Breast Augmentation Historic Plagues BOARD of DIRECTORS
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Breast-Reconstruction-For-Deformities
ASPS Recommended Insurance Coverage Criteria for Third-Party Payers Breast Reconstruction for Deformities Unrelated to AMERICAN SOCIETY OF PLASTIC SURGEONS Cancer Treatment BACKGROUND Burn of breast: For women, the function of the breast, aside from the brief periods when it ■ Late effect of burns of other specified sites 906.8 serves for lactation, is an organ of female sexual identity. The female ■ Acquired absence of breast V45.71 breast is a major component of a woman’s self image and is important to her psychological sense of femininity and sexuality. Both men and women TREATMENT with abnormal breast structure(s) often suffer from a severe negative A variety of reconstruction techniques are available to accommodate a impact on their self esteem, which may adversely affect his or her well- wide range of breast defects. The technique(s) selected are dependent on being. the nature of the defect, the patient’s individual circumstances and the surgeon’s judgment. When developing the surgical plan, the surgeon must Breast deformities unrelated to cancer treatment occur in both men and correct underlying deficiencies as well as take into consideration the goal women and may present either bilaterally or unilaterally. These of achieving bilateral symmetry. Depending on the individual patient deformities result from congenital anomalies, trauma, disease, or mal- circumstances, surgery on the contralateral breast may be necessary to development. Because breast deformities often result in abnormally achieve symmetry. Surgical procedures on the opposite breast may asymmetrical breasts, surgery of the contralateral breast, as well as the include reduction mammaplasty and mastopexy with or without affected breast, may be required to achieve symmetry. -
Aesthetical Outcome After Breast Reconstruction Using Deep Inferior Epigastric Perforator Flap: Personal Techniques
Published online: 2019-10-07 Original Article Aesthetical outcome after breast reconstruction using deep inferior epigastric perforator flap: Personal techniques Chiara Gelati, Luca Negosanti, Erich Fabbri, Riccardo Cipriani Department of Plastic Surgery, S. Orsola-Malpighi University Hospital, Bologna, Italy Address for correspondence: Dr. Luca Negosanti, Department of Plastic Surgery, S. Orsola-Malpighi University Hospital, Via Massarenti-9, 40138, Bologna, Italy. E-mail: [email protected] ABSTRACT Background: Now-a-days, deep inferior epigastric perforator (DIEP) flap breast reconstruction is widespread throughout the world. The aesthetical result is very important in breast reconstruction and its improvement is mandatory for plastic surgeons. Materials and Methods: The most frequent problems, we have observed in breast reconstruction with DIEP flap are breast asymmetry in terms of volume and shape, the bulkiness of the inferior lateral quadrant of the new breast, the loss of volume of the upper pole and the lack of projection of the inferior pole. We proposed our personal techniques to improve the aesthetical result in DIEP flap breast reconstruction. Our experience consists of more than 220 DIEP flap breast reconstructions. Results: The methods mentioned for improving the aesthetics of the reconstructed breast reported good results in all cases. Conclusion: The aim of our work is to describe our personal techniques in order to correct the mentioned problems and improve the final aesthetical outcome in DIEP flap breast reconstruction. KEY WORDS Aesthetic refinements; breast reconstruction; deep inferior epigastric perforator flap INTRODUCTION performed in axilla), loss of volume of the upper pole and lack of projection of the inferior pole. econstruction of breast bu deep inferior epigastric perforator (DIEP) flap [1] is popular throughout the The aim of our work is to describe our personal techniques world.[2,3] However, we are still concerned about in order to improve the final aesthetic outcome in DIEP R [4-6] how to improve the aesthetic results. -
Digital Mammography a Holistic Approach
Peter Hogg Judith Kelly Claire Mercer Editors Digital Mammography A Holistic Approach 123 Digital Mammography [email protected] [email protected] Peter Hogg • Judith Kelly Claire Mercer Editors Digital Mammography A Holistic Approach [email protected] Editors Peter Hogg Claire Mercer University of Salford The Nightingale Centre and Salford Genesis Prevention Centre UK Wythenshawe Hospital University Hospital of South Manchester Judith Kelly Manchester Breast Care Unit UK Countess of Chester Hospital NHS Foundation Trust Chester UK ISBN 978-3-319-04830-7 ISBN 978-3-319-04831-4 (eBook) DOI 10.1007/978-3-319-04831-4 Library of Congress Control Number: 2015931089 Springer Cham Heidelberg New York Dordrecht London © Springer International Publishing Switzerland 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. -
Análise De Receptores Hormonais De Estrógeno E Progesterona Em
NUBERTO HOPFGARTNER TEIXEIRA Análise de receptores hormonais de estrógeno e progesterona em hipertrofia mamária versus normomastia, avaliação de presença e densidade com uma nova proposta de classificação das hipertrofias mamárias Tese apresentada à Faculdade de Medicina da Universidade de São Paulo para obtenção do Título de Doutor em Ciências Programa de Clínica Cirúrgica Orientador: Prof. Dr. Marcio Paulino Costa São Paulo 2019 Autorizo a reprodução e divulgação total ou parcial deste trabalho, por qualquer meio convencional ou eletrônico, para fins de estudo e pesquisa, desde que citada a fonte. Dedico esta tese A minha esposa Vivian. Ao meu filho Henri. Ao meu falecido pai que me modelou para vida. À minha mãe que sempre se mostrou uma batalhadora. AGRADECIMENTOS Agradeço ao meu orientador Prof. Dr. Marcio Paulino Costa e ao Departamento de Patologia nas pessoas dos patologistas: Evelin Sanchez, Profa. Dra. Sheila Siqueira e Prof. Dr. Venâncio Avancini Ferreira Alves, os quais possibilitaram esta tese e cujas análises me permitiram concluir. Aos pacientes que concederam suas mamas para participação deste estudo. Ao Prof. Dr. Rolf Gemperli, Professor Titular da Disciplina de Cirurgia Plástica. “A tarefa não é tanto ver aquilo que ninguém viu, mas pensar o que ninguém ainda pensou sobre aquilo que todo mundo vê”. Arthur Schopenhauer NORMALIZAÇÃO ADOTADA Esta tese está de acordo com as seguintes normas, em vigor no momento desta publicação: Referências: adaptado de International Committee of Medical Journals Editors (Vancouver). Universidade de São Paulo. Faculdade de Medicina. Divisão de Biblioteca e Documentação. Guia de apresentação de dissertações, teses e monografias. Elaborado por Anneliese Carneiro da Cunha, Maria Julia de A. -
Prepectoral Direct-To-Implant Breast Reconstruction After Nipple Sparing
Prepectoral direct-to-implant breast reconstruction after nipple sparing mastectomy through the inframammary fold without use of acellular dermal matrix: results of 130 cases Alessandra A C Fornazari, MD1. Rubens S de Lima, MD1,2. Cleverton C Spautz, MSc1,2. Flávia Kuroda, MSc1,2. Maíra T Dória, MSc1,2. Leonardo P Nissen, MD1. Karina F Anselmi, MSc1,2. Iris Rabinovich, PhD1,2. Cicero de A Urban, PhD1,2. 1 – Centro de Doenças da Mama / 2 - Hospital Nossa Senhora das Graças. Curitiba, Brazil. Poster ID: 786926 Contact: [email protected] The American Society of Breast Surgeons – 21st Annual Meeting, 2020 Background/Objective Table 1 follow up over 6 months were evaluated. Of the 52 reconstructions, 69.3% Demographic and patient outcomes had no capsular contracture and 28.8% had Baker’s I or II contracture. Implant-based breast reconstruction is the most common Rippling was identified in 13 reconstructions (25%). No implant displacement reconstructive option after mastectomy for breast cancer. The prosthesis in Total (n = 130) or deformity animation were observed. the prepectoral position is progressively being more used due to advantages Mean age ± SD (yr.) 43.53±8.69 Table 2 over submuscular prosthesis such as less postoperative pain, muscle deficit Intervention Acute and Late Complications Unilateral 44 (33.8%) and breast animation, better aesthetic result, as well as reducing time and Surgical complications 32 (24.5%)* surgical morbidity. Usually, an acellular dermal matrix or syntetic mesh (ADM) Bilateral 86 (66.2%) is used to cover the implant to reduce complications. Axillary lymphadenectomy 8 (6.2%) Flap necrosis 13 (9.62%) Due to the absence of studies using the prepectoral technique without Mastectomy indication NAC (nipple areola complex) necrosis 1 (0.74%) ADM, the aim of this study was to review the results and complications of Prophylactic 59 (45.4%) Implant exposure 9 (6.67%) patients from our service who underwent this surgical technique for breast Therapeutics 71 (54.6%) Persistent seroma 10 (7.4%) reconstruction. -
Annalsplasticsurgery.Com VOLUME 78 | SUPPLEMENT 5 | JUNE 2017 of of Lastic Surgery Lastic Lastic Surgery Lastic P P Annals Annals
June 2017 VOLUME 78 | SUPPLEMENT 5 | JUNE 2017 Annals www.annalsplasticsurgery.com of PPlasticlastic SurgerySurgery Annals of Plastic Surgery Volume 78 Supplement 5 (Pages S257–S350)Volume Annals of Plastic Surgery Volume 78 / Supplement 5 / June 2017 Editor in Chief Emeritus Editors William C. Lineaweaver, MD, Richard Stark, MD Lars Vistnes, MD William Morain, MD FACS (1978Y1981) (1982Y1992) (1992Y2007) Managing Editor Publishing Staff Associate Editor Jane Yongue Wood, MA Alexandra Manieri, Michelle Smith, Richard Goodwin, MD, PhD Deputy Editor Publisher Advertising Sales Bruce Mast, MD Representative Editorial Board Aesthetic Surgery Fazhi Qi, MD, PhD Ming-Huei Chen, MD James Zins, MD, Associate Editor Maurice Nahabedian, MD Matthew Choi, MD Ahmed Afifi, MD Martin Newman, MD Roberto Flores, MD Mohammed Alghoul, MD Vu Nguyen, MD Johnny U. Franco, MD Lorelei Grunwaldt, MD Ozan Bitik, MD Burn Surgery and Research Christopher Chang, MD Janice Lalikos, MD Jorge de la Torre, MD Markus Kuentscher, MD, Prof, Joseph E. Losee, MD Michael Dobryansky, MD Associate Editor W. Scott McDonald, MD Antonio Jorge Forte, MD ScottC.Hultman,MD,AssociateEditor Parit Patel, MD Ahmed Hashem, MD Sigrid Blome-Eberwein, MD Aamir Sadik, MD Raymond Isakov, MD Bernd Hartmann, MD Dhruv Singhal, MD C.J. Langevin, DMD, MD Christoph Hirche, MD Jeffrey F. Topf, DDS George Varkarakis, MD Harry K. Moon, MD Marc Jeschke, MD Colin Morrison, MD Lars P. Kamolz, MD, Prof Richard Zeri, MD Farzad R. Nahai, MD Marcus Lehnhardt, MD Microsurgery Abel de la Pen˜ a, MD David Benjamin Lumenta, MD Gordon Lee, MD, Associate Editor Henry C. Vasconez, MD Andrea Pozez, MD Matthew Hanasono, MD, Joshua Waltzman, MD Paul Wurzer, MD Associate Editor Michael J. -
Low Risk of Skin and Nipple Sensitivity and Lactation Issues
Breast Surgery Aesthetic Surgery Journal 2016, Vol 36(6) 672–680 Low Risk of Skin and Nipple Sensitivity and © 2016 The American Society for Aesthetic Plastic Surgery, Inc. This is an Open Access article Lactation Issues After Primary Breast distributed under the terms of the Creative Commons Attribution- Augmentation with Form-Stable Silicone NonCommercial-NoDerivs licence (http://creativecommons.org/ Implants: Follow-Up in 4927 Subjects licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that Herluf G. Lund, MD, FACS; Janet Turkle, MD; Mark L. Jewell, MD; the work is properly cited. For commercial re-use, please contact and Diane K. Murphy, MBA [email protected]. DOI: 10.1093/asj/sjv266 Downloaded from www.aestheticsurgeryjournal.com Abstract http://asj.oxfordjournals.org/ Background: Natrelle 410 implants (Allergan, Inc., Irvine, CA) are approved in the United States for breast augmentation, reconstruction, and revision. Objectives: To assess the risk of nipple and skin sensation changes and lactation issues in subjects receiving implants for primary breast augmentation and ascertain whether differences based on incision site exist. Methods: We used 410 Continued Access study data to assess safety and effectiveness of devices implanted via inframammary or periareolar incision sites. Subjects were evaluated preoperatively and at 4 weeks, 6 months, and annually up to 10 years postoperatively. Lactation issues and nipple and skin sensation changes (hypersensitivity/paresthesia, loss of sensation) were assessed. Results: The inframammary and periareolar cohorts comprised 9217 and 610 implanted devices, with mean follow-up of 4.1 years (range, 0-10.1 years) and 4.8 years (range, 0-10.1 years), respectively. -
ISAPS Global Survey Results 2018
ISAPS INTERNATIONAL SURVEY ON AESTHETIC/COSMETIC PROCEDURES performed in 2018 CONTENTS About ISAPS ..................................................................................................................page 3 Surgical Totals Ranked by Category ...............................................................page 29 About the International Survey on Nonsurgical Totals Ranked by Category .......................................................page 30 Aesthetic/Cosmetic Procedures ..........................................................................page 4 Countries Ranked by Total Number of Procedures ................................page 31 Countries Ranked by Estimated HIGHLIGHTS OF THE 2018 STATISTICS Number of Plastic Surgeons .............................................................................page 32 2018 Statistics at a Glance .......................................................................................pages 6-7 Surgical Procedure Group Ranking by Country ........................................page 33 Nonsurgical Procedure Group Ranking by Country ................................page 34 NUMBER OF WORLDWIDE PROCEDURES PROCEDURES PERFORMED BY PLASTIC SURGEONS Number of Worldwide Surgical Procedures ...............................................page 9 Number of Worldwide Surgical Procedures Number of Worldwide Nonsurgical Procedures .........................................page 10 Performed by Plastic Surgeons ........................................................................page 36 Surgical Procedures -
Breast Augmentation Using Preexpansion and Autologous Fat Transplantation: a Clinical Radiographic Study
COSMETIC Breast Augmentation Using Preexpansion and Autologous Fat Transplantation: A Clinical Radiographic Study Daniel A. Del Vecchio, Background: Despite the increased popularity of fat grafting of the breasts, M.D., M.B.A. there remain unanswered questions. There is currently no standard for tech- Louis P. Bucky, M.D. nique or data regarding long-term volume maintenance with this procedure. Boston, Mass.; and Philadelphia, Pa. Because of the sensitive nature of breast tissue, there is a need for radiographic evaluation, focusing on volume maintenance and on tissue viability. This study was designed to quantify the long-term volume maintenance of mature adi- pocyte fat grafting for breast augmentation using recipient-site preexpansion. Methods: This is a prospective examination of 25 patients in 46 breasts treated with fat grafting for breast augmentation from 2007 to 2009. Indications in- cluded micromastia, postexplantation deformity, tuberous breast deformity, and Poland syndrome. Preexpansion using the BRAVA device was used in all patients. Fat was processed using low–g-force centrifugation. Patients had pre- operative and 6-month postoperative three-dimensional volumetric imaging and/or magnetic resonance imaging to quantify breast volume. Results: All women had a significant increase in breast volume (range, 60 to 200 percent) at 6 months, as determined by magnetic resonance imaging (n ϭ 12), and all had breasts that were soft and natural in appearance and feel. Magnetic resonance imaging examinations postoperatively revealed no new oil cysts or breast masses. Conclusions: Preexpansion of the breast allows for megavolume (Ͼ300 cc) grafting with reproducible, long-lasting results that can be achieved in less than 2 hours. -
Anatomy of the Breast Doctors Notes Notes/Extra Explanation Please View Our Editing File Before Studying This Lecture to Check for Any Changes
Color Code Important Anatomy of the Breast Doctors Notes Notes/Extra explanation Please view our Editing File before studying this lecture to check for any changes. Objectives By the end of the lecture, the student should be able to: ✓ Describe the shape and position of the female breast. ✓ Describe the structure of the mammary gland. ✓ List the blood supply of the female breast. ✓ Describe the lymphatic drainage of the female breast. ✓ Describe the applied anatomy in the female breast. Highly recommended Introduction 06:26 Overview of the breast: • The breast (consists of mammary glands + associated skin & Extra connective tissue) is a gland made up of lobes arranged radially .around the nipple (شعاعيا) • Each lobe is further divided into lobules. Between the lobes and lobules we have fat & ligaments called ligaments of cooper • These ligaments attach the skin to the muscle (beneath the breast) to give support to the breast. in shape (مخروطي) *o Shape: it is conical o Position: It lies in superficial fascia of the front of chest. * o Parts: It has a: 1. Base lies on muscles, (حلمة الثدي) Apex nipple .2 3. Tail extend into axilla Extra Position of Female Breast (حلقة ملونة) Base Nipple Areola o Extends from 2nd to 6th ribs. o It extends from the lateral margin of sternum medially to the midaxillary line laterally. o It has no capsule. o It lies on 3 muscles: • 2/3 of its base on (1) pectoralis major* Extra muscle, • inferolateral 1/3 on (2) Serratus anterior & (3) External oblique muscles (muscle of anterior abdominal wall). o Its superolateral part sends a process into the axilla called the axillary tail or axillary process. -
Underwater Archaeological Investigation of the Roosevelt Inlet Shipwreck (7S-D-91A) Volume 1: Final Report
UNDERWATER ARCHAEOLOGICAL INVESTIGATION OF THE ROOSEVELT INLET SHIPWRECK (7S-D-91A) VOLUME 1: FINAL REPORT State Contract No. 26-200-03 Federal Aid Project No. ETEA-2006 (10) Prepared for: Delaware Department of State Division of Historical and Cultural Affairs 21 The Green Dover, Delaware 19901 And for the Federal Highway Administration and Delaware Department of Transportation By: APRIL 2010 www.searchinc.com UNDERWATER ARCHAEOLOGICAL INVESTIGATION OF THE ROOSEVELT INLET SHIPWRECK (7S-D-91A) State Contract No. 26-200-03 Federal Aid Project No. ETEA-2006 (10) Prepared for Delaware Department of State Division of Historical and Cultural Affairs 21 The Green Dover, Delaware 19901 And for the Federal Highway Administration and Delaware Department of Transportation By SOUTHEASTERN ARCHAEOLOGICAL RESEARCH, INC. Michael Krivor, M.A., RPA Principal Investigator AUTHORED BY: MICHAEL C. KRIVOR, NICHOLAS J. LINVILLE, DEBRA J. WELLS, JASON M. BURNS, AND PAUL J. SJORDAL APRIL 2010 www.searchinc.com Underwater Archaeological Investigations of the Roosevelt Inlet Shipwreck FINAL REPORT ABSTRACT In the fall of 2004, a dredge struck an eighteenth-century wreck site during beach replenishment, resulting in thousands of artifacts being scattered along the beach in Lewes, Delaware. Local residents informed archaeologists with the Delaware Department of State (State) Division of Historical and Cultural Affairs (Division) about the artifacts, and investigations were undertaken to locate the source of the historic material. Approximately 40,000 artifacts from Lewes Beach were recovered by archaeologists from the Division as well as many private citizens who donated their artifacts to the Delaware Department of State. In consultation with the U.S. -
History of the Fan
History Of The Fan By George Woolliscroft Rhead History Of The Fan CHAPTER I THE ORIGIN AND USES OF THE FAN IN the beginning, before the human advent, when the earth was peopled only by the Immortals, a bright son was born to Aurora, whose soft and agreeable breath was as honey in the mouth of the gods, and the beating of whose gossamer wings imparted a delicious coolness to the air, moderating the heat of summer, and providing the first suggestion of, and occasion for, the dainty little plaything we have under consideration, somewhat waggishly described as a kind of wind instrument, not, perhaps, so much to be played upon as to be played with, and invaluable as assisting to follow out the wisest of the Sage’s maxims when he bids us keep cool. This delicate toy, this airy creation of gauze, ivory, and paint, frail and fragile almost as the flowers kissed by Aurora’s son, endowed apparently with the gift of perpetual youth, may claim a lineage older than the Pyramids; having its origin and being in the infancy of the world, before the birth of history, in that golden age when life was a perpetual summer, and care was not, when all was concord and harmony, and old age, long protracted, was dissolved in a serene slumber, and wafted to the mansions of the gods, the regions of eternal love and enjoyment. It was in these halcyon days that the human family sat in its palm groves, which afforded not only refreshing shade, during the hours when the sun is at its height, but also provided the precursor of this ‘Servant of Zephyrus’—serving further to temper those beams which are the source of all life, and light, and music, for are not all the learned agreed with the late Mr.