Abstract：
BACKGROUND:There are multitudes of procedures in plastic surgery used to correct hypertrophic and pendulous breasts in patients with heavy and ptotic breasts who need great resections of breast tissue, where the suprasternal notch-to-nipple distance is long and the use of nipple-areola transposition techniques is a challenge for the plastic surgeon. The purpose of this study is to present a technique of reduction mammaplasty that could solve these problems based on the following principles: mammary reduction utilizing a thin superior medial pedicle (0.8-1.5 cm thick) and the resection performed in two steps: (1) the base excess at a plane perpendicular to the breast (this determines the cone's height) and (2) central half keel (this determines the breast diameter reduction). METHODS:Ninety patients with mammary hypertrophy were operated on at the "Hospital das Clínicas," São Paulo University Medical School, between January 2000 and November 2005. Inclusion in this study required a minimum of 12-cm change in nipple position and a 750-g breast resection. RESULTS:The mean change in nipple position was 16 cm (range = 12-21 cm). The mean weight of each breast was 1400 (range = 750-3000 g). Considering the great amount of volume removed and the size of the operated breasts, few complications were observed and were similar to those reported following other techniques described in the literature. Patient satisfaction following this procedure was high. CONCLUSION:The results of this study clearly demonstrate that thin superior medial pedicle reduction mammaplasty is a safe and reliable technique in cases of severe mammary hypertrophy.
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Costa MP,Ching AW,Ferreira MCdoi
10.1007/s00266-008-9163-5subject
Has Abstractpub_date
2008-07-01 00:00:00pages
645-52issue
4eissn
0364-216Xissn
1432-5241journal_volume
32pub_type
杂志文章abstract：:Liposuction or its modifications have become accepted therapy for hyperhidrosis. During the nearly 20 years since its introduction, the actual anatomic removal of sweat glands has not been investigated. In this study, three patients underwent axillary liposuction and histologic examination of the aspirates. Apocrine s...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-006-0192-7
更新日期：2007-01-01 00:00:00
abstract：:The Daguerreotype is an integral part of modern history as artifact and witness to great events and forms the basis on which the first surgical photograph of an amputation was taken in North America, during the Mexican-American War between 1846 and 1847; however, its photographer remains unknown. ...
journal_title：Aesthetic plastic surgery
pub_type： 历史文章,杂志文章
doi：10.1007/BF00437111
更新日期：1993-10-01 00:00:00
abstract：:The double eyelid in the Chinese population is a desirable physical feature, which is now increasingly popular and demands modern up-to-date aesthetic operations for its formation. The author describes 3 types of double eyelid operations, e.g., the ligation method, the incision method, and the skin grafting method. Th...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570847
更新日期：1985-01-01 00:00:00
abstract：BACKGROUND:Massive weight loss after bariatric surgery is associated with significant skin excess, laxity, and ptosis over the abdomen. Good results have been achieved with abdominoplasty and circumferential lipectomy. However, blood transfusions are sometimes needed, and patients may require long hospital stays. Furth...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-005-0126-9
更新日期：2006-01-01 00:00:00
abstract：:A total of 165 patients with varying indications have been treated with Zyderm Collagen Implant. Among these patients, only 4 allergic reactions were found: 3 local and 1 general. Results obtained depend on the type of lesion treated; it is suggested that the treatment of rhytids provides the best indication for colla...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570348
更新日期：1985-01-01 00:00:00
abstract：PURPOSE:This study aimed to introduce a novel approach to study the facial mimetic muscles (FMMs) in relation to the nasolabial fold (NLF) and realize the visualization of complex three-dimensional (3D) structures and spatial relationships of the FMMs. MATERIALS AND METHODS:Nano-computed tomography (nano-CT) and iodin...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01495-2
更新日期：2020-02-01 00:00:00
abstract：:Gender-reassignment therapy, especially for reshaping of the forehead, can be an effective treatment to improve self-esteem. Contouring of the cranial vault, especially of the forehead, still is a rarely performed surgical procedure for gender reassignment. In addition to surgical bone remodeling, several materials ha...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-011-9731-y
更新日期：2011-12-01 00:00:00
abstract：:Since Lamont first presented his hairflap procedure over 15 years ago for correction of frontal baldness, a number of changes and improvements in the technique have taken place. The author presents a one-stage temporo-parieto-occipital flap procedure that has developed from the work of Lamont and Juri. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01597518
更新日期：1984-01-01 00:00:00
abstract：:Reduction mammaplasty is one of the most common procedures performed by plastic surgeons all around the world. This procedure is performed for aesthetic or reconstructive purposes, but also offers the opportunity to examine all resected breast tissue histopathologically. The purpose of this study was to evaluate the h...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-002-1486-z
更新日期：2002-05-01 00:00:00
abstract：:In the past few years the approach to lower blepharoplasty complications has evolved. New and worthy preventive and curative treatments have been suggested for both scleral show and ectropion (operations with or without interruption of the lid margin, mucosal grafts, orbicularis flaps, etc.). Among these, several tech...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900214
更新日期：1998-09-01 00:00:00
abstract：:This article describes procedures for correcting some of the most common deformities after rhinoplasty. Double or triple osteotomies, partial removal of the nasal bones, autogenous cartilage transplantations, and the value of the transplantation of auricular composite grafts are discussed. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01577966
更新日期：1978-12-01 00:00:00
abstract：:The APTOS threading procedure is a relatively new method in antifacial ptosis surgery. The reported cases present a small percentage of minor complications. A 57-year-old woman experienced scarring after APTOS threading. Scar biopsy showed an epidermoid inclusion cyst. Epidermoid inclusion cysts are a potential compli...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-007-9016-7
更新日期：2008-01-01 00:00:00
abstract：BACKGROUND:The zygomatic bone, which is located on both sides of the midface, significantly contributes to the overall facial form. Asian people usually have a wide midface and prominent zygoma. Reduction malarplasty is one of the most frequently performed facial contouring surgeries in Asian countries. This study aime...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-013-0239-5
更新日期：2014-02-01 00:00:00
abstract：:Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 . ...
journal_title：Aesthetic plastic surgery
pub_type： 信件
doi：10.1007/s00266-020-01754-7
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:In Western countries, dorsal hump reduction surgery is prevalent due to the nasal profiles of the patients admitted for esthetic rhinoplasty operations. There are numerous techniques for hump reduction. Currently, dorsal hump reduction techniques that allow the dorsum to be preserved are highly popular. OBJ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01801-3
更新日期：2020-10-01 00:00:00
abstract：:Severely inverted nipples are invaginated deeply and present many aesthetic, functional, and psychological problems. Many methods have been proposed for correction of this deformity. The authors describe a new simple method using two broad triangular areolar dermofibrous flaps. This method affords sufficient tissue to...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-008-9116-z
更新日期：2008-07-01 00:00:00
abstract：:There is a renewed interest in the anatomy of the subcutaneous fat. These studies have been stimulated by the recent clinical popularity of liposuction. Attention has been drawn to the superficial fascia system and to its role in wound healing and in skin contraction. What is the origin of this SFS? This article propo...
journal_title：Aesthetic plastic surgery
pub_type： 社论
doi：10.1007/BF00636259
更新日期：1993-07-01 00:00:00
abstract：BACKGROUND:Autologous fat grafting has been widely used in plastic and reconstructive surgery, but one of the main reasons for limiting its application is the high resorption rate. Platelet-rich fibrin (PRF) is a new generation of platelet concentrate that has recently been used to improve the survival rate of fat graf...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,meta分析
doi：10.1007/s00266-019-01563-7
更新日期：2020-04-01 00:00:00
abstract：:We have treated rhinophyma by a variety of methods during the past 35 years. We describe our current management, which has given the most satisfactory results and fewest problems. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01571333
更新日期：1983-01-01 00:00:00
abstract：BACKGROUND:Very large breasts associated with ptosis frequently present a challenge to the plastic surgeon in choosing the ideal procedure to obtain a satisfactory result. A free nipple graft, which for many represents the best option in these conditions, has many disadvantages. METHODS:The author's method of a superi...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-009-9316-1
更新日期：2009-05-01 00:00:00
abstract：:A description is given of our approach to aesthetic surgery of the ear, based on the concept of the "convex ear" (Figs. 1, 8, 10D, 10F, 10H, 10J, 11B, 12C, 13D) in place of the "three-form ear." Special attention is required regarding the position of the upper pole and the shape, position, and size of the earlobule, i...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900132
更新日期：1997-09-01 00:00:00
abstract：:Three-dimensional (3D) stereophotography area measurements are essential for describing morphology in the periocular region. However, its reliability has not yet been sufficiently validated. The objective of this study was to evaluate the reliability of 3D stereophotogrammetric area measurements in the periocular regi...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-02091-5
更新日期：2021-01-15 00:00:00
abstract：BACKGROUND:The authors report their experience with autologous graft rhinoplasties. METHODS:Data were collected retrospectively, with selection of only autologous grafts from 2,000 rhinoplasties performed at the Plastic and Reconstructive Department of the University of Rome Tor Vergata. RESULTS:A total of 62 patient...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-005-0184-z
更新日期：2006-03-01 00:00:00
abstract：BACKGROUND:Capsular contracture can be an ongoing problem in breast augmentation even with good surgical technique. In the author's practice, a higher incidence of capsular contracture was observed with the use of a periareolar incision than with an inframammary incision. METHODS:A review of breast augmentations perfo...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-007-9061-2
更新日期：2008-03-01 00:00:00
abstract：BACKGROUND:The question of whether expander inflation/deflation status has any bearing on surgical complications in the setting of adjuvant radiation (XRT) has not been addressed. The objective of this study is to investigate whether the inflation/deflation status of the expander at the time of XRT is associated with c...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-017-0864-5
更新日期：2017-06-01 00:00:00
abstract：:We prepared an L-shaped framework using autogenous auricular cartilage and combined this with dermal fat, according to each patient, to graft it in 12 patients with cleft lip nose. Although auricular cartilage is weak on its own, by our method we obtained a strong columella strut and nasal dorsum augmentation at the s...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900251
更新日期：1999-03-01 00:00:00
abstract：BACKGROUND:Several different methods have been proposed for treatment of gynecomastia, depending on the amount of breast enlargement and skin redundancy. The liposuction pull-through technique has been proposed as an efficacious treatment for many gynecomastia cases. This work aims to study the outcome of this techniqu...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-016-0749-z
更新日期：2017-04-01 00:00:00
abstract：INTRODUCTION:In recent years, platelet-rich plasma (PRP) has emerged as a promising autologous biological treatment modality for the use in aesthetic and regenerative medicine. PRP is a high concentration of platelets derived from whole blood which is isolated by centrifugation to separate and concentrate platelet-cont...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,评审
doi：10.1007/s00266-018-1293-9
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:Dual-plane breast augmentation is a popular cosmetic procedure. However, objective evaluations on the effects of dual-plane breast augmentation on breast morphology are lacking. This study evaluated the breast morphological changes and correlative factors after dual-plane anatomic implant augmentation with a...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01665-7
更新日期：2020-12-01 00:00:00
abstract：:Saddle nose reconstruction is based on the use of support grafts to manage aesthetic and functional problems. Bone (calvarial, iliac crest, costal, nasal hump, ulnar, and heterogeneous origin), cartilage (septal, costal, heterogeneous), and synthetic materials (silicon, silastic, polyethylene) were used as support gra...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-002-2056-0
更新日期：2002-11-01 00:00:00
