious about their abnormal appearance. Surgical treatment of gynecomastia is to excise the excess glandular tissue, which can be performed alone or in conjunction with liposuction. Read More

Ann Plast Surg 2008 Apr;60(4):367-71

Division of Plastic and Reconstructive Surgery, Epidemiology Coordinating and Research Centre, University of Alberta, Edmonton, Alberta, Canada.

Background: The most frequent complication after bilateral reduction mammoplasty (BRM) is the formation of seromas and hematomas. If a group of patients who are at increased risk of seroma and hematoma are identified, the use of drains in this group would be beneficial. We hypothesized that superior pedicle reductions would have increased postoperative drainage. Read More

Ann Plast Surg 2008 Apr;60(4):349-52

Plastic and Reconstructive Surgery of Puerto Rico, San Juan, Puerto Rico.

Since abdominoplasty has been shown to have a positive impact on patient's self-image and quality of life, it is no surprise that the annual number of these procedures performed has continued to increase. Historically, because of concerns with patient safety the majority of these operations have been performed on an inpatient basis. The breast reduction experience has shown that with proper patient selection and operative technique, this procedure can be performed on an outpatient basis without compromising safety. Read More

World J Surg 2008 Jan;32(1):38-44

Department of Plastic and Reconstructive Surgery, University Hospital of Bern, CH-3010, Berne, Switzerland.

Background: Gynecomastia is defined as the benign enlargement of the male breast. Most studies on surgical treatment of gynecomastia show only small series and lack histopathology results. The aim of this study was to analyze the surgical approach in the treatment of gynecomastia and the related outcome over a 10-year period. Read More

Plast Reconstr Surg 2007 Oct;120(5):1095-1104

Ulm, Germany; and Padova, Italy From Ulm Klinik Rosengasse and the Plastic Surgery Institute, University of Padova.

Background: The "minimal scar technique" for breast reduction, developed by Marchac, Lassus, and Lejour, has become an increasingly practiced alternative to standard operative procedures.

Methods: The authors introduced the modified "Lejour technique" in nearly 500 breast reductions in 250 overweight patients (adipose breasts) with a resection weight of more than 700 g. Their technique is a step-wise modification of the following procedures, resulting from their experience with complications and outcomes. Read More

Aesthetic Plast Surg 2006 Sep-Oct;30(5):574-88

Nanavati Hospital and Vasudhan Arjin Cosmetic Surgery and Laser Center, C-212, Lancelot, S.V. Road, Borivali West, Mumbai 400 092, India.

The advent of the tumescent technique in 1987 allowed for safe total corporal contouring as an ambulatory, single-session megaliposuction with the patient under regional anesthesia supplemented by local anesthetic only in selected areas. Safety and aesthetic issues define large-volume liposuction as having a 5,000-ml aspirate, mega-volume liposuction as having an 8,000-ml aspirate, and giganto-volume liposuction as having an aspirate of 12,000 ml or more. Clinically, a total volume comprising 5,000 ml of fat and wetting solution aspirated during the procedure qualifies for megaliposuction/large-volume liposuction. Read More