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Textured-surface saline-filled silicone breast implants for augmentation mammaplasty.
The earliest silicone breast implants were smooth-surface, silicone rubber devices filled with either silicone gel or saline. Because of persistent problems with capsular contracture, polyurethane-covered silicone implants were developed as…
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Secondary surgery and silicone implants: one center's experience before and after the food and drug administration hearings of 1991 and 1992.
The reader is presumed to have a broad understanding of plastic surgical procedures and concepts. After studying this article, the participant should be able to: Physicians may earn 1 hour of Category 1 CME credit by successfully completing…
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Experience with reduction mammaplasty following breast conservation surgery and radiation therapy.
Little is known about the outcome of breast reduction in the previously radiated breast. With the increased popularity of breast conservation in the management of breast cancer, it is inevitable that more women with breast cancer who have h…
- On the importance of being honest.
- Mammography before abdominoplasty.
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Classification of capsular contracture after prosthetic breast reconstruction.
The Baker classification of capsular contracture remains the most popular and practical method of assessing clinical firmness of the breast after augmentation mammaplasty. This classification system was never intended to describe prosthetic…
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Vulvar reconstruction using a mons pubis pedicle flap.
The treatment of early vulvar carcinoma has moved toward less radical surgery with reconstruction. This report describes our preliminary experience with a mons pubis flap that is simple and appears safe, reliable, and gives excellent cosmet…
- Capsulotomy, capsulectomy, and implantectomy.
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Methyl prednisolone in double-lumen gel-saline submuscular mammary prostheses: a double-blind, prospective, controlled clinical trial.
At the time of immediate breast reconstruction with submuscular implants, 76 consecutive patients (89 breasts) were randomized into two groups. One received a gel-saline, double-lumen implant with 40 cc of saline added to the outer lumen, w…
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Guidelines in concentric mastopexy.
The scope and technique of concentric mastopexy remain unclear and controversial. In our hands, the procedure has application for mild nipple ptosis, glandular ptosis, and areola asymmetry, as well as the tuberous breast. Early disappointme…
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Intradermal tattoo as an adjunct to nipple-areola reconstruction.
Improving results in breast reconstruction have encouraged more authentic restoration of the lost nipple-areola. While recreation of nipple shape can be reliably achieved, appropriate color has remained elusive, except when a composite nipp…
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Genioplasty.
In 1988, I performed 15 chin procedures, seven osteotomies, and eight implants. During that same period, 38 rhinoplasties were done, but only five patients (15 per cent) had a simultaneous genioplasty. While the chin is important in nasal s…
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The medial periareolar approach to submuscular augmentation mammaplasty under local anesthesia.
The medial approach to submuscular augmentation mammaplasty under local anesthesia begins with a medial periareolar incision around one-half or more of the areola. A subcutaneous tunnel is made toward the medial breast border, avoiding mamm…
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Breast capsulorrhaphy.
The malposition of breast prostheses without capsular contracture has become an increasingly frequent event. In our experience with 40 patients over the last 5 years, we have found multiple-layer breast capsulorrhaphy to be a simple, safe, …
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Delayed primary reconstruction of subtotal nail bed loss using a split-thickness nail bed graft on decorticated bone.
Split-thickness nail bed grafting is the accepted method of treatment for injuries involving loss of nail bed tissue. The nail bed of the great toe may be used without donor-site morbidity, and nail bed grafting may be combined with other p…
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The temporal fossa in head and neck reconstruction: twenty-two flaps of scalp, fascia, and full-thickness cranial bone.
We reviewed 22 consecutive flaps based on the blood supply of the temporal fossa. Our purpose was to demonstrate reliability of the vascular supply and to illustrate the versatility of these tissues for reconstruction of specialized structu…
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Temporal fossa bone grafts: a new technique in craniofacial surgery.
The calvarium has become an increasingly popular bone-graft donor site. Previously described harvesting techniques are often difficult to perform and may produce unsatisfactory bone fragments. However, full-thickness bone grafts taken from …
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Costal cartilage sculpturing as an adjunct to augmentation mammaplasty.
Costal cartilage irregularities are a major component of most congenital thoracic-wall deformities. A significant number of patients with these cartilage irregularities may either refuse major reconstruction or in fact have disorders of ins…
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Sliding genioplasty as a local anesthetic outpatient procedure: a prospective two-center trial.
A two-center (U.C.L.A. and Georgetown) prospective trial was planned to examine sliding genioplasty as an outpatient local anesthetic procedure. Thirty-nine patients, 14 male and 25 female, underwent the procedure. Average operating time wa…
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A lengthened omental pedicle in facial reconstruction.
The omentum continues to be a versatile reconstructive tool with increasing application, but its use for defects of the face or scalp has previously been limited to microvascular transfer. This case demonstrates the feasibility of using the…
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A 6-year experience with immediate reconstruction after mastectomy for cancer.
A 6-year retrospective review is presented of 185 patients who underwent immediate reconstruction of the breast at the same operation as mastectomy for carcinoma. The patients were treated at two institutions under similar protocols of pati…
- The dry-erase board: a useful addition to the plastic surgical classroom.
- Simultaneous cutis aplasia congenita of the scalp and cranial stenosis.