Hudson DA

The aim of bilateral breast augmentation (BBA) is not just to enlarge the breast, but to create an aesthetically pleasing enlarged breast. This is an elective surgical procedure, often performed on young healthy women-yet the incidence of r…

[INTRODUCTION] The incidence of nipple-areolar complex (NAC) necrosis is high in patients with macromastia and grade III ptosis having a nipple-sparing mastectomy (NSM). The pedicle selected is based on empirical cadaver studies. However, r…

[BACKGROUND] Immediate prosthetic reconstruction has evolved to a prepectoral position. A technique is described where the pectoral and serratus fascia is raised from superiorly. Initially, Vicryl mesh was used to close the superior fascial…

[INTRODUCTION] The inframammary fold (IMF) is a critical structure in breast aesthetics and is affected by various types of breast surgery. The ideal IMF has a semi-elliptical shape, which may become attenuated with age and descends in macr…

[BACKGROUND] Total or near-total lip defects poses a serious challenge to a reconstructive surgeon with static procedures not providing desired functional and aesthetic outcomes. The dynamic lip reconstructive methods using functional muscl…

[UNLABELLED] In macromastia, especially in patients with a raised BMI, the nipple areola complex (NAC) may be displaced from the breast midline/meridian. This is poorly documented, and there is little published on surgical management. The a…

[UNLABELLED] Surgical adjuncts should improve surgical outcomes but should not increase complications. Epinephrine reduces bleeding in breast reduction, but various doses and volumes have been used. The ideal dose of epinephrine is still de…

[BACKGROUND] The anthropomometry of the "ideal" breast is well described, but changes that occur with enlarged breasts are not. The aim of this study was to assess the prevalence of nipple asymmetry in the horizontal plane and changes in th…

[BACKGROUND] The inverted T/keyhole pattern is commonly used for large breast reductions. This technique relies on the breast skin to retain the shape. With the passage of time "fallout" (pseudoptosis) occurs impairing the cosmetic result. …

[OBJECTIVE] To ascertain junior doctors' awareness of the scope of public-sector plastic surgery practice. [METHOD] A 12-part questionnaire asked the respondents to name, from a list, the specialty they felt was best equipped to manage pat…

[INTRODUCTION] The role of allogenic dermis is well established in reconstructive breast surgery, where it acts as a hammock between the detached inferior border of pectoralis major and the inframammary fold. [METHOD] The study reports on …

The face-lift/rhytidectomy, considered a premier surgical procedure in the specialty, is designed to reverse the effects of aging on the face. Yet our understanding of aging is incomplete, for example, only recently has it been recognized t…

[BACKGROUND] Reduction mammaplasty is a frequently performed plastic surgical procedure, yet preoperative assessment usually excludes an estimated resection weight. In this retrospective study, a formula was derived using regression analysi…

A controversy exists between vertical mammoplasty and the "traditional" keyhole\inferior pedicle method of breast reduction. This article examines factors affecting breast projection by considering the difference in concept between vertical…

Wide local excision combined with postoperative radiotherapy is a useful technique for patients with breast cancer. For patients with macromastia whose tumor is situated in the lower pole of the breast, a breast reduction (keyhole\inverted …

Although a number of studies compare different techniques of breast reconstruction there seems to be a paucity of information documenting the factors that affect breast shape and symmetry after immediate reconstruction. A photographic analy…

Historically, it appears that the problems of capsule contracture, the alleged risk of human adjuvant disease, and the problems due to migration of smooth walled breast prosthesis have had a major impact on the techniques used in breast aug…

Immediate prosthetic breast reconstruction is a relatively simple, quick procedure with no donor site morbidity. This report discusses immediate one-stage breast reconstruction using prostheses in 18 patients (19 breasts) who also required …

The breast can be considered conceptually as a cone. This article compares and contrasts short-scar breast reduction techniques with inverted T techniques using the cone model. Four issues are examined-the base of the breast, breast project…

This preliminary report discusses 7 patients with early breast cancer (mean age, 48 years) who underwent one-stage breast reconstruction. Reconstruction was achieved using a deepithelialized transverse rectus abdominis musculocutaneous (TRA…