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Capsular contracture (CC) remains a leading cause for reoperation after breast reconstruction. The cause of CC is likely multifactorial, and there are many working theories in the current peer-reviewed literature related to causes. There ar…

[BACKGROUND] Capsular contracture (CC) is a frequent complication of implant-based breast augmentation and reconstruction, causing deformity, pain, and reoperation, particularly after mastectomy. CC arises from a multifactorial immune and f…

[BACKGROUND] Age-related physiological changes may influence surgical outcomes following breast reduction. This study investigates the association between patient age and postoperative complications using a large institutional cohort. [MET…

[BACKGROUND] Reduction mammaplasty alleviates the physical and psychosocial burden of macromastia. Elevated body mass index (BMI) is often cited as a risk factor for postoperative morbidity, yet its independent effect remains unclear. [MET…

[BACKGROUND] The insertion of a mesh "internal bra" has been used in cosmetic breast procedures for soft-tissue reinforcement as a means to mitigate postoperative ptosis. However, there have been concerns regarding complications as a result…

[BACKGROUND] Negative-pressure wound therapy (NPWT) has been shown to facilitate complex wound closure, decrease healing complications, and improve scar quality. Recently, its application in closed incision wound healing has been studied. A…

[BACKGROUND] Reduction mammaplasty is an effective treatment for symptomatic macromastia but is associated with postoperative complications, such as hematoma, seroma, and infection. Tranexamic acid (TXA) has been shown to reduce blood loss …

[BACKGROUND] Private equity (PE) investment in healthcare has expanded rapidly, particularly in plastic surgery, where rising demand for aesthetic procedures presents attractive financial opportunities. Although PE backing may enhance opera…

This article provides an overview of the signs, symptoms, and features of 4 personality disorders frequently encountered in cosmetic surgery settings. It highlights the unique challenges that these personality profiles can present throughou…

Plastic surgery, including cosmetic procedures, breast reconstruction, gender affirming surgery and craniofacial surgery, is associated with increased self-esteem, improved body image, and greater life-satisfaction. However, individuals wit…

[BACKGROUND AND OBJECTIVE] Breast reconstruction with microsurgical techniques allows for autologous reconstruction after mastectomy without the complications associated with alloplastic reconstruction. Autologous reconstruction has undergo…

The surgical management of breast cancer has evolved tremendously over the last century and now includes oncoplastic techniques that improve both cosmetic and oncologic outcomes for patients. The purpose of this review is to provide the rea…

[BACKGROUND] An important component of preoperative counseling and patient selection involves surgical risk stratification. There are many tools developed to predict surgical complications. The Modified Frailty Index (mFI) calculates risk b…

[INTRODUCTION] Reduction mammoplasty is a common reconstructive and esthetic procedure with variable long-term outcomes regarding breast shape, projection, and nipple-areolar complex. One common complaint is recurrent breast ptosis, which m…

Partial breast reconstruction using oncoplastic techniques is performed at the time of lumpectomy and includes volume replacement techniques such as flaps and volume displacement techniques such as reduction and mastopexy. These techniques …

[BACKGROUND] Bleeding complications are not uncommon after breast reduction surgery, and recently, tranexamic acid (TXA) as an antifibrinolytic agent has been used in various surgical specialties as a way to minimizes such adverse outcomes.…

Breast reduction is a common operation performed by plastic surgeons. Patients can have significant improvement in physical symptoms in addition to increased self-esteem, body image, and quality of life as a result. The authors describe com…

[UNLABELLED] Patient decision regret can occur following elective healthcare decisions. The current era is focused on patient-reported outcomes, and decision regret is another metric by which surgeons can and should measure postoperative re…

[UNLABELLED] Pre-pectoral prosthetic breast reconstruction following nipple-sparing mastectomy (NSM) has become a popular approach compared with the dual plane technique. Our objective was to determine if there was a difference in time to p…

[BACKGROUND] Minority patients and those from low socioeconomic backgrounds are faced with barriers to care regarding breast reconstruction. With this study, we seek to elucidate variances in demographics to determine predictors of complica…

[BACKGROUND] Patients occasionally need completion mastectomy (CM) following oncoplastic reduction for various reasons necessitating definitive reconstructive techniques. The purpose of this study was to evaluate those patients who required…

The purpose of this summary is to outline the available research on the psychological factors associated with aesthetic surgery. Aesthetic procedures such as abdominoplasty, breast augmentation, face lift, and rhinoplasty are shown to have …

[BACKGROUND] Aesthetic and reconstructive implant-based breast surgeries are some of the most frequently performed procedures by plastic surgeons. As such, prevention of implant infection is of high importance. However, there remains no cri…

[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Describe the risks, benefits, and safety profile of prepectoral breast reconstruction. 2. Have knowledge of primary immediate and delayed prepectoral b…

[BACKGROUND] Oncoplastic reduction mammoplasty for smoking breast cancer patients committed to smoking cessation may be performed immediately (increasing smoking-related risk) or in a delayed fashion (increasing radiation-related risk). [O…

[BACKGROUND] The goal of this study was to determine the incidence of occult malignancy and high-risk breast pathologic findings in patients who undergo breast reduction procedures. [METHODS] Medical records of consecutive patients who und…

[PURPOSE] The oncoplastic reduction approach is a popular option for women with breast cancer and macromastia. Although the benefits of this approach are numerous, data on the need for secondary surgeries are limited. We evaluated the need …

[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Describe the risks, benefits, and safety profile of oncoplastic procedures for partial breast reconstruction, and how they compare to breast conservati…