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IL-13 is produced by tumor cells in breast implant-associated anaplastic large cell lymphoma: implications for pathogenesis.
More than 500 women worldwide have developed a CD30+ T-cell lymphoma around breast implants, strongly suggesting a cause-and-effect relationship, and designated as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). The mec…
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The Functional Influence of Breast Implant Outer Shell Morphology on Bacterial Attachment and Growth.
[BACKGROUND] The introduction of texture to the outer shell of breast implants was aimed at increasing tissue incorporation and reducing capsular contracture. It has also been shown that textured surfaces promote a higher growth of bacteria…
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The Use of Poly-4-Hydroxybutyrate (P4HB) Scaffold in the Ptotic Breast: A Multicenter Clinical Study.
[BACKGROUND] Mastopexy and reduction mammaplasty are often limited by the patient's poor native soft tissue quality, resulting in ptosis recurrence and loss of rejuvenated surgical results. Surgical scaffolds and acellular dermal matrices a…
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Betadine and Breast Implants.
In the fourth quarter of 2017, the US FDA reviewed and approved a request by one of the breast implant manufacturers for a change in the Directions for Use (DFU) that removed warnings regarding the use of Betadine (povidone-iodine [PI] 10% …
- Discussion: A Prospective Evaluation of Three-Dimensional Image Simulation: Patient-Reported Outcomes and Mammometrics in Primary Breast Augmentation.
- Commentary on: Surgical Site Irrigation in Plastic Surgery: What is Essential?
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What's Your Micromort? A Patient-Oriented Analysis of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).
Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) continues to be a rare and elusive malignancy. Because BIA-ALCL does not behave like traditional lymphomas, additional research needs to be conducted to further delineate t…
- Discussion: Breast Implant-Associated Anaplastic Large Cell Lymphoma in Australia and New Zealand: High-Surface-Area Textured Implants Are Associated with Increased Risk.
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Macrotextured Breast Implants with Defined Steps to Minimize Bacterial Contamination around the Device: Experience in 42,000 Implants.
[BACKGROUND] Bacteria/biofilm on breast implant surfaces has been implicated in capsular contracture and breast implant-associated anaplastic large-cell lymphoma (ALCL). Macrotextured breast implants have been shown to harbor more bacteria …
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Use of Poly-4-Hydroxybutyrate Mesh to Optimize Soft-Tissue Support in Mastopexy: A Single-Site Study.
[BACKGROUND] The ptotic breast is surgically rejuvenated through a mastopexy procedure. Recurrent ptosis or other negative changes to the breast shape are not uncommon following mastopexy, as the tissue laxity and skin quality that contribu…
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Clinical Evaluation of Shaped Gel Breast Implant Rotation Using High-Resolution Ultrasound.
[BACKGROUND] Clinical trials have demonstrated through core and independent studies that anatomical devices are safe and effective with low complication rates. The rotation rate of shaped breast implants in the literature is 0 to 8.2%. Curr…
- Bra Sizing and the Plastic Surgery Herd Effect: Are Breast Augmentation Patients Getting Accurate Information?
- Discussion: Bacterial Biofilm Infection Detected in Breast Implant-Associated Anaplastic Large-Cell Lymphoma.
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Biomarkers Provide Clues to Early Events in the Pathogenesis of Breast Implant-Associated Anaplastic Large Cell Lymphoma.
Almost 200 women worldwide have been diagnosed with breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). The unique location and specific lymphoma type strongly suggest an etio-pathologic link between breast implants and BIA…
- The Inframammary Fold (IMF) Fixation Suture: Proactive Control of the IMF in Primary Breast Augmentation.
- Response to "Can We Really Control the Inframammary Fold (IMF) in Breast Augmentation?".
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Clinical Use of GalaFLEX in Facial and Breast Cosmetic Plastic Surgery.
[UNLABELLED] Resolution of ptosis is a key step to the success of many plastic surgery procedures. Ptosis is a manifestation of tissue stretch. Tissue stretch can occur as a result of the natural aging process or health of the patient, or t…
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Matching the Implant to the Breast: A Systematic Review of Implant Size Selection Systems for Breast Augmentation.
[BACKGROUND] For primary breast augmentation, several implant selection systems have been described to guide the surgeon with choosing from a variety of manufactured implant dimensions and properties. Controversy exists regarding the most e…
- Response to "the limitations of three-dimensional simulations in breast augmentation".
- Response to "Comments on: Three-Dimensional Imaging for Breast Augmentation: Is This Technology Providing Accurate Simulations?".
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Anatomical and Round Breast Implants: How to Select and Indications for Use.
[UNLABELLED] Choosing between round and anatomical form-stable implants is a key decision in the process of breast augmentation. Anatomical devices have been subject to a number of misconceptions that have limited their use. However, in opt…
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The Process of Breast Augmentation with Special Focus on Patient Education, Patient Selection and Implant Selection.
Breast augmentation remains one of the most commonly performed plastic surgical procedures worldwide; however, Food and Drug Administration clinical trials have suggested that this procedure has a reoperation rate of 14% to 24% after 3 year…
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Three-Dimensional Imaging for Breast Augmentation: Is This Technology Providing Accurate Simulations?
[BACKGROUND] For patients considering breast augmentation, 3-dimensional (3D) imaging provides a preoperative simulation of the postoperative result. However, the clinical accuracy of these simulations has not been assessed. [OBJECTIVE] Th…
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The tissue-based triad: a process approach to augmentation mastopexy.
[BACKGROUND] Among the most exigent operations in plastic surgery is the combination of augmentation and mastopexy. The surgical challenge is related to oppositional forces that complicate the operative predictability. The purpose of this s…
- Discussion: Simultaneous augmentation mastopexy: a retrospective 5-year review of 332 consecutive cases.
- Commentary on: Effect of incision choice on outcomes in primary breast augmentation.
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Breast augmentation.
[LEARNING OBJECTIVES] After reading this article, the participant should be able to: 1. Cite the key concepts in the process of breast augmentation that optimize outcomes; 2. Cite key components of tissue-based planning for implant selectio…
- Discussion: Breast augmentation using preexpansion and autologous fat transplantation: a clinical radiographic study.
- Discussion: Subclinical (biofilm) infection causes capsular contracture in a porcine model following augmentation mammaplasty.
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Capsular contracture: what is it? What causes it? How can it be prevented and managed?
For more than 40 years capsular contracture has plagued plastic surgery as the most common complication of aesthetic and reconstructive breast surgery. This article reviews the basis for capsular contracture and defines the methods to preve…