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Acellular Dermal Matrix-Associated Recurrent Capsular Contracture in a Breast Augmentation Patient.
Capsular contracture (CC) is a common complication following breast augmentation. Acellular dermal matrix (ADM) is increasingly used to reduce and treat CC in breast augmentation. However, rare cases of ADM-associated CC can occur. In this …
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Microsurgical versus complex physical decongestive therapy for chronic breast cancer-related lymphoedema.
This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects of microsurgery versus complex physical decongestive therapy in people with chronic breast cancer-related lymphoedema.…
- Commentary: Donor Site Outcomes Following Autologous Breast Reconstruction with DIEP Flap: A Retrospective and Prospective Study in a Single Institution.
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Aesthetic Submandibular Gland Resection: A Review of Complication Incidence and Prevention.
Achieving optimal neck contour during facial rejuvenation may require addressing the submandibular glands, as supraplatysmal fat removal alone is insufficient for many patients, particularly those with fuller necks. The purpose of this stud…
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Breast Implant Rupture Surveillance Practices among Plastic Surgeons in Publicly Funded Healthcare Systems.
[BACKGROUND] The United States Food and Drug Administration (FDA) recommends silicone breast implant rupture surveillance using MRI or ultrasound beginning at 5-6 years post-insertion and every 2-3 years thereafter. No surveillance guidelin…
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Textured versus Smooth Tissue Expanders: A Comparison of Complications in 3526 Breast Reconstructions.
[BACKGROUND] Increased understanding of breast implant-associated anaplastic large-cell lymphoma has led to a shift away from textured breast devices. A few small studies have compared the complication rates of textured and smooth tissue ex…
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Surgical Management and Long-Term Outcomes of BIA-ALCL: A Multidisciplinary Approach.
[BACKGROUND] Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a subtype of ALCL that arises as a seroma or a mass in the capsule surrounding textured breast implants. However, collections of cases usually come from lar…
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The cellular and molecular properties of capsule surrounding silicone implants in humans vary uniquely according to the tissue type adjacent to the implant.
The foreign body reaction (FBR) to biomaterials results in fibrous encapsulation. Excessive capsule fibrosis (capsular contracture) is a major challenge to the long-term stability of implants. Clinical data suggests that the tissue type in …
- Prompting Rigor in Database Reporting: Working Toward Higher-Quality Plastic Surgery Database Research.
- Emerging Longer-Acting Local Anesthetic Formulations for Plastic Surgeons.
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Clinical Implications and Management of Non-BIA-ALCL Breast Implant Capsular Pathology.
The breast implant capsule is a dynamic structure that forms following the implantation of a device. Although normally benign, increased awareness of breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) highlights that diseas…
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Breast Implanted-Associated Anaplastic Large Cell Lymphoma: A Case of Advanced Disease with Flow Cytometric Findings.
Breast implant-associated anaplastic large cell lymphoma (breast implant-associated ALCL) is a recently described, distinct clinicopathological entity associated with macrotextured breast implants. The diagnostic workup of a patient suspect…
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Implant-based breast surgery and capsular formation: when, how and why?-a narrative review.
[BACKGROUND AND OBJECTIVE] Implant-based breast surgery is a common procedure for both reconstructive and aesthetic purposes. Breast implants, like any foreign object, trigger the formation of a capsule around them. While generally harmless…
- Superomedial Pedicle Breast Reduction: The Critical View of Safety.
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Current Surgical Outcomes of Nasal Tip Grafts in Rhinoplasty: A Systematic Review.
[BACKGROUND] Refinement of the nasal tip plays an important role in rhinoplasty surgery outcomes and may be considered the most technically challenging aspect of the procedure. Numerous techniques have been described for nasal tip augmentat…
- Commentary on: High Satisfaction With a Virtual Assistant for Plastic Surgery Frequently Asked Questions.
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Effective Strategies to Patent Plastic Surgery Ideas and Intellectual Property.
Patents are of great importance to plastic surgery, a field fueled by constant innovation. Familiarity with the patent process could promote further innovation by plastic surgeons. By granting proprietary rights to inventors in exchange for…
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Breast Implant Safety: an Overview of Current Regulations and Screening Guidelines.
Breast implant surgery for cosmetic or reconstructive purposes is becoming increasingly common. While the devices used are regulated and approved by the US Food and Drug Administration, all patients with breast implants require continued fo…
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Complications of Capsulectomies: An Analysis of the American College of Surgeons National Surgical Quality Improvement Program Database.
[BACKGROUND] Although plastic surgeons commonly perform capsulectomies for a variety of peri-prosthetic capsular conditions, the safety of capsulectomy remains unknown, and the literature lacks evidence describing its morbidity and complica…
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An Algorithmic Approach to Umbilical Inset during DIEP Flap Reconstruction.
An aesthetically pleasing umbilicus is a critical component to the overall cosmesis and resultant patient satisfaction after deep inferior epigastric artery perforator (DIEP) flap breast reconstruction. Because of variables in body habitus,…
- Medical Directors in Plastic Surgery: How Do We Quantify Their Efforts?
- Integrated Plastic and Reconstructive Surgery Residency: How Significant Research Involvement Serves to Distinguish Applicants.
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When Benign Becomes Cancer: Malignant Degeneration of Chronic Inflammation.
Chronic inflammation, long implicated in the genesis of malignancy, is now understood to underlie an estimated 25% of all cancers. The most pertinent malignancies, to the plastic surgeon, associated with the degeneration of chronic inflamma…
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Smooth versus Textured Implant Breast Reconstruction: Patient-Reported Outcomes and Complications.
[BACKGROUND] The association between textured surface breast implants and breast implant-associated anaplastic large cell lymphoma has led to an increase in surgical procedures to exchange textured devices to smooth surface implants. Becaus…
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Current Concepts in Capsular Contracture: Pathophysiology, Prevention, and Management.
Over 400,000 women in the United States alone will have breast implant surgery each year. Although capsular contracture represents the most common complication of breast implant surgery, surgeons continue to debate the precise etiology. Gen…
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Patents for the Plastic Surgeon: A Primer.
Although innovation and entrepreneurship are complementary in the process of creating new products, plastic surgeons are frequently discouraged by the challenges associated with the regulatory and administrative environments in patent filin…
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Use of the Omental Free Flap for Treatment of Chronic Anterior Skull Base Infections.
Chronic complications following anterior cranial fossa tumor extirpation, such as cerebrospinal fluid leak, meningitis, mucocele, pneumocephalus, and abscess, negatively impact patient quality of life. Robust vascularized tissue is generall…
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Correlation of Prediction and Actual Outcome of Three-Dimensional Simulation in Breast Augmentation Using a Cloud-Based Program.
[BACKGROUND] Breast augmentation is among the most frequently performed cosmetic plastic surgeries. Providing patients with "realistic" 3D simulations of breast augmentation outcomes is becoming increasingly common. Until recently, such pro…
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Mastopexy for breast ptosis: Utility outcomes of population preferences.
[BACKGROUND] Breast ptosis can occur with aging, and after weight loss and breastfeeding. Mastopexy is a procedure used to modify the size, contour and elevation of sagging breasts without changing breast volume. To gain more knowledge on t…
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A methodological analysis of the plastic surgery cost-utility literature using established guidelines.
[BACKGROUND] Cost-utility studies, common in medicine, are rare within plastic surgery despite their capability of measuring the value of procedures by considering the societal costs of improving quality of life. The objectives of this stud…