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Current indications for abdominal-based flaps in hand and forearm reconstruction.
Extensive soft tissue loss or injury of the hand and upper extremity is a challenging reconstructive problem traditionally treated with abdominal-based pedicled flaps. Options for coverage included the groin flap based on the superficial ci…
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In vivo efficacy of antimicrobe-impregnated saline-filled silicone implants.
Bacterial colonization of mammary implants is a prelude to clinical infection and has been implicated in the etiology of capsular contracture. Antimicrobial impregnation of a variety of medical devices with the combination of minocycline an…
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Physical and psychosocial symptoms among 88 volunteer subjects compared with patients seeking plastic surgery procedures to the breast.
In an investigation of the relationship between macromastia and physical and psychosocial symptoms, 88 female university students, 21 augmentation mammaplasty patients, and 31 breast reduction patients graded somatic and psychosocial sympto…
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Aesthetic outcome of breast implant removal in 85 consecutive patients.
As we began to see increasing numbers of women concerned about their gel-filled breast implants, we became aware that we could not advise them with any degree of confidence what they might expect in terms of aesthetic result after implant r…
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Massive asymmetric virginal breast hypertrophy.
Massive unilateral virginal breast hypertrophy in a 13-year-old girl was treated by right breast reduction, with removal of 2,968 g of breast tissue. A year later, the patient had enlargement of the left breast, and contralateral reduction …
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A review of 198 patients (389 implants) who had breast implants removed.
Because of the large number of women now returning to their plastic surgeons with concerns about their breast implants many years after surgery, we are afforded an ideal opportunity to evaluate these patients over the long-term. This study …
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Clinical relevance of positive breast periprosthetic cultures without overt infection.
The true incidence of positive breast periprosthetic cultures in the absence of overt infection is not clearly established. We retrospectively reviewed data from 389 implants that were removed for reasons other than clinical infection. Many…
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Musculoaponeurotic plication in abdominoplasty: how durable are its effects?
Abdominal myofascial plication has become an integral part of aesthetic abdominoplasty in an effort to narrow the waistline. Out of concern for the durability of this procedure, we performed a study using standard radiographs and clinical p…
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Generalized elastolysis (cutis laxa): case study illustrating associated medical and surgical conditions.
Cutis laxa is grouped with the other hyperelastic skin conditions, but it shows almost total lack of skin elasticity. Numerous other medical and surgical conditions may coexist with the skin problem, since it is a generalized affliction of …
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Transconjunctival versus transcutaneous lower eyelid blepharoplasty: a prospective study.
Debate continues over the relative merits of transconjunctival and the more customary subciliary transcutaneous approaches for lower lid blepharoplasty. Ten consecutive patients presented for blepharoplasty, and in all patients the transcut…
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Capsular compliance: a measure of a "hard" prosthesis.
Capsular contracture prevents a natural "feel" to an augmented breast and is frequently a source of patient and physician dissatisfaction postoperatively. The degree of hardness of a breast is difficult to quantitate. We have developed a ro…
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Smoking: adverse effects on outcomes for plastic surgical patients.
Smoking is known to have a potentially adverse effect on the outcomes of plastic surgical procedures and, in particular, on wound healing. Numerous clinical studies have substantiated that cigarette smokers are at increased risk for wound h…
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Methods of reconstruction.
This article discusses methods of reconstruction, ranging from simple free-hand skin grafts to microvascular tissue transfer. The simplest reconstructive option must be chosen to suit the defect and to achieve the least possible donor morbi…
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A method for optimizing skin graft healing and outcome of wounds of the penile shaft and scrotum.
Split-thickness skin grafting provides the best functional and aesthetic result in the treatment of wounds of the penis and scrotum. Achieving graft adherence and take in this anatomically mobile region is challenging. A simple method of ef…
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Management of residual cranial vault deformities.
The aims of calvarial reconstruction are to restore anesthetic contour and to provide protection for the underlying central nervous system structures. The authors present their algorithm of reconstructive options. Important considerations a…
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Timing and decision-making in the treatment of congenital upper extremity deformities.
With growth and development, the hand undergoes profound structural and functional changes. Congenital anomalies lead to development of aberrant functional patterns. Appropriate timing of surgical correction is essential to minimize deformi…
- A critical analysis of coronal incisions.