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A process for quantifying aesthetic and functional breast surgery: II. Applying quantified dimensions of the skin envelope to design and preoperative planning for mastopexy and breast reduction.
[BACKGROUND] A previous submission defined methods to objectively define nipple position and vertical and horizontal skin excess in mastopexy and breast reduction. This article defines a set of second-stage processes for quantified design a…
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A process for quantifying aesthetic and functional breast surgery: I. Quantifying optimal nipple position and vertical and horizontal skin excess for mastopexy and breast reduction.
[BACKGROUND] This article defines a comprehensive process using quantified parameters for objective decision making, operative planning, technique selection, and outcomes analysis in mastopexy and breast reduction, and defines quantified pa…
- 24-hour recovery in breast augmentation: refreshing honesty and dubious notions.
- Discussion. A 15-year experience with primary breast augmentation.
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Diagnosis and management of seroma following breast augmentation: an update.
This article is an update to the decision and management algorithms for management of periprosthetic space infection or seroma following breast augmentation, originally published in "Decision and Management Algorithms to Address Patient and…
- Evidence-based medicine in breast augmentation: is the goal to promote average or offer the most state-of-the-art treatment for patients?
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High- and extra-high-projection breast implants: potential consequences for patients.
All breast implants can potentially have deleterious effects on patients' tissues. Limiting negative tissue consequences and potential uncorrectable deformities requires that surgeons be aware and educate patients regarding potential conseq…
- Reoperations as a benchmark: the rhetoric, the logic, and the patient.
- Conclusions not supported by data: a recurring story in breast augmentation publications.
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Achieving a zero percent reoperation rate at 3 years in a 50-consecutive-case augmentation mammaplasty premarket approval study.
[BACKGROUND] Excessively high reoperation rates in breast augmentation premarket approval studies are a major concern of patients and the U.S. Food and Drug Administration. Over the past two decades, reoperation rates have remained between …
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Five critical decisions in breast augmentation using five measurements in 5 minutes: the high five decision support process.
[BACKGROUND] Surgeons' decisions impact patient outcomes and implant effects on tissues over time. Tissue assessment systems that provide quantitative, objective data enable objective rather than subjective decisions. First-generation dimen…
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Axillary endoscopic breast augmentation: processes derived from a 28-year experience to optimize outcomes.
[BACKGROUND] The axillary approach for breast augmentation has been an option for patients and surgeons for three decades. This article reports a 28-year experience with axillary subpectoral and submammary breast augmentation, and defines p…
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Dual plane breast augmentation: optimizing implant-soft-tissue relationships in a wide range of breast types.
In breast augmentation, surgeons usually choose a pocket location for the implant behind breast parenchyma (retromammary), partially behind the pectoralis major muscle (partial retropectoral), or totally behind pectoralis major and serratus…
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Achieving a predictable 24-hour return to normal activities after breast augmentation: part II. Patient preparation, refined surgical techniques, and instrumentation.
The goal of this study was to develop practices that would allow patients undergoing subpectoral augmentation to predictably return to full normal activities within 24 hours after the operation, free of postoperative adjuncts. Part I of thi…
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Five critical decisions in breast augmentation using five measurements in 5 minutes: the high five decision support process.
[BACKGROUND] Surgeons' decisions impact patient outcomes and implant effects on tissues over time. Tissue assessment systems that provide quantitative, objective data enable objective rather than subjective decisions. First-generation dimen…
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Decision and management algorithms to address patient and food and drug administration concerns regarding breast augmentation and implants.
During the U.S. Food and Drug Administration's advisory panel hearings to evaluate the premarket approval for conventional silicone gel implants on October 14 and 15, 2003, panel members and patient advocate representatives focused on four …
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"Out points" criteria for breast implant removal without replacement and criteria to minimize reoperations following breast augmentation.
Breast augmentation is a totally elective, medically unnecessary procedure, and surgeons and patients must prioritize minimizing tradeoffs, costs, and risks at the primary operation and at reoperations. At the U.S. Food and Drug Administrat…
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Achieving a predictable 24-hour return to normal activities after breast augmentation: part I. Refining practices by using motion and time study principles.
The purpose of this study was to develop techniques to predictably return patients receiving inframammary and axillary, subpectoral breast augmentation to full normal activities within 24 hours of their primary breast augmentation. This 5-y…
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Achieving a predictable 24-hour return to normal activities after breast augmentation: Part II. Patient preparation, refined surgical techniques, and instrumentation.
The goal of this study was to develop practices that would allow patients undergoing subpectoral augmentation to predictably return to full normal activities within 24 hours after the operation, free of postoperative adjuncts. Part I of thi…
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A system for breast implant selection based on patient tissue characteristics and implant-soft tissue dynamics.
Primary breast augmentation patients have widely varying characteristics of their breast envelope, parenchyma, and adjacent tissues. When preoperative breast implant selection does not specifically address critical soft-tissue parameters in…
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An approach that integrates patient education and informed consent in breast augmentation.
Informed consent requires surgeons to provide information about all available alternatives and their associated risks and tradeoffs to every prospective breast augmentation patient. The informed patient and surgeon then make decisions based…
- Early return to normal activities after breast augmentation.
- Dual plane breast augmentation: avoiding pectoralis major displacement.
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Dual plane breast augmentation: optimizing implant-soft-tissue relationships in a wide range of breast types.
In breast augmentation, surgeons usually choose a pocket location for the implant behind breast parenchyma (retromammary), partially behind the pectoralis major muscle (partial retropectoral), or totally behind pectoralis major and serratus…
- The greatest myths in breast augmentation.
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A surgical perspective from two decades of breast augmentation: toward state of the art in 2001.
This article summarizes the author's perspective of two decades of breast augmentation based on clinical experience using virtually every type of implant, incision location, pocket location, dissection technique and instrumentation availabl…
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Alternatives and trade-offs in breast augmentation.
Selection of alternatives for breast augmentation should be prioritized in the order in which those selections are most likely to affect short- and long-term outcomes. Every selection of alternative must be reconciled with patient prioritie…
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Patient evaluation, operative planning, and surgical techniques to increase control and reduce morbidity and reoperations in breast augmentation.
Current rates of reoperations and complications in augmentation mammaplasty are unacceptably high and can be improved. Risks, trade-offs, complications, morbidity, time to recovery, and reoperation rates in breast augmentation can be improv…
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Breast augmentation with full-height anatomic saline implants: the pros and cons.
Full-height anatomic implants, like round implants, have advantages and disadvantages. Based on 21 years' experience using round implants and 10 years' experience using anatomic implants, the author believes that anatomically shaped implant…
- Transumbilical approach to breast augmentation.