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Salvage of failed prosthetic breast reconstructions by autologous conversion with free tissue transfers.
[OBJECTIVE] Implant-based breast reconstructions are conceptually simple but prone to surgical revisions. Additional procedures often fail to address the problems associated with the reconstructive outcome, especially in patients who have r…
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Reverse abdominoplasty: a practical option for oncological trunk reconstruction.
[OBJECTIVES] Following radical oncological resection, full-thickness upper central trunk defects present a significant challenge. Common reconstructive options include pedicled flaps, such as pectoralis major, rectus abdominis, and latissim…
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Indications and outcomes of the components separation technique in the repair of complex abdominal wall hernias: experience from the cambridge plastic surgery department.
[OBJECTIVES] The components separation technique (CST) is a widely described abdominal wall reconstructive technique. There have, however, been no UK reports of its use, prompting the present review. [METHODS] Between 2008 and 2012, 13 pat…
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Plastic surgical management of the contralateral breast in post-mastectomy breast reconstruction.
Breast reconstruction following mastectomy can be reliably undertaken using many different techniques. Although excellent cosmetic results can be achieved without contralateral balancing surgery, many unilateral breast reconstructions requi…
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Pyoderma gangrenosum arising in a breast reduction scar: seven years post-procedure.
Pyoderma gangrenosum (PG) is an unusual skin condition causing inflammation and sterile ulceration. It may occur in the context of a systemic disease or in otherwise healthy patients following trauma. Treatment is immunosuppression. Surgica…
- Combination cosmetic surgery: an individual surgeon's experience in non post-massive weight loss patients.
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A Simple Algorithm for Immediate Postmastectomy Reconstruction of the Small Breast-A Single Surgeon's 10-Year Experience.
[INTRODUCTION] Immediate small breast reconstruction poses challenges including limited potential donor site tissues, a thinner skin envelope, and limited implant choice. Few patients are suitable for autologous reconstruction while contral…
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"Uro-abdominoplasty": an adaptation of abdominal contouring for revision of complicated urostomies.
[BACKGROUND] The aim of this study was to describe the indications, surgical technique and outcomes of abdominoplasty as a novel tool for revising complicated urostomies. [PATIENTS AND METHODS] Four patients (3 female, 1 male; mean body ma…
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The unwritten price of cosmetic tourism: an observational study and cost analysis.
[INTRODUCTION AND AIMS] Cosmetic tourism, driven by the promise of inexpensive operations abroad, is increasingly popular despite warnings from professional bodies regarding associated risks. Increasing numbers of individuals have presented…
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Abdominoplasty in patients with and without pre-existing scars: a retrospective comparison.
[BACKGROUND] Over the past decade, abdominoplasty has become an increasingly popular aesthetic procedure both in improving anterior abdominal contour and scar revisions. The associated post-operative complications have been widely reported.…
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Experience with the Mentor Contour Profile Becker-35 expandable implants in reconstructive breast surgery.
[INTRODUCTION] Round expander-implants (Beckers 25 and 50) and anatomical expander-prostheses filled with firm cohesive gel (McGhan Style 150) are established choices for single-stage expander breast reconstruction. Because of their drawbac…
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Incidence of severe capsular contracture following implant-based immediate breast reconstruction with or without postoperative chest wall radiotherapy using 40 Gray in 15 fractions.
[PURPOSE] To determine the incidence of capsular contracture (CC) requiring revisional surgery in patients receiving postoperative radiotherapy (RT) or no RT following mastectomy and immediate breast reconstruction. [MATERIAL AND METHODS] …
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An algorithmic approach to abdominal flap breast reconstruction in patients with pre-existing scars--results from a single surgeon's experience.
[BACKGROUND] Breast reconstruction using the TRAM flap and its variations in patients with pre-existing abdominal scars is controversial. In our practice, abdominal scars are considered not to be a contraindication for such reconstruction. …
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Abdominoplasty as an adjunct to the management of peri-Caesarian section necrotising fasciitis.
Necrotising fasciitis is a rare but potentially lethal condition, often requiring extensive soft tissue debridement and complex reconstructive surgery. The disease has been noted to complicate Caesarian section wounds, and our department ha…
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Indications for extra full projection anatomical cohesive silicone gel implants in cosmetic and reconstructive breast surgery.
In 2003, a new extra full projection (EFP) anatomic cohesive silicone gel breast implant was introduced onto the European market. This review presents the early experience of a single surgeon with this new implant over a 29-month period. Be…
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Early experience with an anatomical soft cohesive silicone gel prosthesis in cosmetic and reconstructive breast implant surgery.
Recently, an anatomic breast implant filled with soft cohesive silicone gel was introduced by Mentor Medical Systems onto the European market. This study reports the early experience of a single surgeon with this implant. All patients who r…
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A systematic approach to the surgical treatment of gynaecomastia.
Numerous techniques have been described for the correction of gynaecomastia, and the surgeon is faced with a wide range of excisional and liposuction procedures. There is a paucity of literature describing an integrated approach to the mana…
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An application of the LeJour vertical mammaplasty pattern for skin-sparing mastectomy: a preliminary report.
An application of the LeJour vertical mammaplasty skin pattern for skin-sparing mastectomy is presented. The approach provides adequate access for the mastectomy, axillary dissection, and immediate breast reconstruction. The technique is id…
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Textured or smooth implants for breast augmentation? Three year follow-up of a prospective randomised controlled trial.
Silicone breast implant surface texturing has been shown to reduce the short-term incidence of adverse (Baker III/IV) capsular contracture in augmentation mammaplasty in double-blind randomised controlled trials. It is, however, undetermine…
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A review of 120 Becker permanent tissue expanders in reconstruction of the breast.
In reconstructive breast surgery, the permanent tissue expander has become popular because it avoids expander-implant exchange and gives the patient some control over the final breast size. It may, however, be associated with a number of co…
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An audit of Björk flap tracheostomies in head and neck plastic surgery.
Patients undergoing head and neck surgery for malignancy especially resection of parts of the upper aerodigestive tracts need a secure airway intra- and postoperatively. A tracheostomy is an effective method of achieving this objective. In …
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Petrosectomies for invasive tumours: surgery and reconstruction.
Tumours involving the temporal bone have historically carried a bad prognosis. The only prospect of cure is radical en bloc resection. Temporal bone resection for malignancies is, however, such a formidable undertaking that many centres lab…
- Tissue expansion: clinical applications.
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Silicone breast implant rupture: common/serious complication?
Of the potential health risks of silicone breast implants it is the concern about implant durability, life span and the possible association with connective tissue disease which has attracted most attention. A prospective study addressing t…