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Relationship between Body Mass Index and Outcomes in Microvascular Abdominally Based Autologous Breast Reconstruction.
[BACKGROUND] Increasing body mass index (BMI) is a known risk factor for autologous microsurgical breast reconstruction. No prior studies have stratified outcomes across BMI ranges or defined the BMI at which complication rates dramatically…
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Immediate Versus Delayed-Immediate Autologous Breast Reconstruction After Nipple-Sparing Mastectomy.
[INTRODUCTION] Autologous reconstruction following nipple-sparing mastectomy (NSM) is either performed in a delayed-immediate fashion, with a tissue expander placed initially at the time of mastectomy and autologous reconstruction performed…
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Surgical Correction of Breast Animation Deformity with Implant Pocket Conversion to a Prepectoral Plane.
[BACKGROUND] Animation deformity is an undesirable outcome of subpectoral breast reconstruction that results in abnormal breast contraction with activity, breast pain, and increased implant visibility. Surgical correction requires implant r…
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A Critical Analysis of Prosthetic Augmentation of Autologous Microvascular Breast Reconstruction.
[INTRODUCTION] The combined approach using both an implant and autologous tissue for breast reconstruction has become more common over the last 10 years. We sought to provide a systematic review and outcomes analysis of this technique. [ME…
- Invited Discussion on: Analysis of Nasal Obstruction Patterns Following Reductive Rhinoplasty.
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Correction of animation deformity with subpectoral to prepectoral implant exchange.
[BACKGROUND] Breast animation deformity is a known complication associated with submuscular prosthetic breast reconstruction. Patients often will present months to years after their initial reconstruction complaining of chronic pain and vis…
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In Vivo Changes of Breast Perfusion After Augmentation.
[BACKGROUND] Revision surgeries after breast augmentation are associated with an increased risk of complications (eg, nipple areolar complex [NAC]) necrosis. Consequently, maintaining perfusion to the NAC is a critical aspect of secondary b…
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Radiation therapy and expander-implant breast reconstruction: an analysis of timing and comparison of complications.
[BACKGROUND] The optimal timing of expander-implant exchange in the setting of postmastectomy radiation therapy (PMRT) remains unclear with prior reports yielding inconsistent and variable results. The purpose of this study was to character…