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The Anatomy of the Frontalis Muscle Revisited: A Detailed Anatomic, Clinical, and Physiologic Study.
[BACKGROUND] There are differing opinions regarding the specific mechanical forces related to contraction of the frontalis muscle and how it exerts its effects on eyebrow motion. [OBJECTIVES] The goal of this study was to perform a detaile…
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Intraoperative Fluorescence Imaging to Identify and Preserve the Fifth Anterior Intercostal Sensory Nerves during Inferior Pedicle Reduction Mammoplasty.
Postoperative sensitivity of the nipple-areola complex (NAC) is an important concern for women after reduction mammoplasty. Previous studies have demonstrated that sensory branches of the fifth anterior intercostal nerve are important for i…
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Betadine Soaking of Silicone Coupons Minimally Impacts Acellular Dermal Matrix Incorporation in a Preclinical Primate Model.
[BACKGROUND] Microbial pathogens local to prosthetic breast devices may promote infection, inflammation, and capsular contracture. Although antimicrobial solutions have been used, their effects on human acellular dermal matrix (HADM) incorp…
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The deep inferior epigastric perforator flap: where we started and where we are now.
The deep inferior epigastric perforator (DIEP) flap has been performed since the early 1990s. This represented a significant advancement from the prior autologous options that required removal of all or a portion of various muscle groups. O…
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Sensory Evaluation of the Nipple-Areolar Complex Following Primary Breast Augmentation: A Comparison of Incision Approaches.
[BACKGROUND] The central inframammary incisional approach for breast augmentation surgery disrupts the fifth anterior intercostal nerve-artery-vein-plexus. The authors hypothesized that preservation of the fifth anterior intercostal neurova…
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Delphi survey of intercontinental experts to identify areas of consensus on the use of indocyanine green angiography for tissue perfusion assessment during plastic and reconstructive surgery.
[BACKGROUND] In recent years, indocyanine green angiography (ICG-A) has been used increasingly to assist tissue perfusion assessments during plastic and reconstructive surgery procedures, but no guidelines exist regarding its use. We sought…
- Commentary on: The "Smile Mastopexy": A Novel Technique to Aesthetically Address the Excess Skin Envelope in Large, Ptotic Breasts While Preserving Nipple Areolar Complex During Prosthetic Breast Reconstruction.
- Discussion: Postirradiation Capsular Contracture in Implant-Based Breast Reconstruction: Management and Outcome.
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Revision Breast Reconstruction with Prepectoral Pocket Conversion of Submuscular Breast Implants.
[BACKGROUND] Prepectoral reconstruction using prosthetic devices has demonstrated a notable increase in popularity and confers a number of advantages over subpectoral placement, including minimal animation, no pain secondary to muscle spasm…
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Diastasis recti repair with onlay mesh.
[INTRODUCTION] Diastasis recti represents a midline contour abnormality of the anterior abdominal wall that is secondary to attenuation of the linea alba. Severe diastasis recti is defined as attenuation of the linea alba as well as the lin…
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Not All Breast Explants Are Equal: Contemporary Strategies in Breast Explantation Surgery.
Breast implant removal and replacement has been a common secondary breast procedure in the long-term maintenance of breast augmentation, but more recently growing concerns about silicone-related systemic illness, breast implant-associated a…
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Large-Volume Autologous Fat Grafting to the Breast.
Autologous fat grafting in the setting of breast augmentation and reconstruction has become globally accepted and routinely performed. There is general consensus that small-volume grafting is reproducible and predictable; however, large-vol…
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Finesse in Mastopexy and Augmentation Mastopexy.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Describe surgical techniques associated with mastopexy and mastopexy augmentation. 2. Understand the evolution of mastopexy and augmentation mastopexy.…
- Plastic Surgery of the Breast: A 75-Year Journey.
- Discussion: Does Breast Implant-Associated ALCL Begin as a Lymphoproliferative Disorder?
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What Are the Long-Term Aesthetic Issues in Prepectoral Breast Reconstruction?
[BACKGROUND] Prepectoral placement of prosthetic devices is rapidly becoming the preferred method of breast reconstruction. [OBJECTIVES] The objective of this study was to review long-term surgical and aesthetic outcomes following prepecto…
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Late Bleed after Deep Inferior Epigastric Perforator Flap Breast Reconstruction.
Late bleed following deep inferior epigastric perforator (DIEP) flap breast reconstruction is an uncommon event. In this case report, the authors describe a case of late bleed 7 months following the index operation. This occurred in the set…
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Research trends and performances of breast reconstruction: a bibliometric analysis.
[BACKGROUND] The need for postmastectomy breast reconstruction surgery has increased dramatically, and significant progress has been made both in implant and autologous based breast reconstruction in recent decades. In this paper, we perfor…
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Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going?
Most commercially available breast implants feature some degree of elastomer surface modifications to increase surface roughness, in part because several clinical series have demonstrated positive outcomes from texturizing. However, the lit…
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Round Form-Stable Breast Implants: Diagnosis and Management of Complications.
Silicone gel breast implants have been used for breast augmentation and reconstruction since 1962. Since then, multiple generations of implants have been created in an effort to improve safety and efficacy. Before 1990, silicone gel 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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Breast Cancer following Augmentation Mammaplasty: A Case-Control Study.
[BACKGROUND] The purpose of this study was to determine whether augmentation mammaplasty, implant type, and implant location affect breast cancer detection, stage, and treatment. [METHODS] An institutional case-control study was performed …
- Discussion: An Oncoplastic Breast Augmentation Technique for Immediate Partial Breast Reconstruction following Breast Conservation.
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Central Mound Mastopexy for the Correction of Tuberous/Tubular Breast Deformity.
Tuberous and tubular breast deformity are well-recognized abnormalities in the plastic surgery community that incur severe physical and psychological consequences in affected patients. Current reconstructive options for the tuberous and tub…
- Acellular Dermal Matrix for the Treatment and Prevention of Implant-Associated Breast Deformities.
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Systematic Review of Liposomal Bupivacaine (Exparel) for Postoperative Analgesia.
[BACKGROUND] Management of postoperative pain often requires multimodal approaches. Suboptimal dosages of current therapies can leave patients experiencing periods of insufficient analgesia, often requiring rescue therapy. With absence of a…
- Response to "Avoiding tension of wound closure in reduction mammaplasty and mastopexy in previously irradiated breasts".
- Reply: "Plastic surgery"… beware.
- The Operating Room and the Gridiron.
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Patient-centred decision making in breast reconstruction utilising the delayed-immediate algorithm.
Delayed-immediate reconstruction is an increasingly valuable algorithm for patients anticipating post-mastectomy radiation therapy. Despite the cosmetic and long-term advantages of autologous tissue repair, a subset of patients choose impla…