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Evidence-Based Medicine in Plastic Surgery: Are We There Yet?
[BACKGROUND] The practice of evidence-based medicine in plastic surgery is no longer a trend but a reality, with a growing number of studies published in recent years using evidence-based medicine as an assessment tool. [OBJECTIVE] The aim…
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Functional and Volumetric Analysis of the Pectoralis Major Muscle After Submuscular Breast Augmentation.
[BACKGROUND] Dual plane breast augmentation is a technical variation of the submuscular plane described as a technique that reduces contour deformities due to contraction of the pectoralis major muscle and lower risk of double-bubble deform…
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Volumetric Evaluation of the Mammary Gland and Pectoralis Major Muscle following Subglandular and Submuscular Breast Augmentation.
[BACKGROUND] Besides being a procedure with high level of patient satisfaction, one of the main causes for reoperation after breast augmentation is related to contour deformities and changes in breast volume. Few objective data are availabl…
- Response to "Misconceptions of Capsular Contracture, Operative Times, and Complications in the Transaxillary Breast Augmentation Literature".
- Reply: Volumetric Evaluation of the Mammary Gland and Pectoralis Major Muscle following Subglandular and Submuscular Breast Augmentation.
- Does better editorial staff mean a better journal impact factor?
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Utility of video-assisted endoscopy in transaxillary breast augmentation.
[BACKGROUND] Breast augmentation through incisions in the axillae is an option for patients who wish to avoid scars on the breasts. The axillary approach also preserves the mammary parenchyma and lactiferous ducts. The utility of video-assi…
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Evaluation of the effects of silicone implants on the breast parenchyma.
[BACKGROUND] Despite being the cosmetic procedure most performed worldwide, there are still few objective measurements of postoperative volumetric analysis of breast augmentation available in the literature. [OBJECTIVE] The aim of this stu…
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Periorbital subcutaneous emphysema in rhinoplasty.
In this article, the authors present a case of postrhinoplasty periorbital subcutaneous emphysema in a 35-year-old woman. This is an uncommon and benign rhinoplasty complication that can sometimes result from other pathologies such as barot…
- Reply: updating the concepts on neck lift and lower third of the face.
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Updating the concepts on neck lift and lower third of the face.
[BACKGROUND] When planning a face lift, the surgeon must keep in mind that signs of aging vary depending on the patient's age, skin quality, bony structure, and muscle tone. The deformities must be evaluated individually to determine the be…
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Gluteal augmentation: technique, indications, and implant selection.
Silicone implants have been used for gluteal augmentation for the past 40 years. Several techniques have been described for cosmetic purposes, but many plastic surgeons do not feel that performing the operation is safe. In this article, a t…
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Evaluation of the effects of transaxillary breast augmentation on sentinel lymph node integrity.
[BACKGROUND] The transaxillary approach for breast augmentation has gained popularity because of the absence of scarring on the breast. However, the effects of this procedure on breast cancer detection and treatment (which rely heavily on t…
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Proper incision planning can avoid face lift stigmata.
The author provides advice on face lift incision placement to preserve ear contour and maintain normal sideburn position.…
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Mastopexy and breast reduction: breast shape and scar quality are most important.
The author describes his preferred technique for mastopexy and reduction mammaplasty. He contends that patients are accepting of a longer scar if it results in improved breast appearance and that scar quality, more than length, is an import…
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How to deal with abdominoplasty in an abdomen with a scar.
Abdominoplasty is a common procedure in plastic surgery. Reviewing 150 patients who underwent abdominoplasty, it has been observed that 72% of the patients already had an abdominal scar. How to deal with abdominoplasty in an abdomen with a …
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Secondary rhytidoplasty.
Secondary rhytidoplasty has become a very popular procedure. Of the 100 most recent patients presenting for rhytidoplasty, 19% asked for a second face-lift. In this article, we discuss particulars of second face-lifts.…
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Hand rejuvenescence by fat filling.
The advantages of fat filling for hand rejuvenescence are discussed. Seventy-two patients treated by this method are presented, including their follow-up, complication rate, and details of combined operations. Preference is given to local a…
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Preauricular and sideburns operating procedures for a natural look in facelifts.
Sideburn elevation, tragus elimination, earlobe dislocation, and visible scars in front of the ear are common mistakes in facelift operations. The presence of just one of these flaws spoils the result of rhytidoplasty. Surgical procedures f…
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Analysis of late results in postpregnancy mammoplasty.
The purpose of this paper is to study the alterations produced by pregnancy in women who submitted to breast reduction. We studied a group of 50 women younger than 32 years of age who submitted to this operation and had an incidence of preg…
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Superficial musculoaponeurotic system-platysma: a continuous study.
Taking advantage of anatomical knowledge, in this report we suggest the benefits of an ample superficial musculoaponeurotic system undermining reaching the insertions of platysma muscle in the cutaneous muscles of the mouth and chin. This d…
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The role of the superficial musculoaponeurotic system in face lift.
A study of 10 patients who underwent a unilateral dissection of the superficial musculoaponeurotic system (SMAS) is discussed. According to the different postoperative results, the patients were grouped into three classes, with either major…
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The value of non-prefixed marking in reduction mammoplasty.
The advantages of non-prefixed marking for breast reduction are discussed in this paper. The authors use a curved incision modification of the Pitanguy technique, stressing the value of changing the demarcation depending on the skin-gland r…
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The anatomy of the platysma muscle.
Platysma muscle was studied in 50 cadavers. The principal anatomic variation concerned the medical fibers. In 75 percent of the cases, the fascicles are separate in the suprahyoid region but interlace with those of the opposite side, 1 to 2…
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Late results after reduction mammaplasty with curved incisions.
The results in 50 patients who had had mammaplasties done 3 years ago are described--both as regards the patients' opinions and the surgeon's assessments. The alterations that occur in breasts after reduction mammaplasty were studied, and a…
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Subcutaneous mastectomy for gigantomastia in an adolescent girl. Case report.
A 12-year-old patient with macromastia had 8,000 gm of breast tissue removed in a reduction mammaplasty. After a recurrence 14 months later, she had a subcutaneous mastectomy in which 2,000 gm more of breast tissue was removed from the brea…
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Mammaplasty with curved incisions.
We present a modification of Pitanguy's technique of mammaplasty. Curved incisions are used and the breast tissue is resected on a horizontal plane. We have done this operation in 130 consecutive mammaplasties and have had no complications.…