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Propeller Modification of Tapia's Flap.
The aim of this manuscript was to describe a surgical technique to modify Tapia's flap for malar volume enhancement, to describe the results of an anatomical study of the transverse facial artery, and to present the results of a retrospecti…
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Breast Envelope Complications After Revision Breast Implant Surgery: A Systematic Review.
[BACKGROUND] Revisional surgery for cosmetic breast augmentation involves many factors like ptosis, tissue thinning, and a history of prior surgeries, which can increase the risk of reduced blood flow. There is limited research on breast va…
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Application of the Radial Forearm Free Flap in Intraoral Reconstruction - A Retrospective Study.
[INTRODUCTION] The radial forearm free flap (RFFF) is an established technique for the reconstruction of intraoral defects following oncological resection. The objective of this study was to evaluate the functional, aesthetic and complicati…
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Subcutaneous Lower Pole Release for Double Bubble Prevention in Constricted-Base Breasts: The "Plus One" Augmentation Technique.
[BACKGROUND] Breasts with a broad base, constricted inframammary fold (IMF) and a short distance between the nipple and the IMF are predisposed to form a double bubble (DB) deformity. Most publications have focused on the correction of a DB…
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A New Dissection Sequence, Based on Mapping Perforators of Pectoralis Major.
[BACKGROUND] Breast augmentation remains a leading cosmetic surgical procedure. Over the past two decades, various benefits and complications of pocket selection techniques have been described for breast augmentations. However, there has be…
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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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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…
- A National Survey to Assess the Population's Perception of Breast Implant-Associated Anaplastic Large Cell Lymphoma and Breast Implant Illness.
- Invited Response on: "Prevention and Management of Double-Bubble Deformity in Augmentation Mammoplasty".
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Modified anterior intercostal artery perforator flap (AICAP) for autologous breast volume restoration after explantation.
Explantation of breast implants has become increasingly common. This study aimed to analyze breast auto-augmentation following implant explantation (using a laterally designed anterior intercostal artery perforator [AICAP] flap) in patients…
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D-SUN Method to Prevent Double-Bubble Deformity in Broad Base Breasts with High-Rising Inframammary Fold.
Breast augmentation is the most commonly performed plastic surgery among women worldwide. With time, implant selection shifted from arbitrary implantation to precise planning. Different methods address the dimensional planning process. Many…
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MBN 2016 Aesthetic Breast Meeting BIA-ALCL Consensus Conference Report.
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an uncommon neoplasia occurring in women with either cosmetic or reconstructive breast implants. The actual knowledge about BIA-ALCL deriving from the literature present…
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Oncoplastic breast reduction in conservative surgery.
Advances in reconstructive breast surgery with new materials and techniques now allow us to offer patients the best possible cosmetic results without the risks associated with oncological control of the disease. These advances, in both onco…
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Improving aesthetic outcomes in mastopexy with the "autoprosthesis" technique.
[BACKGROUND] Many techniques have been described for mastopexy, with several types of skin incisions and parenchymal rearrangements. We present a parenchymal rearrangement technique allowing better upper pole fullness and nipple-areola-comp…
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Anatomical basis of pedicles in breast reduction.
The mammary gland is composed of multiple tubules acinar pockets in which the secretory layer, connective tissue stroma, and fatty tissue all respond to hormonal and systemic influences. These structures are irrigated by three vascular pedi…
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Decisional pathways in breast augmentation: how to improve outcomes through accurate pre-operative planning.
Breast augmentation is the most commonly performed surgical procedure in aesthetic plastic surgery. Accurate pre-operative planning is crucial to obtain the best outcomes. We present our planning method deriving from a more than 30-year exp…
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How to prevent complications in breast augmentation.
No high-level evidences about the best technique or the best implant to use for obtaining the best outcomes in aesthetic breast augmentation, with low complications and re-interventions rates exist from available literature. In this paper w…
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TDAP: Island versus propeller.
[BACKGROUND AND AIM] Thoracodorsal artery perforator (TDAP) island flap is a safe and reliable method for breast reconstruction. TDAP propeller flap has been described as a modification of the conventional island technique that saves time a…
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Management of the Ischemic Nipple-Areola Complex After Breast Reduction.
Early and accurate diagnosis and treatment of nipple-areolar complex (NAC) ischemia and necrosis are fundamental to the practice of breast surgery. Knowledge of breast anatomy, risk factors, and proper technique is not sufficient for avoidi…
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A technique to correct severe lateral crural concavity: adjunctive use of a polydioxanone plate during lateral crural reverse plasty.
[BACKGROUND] Severe lateral crura concavity (LCC) can lead to an important deformity of the nasal tip and to external nasal valve insufficiency. The lower lateral crural reverse plasty represents a valuable technique for the correction of s…
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One-step breast reconstruction with polyurethane-covered implants after skin-sparing mastectomy.
[BACKGROUND AND AIM] Skin-sparing mastectomy (SSM) and immediate one-step breast reconstruction with implants has become an increasingly popular, effective treatment for selected patients with breast carcinoma. However, it is associated wit…
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Simultaneous augmentation and periareolar mastopexy: selecting the correct implant.
[BACKGROUND] Periareolar mastopexy is a well-described technique for cosmetic improvement of breasts classified as Regnault ptosis grades 1 and 2. However, this technique is used less frequently for cases of grade 3 ptosis. [METHODS] Grade…