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[A Consensus Statement of the German-Speaking Society for Reconstructive Microsurgery (GSRM): Closure of the DIEP/ms-TRAM Flap Donor-Site Defect].
Harvesting DIEP or msTRAM flaps for autologous breast reconstruction may lead to complications such as hernia formation and abdominal bulging at the donor site. This consensus statement aims to identify and recommend strategies to minimize …
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Perfusion control of the nipple-areola complex in reduction plasty for gigantomastia using indocyanine green: A prospective observational study.
[INTRODUCTION] Reduction mammaplasty in patients with severe macromastia poses technical challenges. In cases involving large resection volumes and long distances between the sternal notch and nipple, the risk of postoperative perfusion dis…
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Enhancing Aesthetics in Bilateral DIEP Flap Breast Reconstruction: the Role of Tissue Pre-Expansion.
[BACKGROUND] Achieving symmetrical outcomes in bilateral autologous breast reconstruction is challenging, particularly in cases of asymmetrical recipient sites. Tissue pre-expansion is proposed to improve aesthetics by enlarging the skin en…
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Novel Top Surgery in Small-Breasted Individuals with Gender Dysphoria: Periareolar Interlocking Suture and Waterjet-Assisted Liposuction.
[BACKGROUND] In small-breasted individuals with gender dysphoria (GD), the concentric periareolar approach is typically the preferred method for mastectomy. However, this method carries a notable risk of hypertrophic scars and changes in ar…
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Innovative Surgical Concept for Simon's Grade IIb Gynecomastia: A Systematic Integration of Circumareolar Mastectomy, Interlocking Suture, Inframammary Fold Detachment, and Waterjet-Assisted Liposuction for Superior Long-term Outcomes.
[BACKGROUND] Gynecomastia, particularly Simon's Grade IIb, poses aesthetic and psychological challenges because of glandular excess and skin redundancy. Standard circumareolar mastectomy (CM) often leads to hypertrophic scarring, areolar wi…
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[Gender-Affirming Top Surgery for Gender Incongruence/Dysphoria: A Literature Review and Alignment with the New German S2k Guidelines on Mastectomy and Breast Augmentation].
"Top surgery", which refers to gender-affirming chest procedures, is one of the most common surgeries for individuals with gender incongruence (GI). These surgeries include breast augmentation or mastectomy and aim to align the physical app…
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Secondary solution for breast reconstruction following total DIEP flap loss: A single-center experience after 3270 DIEP flaps.
[BACKGROUND] Total deep inferior epigastric perforator (DIEP) flap failure is a significant concern in autologous breast reconstruction. Literature on secondary reconstruction options following total flap failure is limited. This study outl…