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Reduction mammaplasty

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https://www.readbyqxmd.com/read/29750758/quality-of-surgical-outcomes-reporting-in-plastic-surgery-a-15-year-analysis-of-complication-data
#1
Rajiv P Parikh, Ketan Sharma, Ali A Qureshi, Michael J Franco, Terence M Myckatyn
BACKGROUND: Postoperative complication data are integral to assessing patient outcomes and identifying areas to improve quality in surgical care. Accurate appraisal of surgical techniques requires consistency and reliability in complication data reporting. The purpose of this study was to analyze the quality of complication reporting in plastic surgery. METHODS: The authors critically reviewed the literature from January 1st, 2000 to December 31st, 2014 to identify articles reporting surgical outcomes after 3 index procedures (autologous breast reconstruction, prosthetic breast reconstruction and reduction mammaplasty)...
March 15, 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29725545/single-stage-nipple-sparing-mastectomy-and-reduction-mastopexy-in-the-ptotic-breast
#2
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/29707458/ketorolac-may-increase-hematoma-risk-in-reduction-mammaplasty-a-case-control-study
#3
Jouseph O Barkho, Yu Kit Li, Eric Duku, Achilleas Thoma
Background: Ketorolac is a potent nonsteroidal anti-inflammatory drug that has valuable analgesic properties but also a hypothetical risk of increased bleeding due to inhibition of platelet activation. The clinical significance of this risk, however, is unclear when it is used after reduction mammaplasty. Our study objective was to therefore examine the association between ketorolac exposure and hematoma occurrence after breast reduction surgery. We hypothesized that there was no association between ketorolac exposure and hematoma occurrence in breast reduction surgery...
March 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29617008/erratum-incisional-negative-pressure-wound-therapy-for-prevention-of-wound-healing-complications-following-reduction-mammaplasty-erratum
#4
(no author information available yet)
[This corrects the article DOI: 10.1097/GOX.0000000000001560.].
February 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29548531/oncoplastic-reduction-mammaplasty-an-effective-and-safe-method-of-breast-conservation
#5
Angelena Crown, Nicketti Handy, Flavio G Rocha, Janie W Grumley
INTRODUCTION: Oncoplastic breast conserving surgery (BCS) can enhance both cosmetic and oncologic breast cancer outcomes. This study evaluates the outcomes and complications associated with oncoplastic reduction mammaplasty performed by surgical breast oncologists. METHODS: A single institution retrospective chart review of patients undergoing oncoplastic reduction mammaplasty by a surgical breast oncologist for the treatment of breast cancer. RESULTS: Seventy-one patients were identified...
May 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29506754/discussion-of-oncoplastic-reduction-mammaplasty-an-effective-and-safe-method-of-breast-conservation
#6
Elaine McKevitt
No abstract text is available yet for this article.
May 2018: American Journal of Surgery
https://www.readbyqxmd.com/read/29464150/incisional-negative-pressure-wound-therapy-for-prevention-of-wound-healing-complications-following-reduction-mammaplasty
#7
Robert D Galiano, Donald Hudson, Joseph Shin, René van der Hulst, Volkan Tanaydin, Risal Djohan, Franck Duteille, John Cockwill, Sarah Megginson, Elizabeth Huddleston
Background: It has been proposed that negative pressure wound therapy (NPWT) applied prophylactically to a closed incision may decrease the incidence of wound complications. Patients undergoing reduction mammaplasty are at risk of wound complications such as delayed healing, infection, and dehiscence, and the bilateral nature of the surgery allows for a within-patient randomized study to evaluate incisional NPWT's effect in reducing healing complications. Methods: In this multicenter trial, 200 patients undergoing bilateral reduction mammaplasty were treated with PICO Single-Use NPWT System or standard wound-care dressings randomized to right or left breast for up to 14 days to enable within-patient comparison...
January 2018: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/29433957/liposuction-assisted-four-pedicle-based-breast-reduction-lafpbr-a-new-safer-technique-of-breast-reduction-for-elderly-patients
#8
Simone La Padula, Barbara Hersant, Warren Noel, Jean Paul Meningaud
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. The aim of this paper was to describe the LAFPBR technique and to determine whether it could be considered a safer option for elderly patients compared to the superomedial pedicle (SMP) technique...
May 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/29425275/breast-hypertrophy-reduction-mammaplasty-and-body-image
#9
Cristiane Costa Fonseca, Daniela Francescato Veiga, Edgard da Silva Garcia, Isaías Vieira Cabral, Monique Maçais de Carvalho, Maria José Azevedo de Brito, Lydia Masako Ferreira
Background: Body image dissatisfaction is one of the major factors that motivate patients to undergo plastic surgery. However, few studies have associated body satisfaction with reduction mammaplasty. Objectives: The aim of this study was to evaluate the impact of breast hypertrophy and reduction mammaplasty on body image. Methods: Breast hypertrophy patients, with reduction mammaplasty already scheduled between June 2013 and December 2015 (mammaplasty group, MG), were prospectively evaluated through the body dysmorphic disorder examination (BDDE), body investment scale (BIS), and breast evaluation questionnaire (BEQ55) tools...
February 7, 2018: Aesthetic Surgery Journal
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
#10
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/29352346/the-evolution-of-breast-reduction-publications-a-bibliometric-analysis
#11
Ümran Muslu
OBJECTIVE: This study aims to make a bibliometric analysis of the studies on breast reduction (BR) between the years 1980 and 2016 and identify important studies through trend topics as well as active authors, countries, universities, scientific journals, and citation and co-citation analyses about BR. BACKGROUND: Although BR looks like one of the cosmetic surgeries performed in order to restore the woman's appearance, in fact it is a reconstructive surgery that eliminates back pain, stance disorder, headache, shoulder pain, back and cervical disk hernia, difficulty in breathing, hollowness caused by bra straps, hygiene problems under breasts (e...
January 19, 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29218474/superomedial-pedicle-vertical-scar-breast-reduction-objective-and-subjective-assessment-of-breast-symmetry-and-aesthetics
#12
Ofir Ron, Amir Inbal, Ehud Arad, Arik Zaretski, David Leshem, Ravit Yanko, Eyal Gur, Yoav Barnea
BACKGROUND: The superomedial vertical scar breast reduction (SVBR) described by Hall-Findlay is gaining popularity among surgeons worldwide. The aim of this study was to evaluate its long-term aesthetic outcome, the extent of quality of life improvement and the factors that influence patient satisfaction and reviewers' evaluation of aesthetic/surgical outcome. METHODS: In this historical prospective study, we included women who underwent SVBR at least one year prior to enrollment and responded to a quality of life questionnaire...
December 7, 2017: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29124379/use-of-the-breast-q%C3%A2-survey-in-the-prospective-evaluation-of-reduction-mammaplasty-outcomes
#13
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/29095194/liposomal-bupivacaine-may-benefit-select-reduction-mammaplasty-patients
#14
Shana S Kalaria, Stefanos Boukovalas, Pablo L Padilla, Jacquelynn P Tran, Ramon T Li, Linda G Phillips
BACKGROUND: Postoperative pain control can be challenging in reduction mammaplasty patients. This study compares perioperative liposomal bupivacaine (Exparel; Pacira Pharmaceuticals, Inc, San Diego, Calif) with standard local anesthetics to determine if liposomal bupivacaine decreases opioid and antiemetic use, impacting length of stay and complication rates, thus improving patient outcomes. METHODS: A retrospective review of 170 reduction mammaplasty patients was performed...
March 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29078876/superomedial-pedicle-reduction-mammaplasty-increased-resection-weight-does-not-increase-nipple-necrosis
#15
Pamela Brownlee, David Chesire, Marie Crandall, John Murray
BACKGROUND: The superomedial pedicle (SMP) reduction mammaplasty offers several advantages over more traditional operative techniques, such as retained sensation to the nipple areola complex (NAC) and improved preservation of long-term breast shape. However, many surgeons believe that using the SMP can cause an increase in NAC necrosis rates up to 13.1%, especially in large volume reductions. The aims of this paper are to determine the rate of nipple necrosis when performing an SMP reduction mammaplasty at our institution and establish if there is a difference in those rates based on the weight of tissue removed...
November 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/29045533/liposuction-augmentation-mammaplasty
#16
Ryan Harris, Peter Raphael, Scott W Harris
Background: The female breast loses superior fullness and becomes more ptotic over time. Women often present to their plastic surgeon requesting reversal of this evolution. While liposuction alone has been proven to lift the breast, no solution combining augmentation and liposuction has been reported. Objectives: Herein, we introduce a technique called liposuction-augmentation mammaplasty (LAM) that can achieve "scarless" lifting or simply volume equalization prior to inserting same-sized implants...
March 14, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29044364/outcome-after-breast-reduction-considering-body-mass-index-and-resection-amount
#17
Mehmet Bayramiçli, Hakan Sirinoglu, Dogus Yalçin
Background: It is presumed that breast reduction improves patients' quality of life and promotes weight loss. Preoperative body mass index (BMI) and the amount of breast tissue (breast reduction amount [BRA]) in proportion to the patient's body weight are important variables to affect the breast reduction outcome. Objective: This study was designed to evaluate the short and long-term effects of breast reduction from the perspective of BMI and BRA. Methods: One hundred fifty-seven consecutive patients were invited to participate in the study...
October 16, 2017: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/28986442/the-effect-of-reduction-mammaplasty-on-quality-of-life-in-adolescents-with-macromastia
#18
Laura C Nuzzi, Joseph M Firriolo, Carolyn M Pike, Felecia E Cerrato, Michelle L Webb, Heather R Faulkner, Amy D DiVasta, Brian I Labow
OBJECTIVES: To measure changes in health-related quality of life and breast-related symptoms after reduction mammaplasty in adolescents. METHODS: In this longitudinal cohort study, we administered the Short-Form 36v2 (SF-36), Rosenberg Self-Esteem Scale (RSES), Breast-Related Symptoms Questionnaire (BRSQ), and Eating Attitudes Test-26 to 102 adolescents with macromastia and 84 female controls, aged 12 to 21 years. Patients with macromastia completed surveys preoperatively and after reduction mammaplasty at 6 months and 1, 3, and 5 years...
November 2017: Pediatrics
https://www.readbyqxmd.com/read/28876635/the-surgical-management-of-central-breast-tumours-at-a-specialist-breast-unit-in-johannesburg-south-africa
#19
L Van Schalkwyk, C A Benn, K Bergstrom
BACKGROUND: Central breast tumours are defined as tumours in the retroareolar area, or within 1.5-2.0 cm from the areolar edge. In the past, breast conservation therapy (BCT) for central breast tumours was considered controversial due to concerns regarding oncologic safety and cosmesis. Recent evidence does however suggest that oncoplastic techniques offer a cosmetically acceptable and safe alternative to mastectomy in these tumours. METHOD: Patients with central breast tumours (invasive and in situ) were identified from a breast cancer database of 431 patients who presented to the Netcare Breast Care Centre in Johannesburg over a one-year period (June 2015-June 2016)...
June 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28876554/surgical-anatomy-of-reduction-mammaplasty-a-historical-perspective-and-current-concepts
#20
A O Wamalwa, T Stasch, F W Nangole, S O Khainga
Reduction mammaplasty is the volumetric reduction in the bulk of the breast. Techniques have evolved from primarily reducing the breast bulk to reducing with emphasis on functional and aesthetic outcome. The deeper understanding of the surgical anatomy of the breast has guided this development. While Paulus Aegina (sixth century AD), Dieffenbach (1848) and Gaillard-Thomas (1882) set the pace in glandular reduction; Pousson (1897) and Dehner (1908) focused on breast ptosis. It took quite some time before the enigma of the vascularization to the nipple areolar complex could be solved...
March 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
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