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34건 · 최신순-
Unraveling the Enigma: A Rare Case of Recurrent Idiopathic Gynecomastia in an Adolescent.
Gynecomastia presents as abnormal hypertrophy of mammary tissue in males that is typically asymptomatic and usually does not require intervention. Gynecomastia responds well to medical and surgical treatment, when necessary, with low recurr…
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An Update on Tissue Contraction in Immediate Breast Reconstruction Using an Adjustable Implant Partially Filled With Air.
Background With the use of nipple-sparing mastectomy (NSM) and skin-sparing mastectomy (SSM) techniques, utilizing a prepectoral underfilled adjustable saline implant allows for tissue contraction and thickening of the flap. This procedure …
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Non-surgical Treatment of Capsular Contracture by Overfilling a Spectrum™ Saline Implant.
Capsular contracture is one of the most common complications following breast implant use in both aesthetic and reconstructive surgery procedures. Furthermore, capsular contracture remains one of the most common causes of reoperation in the…
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Pain Reduction Using Ropivacaine in Tumescent Solution following Lipoaspiration.
Tumescent solution utilizing dilute epinephrine and a local anesthetic agent injected into a fat compartment has been shown to effectively minimize blood loss and postoperative pain in liposuction. Ropivacaine has a longer duration of actio…
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Free Nipple Graft Breast Reduction without a Vertical Incision.
[BACKGROUND] A technique of a free nipple graft with an inframammary incision and no vertical incision offers promising postoperative results as a safe and aesthetic alternative. [METHODS] This was a retrospective chart review of patients …
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Cannula Size Effect on Stromal Vascular Fraction Content of Fat Grafts.
[BACKGROUND] Fat is an active and dynamic tissue composed of adipocytes supported by a structural framework known as the stromal vascular fraction (SVF). SVF is traditionally isolated by enzymatic processing, but new methods are being inves…
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Method for Flushing Surgical Drains Using a Butterfly Needle.
Surgical drains placed during breast surgery can become blocked by clots or other debris, which may lead to infection of the prosthetic and seroma or hematoma formation from improper drainage. Current methods involve stripping the drain, wh…
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Goldilocks Procedure without a Vertical Incision and a Comprehensive Literature Review.
[UNLABELLED] The Goldilocks technique is a postmastectomy breast reconstruction procedure adopted in 2012, which is performed by preserving and de-epithelializing the residual mastectomy flap to create an autologous tissue breast mound usin…
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Healing of Bilateral Nipple Areolar Complex Necrosis by Secondary Intention.
Complete necrosis of the nipple, areola, or both is a uncommon complication of reduction mammaplasty, especially if it happens bilaterally. This case involving a young, black female illustrates that, in a large open wound of the breast, it …
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Fat Graft Size: Relationship Between Cannula and Needle Diameters.
Background It is generally believed that trauma to fat grafts is detrimental and affects the survival of the graft. In addition, it has been shown that smaller fat particle size corresponds to better survival; however, smaller cannula openi…
- Update on the Use of Synthetic Mesh in Reconstructive and Cosmetic Breast Surgery.
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Aspiration of Periprosthetic Seromas Using the Blunt SeromaCath.
Postoperative swelling following prosthetic implant breast augmentation and reconstruction is not uncommon. Prompt diagnosis and targeted treatment are critical. Current treatment recommendations achieve a diagnosis using specialized equipm…
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Filling of adjustable breast implants beyond the manufacturer's recommended fill volume.
[BACKGROUND] Adjustable breast implants are widely used for both reconstructive and cosmetic breast surgery. They provide unique postoperative versatility and allow for more effective management of numerous conditions that would otherwise r…
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Augmentation mastopexy using adjustable implants with external injection domes.
For augmentation mastopexy, the authors use adjustable implants that are deflated at the end of the procedure and then inflated to the desired size 5 to 10 days postoperatively using external injection domes. Reported advantages, based on 1…
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Breast augmentation using the spectrum implant with exteriorized injection domes.
The author describes the use of implants with exteriorized injection domes for patients undergoing breast augmentation. Domes were exteriorized for 1 to 5 days to allow the implant volume to be altered in the early postoperative period. Thi…
- Breast reduction insurance denials.
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Subareolar mastopexy: update.
[BACKGROUND] A preliminary report on a new technique for dermal overlap subareolar mastopexy appeared in 2001. [OBJECTIVE] This paper reports on a series of 117 patients who underwent subareolar mastopexy and describes several modification…
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The dermal overlap subareolar mastopexy: A preliminary report.
[BACKGROUND] The major disadvantage of the circumareolar mastopexy is the risk of hypertrophic scarring and relapse or widening of the areola. [OBJECTIVE] The author describes a new technique that gives added support to the scar by means o…
- Prevention of capsular contracture.
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The intra-areolar incision for breast augmentation.
An intra-areolar approach for breast augmentation is described. A circumferential incision is made around the nipple, and the surrounding areola undermined. Although the resultant incision is small, it is possible to insert a tightly folded…
- The computer and truth.
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The correction of breast ptosis with the expander mammary prosthesis.
The major disadvantage of breast ptosis correction using the standard mastopexy procedure is the visible scarring. The use of an implant alone is often inadequate, especially in the more ptotic breast. A technique employing a submuscular ex…
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A new technique for reconstructing Montgomery's tubercles.
Although Montgomery's tubercles are often prominent structures on the areola, little attention has been paid to their reconstruction. Present techniques for nipple-areola reconstruction result in a flat-appearing surface that is usually not…
- Quantitative assessment of postoperative breast massage.
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Expansion augmentation.
A new expandable breast implant for use in hypomastia is presented. The ability to manipulate the size of the implant postoperatively greatly enhanced the final results.…
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Breast augmentation using the expander mammary prosthesis.
The expandable mammary prosthesis that has been successfully used for breast reconstruction has been modified for breast augmentation procedures. A new microreservoir that can be buried subcutaneously for extended periods has been developed…
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Immediate breast reconstruction after mastectomy using a permanent tissue expander.
We describe a new breast implant that greatly facilitates immediate breast reconstruction after mastectomy. Through a detachable filling reservoir, the implant can be filled with saline by percutaneous injection; this allows the empty impla…
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The expandable mammary implant.
An expandable saline-gel implant having a detachable injection dome is described. The implant functions initially as a tissue expander. Once the correct size has been obtained, the injection dome is removed, leaving the implant in position.…
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The permanent tissue expander.
The permanent tissue expander has many advantages over a fixed-volume implant. Chest-wall skin can be expanded, enabling safe reconstruction of an aesthetically pleasing breast without the use of flaps. Excessive pressure on compromised ski…
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The use of intradermal tattoo to enhance the final result of nipple-areola reconstruction.
The results of intradermal pigmentation to obtain improved coloring in reconstructed nipples is presented. The technique obviates the need for pigmented skin, thus enabling the surgeon to obtain skin grafts for nipple-areola reconstruction …