Abstract:
BACKGROUND:This study aimed to examine serial operative trends with patients who have experienced surgical implant deflation. In addition, the economic impact of deflation on practice caseload was analyzed. METHODS:A retrospective review was conducted to examine patients who experienced deflation from 2000 to 2007. Patient demographics, implant data, and the presence of secondary (performed at explantation) or tertiary (performed later) procedures were examined. Financial information was tabulated to determine the economic multiplier effect (i.e. the expected value of revenue from secondary and tertiary procedures divided by explantation cost) of taking on deflation cases in a practice. RESULTS:For this study, 285 patients with an average age of 38.4 years were identified. The average time to explantation was 50 months. Slightly more than half of the patients (55%) had both implants replaced at the time of explantation, whereas 59% switched to silicone implants and 41% continued with saline implants. A larger implant was chosen by 54% of the patients (average increase, 82 ml), whereas 18% underwent secondary procedures at the time of explantation including mastopexy (n = 22), facial rejuvenation (n = 8), liposuction (n = 7), or a combination of the two (n = 8). Tertiary procedures were performed for 31% of the patients after their explantation/reimplantation (average time frame, 13 months). The tertiary procedures included replacement with silicone (33.7%), liposuction (24.7%), abdominoplasty (11.2%), facial rejuvenation (13.5%), or nonsurgical rejuvenation using Botox, Restylane, or laser procedure (33.7%). Economic multiplier analysis showed that the financial impact of revenue derived from implant deflation on downstream practice revenue is 1.02. CONCLUSION:At the time of explantation, replacement with silicone after saline deflation is common (59% of patients). In this study, patients who chose replacement with saline had a significant tendency to replace with silicone (33%) as a tertiary procedure. Saline deflation represents a substantial opportunity for practice development. In particular, it has a positive impact on patient retention for additional aesthetic surgical or nonsurgical procedures. Economic multiplier analysis can be used to quantify the financial impact of saline deflation.
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Stevens WG,Pacella SJ,Hirsch E,Stoker DAdoi
10.1007/s00266-008-9235-6subject
Has Abstractpub_date
2009-01-01 00:00:00pages
54-7issue
1eissn
0364-216Xissn
1432-5241journal_volume
33pub_type
杂志文章abstract:OBJECTIVE:To investigate the effect of the stromal vascular fraction (SVF) on changes in melanin formation and tyrosinase activity in B16 cells treated by 3-isobutyl-1 methylxanthine (IBMX) and to explore the mechanism of SVF-mediated inhibition of pigmentation. METHODS:We co-cultured extracted SVFs and B16 cells trea...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01439-w
更新日期:2019-10-01 00:00:00
abstract::: Complications of female abdominoplasty are well known. Males prone to centripetal obesity may have minimal subcutaneous fat and significant hypogastric skin laxity making them apparent good candidates for abdominoplasty. We describe a case of severe gastroesophageal reflux following male abdominoplasty presumably se...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00449256
更新日期:1996-11-01 00:00:00
abstract:BACKGROUND:Asian patients often desire reduction of the base and alar lobules of the Asian mesorrhine nose. Sill excision is commonly used, but may result in an angular or notched nostril rim. METHODS:We developed an internal method of alar base reduction involving triangle flaps for sill resection. This method avoids...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-016-0676-z
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Overresection of the lower lateral cartilages to narrow the tip in individuals with thick skin is a common mistake with functional and aesthetic consequences. The most frequent deformities are external valve dysfunction, alar retraction, alar pinch, tip asymmetry, lack of tip definition, and parrot beak defo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9267-y
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Upper blepharoplasty is indicated in Asians for double-eyelid fold creation, periorbital rejuvenation, and functional visual field improvement. This article introduces a technical classification for blepharoplasty methods and investigates approaches to evaluate its outcomes. METHODS:Of 535 patients undergoi...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-016-0747-1
更新日期:2017-02-01 00:00:00
abstract::In completing a satisfactory repair of the prominent ear, the shape of the antihelical fold is often the key to the aesthetic outcome. Correction involves not just creating a fold in the antihelix but also establishing a smooth sweep or antihelical curve anterior to posterior as well. The essential components describe...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00444251
更新日期:1994-01-01 00:00:00
abstract::Numerous techniques, including double opposing Z-plasty, have been introduced to repair traumatic cleft earlobes and break the linear scar. Even with multiple operative methods available for repairing traumatic cleft earlobe, notable scar contractures and dimpling of the earlobe border remain in some cases. The author...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-013-0206-1
更新日期:2013-12-01 00:00:00
abstract::The use of autologous fat for implantation has recently received renewed attention in the plastic surgery literature. Autologous fat reportedly has been used for the treatment of wrinkles and Romberg's disease, and for buttock and breast augmentation. While some measure of success has been achieved, many surgeons repo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01578349
更新日期:1990-07-01 00:00:00
abstract::Reduction mammoplasty in patients with gigantomastia has traditionally been performed by a technique involving free nipple grafting. These patients usually have only a small amount of breast tissue above the inframammary fold and therefore this type of procedure has often left patients with an insufficient amount of s...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900284
更新日期:1999-07-01 00:00:00
abstract::Surgical correction of the ptotic or hypertrophic breast is performed with increasing frequency. Many different techniques are widely practiced and give predictably reliable results. Greater consideration needs to be given to the long-term aesthetic results, breast shape, quality of scars, and preservation of nipple s...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01572784
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:With the global increase in the use of injectable fillers, more cases with serious adverse events such as skin ischemia and vision loss are being reported. This article aims to review the role of HA fillers, as a subgroup separate from fat graft and non-HA fillers, in causing vision loss and to elucidate var...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01562-8
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:In Mediterranean countries, increased exposure to sunlight accelerates aging of the skin and the formation of wrinkles. The long-term follow-up results for the patients who underwent resurfacing with ultrapulsed carbon dioxide (CO(2)) laser are presented. METHODS:All 47 patients who underwent ultrapulsed CO...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-004-3100-z
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:The aim of this study was to compare long-term clinical and patient-reported outcomes in terms of satisfaction and health-related quality of life (HRQoL) following postmastectomy breast reconstruction using BREAST-Q in patients undergoing implant-based reconstruction, abdominal-based autologous reconstructio...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01926-5
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:One of the most popular surgical cosmetic procedures, breast augmentation, has enjoyed large acceptance in the last few decades. One of the most important factors in the dynamics established between the implants and the soft tissues after breast augmentation is the pocket plane. Surgeons have been seeking th...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9141-y
更新日期:2008-05-01 00:00:00
abstract::A new method of immobilizing nasal implants is the creation of a strong fibrotic reaction with sewn polyester (Dacron) felt. It has been applied to saddle nose deformity, as well as maxillary retrusion of flat nasal tip. Over a period of 15 years in a large number of cases, the complications have been only a temporary...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575205
更新日期:1980-12-01 00:00:00
abstract:BACKGROUND:Lipoinjection is a promising treatment but has some problems, such as unpredictability and a low rate of graft survival due to partial necrosis. METHODS:To overcome the problems with lipoinjection, the authors developed a novel strategy known as cellassisted lipotransfer (CAL). In CAL, autologous adiposeder...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01819-7
更新日期:2020-08-01 00:00:00
abstract::The purpose of this study was to evaluate the histologic changes that occur after dermabrasion and chemical peel in an animal model that has been pretreated with topical Retin-A. Since human skin and guinea pig skin are very similar in architecture, pretreatment of the latter with Retin-A may reflect what would occur ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00451097
更新日期:1995-05-01 00:00:00
abstract:BACKGROUND:Increased scrotal laxity is a poorly defined entity often associated with discomfort while wearing loose clothes, walking, doing sports and during intercourse. In our experience, this condition is produced by an enlarged scrotal bag hanging more than 1-2 cm below the tip of the penis and can be associated wi...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01998-3
更新日期:2020-10-14 00:00:00
abstract::There have been many important analyses of prosthesis selection, techniques of implantation, and subpectoral or subglandular pockets, but only a few studies comparing and discussing the different approaches. The best incision must achieve a good and simple approach to the retromammary location, subpectoral or subgland...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900314
更新日期:1999-11-01 00:00:00
abstract::Implants from Poly Implant Prothése (PIP), the French manufacturer, showed increased risk of implant rupture and silicone leakage through the shell. Concerns also exist about the potential irritant behavior of silicone gel filler in these implants. This report presents the clinical, histologic, and microbiologic chara...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-013-0196-z
更新日期:2013-10-01 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:INTRODUCTION:Psychological factors play a major role in the tendency toward cosmetic surgery. Variety seeking, making changes in one's face and reducing apparent dissatisfaction, improving body image and increasing sexual self-esteem can be considered as some psychological aspects of cosmetic surgery. The present study...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01336-2
更新日期:2019-06-01 00:00:00
abstract::Body-contouring aesthetic surgery focused on the gluteal region has been increasingly in demand. This article aims to describe the surgical technique, the results, and the complications for 28 women who underwent endoscopically assisted gluteoplasty using high-profile, high-cohesion round silicone implants between 199...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0256-8
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:Plastic surgeons are always concerned about integrity of facial vascularization in smokers and elderly candidates for face-lifting. Using Doppler ultrasound, this study aimed to evaluate influence of chronic smoking and aging on facial transverse and infraorbital artery blood flow. METHODS:For this study, 4...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0171-z
更新日期:2007-09-01 00:00:00
abstract::Mammaplasty for patients who have experienced massive weight loss involves some concepts that differ from those that apply to mammaplasty for normal patients. Breast anatomic characteristics make this procedure a very challenging situation. The authors present their experience with a new mammaplasty technique using an...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-007-9062-1
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:The eye area plays an important role in the assessment of a person. Although plastic surgery in this area is quite common, only a few studies have evaluated the features that create an attractive eye. This study aimed to determine whether a preference exists for a certain eye axis. METHODS:The stimulus mate...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9180-4
更新日期:2008-11-01 00:00:00
abstract:INTRODUCTION:Infantile haemangioma is the most common childhood tumour. These tumours can cause significant functional and cosmetic problems. While there are many treatment modalities, propranolol is increasingly being recognised as the first-line treatment of problematic haemangiomas. This study investigates the use o...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-015-0557-x
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Direct brow lift surgery remains popular among Asian women despite its disadvantages. The traditional direct brow lift by a supra-brow incision is not suitable for Asian women because of their unique facial features, such as higher eyebrows, wider upper eyelids, and more orbital fat. Therefore, we designed a...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-016-0632-y
更新日期:2016-06-01 00:00:00
abstract::Botulinum toxin prevents acetylcholine release at motor nerve terminals. Group B vitamins (B-vit) are essential for proper nerve function. The present study addresses the question of whether B-vit accelerate recovery in rat skeletal muscle after botulinum toxin A (Btx-A) injection. Forty-four adult male Wistar albino ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-012-9873-6
更新日期:2012-06-01 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