170 results match your criteria Pectoral Implants


Prepectoral Site Conversion for Animation Deformity.

Plast Reconstr Surg Glob Open 2019 Jul 29;7(7):e2301. Epub 2019 Jul 29.

Department of Plastic and Reconstructive Surgery, Louisiana State University School of Medicine, New Orleans, La.

A signifcant disadvantage of subpectoral breast reconstruction procedures is animation deformity during pectoralis major contraction. In this study, we discuss one surgeon's experience with elective subpectoral to prepectoral implant site conversion as a definitive solution to animation deformity.. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002301DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952151PMC

Study of breast implants mammography examinations for identification of suitable image quality criteria.

Insights Imaging 2020 Jan 3;11(1). Epub 2020 Jan 3.

School of Health Sciences (HESAV), University of Applied Sciences and Arts Western Switzerland (HES-SO), Av. de Beaumont 21, 1011, Lausanne, Switzerland.

Purpose: To characterise the mammography technique used in breast cancer screening programmes for breast implants (BI) and to identify if the image quality (IQ) criteria available in literature are applicable to BI imaging.

Methods: The study was conducted in two phases: literature review to find IQ criteria used in mammography combining keywords in several sources; and assessment of 1207 BI mammograms using the criteria that was identified previously to see if they were achieved or not. An observation grid was used to collect information about positioning, beam energy, compression force, and exposure mode. Read More

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http://dx.doi.org/10.1186/s13244-019-0816-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6942083PMC
January 2020

Single stage immediate breast reconstruction with acellular dermal matrix and implant: Defining the risks and outcomes of post-mastectomy radiotherapy.

Surgeon 2019 Oct 18. Epub 2019 Oct 18.

Colchester General Hospital, East Suffolk and North Essex NHS Foundation Trust, Turner Road, Colchester CO4 5JL, UK; Hillingdon Hospital, The Hillingdon Hospitals NHS Foundation Trust, Pield Heath Road, Uxbridge, London UB8 3NN, UK. Electronic address:

Introduction: The objective of this study is to evaluate outcomes and complications in patients with single-stage ADM-implant based immediate breast reconstruction with and without radiotherapy (RT), highlighting the effects of RT on the reconstruction.

Materials And Methods: This prospective study recruited 91 consecutive patients who underwent skin-sparing, nipple-sparing or wise-pattern skin reduction mastectomy with direct-to-implant breast reconstruction with ADMs using sub-pectoral or pre-pectoral approach at the two breast units. Early and late complications like seroma, delayed wound healing, wound breakdown, infection, capsular contracture, implant loss and revision surgery were evaluated in the RT and non-RT groups. Read More

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http://dx.doi.org/10.1016/j.surge.2019.09.007DOI Listing
October 2019
4 Reads

Salvage of Exposed Cardiac Implants Using Fasciocutaneous Rotation Flaps.

Ann Plast Surg 2020 01;84(1):85-89

Department of Plastic, Reconstructive and Aesthetic Surgery, Konur Hospital, Bursa, Turkey.

Introduction: Implantation rates of cardiac implantable electrophysiological devices (CIEDs) are rising, mainly because of the expansion of implantable cardioverter-defibrillators indications for primary prevention. As the CIED usage increases, CIED-related complications are also in rise. Transvenous approach and laser utilization techniques are replacing the open heart surgeries, for removal of CIED systems that are suspected to be infected. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001985DOI Listing
January 2020
3 Reads

The New Method of Pocket Forming for Breast Implant Placement in Augmentation Mammaplasty: Dual Plane Subfascial.

Med Arch 2019 Jun;73(3):178-182

University Clinical Centre Sarajevo, Sarajevo, Bosnia and Herzegovina.

Introduction: Breast augmentation is one of the most frequently performed aesthetic surgical procedures in the world. The most important preoperative decisions which influence the final appearance of the augmented breast are the breast implant pocket choice and selection of the most appropriate implant. Described pocket locations are subglandular, subfascial, partially retropectoral, totally submuscular and dual plane. Read More

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http://dx.doi.org/10.5455/medarh.2019.73.178-182DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6643325PMC
June 2019
11 Reads

Smooth Prosthesis: Our Experience and Current State of Art in the Use of Smooth Sub-muscular Silicone Gel Breast Implants.

Aesthetic Plast Surg 2019 12 24;43(6):1454-1466. Epub 2019 Jul 24.

Clinic of Plastic and Reconstructive Surgery, Department of Medical Area (DAME), Academic Hospital of Udine, University of Udine, Udine, Italy.

Background: The objective of this clinical review is to provide an overview of the use of silicone gel-filled breast implants placed in the sub-muscular position, with a focus on complication rates reported for both smooth and textured implants. Furthermore, our experience in this field is also reviewed.

Methods: MEDLINE, EMBASE, Web of Science, Scopus, the Cochrane Central and Google Scholar databases were reviewed to identify the literature related to smooth breast implants. Read More

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http://dx.doi.org/10.1007/s00266-019-01464-9DOI Listing
December 2019
2 Reads

Cost-effectiveness of pre-pectoral implant-based breast reconstruction: A pilot comparative analysis.

J Plast Reconstr Aesthet Surg 2019 Oct 27;72(10):1700-1738. Epub 2019 Jun 27.

The Cambridge Breast Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK. Electronic address:

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http://dx.doi.org/10.1016/j.bjps.2019.06.018DOI Listing
October 2019
12 Reads

Short-term safety outcomes of mastectomy and immediate implant-based breast reconstruction with and without mesh (iBRA): a multicentre, prospective cohort study.

Lancet Oncol 2019 02 9;20(2):254-266. Epub 2019 Jan 9.

Linda McCartney Centre, Royal Liverpool and Broadgreen University Hospital, Liverpool, UK.

Background: Use of biological or synthetic mesh might improve outcomes of immediate implant-based breast reconstruction-breast reconstruction with implants or expanders at the time of mastectomy-but there is a lack of high-quality evidence to support the safety or effectiveness of the technique. We aimed to establish the short-term safety of immediate implant-based breast reconstruction performed with and without mesh, to inform the feasibility of undertaking a future randomised clinical trial comparing different breast reconstruction techniques.

Methods: In this prospective, multicentre cohort study, we consecutively recruited women aged 16 years or older who had any type of immediate implant-based breast reconstruction for malignancy or risk reduction, with any technique, at 81 participating breast and plastic surgical units in the UK. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14702045183078
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http://dx.doi.org/10.1016/S1470-2045(18)30781-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6358590PMC
February 2019
41 Reads

Breast reconstruction with a dermal sling: a systematic review of surgical modifications.

J Plast Surg Hand Surg 2019 Feb 17;53(1):1-13. Epub 2018 Dec 17.

a Department of clinical sciences , University of Gothenburg. The Sahlgrenska Academy , Gothenburg , Sweden.

A dermal sling (DS) is used to cover the implant with two layers of tissue when immediate breast reconstruction is performed in women with large and ptotic breasts. It works as an autologous acellular dermal matrix/mesh that can be used to control the implant pocket and inframammary fold, without inferring an extra foreign material and higher costs. There is relatively little published about the DS technique. Read More

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https://www.tandfonline.com/doi/full/10.1080/2000656X.2018.1
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http://dx.doi.org/10.1080/2000656X.2018.1533840DOI Listing
February 2019
33 Reads

Jumping Breast Phenomenon Following Subcutaneous Mastectomy: First Description and Grading of a Well-Known Breast Deformity.

Breast Care (Basel) 2018 Oct 3;13(5):354-358. Epub 2018 Aug 3.

Breast Unit, Evangelische Huyssens-Stiftung, Kliniken Essen-Mitte, Essen, Germany.

Introduction: One of the goals of breast cancer surgery is to preserve the breast. However, where this is not possible, various breast reconstructive procedures are available. The most common procedure is the immediate insertion of a subpectoral implant after removing the breast tissue. Read More

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http://dx.doi.org/10.1159/000489939DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6257146PMC
October 2018
8 Reads

The Development of a Benchtop Breast Reconstruction Surgical Simulator.

Conf Proc IEEE Eng Med Biol Soc 2018 07;2018:949-952

A modified Delphi technique was used to survey plastics surgeons with an expertise in breast reconstruction from 6 university centers with plastic surgery residency programs across Canada. A list of the most challenging steps in teaching alloplastic breast reconstruction was obtained. From the survey results, a benchtop post-mastectomy breast reconstruction simulator was created using various silicon materials. Read More

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https://ieeexplore.ieee.org/document/8512397/
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http://dx.doi.org/10.1109/EMBC.2018.8512397DOI Listing
July 2018
26 Reads

The Evolving Role of Pre-pectoral ADM-assisted Approach in Implant-based Immediate Breast Reconstruction Following Conservative Mastectomy: An Overview of the Literature and Description of Technique.

In Vivo 2018 Nov-Dec;32(6):1477-1480

The London Breast Institute, Princess Grace Hospital, London, U.K.

Background/aim: The recent development of acellular dermal matrix (ADM) devices has enhanced implant-based breast reconstruction surgery following conservative mastectomy for therapeutic and risk-reducing purposes leading to improved aesthetics. In the traditional sub-pectoral approach, coverage of the implant is provided by the pectoral muscles superiorly and the ADM inferiorly. The need to eliminate breast animation, reduce post-operative dysfunctional pain and the risk of capsular contracture, have stimulated surgeons to investigate the feasibility of placing the implant over the pectoralis major muscle with complete coverage with ADM thus inventing a novel pre-pectoral approach. Read More

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http://iv.iiarjournals.org/lookup/doi/10.21873/invivo.11402
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http://dx.doi.org/10.21873/invivo.11402DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365754PMC
January 2019
34 Reads

Impact on Breastfeeding According to Implant Features in Breast Augmentation: A Multicentric Retrospective Study.

Ann Plast Surg 2019 01;82(1):11-14

Department of Maxillo-facial and Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, Paris-Est University, Créteil.

Background: Exclusive breastfeeding is highly recommended by the World Health Organization during the first 6 months of life. In parallel, breast augmentation with implants is one of the most performed operations in aesthetic surgery.

Objective: The goal of our study was therefore to analyze the potential impact of aesthetic breast implants on breastfeeding. Read More

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http://Insights.ovid.com/crossref?an=00000637-201901000-0000
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http://dx.doi.org/10.1097/SAP.0000000000001651DOI Listing
January 2019
6 Reads

TIGR matrix for implant-based breast reconstruction - a long-term resorbable mesh.

Expert Rev Med Devices 2018 Sep 10;15(9):689-691. Epub 2018 Sep 10.

a Frimley Health NHS Foundation Trust , Wexham Park Hospital , Slough , UK.

The use of biological and synthetic meshes to aid implant coverage in implant-based breast reconstruction is well established. This technique allows single stage implant-based reconstruction compared to the traditional technique which required tissue expansion before permanent implant placement and therefore involved two operations for the patient. They can further be used for pre-pectoral implant reconstructions in a similar direct-to-implant strategy. Read More

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https://www.tandfonline.com/doi/full/10.1080/17434440.2018.1
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http://dx.doi.org/10.1080/17434440.2018.1515625DOI Listing
September 2018
72 Reads

Combination of acellular dermal matrix with a de-epithelialised dermal flap during skin-reducing mastectomy and immediate breast reconstruction.

Ann R Coll Surg Engl 2018 Aug 16:e1-e6. Epub 2018 Aug 16.

Cambridge Breast Unit, Cambridge University Hospitals NHS Foundation Trust , Cambridge , UK.

Introduction Patients with large ptotic breasts undergoing immediate implant-based reconstruction often require skin-reducing mastectomy to optimise the aesthetic outcome. However, healing complications, especially at the resulting inverted T-junction, leading to wound dehiscence, infection, skin necrosis, implant exposure and failed reconstruction have been widely reported. We present an innovative approach for immediate implant-based reconstruction combining porcine- or bovine-derived acellular dermal matrices with a de-epithelialised dermal sling to protect and support the implant, while improving clinical outcomes in this challenging group of patients. Read More

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https://publishing.rcseng.ac.uk/doi/10.1308/rcsann.2018.0127
Publisher Site
http://dx.doi.org/10.1308/rcsann.2018.0127DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6204518PMC
August 2018
25 Reads

Pectoral Block Failure May Be Due to Incomplete Coverage of Anatomical Targets: A Dissection Study.

Reg Anesth Pain Med 2018 Nov;43(8):844-848

Department of Cellular and Molecular Medicine, University of Copenhagen, Copenhagen, Denmark.

Background And Objectives: The popularization of ultrasound-guided nerve blocks in cosmetic and reconstructive breast surgery calls for better anatomical understanding of chest wall innervation. When inserting subpectoral implants, pain from pocket dissection, stretching of muscle, and release of costal attachments may be relieved by blocking the pectoral nerves in the interpectoral (IP) space.We describe the variable anatomy of the pectoral nerves in the IP space in order to define the area to be covered for sufficient blockade, based on cadaver dissections. Read More

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http://dx.doi.org/10.1097/AAP.0000000000000837DOI Listing
November 2018
4 Reads

Correcting Poland Syndrome with a Custom-Made Silicone Implant: Contribution of Three-Dimensional Computer-Aided Design Reconstruction.

Plast Reconstr Surg 2018 08;142(2):109e-119e

Toulouse, France From the Service de Chirurgie Plastique et Reconstructrice, CHU Toulouse Rangueil; and AnatomikModeling SAS.

Background: Poland syndrome is historically associated with hypoplasia of the pectoral major muscle and abnormalities of the upper limbs. The authors propose an innovative procedure for correcting Poland syndrome thoracic malformations using three-dimensional modeling. Moreover, the authors evaluated aesthetic improvement, satisfaction, and quality of life after reconstruction with computer-aided design customized silicone implants. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004605DOI Listing
August 2018
27 Reads

Acellular dermal matrix for breast reconstruction after surgery for giant dermatofibrosarcoma protuberans.

Ann Ital Chir 2018 Jul 12;7. Epub 2018 Jul 12.

Introduction: Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm that exceptionally can affect the breast, always originating from skin and dermis, so imposing large sacrifice of skin. Only few cases have been reported of intraparenchymal DFS. We describe a unique case of giant intraparenchymal DFS that required removal of all the gland and reconstructive surgery. Read More

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July 2018
41 Reads

Sub-muscular Breast Augmentation Using Tumescent Local Anesthesia.

Aesthetic Plast Surg 2019 02 11;43(1):7-13. Epub 2018 Jul 11.

Department of Surgical, Microsurgical and Medical Sciences, Plastic Surgery Unit, University of Sassari, Via Monte Grappa 70, 07100, Sassari, Italy.

Background: Tumescent local anesthesia (TLA) consists of infiltration of saline solution with lidocaine and epinephrine into the tissues to obtain regional anesthesia and vasoconstriction. The use of TLA in augmentation mammoplasty has been described for sub-glandular positioning. We describe a modified TLA technique for primary sub-muscular breast augmentation reporting our experience during the past 7 years. Read More

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http://dx.doi.org/10.1007/s00266-018-1181-3DOI Listing
February 2019
55 Reads

"No Drain, No Gain": Simultaneous Seroma Drainage and Tissue Expansion in Pre-pectoral Tissue Expander-Based Breast Reconstruction.

Aesthetic Plast Surg 2019 08 9;43(4):1118-1119. Epub 2018 Jul 9.

Unità di Oncologia Chirurgica Ricostruttiva della Mammella, "Spedali Riuniti" di Livorno, Breast Unit Integrata di Livorno Cecina, Piombino Elba, Azienda USL Toscana Nord Ovest, Leghorn, Italy.

Seromas represent the most frequent complication following immediate breast reconstruction surgery, in particular when acellular dermal matrix or synthetic meshes are used to add coverage to implants. Little information regarding breast seroma management is available in the literature. When seroma becomes clinically significant, current methods for its management consist of repeated needle aspiration. Read More

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http://dx.doi.org/10.1007/s00266-018-1192-0DOI Listing
August 2019
8 Reads

Treatment of Breast Animation Deformity in Implant-Based Reconstruction with Selective Nerve Ablation.

Aesthetic Plast Surg 2018 Dec 29;42(6):1472-1475. Epub 2018 Jun 29.

Division of Plastic and Reconstructive Surgery, Tulane University Health Sciences Center, 1430 Tulane Avenue, SL22, RM 8207, New Orleans, LA, 70112, USA.

Breast animation deformity is a known complication of subpectoral implant placement that is usually corrected by repositioning the implant to the prepectoral position. Other less common treatment options include performing the muscle splitting biplanar technique, triple plane technique, neuromodulator injections, and secondary neurotomies via transection of the pectoral muscle. We report a patient with animation deformity successfully treated with direct identification and ablation of the medial and lateral pectoral nerves using selective bipolar electrocautery. Read More

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http://dx.doi.org/10.1007/s00266-018-1184-0DOI Listing
December 2018
31 Reads

The evolving role of pre-pectoral ADM-assisted implant-based immediate breast reconstruction following skin-sparing mastectomy.

Am J Surg 2018 09 2;216(3):639-640. Epub 2018 Feb 2.

The London Breast Institute, The Princess Grace Hospital, 42-52 Nottingham Place, London W1U 5NY, UK. Electronic address:

Introduction: The increasing use of acellular dermal matrix (ADM) and fat transfer in the context of breast reconstruction, following skin sparing mastectomy (SSM) for therapeutic and risk reducing purposes, combined with the need to eliminate animation deformities, reduce post-operative dysfunctional pain and the risk of capsular contracture, has prompted surgeons to investigate the possibility of placing the mammary implant over the pectoralis major muscle with complete coverage with ADM thus reviving the pre-pectoral approach which was previously abandoned due to high complications rates and poor aesthetics in the pre-ADM era.

Methods: We reviewed the literature regarding this evolving technique of muscle sparing ADM-assisted implant-based immediate breast reconstruction.

Results And Conclusions: Several authors have recently reported positive early results confirming the potential benefits of eliminating breast animation and reducing postoperative pain, however, most of these reports contain insufficient numbers of patients (<100) and were retrospective in nature with a very short-term follow-up and lack of data regarding objective aesthetic assessment. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2018.01.021DOI Listing
September 2018
11 Reads

Early multicentre experience of pre-pectoral implant based immediate breast reconstruction using Braxon.

Gland Surg 2017 Dec;6(6):682-688

Department of Breast Surgery, South Warwickshire NHS Foundation Trust, Warwick, UK.

Background: The last two decades have seen significant changes in surgical management of breast cancer. The offer of immediate breast reconstruction (IBR) following mastectomy is currently standard practice. Skin sparing and nipple sparing mastectomy with implant-based IBR have emerged as oncologically safe treatment options. Read More

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http://gs.amegroups.com/article/view/16334/17950
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http://dx.doi.org/10.21037/gs.2017.07.07DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5750316PMC
December 2017
26 Reads

Placement Of Cardiac PacemaKEr Trial (POCKET) - rationale and design: a randomized controlled trial.

Heart Int 2017 Jan-Dec;12(1):e8-e11. Epub 2017 Apr 14.

Centre for Research and Development, Uppsala University/Region Gävleborg, Gävle - Sweden.

Background: A pacemaker system consists of one or two leads connected to a device that is implanted into a pocket formed just below the collarbone. This pocket is typically subcutaneous, that is, located just above the pectoral fascia. Even though the size of pacemakers has decreased markedly, complications due to superficial implants do occur. Read More

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http://dx.doi.org/10.5301/heartint.5000235DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5421194PMC
April 2017
9 Reads

Anaplastic Large-Cell Lymphoma Associated with Breast Implants: A Case Report of a Transgender Female.

Aesthetic Plast Surg 2018 Apr 3;42(2):451-455. Epub 2017 Nov 3.

Department of Plastic Surgery, Royal Vinohrady Teaching Hospital, Srobarova 1150/50, 100 34, Prague, Czech Republic.

Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) is a rare peripheral T cell lymphoma. BIA-ALCL is a disease of the fibrous capsule surrounding the implant and occurs in patients after both breast reconstruction and augmentation. More than 300 cases have been reported so far, including two in a transgender patient. Read More

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http://dx.doi.org/10.1007/s00266-017-1012-yDOI Listing
April 2018
45 Reads

Augmentation Mastopexy with a Dermal Encapsulated Round or Anatomic Autoprosthesis.

Authors:
Safvet Ors

Aesthetic Plast Surg 2018 Feb 26;42(1):88-97. Epub 2017 Oct 26.

SO-EP Aesthetic and Plastic Surgery Clinic, Seyitgazi Mah. Seyyid Burhaneddin Bulv. No: 51/A, 38050, Kayseri, Turkey.

Introduction: Several factors, such as aging, pregnancy, and weight loss, reduce the elasticity of the breast tissue, and ptosis occurs. Due to aging and gravity, it is not possible to completely prevent breast ptosis. The goal is to delay the recurrence of ptosis as much as possible. Read More

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http://dx.doi.org/10.1007/s00266-017-0987-8DOI Listing
February 2018
31 Reads

Is Asphyxiating Thoracic Dystrophy (Jeune's Syndrome) Deadly and Should We Insist on Treating It? Reconstructive Surgery "On Demand".

Surg J (N Y) 2017 Jan 17;3(1):e17-e22. Epub 2017 Feb 17.

Department of Pediatric and Thoracic Surgery, University Multiprofile Hospital for Active Treatment and Emergency Medicine "Pirogov" Sofia, Bulgaria.

Our aim is to present the treatment of one of the skeletal manifestations of Jeune's syndrome (JS), the hypoplastic chest, which can result in thoracic insufficiency syndrome and present "on-demand" stage surgical technique using mandible locking plate system for the fixation of ribs. The diagnosis "Jeune's syndrome" was presented clinically in a 3-month-old girl from a family in which the first child died of JS at the age of 18 months. After close follow-up for several months and preoperative planning, we decided to make reconstructive chest operation with atypical use of a double-angled mandible locking plate for fixation. Read More

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http://dx.doi.org/10.1055/s-0037-1598043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5553486PMC
January 2017
14 Reads

Efficacy of ultrasound, mammography and magnetic resonance imaging in detecting breast implant rupture: A retrospective study of 175 reconstructive and aesthetic sub-pectoral breast augmentation cases.

J Plast Reconstr Aesthet Surg 2017 Nov 3;70(11):1520-1526. Epub 2017 Jun 3.

Department of Plastic, Reconstructive and Aesthetic Surgery, Saint Louis Hospital, AP-HP Hôpital Saint-Louis, Avenue Claude Vellefaux, 75475 Paris Cedex 10, France; Paris Diderot University, Sorbonne Paris, France.

To date, the effectiveness of radiological imaging in detecting silicone breast implant rupture is uncertain. The purpose of this study is to retrospectively evaluate the effectiveness of radiological imaging when diagnosing a rupture. In this study, 175 patients with 242 breast implants were included, of which 168 and 74 implants were used for breast reconstruction and aesthetic augmentation, respectively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815173022
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http://dx.doi.org/10.1016/j.bjps.2017.05.051DOI Listing
November 2017
44 Reads

Subcutaneous implant breast reconstruction: Time to reconsider?

Eur J Surg Oncol 2017 Sep 4;43(9):1636-1646. Epub 2017 May 4.

Breast Department, Royal Wolverhampton Hospital, Wolverhampton Road, WV10 0QP, Wolverhampton, UK.

Improvements in breast surgery techniques such as skin and nipple preserving mastectomy and innovative prosthetics (implants, acellular dermal matrices and meshes) is renewing interest in subcutaneous (pre-pectoral) implant reconstruction. The aim of this paper is to review the current literature in an attempt to provide a rationale that may support a return to subcutaneous implant placement, so minimising the pain and functional problems resulting from submuscular breast reconstruction. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07487983173045
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http://dx.doi.org/10.1016/j.ejso.2017.04.008DOI Listing
September 2017
21 Reads

Overview of the radiographers' practice in 65 healthcare centers using digital mammography systems in Portugal.

Insights Imaging 2017 Jun 16;8(3):345-355. Epub 2017 Mar 16.

Instituto Superior Técnico (IST), Laboratório de Proteção e Segurança Radiológica (LPSR), Universidade de Lisboa (UL), Estrada Nacional 10 (ao km 139,7), 2986-066, Bobadela, Portugal.

Purpose: To assess current practices in digital mammography (DM) in Portuguese healthcare providers using digital systems. To investigate compliance with European standards regarding mean glandular dose and quality control practice and to identify optimisation needs.

Methods: Two questionnaires, targeted at breast radiographers and chief radiographers, were designed and applied in 65 imaging departments offering DM. Read More

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http://dx.doi.org/10.1007/s13244-017-0550-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5438316PMC
June 2017
19 Reads

Revisiting an Old Place: Single-Surgeon Experience on Post-Mastectomy Subcutaneous Implant-Based Breast Reconstruction.

Breast J 2017 Sep 13;23(5):545-553. Epub 2017 Mar 13.

Department of Surgery Plastic, Surgery Mayo Clinic, Rochester, New York.

Significant advances have been made to the reconstructive tools available to plastic surgeons allowing for the re-exploration of subcutaneous breast reconstruction. The purpose of the current study is to examine the safety, efficacy, and aesthetic results of subcutaneous breast reconstruction by a single-surgeon. A retrospective chart review was performed on all patients undergoing subcutaneous implant-based breast reconstruction between April 2012 and September 2014. Read More

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http://doi.wiley.com/10.1111/tbj.12790
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http://dx.doi.org/10.1111/tbj.12790DOI Listing
September 2017
17 Reads

Functional and Aesthetic Thorax Reconstruction after Desmoid Tumor Resection.

Plast Reconstr Surg Glob Open 2017 Feb 22;5(2):e1248. Epub 2017 Feb 22.

Plastic and Reconstructive Surgery Service, Surgical Oncology Service, and Pathology Service, Hospital Angeles Puebla, Puebla 72190, México.

This study describes a case report of a 31-year-old patient who presented with a left thoracic tumor on costal cartilages 5 and 6 that was diagnosed as a desmoid tumor 3 years after receiving retropectoral breast implants for cosmetic reasons. The integral reconstruction of the thoracic wall, functional and aesthetic, was planned for a single surgical period. The defect secondary to the tumor resection, which left the pericardium and lung exposed, was closed using the pectoral muscle as a "pre-expanded" flap by the breast implant, and the breast aesthetic was treated bilaterally with new implants in the retromammary position. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001248DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340497PMC
February 2017
9 Reads

Acellular dermal matrix reduces capsule formation in two-stage breast reconstruction.

Int Wound J 2017 Apr 15;14(2):414-419. Epub 2016 Aug 15.

Department of Plastic Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.

Acellular dermal matrix (ADM) is commonly employed to create an inferior pocket for the tissue expander in two-stage breast reconstruction. The authors sought to determine whether placement of ADM during the first stage of reconstruction decreases the amount of capsule formation at implant exchange. Patients who underwent mastectomy and tissue expander reconstruction were included in this study. Read More

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http://dx.doi.org/10.1111/iwj.12620DOI Listing
April 2017
11 Reads

Mammography in females with an implanted medical device: impact on image quality, pain and anxiety.

Br J Radiol 2016 Oct 25;89(1066):20160142. Epub 2016 Jul 25.

1 Dutch Reference Centre for Screening, Nijmegen, Netherlands.

Objective: To assess the image quality of mammograms in females with an implanted medical device (IMD), to evaluate pain and anxiety during mammography in these females and to investigate the experience of radiographers.

Methods: Image quality was evaluated by two radiographers and one radiologist in the images of females with an IMD participating in the Dutch screening programme (clients). Pain and anxiety were scored using a Numeric Rating Scale in both clients visiting a screening organization and patients from the Isala Hospital, Zwolle. Read More

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http://dx.doi.org/10.1259/bjr.20160142DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5124797PMC
October 2016
24 Reads

Male Pectoral Implants: Radiographic Appearance of Complications.

J Radiol Case Rep 2016 Mar 31;10(3):11-9. Epub 2016 Mar 31.

Department of Radiology, Larkin Community Hospital, FL, USA.

There has been a significant surge in aesthetic chest surgery for men in the last several years. Male chest enhancement is performed with surgical placement of a solid silicone pectoral implant. In the past, male chest correction and implantation were limited to the treatment of men who had congenital absence or atrophy of the pectoralis muscle and pectus excavatum deformity. Read More

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http://dx.doi.org/10.3941/jrcr.v10i3.2549DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4861614PMC
March 2016
9 Reads

The Outcome of Primary Subglandular Breast Augmentation Using Tumescent Local Anesthesia.

Ann Plast Surg 2016 Jan;76(1):13-7

From the *Skinlaser, Plastic Surgery and Laser Center, Rome, Italy; †Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospitals of Lausanne, Lausanne, Switzerland; ‡Department of Anaesthesiology and Intensive Care, Catholic University of the Sacred Heart, Rome; and §Venuslab, Plastic Surgery and Laser Center, Palermo, Italy.

Background: Tumescent local anesthesia (TLA) technique to obtain regional anesthesia and vasoconstriction of the skin and subcutaneous tissues is routinely adopted for several plastic surgery procedures. Here, we describe the use of TLA in primary subglandular breast augmentation. This series evaluates advantages and disadvantages of TLA in elective augmentation breast surgery as well as patients' response to this procedure. Read More

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http://dx.doi.org/10.1097/SAP.0000000000000215DOI Listing
January 2016
33 Reads

Use of Deslorelin Acetate Implants to Mitigate Aggression in Two Adult Male Domestic Turkeys (Meleagris gallopavo) and Correlating Plasma Testosterone Concentrations.

J Avian Med Surg 2015 Sep;29(3):224-30

Two adult, male domestic turkeys were treated with implants of deslorelin acetate, a gonadotropin-releasing hormone agonist, to reduce intermale aggression and aggression directed toward the animal care team at a zoologic institution. The turkeys were manually restrained and either two 4.7-mg or two 9. Read More

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http://dx.doi.org/10.1647/2014-041DOI Listing
September 2015
9 Reads

Male Body Contouring.

J Drugs Dermatol 2015 Sep;14(9):1052-9

Men are increasingly turning to dermatologists and plastic surgeons to request procedures that correct or enhance physical features. With the advent of this emerging new patient population, alterations in preexisting aesthetic techniques, gender-specific uses of existing devices and overall approaches need to be revisited and adapted to obtain results that are suitable for the male patient. Recently, body contouring has become one of the most sought out procedures by men. Read More

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September 2015
9 Reads

The In Vivo Pericapsular Tissue Response to Modern Polyurethane Breast Implants.

Aesthetic Plast Surg 2015 Oct 25;39(5):713-23. Epub 2015 Aug 25.

Postgraduate Medical Institute, Anglia Ruskin University, Bishop Hall Lane, Chelmsford, Essex, CM1 1SQ, UK,

Unlabelled: Polyurethane breast implants were first introduced by Ashley (Plast Reconstr Surg 45:421-424, 1970), with the intention of trying to reduce the high incidence of capsular contracture associated with smooth shelled, high gel bleed, silicone breast implants. The sterilization of the polyurethane foam in the early days was questionable. More recently, ethylene oxide (ETO)-sterilized polyurethane has been used in the manufacturing process and this has been shown to reduce the incidence of biofilm. Read More

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http://dx.doi.org/10.1007/s00266-015-0550-4DOI Listing
October 2015
26 Reads

The Effect of Botox on the Implant Stabilization and Capsular Formation: An Experimental Study.

Ann Plast Surg 2015 Jul;75(1):91-7

From the *Department of Plastic and Reconstructive Surgery, †Department of Pathology, and ‡Department of Radiology, Adnan Menderes University Faculty of Medicine, Aydin, Turkey.

Background: Breast augmentation is one of the most common esthetic procedures with increasing frequency throughout the past years. The most demanding complications involving esthetic and reconstructive breast surgery are the malpositioning of the implant and capsular contracture. The etiology, prevention, and management remain to be fully explained. Read More

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http://pdfs.journals.lww.com/annalsplasticsurgery/2015/07000
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/SAP.0000000000000005DOI Listing
July 2015
22 Reads

Imaging of cosmetic plastic procedures and implants in the body and their potential complications.

AJR Am J Roentgenol 2015 Apr;204(4):707-15

1 Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO.

Objective: Cosmetic plastic surgery procedures, as well as implants, are increasingly being performed. These implants are often encountered on routine imaging examinations, and radiologists are often asked to evaluate for complications or evidence of failure. Pectoral augmentation, gluteal augmentation, body lift and abdominoplasty, and penile and testicular prostheses are reviewed in this article. Read More

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http://dx.doi.org/10.2214/AJR.14.13516DOI Listing
April 2015
29 Reads

[Should we drain after pre-pectoral breast implants? Analysis of a cohort of 400 patients operated for breast augmentation with pre-pectoral silicone implants].

Ann Chir Plast Esthet 2015 Feb 6;60(1):35-8. Epub 2014 Nov 6.

Service de chirurgie plastique et reconstructrice, centre des brûlés, hôpital Jean-Monnet, CHU de Nantes, 44093 Nantes cedex 01, France. Electronic address:

Aim Of The Study: During breast augmentation, surgical drainage remains a source of debate. The objective of the study was to determine the interest of the drainage after pre-pectoral breast implants pre, analyzing the risk of hematoma and capsular contracture.

Patients And Methods: We retrospectively analyzed a cohort of 400 patients who underwent a first aesthetic breast augmentation by pre-pectoral silicone gel implants. Read More

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http://dx.doi.org/10.1016/j.anplas.2014.08.014DOI Listing
February 2015
8 Reads

Vicryl mesh in expander/implant breast reconstruction: long-term follow-up in 38 patients.

Plast Reconstr Surg 2014 Nov;134(5):892-9

Johnson City, Tenn.; and Bradenton, Fla. From the Division of Plastic Surgery, East Tennessee State University; and Lakewood Ranch Plastic Surgery.

Background: Acellular dermal matrix has proven to be a useful adjunct in tissue expander or direct-to-implant breast reconstruction. Although versatile, acellular dermal matrix adds considerable cost. Vicryl (polyglactin) mesh has an established track record in many fields of surgery, and is considerably less costly than acellular dermal matrix. Read More

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http://dx.doi.org/10.1097/PRS.0000000000000610DOI Listing
November 2014
14 Reads

Anatomical study of pectoral nerves and its implications in surgery.

Authors:
Prakash Kg Saniya K

J Clin Diagn Res 2014 Jul 20;8(7):AC01-5. Epub 2014 Jul 20.

Assistant Professor, Department of Anatomy, Azeezia Medical College , Meeyyannor, Kollam District, Kerala, India .

Introduction: This anatomical study of the pectoral nerves and their innervation is to provide detail informations on the pectoral nerves and their variations in their course, to guide the cosmetic and plastic surgeons for their easy intra operative localization and to improve the understanding of the pectoral muscle innervation, which is very much required during breast reconstruction after modified radical mastectomy (MRM) in breast cancer; axillary dissection; removal of the pectoralis minor muscle, and in harvesting the pectoralis major for myocutaneous head and neck island flap surgeries.

Materials And Methods: A total of 50 pectoral region specimens (both right and left sided) from 25 embalmed adult human cadavers (20 female & 05 male) were studied by dissection method.

Statistical Analysis: The data were tabulated in Microsoft excel and analysed by using Statistical Package for Social Science (SPSS 17(th) version). Read More

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http://dx.doi.org/10.7860/JCDR/2014/8631.4545DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4149058PMC
July 2014
7 Reads

Sternocostal dislocation following open correction of pectus excavatum-"stairway phenomenon": complication management by means of sternocostal locking titanium plate osteosynthesis.

Thorac Cardiovasc Surg 2014 Apr 14;62(3):245-52. Epub 2013 Oct 14.

Department of Pediatric Surgery, University Hospital Erlangen, Erlangen, Germany.

Introduction: Some open surgical methods describe complete sternocostal dissection with subsequent resynthesis. Lack of consolidation with painful sternocostal instability and retrosternal dislocation of sternal rib tips are possible complications.

Materials And Methods: Seven patients with symptomatic unilateral sternocostal dislocation were included in this study. Read More

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http://dx.doi.org/10.1055/s-0033-1356864DOI Listing
April 2014
18 Reads

Qualitative and quantitative evaluation of avian demineralized bone matrix in heterotopic beds.

Vet Surg 2013 Nov 1;42(8):963-70. Epub 2013 Oct 1.

Department of Clinical Studies, Universiti Putra Malaysia, Serdang, Selangor, Malaysia.

Objective: To evaluate the osteogenic potential of avian demineralized bone matrix (DBM) in the context of implant geometry.

Study Design: Experimental.

Animals: Rock pigeons (n = 24). Read More

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http://dx.doi.org/10.1111/j.1532-950X.2013.12057.xDOI Listing
November 2013
11 Reads

Laparoscopically harvested omental flap for breast reconstruction in Poland syndrome.

J Plast Reconstr Aesthet Surg 2013 Nov 22;66(11):e303-9. Epub 2013 Aug 22.

Pediatric Plastic Surgery Unit, Dr. Luis Calvo Mackenna Hospital, Santiago, Chile. Electronic address:

Background/purpose: Poland syndrome (PS) is a congenital anomaly of the thoracic wall characterised by a variable degree of unilateral agenesis of pectoralis major and minor muscles associated with ipsilateral breast, rib and upper-arm anomalies. In female patients, breast reconstruction is particularly challenging because of cranial pectoralis muscle defects and partial or complete breast agenesis. Different techniques have been used to treat the thoracic anomaly, including the positioning of an implant, fat transfer or latissimus dorsi transposition, but in some cases these techniques are not feasible resulting in a poor reconstruction. Read More

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http://dx.doi.org/10.1016/j.bjps.2013.08.003DOI Listing
November 2013
9 Reads

Submammary device implantation in women: a step-by-step approach.

J Cardiovasc Electrophysiol 2013 Apr 5;24(4):476-9. Epub 2013 Feb 5.

University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA.

Introduction: The frequency of device implantation is increasing in younger patients as our ability to diagnose long-QT syndrome, hypertrophic cardiomyopathy, Brugada Syndrome, and other life-threatening disorders earlier has improved. Similarly, use of cardiac resynchronization therapy and ICD therapies has increased in cardiomyopathy patients.

Methods And Results: Device implantation in young women has unique considerations. Read More

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http://dx.doi.org/10.1111/jce.12033DOI Listing
April 2013
9 Reads

Implantable cardioverter defibrillator therapy in paediatric practice: a single-centre UK experience with focus on subcutaneous defibrillation.

Europace 2013 Apr 20;15(4):523-30. Epub 2013 Jan 20.

Department of Paediatric Cardiology & Cardiothoracic Surgery, University Hospital Southampton, Tremona Road, Southampton SO16 6YD, Hampshire, UK.

Aims: Sudden cardiac death (SCD) risk can be managed by implantable cardioverter defibrillators (ICD). Defibrillation shocks can be delivered via ICD generator and/or intracardiac or subcutaneous coil configurations. We present our single-centre use of childhood ICDs. Read More

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http://europace.oxfordjournals.org/content/europace/15/4/523
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http://europace.oxfordjournals.org/cgi/doi/10.1093/europace/
Publisher Site
http://dx.doi.org/10.1093/europace/eus388DOI Listing
April 2013
53 Reads