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Reliable designs of breast sharing based on the internal mammary perforator flap for breast reconstruction.
[BACKGROUND] Breast sharing using the contralateral breast is a reconstructive option for selected patients undergoing unilateral mastectomy who present with moderate to large ptotic breasts. The internal mammary artery perforator (IMAP) fl…
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Donor Site Morbidity after Lumbar Artery Perforator Flap Breast Reconstruction.
[BACKGROUND] The lumbar artery perforator flap is a second-choice flap in autologous breast reconstruction whenever a deep inferior epigastric artery perforator (DIEP) flap is not possible. Ideal candidates are pear-shaped women who do not…
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Nipple reconstruction in autologous breast reconstruction after areola-sparing mastectomy.
[INTRODUCTION] The number of patients requesting prophylactic mastectomy with immediate reconstruction is rising. The oncological safety of techniques preserving the nipple and/or areola complex is still controversial. Nevertheless, nipple-…
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Lumbar Flap versus the Gold Standard: Comparison to the DIEP Flap.
[BACKGROUND] The lumbar artery perforator flap is an excellent free flap for breast reconstruction whenever the deep inferior epigastric perforator (DIEP) flap is not an option. The main indication is a lack of abdominal bulk, often seen in…
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Incisional lumbar hernia after the use of a lumbar artery perforator flap for breast reconstruction.
Autologous breast reconstruction with a perforator flap has become increasingly popular. The free lumbar artery perforator (LAP) flap has been described as a good alternative for autologous breast reconstruction. The LAP flap is a perforato…
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Comparing the Lumbar and SGAP Flaps to the DIEP Flap Using the BREAST-Q.
[BACKGROUND] The deep inferior epigastric artery perforator (DIEP) flap is the gold standard in autologous breast reconstruction. When the abdomen is not available, alternative donor sites can be found at the buttock, the lumbar region, or …
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Takotsubo Cardiomyopathy Induced by Epinephrine Infiltration for Liposuction: Broken Heart Syndrome.
Broken heart syndrome, more commonly known as Takotsubo cardiomyopathy (TCM), is an acute cardiac condition. It is characterized by regional cardiac wall motion abnormalities triggered by physical or emotional stress or administration of ca…
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Abdominoplasty and gluteoplasty after massive weight loss: an all-in-one technique.
[INTRODUCTION] Patients requesting body-contouring surgery after massive weight loss often present with abdominal and lumbar skin excess as well as gluteal ptosis and loss of gluteal projection. In order to restore gluteal projection a circ…
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The dog-ear flap as an alternative for breast reconstruction in patients who have already undergone a DIEAP flap.
Breast reconstruction in patients who have previously undergone deep inferior epigastric artery perforator flap (DIEAP) reconstruction or abdominoplasty is often challenging. Depending on patients' body habitus, several second-choice flaps …
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Autologous breast augmentation with the lateral intercostal artery perforator flap in massive weight loss patients.
The body contour deformities that develop in morbidly obese patients following bariatric surgery often involve the breasts. Mastopexy is virtually always required in the female massive weight loss patient, and breast augmentation is often a…
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Septum-based mammaplasty: a surgical technique based on Würinger's septum for breast reduction.
[BACKGROUND] During the past 7 years, the senior author (M.H.) has been performing septum-based mammaplasty. The aim of this article is to report the safety and ease of breast shaping by using this technique. [METHODS] A series of 110 cons…
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Shaping the breast in aesthetic and reconstructive breast surgery: an easy three-step principle. Part III--reconstruction following breast conservative treatment.
Of the relatively few studies that exist regarding the cosmetic satisfaction of patients following breast conservation therapy, several indicate significant dissatisfaction in many patients. Breast conservation often results in some of the …
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Shaping the breast in aesthetic and reconstructive breast surgery: an easy three-step principle. Part IV--aesthetic breast surgery.
This is part IV of four articles describing the three-step principle for easy shaping of the breast in reconstructive and aesthetic breast surgery. This article may seem overdue because aesthetic corrections are routinely performed, frequen…
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A two-stage phase I trial of Evolence30 collagen for soft-tissue contour correction.
[BACKGROUND] The ideal dermal filler should be nonpermanent but with a durable effect lasting between 1 and 2 years, which is not the case with the resorbable fillers that are currently available. Evolence30 is a new, porcine-derived collag…
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The versatility of the inter-costal artery perforator (ICAP) flaps.
[INTRODUCTION] Anatomy and classification of intercostal perforator flaps in addition to our experience with will be demonstrated for different indications. [MATERIAL AND METHODS] The intercostal vessels form an arcade between the aorta an…
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What exactly was wrong with the Trilucent breast implants? A unifying hypothesis.
Trilucent soybean oil-filled breast implants were initially announced as the ultimate prostheses for breast augmentation. However, after an increasing number of reports of local complications and hazardous metabolites attributable to lipid …
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Bilateral autogenous breast reconstruction using perforator free flaps: a single center's experience.
The authors present a single center's experience in bilateral breast reconstruction using perforator free flaps. The aim of this study was to show their indications, surgical technique, and results. A series of 53 patients underwent this pr…
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Autologous breast augmentation by pedicled perforator flaps.
A technique is described for autologous breast augmentation based on perforator flaps of the lateral chest wall. Raising these flaps as perforator flaps implies minimal donor site morbidity; however, the price to pay is a scar underneath th…
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Evaluation of nipple-areola complex sensitivity after the latero-central glandular pedicle technique in breast reduction.
[INTRODUCTION] Previous anatomical and clinical studies have shown that nipple-areola sensitivity decreased significantly after conventional superior and inferior pedicle technique for 3-6 months postoperatively. We found it necessary to mo…
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Minimal access cranial suspension lift: a modified S-lift.
There is a strong trend at hand toward less dramatic facial rejuvenation surgery. Most of the authors' patients want a cosmetic improvement but not at the cost of prolonged disfigurement or a high risk of complications. In 1999, a very simp…