피막구축 Capsular Contracture
보형물 주변의 피막이 두꺼워지는 합병증
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Current practices and perspectives on gender-affirming breast and chest wall surgery in the Nordic region: An overview.
This narrative review provides an in-depth description of gender-affirming breast surgery within the context of publicly funded healthcare systems in the Nordic countries. A comprehensive literature search was conducted in collaboration wit…
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Three-Dimensional Concept in Simultaneous Periareolar Augmentation-Mastopexy.
[BACKGROUND] Breast ptosis commonly arises from tissue laxity associated with aging, weight fluctuations, pregnancy, or lactation, often accompanied by upper-pole volume depletion. Post-lactational atrophy further exacerbates ptosis, causin…
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Implant Pocket Plane Selection in Primary Breast Augmentation: A Meta-Analysis and Systematic Review of Complication Profiles.
[BACKGROUND] Implant pocket selection is a key determinant of safety and aesthetic outcomes in primary breast augmentation. Despite the widespread use of subglandular, subfascial, submuscular, and dual-plane techniques, no clear consensus e…
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Integration of Breast Reconstruction and Radiation: How the Proton-Photon Debate Exposes Methodological Gaps, Analytical Bias, and Lack of Consensus.
For breast cancer patients undergoing mastectomy and reconstruction, postmastectomy radiation therapy jeopardizes reconstruction outcomes, yet no universal consensus exists for integrating postmastectomy radiation therapy with breast recons…
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Risk factors for capsular contracture: a study of 91 537 breast implants over 6 years from the Australian Breast Device Registry.
[BACKGROUND] Capsular Contracture (CC) is a key downstream complication of breast implant surgery captured by breast implant registries worldwide. A number of factors have a been linked to CC development including smooth implants and bacter…
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Multidisciplinary approaches for the prevention and management of capsular contracture: a review of clinical, pharmacological, and biomaterial-based strategies.
Capsular contracture (CC) is the most frequent complication associated with silicone-based breast implant surgery and often leads to multiple revision surgeries. The implantation of a foreign object triggers the formation of a fibrous capsu…
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The Impact of Irrigating Solutions on the Tensile Strength of Silicone Breast Implants: A Comparative In Vitro Analysis for Intraoperative use.
The durability of silicone breast implants is critical for successful aesthetic and reconstructive outcomes. Intraoperative breast pocket irrigation is routinely performed to reduce infection and capsular contracture, but the effect of comm…
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Modern Approaches to Aesthetic Breast Surgery: A Review of Augmentation, Mastopexy, and Fat Grafting.
Current trends in cosmetic breast surgery have shifted toward more balanced and natural-appearing aesthetic enhancements. Surgical planning for these procedures requires a nuanced understanding of patient goals, anatomy, implant selection, …
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The Tipping Point: Predictors of Implant Flipping in Staged Breast Reconstruction.
[INTRODUCTION] Surgeon preferences in implant-based reconstruction have increasingly favored firmer gel implants for their superior stability, reduced gel bleed, and lower capsular contracture rates. However, this has paralleled an increase…
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Tissue-preserving Inframammary Fold Breast Augmentation: A Three-year Clinical Experience.
[BACKGROUND] Breast surgery often compromises structures, potentially leading to complications that affect aesthetic outcomes, lactation, breast tissue health, and the patient experience. Tissue-Preserving Breast Augmentation (TPBA) is a no…
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Shape-memory polyurethane foam integrated with nanofiber technology: synergistic efficacy in reducing the risk of capsular contracture and infection in breast reconstruction applications.
Implant-based breast reconstruction is frequently complicated by capsular contracture and surgical-site infection. Current mesh materials are unable to effectively address these complications due to inherent limitations. This study introduc…
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Neutrophil- and Platelet-to-Lymphocyte Ratios as Predictive Markers for Capsular Contracture after Immediate Implant-Based Reconstruction.
[BACKGROUND] Capsular contracture remains a significant complication of nipple-sparing mastectomy(NSM) with immediate direct-to-implant(DTI) reconstruction. Although local inflammation is known to contribute to its development, the role of …
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The Relationship of Radiation Therapy Parameters and Perioperative Morbidity and Toxicities on Breast Reconstruction Outcomes.
[BACKGROUND] Postmastectomy radiation therapy (PMRT) is a key component of breast cancer care, reducing locoregional recurrence in appropriately selected patients. Concurrently, use of mastectomy with implant-based breast reconstruction has…
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"A Systematic Review and Meta-Analysis of 11,686 Breasts Undergoing Transaxillary Augmentation: Why Leave a Trace When You Can Go Invisible?".
[BACKGROUND] Breast augmentation (BA) is one of the most commonly performed plastic procedures worldwide. The transaxillary approach (TAA) has gained popularity for avoiding visible breast scars. Despite its increasing adoption in the clini…
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Beam me later: Prepectoral vs subpectoral breast reconstruction before postmastectomy radiotherapy - A systematic review and meta-analysis.
[AIM] To compare postoperative complications between prepectoral and subpectoral immediate implant-based breast reconstruction (IBBR) in patients receiving postmastectomy radiotherapy. [METHODS] This systematic review and meta-analysis wer…
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A Modified Anatomic Front and Back (ANAFAB) Approach Combined Lunate Excision in a Case of Chronic Neglected Lunate Dislocation.
[BACKGROUND] The treatment of neglected chronic lunate dislocations is controversial while open reduction of lunate was often not available in the situation. Lunate excision, partial wrist fusion, or proximal row carpectomy (PRC) were recom…
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Bilateral Breast Implant-Associated Epstein-Barr Virus-Positive Diffuse Large B-Cell Lymphoma: A Case Report and Literature Review.
[OBJECTIVE] Breast implant associated anaplastic large cell lymphoma with a single T cell clone is an uncommon complication especially related to implants with a textured surface. Moreover, there are few reports of breast implant-associated…
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Augmentation Mastopexy: A Personalized Technique on 200 Patients.
[BACKGROUND] Augmentation mastopexy is a complex and technically demanding procedure that addresses breast ptosis and volume deficiency simultaneously. It requires careful planning, precise surgical techniques, and customization to each pat…
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TRAM Flap Plus Fat Grafting: A Hybrid Solution for Natural Breast Augmentation.
[BACKGROUND] Implant-based breast augmentation remains widely practiced but is increasingly scrutinized due to complications such as rupture, capsular contracture, and breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). Fat…
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Breast Capsule Thickness and Clinical Capsular Contracture: A Systematic Review and Meta-Analysis.
[BACKGROUND] Capsular contracture is a leading cause of morbidity after breast augmentation and often necessitates reoperation. This study analyzes the association between breast capsule thickness and severity of capsular contracture, disti…