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The cellular and molecular properties of capsule surrounding silicone implants in humans vary uniquely according to the tissue type adjacent to the implant.
The foreign body reaction (FBR) to biomaterials results in fibrous encapsulation. Excessive capsule fibrosis (capsular contracture) is a major challenge to the long-term stability of implants. Clinical data suggests that the tissue type in …
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Complications of Capsulectomies: An Analysis of the American College of Surgeons National Surgical Quality Improvement Program Database.
[BACKGROUND] Although plastic surgeons commonly perform capsulectomies for a variety of peri-prosthetic capsular conditions, the safety of capsulectomy remains unknown, and the literature lacks evidence describing its morbidity and complica…
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Aesthetic Limitations in Direct-to-Implant Prepectoral Breast Reconstruction.
[BACKGROUND] Prepectoral direct-to-implant reconstruction has become an alternative to staged subpectoral expander-based reconstruction. Although the surgical safety of this technique has been shown, aesthetic limitations have not been well…
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Skin-Reducing Mastectomy with Immediate Prepectoral Reconstruction: Surgical, Aesthetic, and Patient-Reported Outcomes with and without Dermal Matrices.
[BACKGROUND] Prepectoral breast reconstruction is being increasingly popularized, largely because of technical advances. Patients with ptotic breasts and active cancer require mastectomies through a mastopexy excision pattern to achieve pro…
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Treatment of breast animation deformity: A systematic review.
[INTRODUCTION] Animation deformity (AD) is a known complication of subpectoral implant placement and results from the contraction of the pectoralis major muscle with resultant movement of the underlying implant. This can lead to a poor cosm…
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Mastopexy for breast ptosis: Utility outcomes of population preferences.
[BACKGROUND] Breast ptosis can occur with aging, and after weight loss and breastfeeding. Mastopexy is a procedure used to modify the size, contour and elevation of sagging breasts without changing breast volume. To gain more knowledge on t…
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The utility of outcome studies in plastic surgery.
Outcome studies help provide the evidence-based science rationalizing treatment end results that factor the experience of patients and the impact on society. They improve the recognition of the shortcoming in clinical practice and provide t…