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Capsular Contracture Rates in Subfascial and Subglandular Breast Augmentation With Smooth vs Textured Implants.
Subfascial placement has been reported to reduce capsular contracture (CC) in primary breast augmentation. Given the shift toward smooth implants, it is unclear whether the perceived advantage reflects the surgical plane or historical impla…
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Performance of Human and Porcine Derived Acellular Dermal Matrices in Prepectoral Breast Reconstruction: A Long-term Clinicaland Histologic Evaluation.
[BACKGROUND] Human acellular dermal matrices (ADMs) remain the most used matrices in prosthetic breast reconstruction. However, the availability and cost of ADMs limit their use in prepectoral reconstruction-which requires large amounts of …
- Commentary on: Efficacy of Acellular Dermal Matrix Type in Treatment of Capsular Contracture in Breast Augmentation: A Systematic Review and Meta-Analysis.
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Evaluation of the Safety of a GalaFLEX-AlloDerm Construct in Prepectoral Breast Reconstruction.
[BACKGROUND] Prepectoral implant-based breast reconstruction is gaining in popularity. Acellular dermal matrices are an integral part of prepectoral reconstruction. However, large quantities of acellular dermal matrix are required for total…
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Gel Cohesivity and Breast Augmentation: Applications to Clinical Practice.
Matching breast implant gel cohesivity to the patient's needs based on anatomical and soft-tissue considerations and patient preferences is essential to optimizing aesthetic outcomes and patient satisfaction. Generally, gel cohesivity contr…
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Applying Principles of Breast Revision to Managing Aesthetic Patients with Textured Implants.
Textured breast implants have garnered increased attention recently because of their risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), an uncommon and treatable type of T-cell lymphoma. Treatment involves bilatera…
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Mastopexy with Autoaugmentation and Fat Transfer.
Patients have been requesting implant removal in revisional breast surgery and options for breast improvement without the use of breast implants in primary breast surgery. This article focuses on perioperative decision making and surgical t…
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Dual-Plane versus Prepectoral Breast Reconstruction in High-Body Mass Index Patients.
[BACKGROUND] Breast reconstruction in patients with a high body mass index (BMI) (≥30 kg/m) is technically challenging and is associated with increased postoperative complications. The optimal reconstructive approach for these patients rema…
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Outcomes Utilizing Inspira Implants in Revisionary Reconstructive Surgery.
[BACKGROUND] Inspira round implants have a higher fill ratio than standard round implants and the 3 available implant types have increasing gel cohesivity. Collectively, these features may help provide a fuller upper pole and help reduce th…
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The Evolution of Breast Implants.
Breast augmentation remains one of the most commonly performed aesthetic procedures in the United States and worldwide. Throughout the last few decades, the implants used for this procedure have undergone significant advancements, which has…
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Prepectoral Revision Breast Reconstruction for Treatment of Implant-Associated Animation Deformity: A Review of 102 Reconstructions.
[BACKGROUND] Animation deformity is a direct consequence of subpectoral implant placement for breast reconstruction following mastectomy. Current treatment options ameliorate but do not address the source of the problem. Moving the implant …
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Early assessment of post-surgical outcomes with pre-pectoral breast reconstruction: A literature review and meta-analysis.
[BACKGROUND] Pre-pectoral breast reconstruction is an emerging surgical approach. This study provides an early assessment of outcomes with the technique. [METHODS] A comprehensive literature review was performed through searches of PubMed …
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AlloDerm RTU Integration and Clinical Outcomes When Used for Reconstructive Breast Surgery.
[BACKGROUND] AlloDerm Ready To Use (RTU) is a sterile version of AlloDerm regenerative tissue matrix, developed in response to concerns regarding the potential risk of infectious complications with the latter aseptic matrix. Clinical data o…
- Commentary on: Effect of Botulinum Toxin A on Muscle Healing and its Implications in Aesthetic and Reconstructive Surgery.
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Prepectoral Implant-Based Breast Reconstruction and Postmastectomy Radiotherapy: Short-Term Outcomes.
[BACKGROUND] Prosthetic breast reconstruction in the setting of radiotherapy is associated with poor outcomes. Until recently, prosthetic breast reconstruction was predominantly performed by placing the prosthesis in a subpectoral space. Pl…
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Breast implant design.
Breast Augmentation remains as one of the most common procedures performed in the United States. This article explores the evolution of breast implants with special emphasis on the advancement of the silicone implants.…
- Commentary on: Aesthetic Breast Surgery and Concomitant Procedures: Incidence and Risk Factors for Major Complications in 73,608 Cases.
- Discussion: Acellular Dermal Matrix-Assisted Direct-to-Implant Breast Reconstruction and Capsular Contracture: A 13-Year Experience.
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The Evolution of Breast Implants.
Breast augmentation remains one of the most common procedures performed in the United States. However, shape, feel, safety, and longevity of the implants remain important areas of research. The data provided by manufacturers show the safety…
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Non-cross-linked porcine acellular dermal matrix in revision breast surgery: long-term outcomes and safety with neopectoral pockets.
[BACKGROUND] Revision breast surgery represents a significant problem among patients who have undergone augmentation mammaplasty. Current techniques do not adequately prevent recurrence, thus requiring novel approaches, including placement …
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The evolution of breast implants.
Breast augmentation remains one of the most common aesthetic procedures performed in the United States. Silicone implants have undergone an evolution with the availability of both fourth- and fifth-generation devices from the 3 leading manu…
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Acellular dermal matrix for reoperative breast augmentation.
Revisionary breast surgery in previously augmented patients is complex, with many variables that have to be considered. Obtaining durable repairs is challenging because these patients often present with thinned breast tissue, inadequate loc…
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Efficacy of acellular dermal matrices in revisionary aesthetic breast surgery: a 6-year experience.
[BACKGROUND] Augmentation mammaplasty and augmentation mastopexy are associated with a substantial primary and secondary revision rate. Capsular contracture (CC), implant malposition, ptosis, asymmetry, and rippling are the main reasons for…
- Reply to "The role of sponsored supplements in a peer-reviewed journal: a reply to an editorial".
- Commentary on: PERTHESE implant-identical cohesive-gel sizers in breast augmentation: a prospective study of 200 consecutive cases and implications for treatment of breast asymmetry.
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Incidence of breast and chest wall asymmetries: 4D photography.
[BACKGROUND] Few authors have addressed preoperative soft tissue and chest wall analysis as it pertains to asymmetries that must be identified for preoperative breast augmentation planning. [OBJECTIVES] The authors evaluate the incidence o…
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Revisionary breast surgery with acellular dermal matrices.
Revisionary breast surgeries are challenging, and advanced techniques must often be utilized in the correction of the underlying anatomical deformities. In this Featured Operative Technique, the authors describe their method, which includes…
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Acellular dermal matrix in aesthetic revisionary breast surgery.
Breast augmentation is one of the most commonly-performed cosmetic procedures worldwide. Unfortunately, many women require revisionary surgery related to unsatisfactory results or complications such as capsular contracture, implant malposit…
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Four-dimensional breast imaging, part I: introduction of a technology-driven, evidence-based approach to breast augmentation planning.
Although there are many three-dimensional imaging systems currently available on the market, all of them require a high degree of interaction on the part of the user, making them clinically impractical. Moreover, though claims have been mad…
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Four-dimensional breast imaging, part II: clinical implementation and validation of a computer imaging system for breast augmentation planning.
[BACKGROUND] No publications exist describing the impact of three-dimensional imaging on the consultation process for breast augmentation, nor have existing software products claiming simulation features been validated. [OBJECTIVES] The au…