유방 Breast

Intraoperative hypothermia is a common yet underrecognized concern in plastic surgery, contributing to increased risks of surgical site infections, coagulopathy, and delayed recovery. This study characterizes intraoperative temperature dyna…

The aim of bilateral breast augmentation (BBA) is not just to enlarge the breast, but to create an aesthetically pleasing enlarged breast. This is an elective surgical procedure, often performed on young healthy women-yet the incidence of r…

For asymptomatic patients with saline implants, no imaging is recommended. If there is suspected saline implant rupture, ultrasound is usually appropriate, though saline implant rupture is often clinically evident. For asymptomatic patients…

Capsular contracture, the most common complication in breast implant surgery, is primarily driven by bacterial biofilm formation. Risk is influenced by surgical factors such as incision choice, implant placement, and sterility. Textured imp…

Capsular contracture (CC) remains a leading cause for reoperation after breast reconstruction. The cause of CC is likely multifactorial, and there are many working theories in the current peer-reviewed literature related to causes. There ar…

[BACKGROUND] Immediate breast reconstruction contributes to comprehensive breast cancer care. Implant-based reconstruction (IBR) accounts for most reconstructive procedures. However, many patients undergo subsequent implant exchange or auto…

[BACKGROUND] Implant-based breast reconstruction is a common procedure after mastectomy; however, postoperative radiotherapy (RT) increases the risk of developing complications such as capsular contracture, infection and implant failure. We…

[PURPOSE] Immediate postmastectomy breast reconstruction in patients with history of breast-conserving surgery and radiotherapy presents unique challenges owing to previous surgical and radiation effects. This study evaluated the outcomes o…

Autologous breast reconstruction using donor-site flaps such as the deep inferior epigastric perforator (DIEP) flap, transverse rectus abdominis myocutaneous (TRAM) flap, latissimus dorsi flap, profunda artery perforator (PAP) flap, and aut…

[BACKGROUND] Multiple perforator deep inferior epigastric perforator (DIEP) flaps demonstrate superior perfusion. The selection of perforators is influenced by several factors, including the number of perforators, the running layer, the ped…

[BACKGROUND] Nipple-sparing mastectomy (NSM) improves aesthetic outcomes but carries a higher risk of ischemic complications, particularly in patients with large, ptotic breasts. This study evaluates whether reduction mammaplasty prior to N…

[BACKGROUND] Breast cancer-related lymphedema (BCRL) is a significant morbidity due to its negative impact on physical, social, and psychological well-being. The objective of this work was to systematically evaluate the evidence for the eff…

[BACKGROUND] Little is known about long-term esthetic outcomes after re-exploration for microvascular compromise in autologous breast reconstruction. We assessed long-term breast volume symmetry and introduced a symmetry-based "true salvage…

[BACKGROUND] Free flap breast reconstruction (FFBR) is a well-established technique for postmastectomy rehabilitation. However, chronic immunosuppressive therapy may compromise wound healing, increase infection susceptibility, and adversely…

[BACKGROUND] Recent research aims to leverage technology to further understand surgical recovery by using continuous data. Traditional metrics of readmission, flap failure, and patient-reported outcome measures are limited by poor accuracy …

[BACKGROUND] Studies evaluating the eligibility of patients with high body mass index (BMI) for free-flap breast reconstruction remain limited. Using a large retrospective database, we analyzed perioperative risks to assess the suitability …

Breast cancer is the most common malignancy in women, with increasing incidence with age. However, surgeons are often hesitant to offer complex surgical reconstruction to the older patient population due to concerns about safety. A query of…

[BACKGROUND] Prediction of flap weight is valuable for surgical planning when using a deep inferior epigastric artery perforator (DIEP) flap for breast reconstruction and may reduce donor site morbidity and perfusion-related problems. The a…