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https://www.readbyqxmd.com/read/29725545/single-stage-nipple-sparing-mastectomy-and-reduction-mastopexy-in-the-ptotic-breast
#1
M E Pontell, N Saad, A Brown, M Rose, R Ashinoff, A Saad
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. Methods: Literature pertaining to NSM for women with large, ptotic breasts was reviewed and a surgical approach was designed to allow for simultaneous NSM and reduction mastopexy in such patients...
2018: Plastic Surgery International
https://www.readbyqxmd.com/read/29662528/oncoplastic-surgery-for-the-conservative-treatment-of-breast-cancer-in-per%C3%A3%C2%BA-s-national-cancer-institute
#2
Gonzalo Javier Ziegler Rodriguez, Marcelo Diaz Chavez, Gabriela Guadalupe Calderon Valencia, Jose Manuel Cotrina Concha, Milko Raphael Garces Castre, Raul Mantilla
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. Methods: This is a retrospective and descriptive study that identified demographics, tumour-pathologic features and includes patients solely treated since diagnosis until late follow-up at INEN...
2018: Ecancermedicalscience
https://www.readbyqxmd.com/read/29481590/quality-of-life-after-breast-enlargement-with-implants-versus-augmentation-mastopexy-a-comparative-study
#3
Amin Kalaaji, Stine Dreyer, Jannika Brinkmann, Ivana Maric, Cathrine Nordahl, Kjell Olafsen
Background: Research regarding quality of life (QoL) among women who underwent breast aesthetic surgery is expanding. A comparative, anonymous study between two main breast aesthetic procedures is needed. Objective: 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). Methods: Patients at the Oslo Plastic Surgery Clinic were given a 47-question survey to measure QoL...
February 22, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29449682/anatomic-and-terminological-description-and-processing-of-breast-pathologic-specimens-from-oncoplastic-large-volume-displacement-surgeries
#4
REVIEW
Yuanxin Liang, Stephen P Naber, Abhishek Chatterjee
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...
February 15, 2018: Modern Pathology: An Official Journal of the United States and Canadian Academy of Pathology, Inc
https://www.readbyqxmd.com/read/29401215/the-use-of-poly-4-hydroxybutyrate-p4hb-scaffold-in-the-ptotic-breast-a-multicenter-clinical-study
#5
William P Adams, Richard Baxter, Caroline Glicksman, Bruce A Mast, Michael Tantillo, Bruce W Van Natta
Background: Mastopexy and reduction mammoplasty 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...
February 1, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29401131/secondary-mastopexy-after-nipple-sparing-mastectomy-and-staged-subcutaneous-expander-implant-reconstruction
#6
Arthur H Salibian, Jay K Harness, Donald S Mowlds
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...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29395029/changing-practices-the-addition-of-a-novel-surgical-approach-to-gynecomastia
#7
D L Wyrick, M Roberts, Z T Young, A T Mancino
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. In November 2013 we adopted a new technique, the "double donut", that offers the post-operative appearance of a limited incision, with the additional benefits of mastopexy, skin reduction, and mastectomy through an enlarged incision which is not superficially evident at the completion of the procedure...
January 29, 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29389707/characterizing-breast-deformities-after-massive-weight-loss-utilizing-the-pittsburgh-rating-scale-to-examine-factors-affecting-severity-score-and-surgical-decision-making-in-a-retrospective-series
#8
John Henry Pang, Demetrius M Coombs, Isaac James, Jordan Fishman, J Peter Rubin, Jeffrey A Gusenoff
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...
March 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29385241/optimization-of-breast-reconstruction-results-using-tmg-flap-in-30-cases-evaluation-of-several-refinements-addressing-flap-design-shaping-techniques-and-reduction-of-donor-site-morbidity
#9
Stefanie Nickl, Jakob Nedomansky, Christine Radtke, Werner Haslik, Klaus F Schroegendorfer
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. METHODS: We retrospectively analyzed 37 immediate or delayed reconstructions with TMG flaps in 34 women, performed between 2009 and 2015...
January 31, 2018: Microsurgery
https://www.readbyqxmd.com/read/29365038/mastopexy-and-mastopexy-augmentation
#10
Ali A Qureshi, Terence M Myckatyn, Marissa M Tenenbaum
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. Mesh support of the ptotic breast is an extension of this paradigm shift and seeks to restore the lost strength of the support structures of the breast...
March 14, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29359234/analysis-of-symmetry-stability-following-implant-based-breast-reconstruction-and-contralateral-management-in-582-patients-with-long-term-outcomes
#11
M Barone, A Cogliandro, M Signoretti, P Persichetti
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. Two reviewers analysed the post-operative outcomes of the patients included and compiled the Kroll Scale...
January 22, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29327648/the-goniometer-device-special-equipment-designed-for-symmetric-mammoplasty-planning-and-photo-symmetry-analysis-technique
#12
Tahsin Görgülü
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. Our newly designed instrument, that is, the goniometer (TG), aims to ensure metric measurements appropriate for the axes, and it may also be used in circumstances that require angle measurements...
January 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29302497/an-original-and-simple-autoaugmentation-mastopexy-in-mild-to-moderate-breast-ptosis-superior-pedicle-frontal-division-to-achieve-upper-pole-fullness
#13
Loubna Abboud, William Watfa, Pietro G di Summa, Wassim Raffoul
No abstract text is available yet for this article.
December 2017: Gland Surgery
https://www.readbyqxmd.com/read/29218480/discussion-augmentation-mastopexy-with-a-dermal-encapsulated-round-or-anatomic-autoprosthesis
#14
Katherine Shaum, Ahmed Afifi
No abstract text is available yet for this article.
February 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29214335/commentary-mastopexy-on-reconstructed-breast-following-massive-weight-loss-an-innovative-technique-using-dermo-capsular-flaps
#15
Omar E Beidas, J Peter Rubin
No abstract text is available yet for this article.
April 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29184728/diep-flap-breast-reconstruction-in-patients-with-breast-ptosis-2-stage-reconstruction-using-3-dimensional-surface-imaging-and-a-printed-mold
#16
Koichi Tomita, Kenji Yano, Mifue Taminato, Michiko Nomori, Ko Hosokawa
Background: Autologous breast reconstruction can be performed for breasts with ptosis to a certain extent, but if patients desire to correct ptosis, mastopexy of the contralateral breast is indicated. However, accurate prediction of post-mastopexy breast shape is difficult to make, and symmetrical breast reconstruction requires certain experience. We have previously reported the use of three-dimensional (3D) imaging and printing technologies in deep inferior epigastric artery perforator (DIEP) flap breast reconstruction...
October 2017: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29124379/use-of-the-breast-q%C3%A2-survey-in-the-prospective-evaluation-of-reduction-mammaplasty-outcomes
#17
Isaias Vieira Cabral, Edgard da Silva Garcia, Rebecca Neponucena Sobrinho, Natália Lana Larcher Pinto, Yara Juliano, Joel Veiga-Filho, Lydia Masako Ferreira, Daniela Francescato Veiga
INTRODUCTION: BREAST-Q™ is a patient-reported outcomes survey instrument with a specific module that evaluates breast reduction surgery. It allows assessment of patient's satisfaction with received treatment and evaluates the impact of surgery on different aspects of the patient's quality of life. This article aims to assess the satisfaction and quality of life of patients who underwent reduction mammaplasty. MATERIALS AND METHODS: Women aged between 18 and 60 years, with a body mass index ranging from 19 to 30 kg/m2 , who were already scheduled for reduction mammaplasty, were included in the study...
April 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29124375/reductive-augmentation-of-the-breast
#18
Paul E Chasan
AIM: Although breast reduction surgery plays an invaluable role in the correction of macromastia, it almost always results in a breast lacking in upper pole fullness and/or roundness. We present a technique of breast reduction combined with augmentation termed "reductive augmentation" to solve this problem. The technique is also extremely useful for correcting breast asymmetry, as well as revising significant pseudoptosis in the patient who has previously undergone breast augmentation with or without mastopexy...
November 9, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29124373/-the-chignon-mastopexy-a-double-glandular-suspended-flaps-for-an-auto-augmentation-effect
#19
Bouraoui Kotti
BACKGROUND: Many mastopexy techniques have been described in the literature focusing on the new nipple areolar complex position and the breast deflation treatment, but only few of them detailed the glandular volume redistribution to avoid the use of implants. We describe a mastopexy procedure that brings the maximum of the volume to the central part of the breast. We compare the procedure to a "chignon" hair style way to vulgarize the technique and simplify its comprehension...
February 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29075821/mastopexy-on-reconstructed-breast-following-massive-weight-loss-an-innovative-technique-using-dermo-capsular-flaps
#20
A Cogliandro, M Barone, G Cassotta, R Salzillo, P Persichetti
BACKGROUND: We have developed a dermo-capsular flap mastopexy technique for patients who have experienced massive weight loss after breast reconstruction. The aim of this technique is to lift the inframammary fold, adequately cover the implant, and remove excess skin, elevating the breast and obtaining symmetry with the contralateral breast. METHODS: Between January 2014 and February 2017, we performed this technique on 20 women who were candidates for second-stage breast reconstruction following nipple-sparing mastectomy...
April 2018: Aesthetic Plastic Surgery
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