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 superior pedicle flap allows for very long flaps, in some cases over 40 cm, and breast ptosis with the nipple at more than 55 cm from the suprasterna notch with preservation of the circulation to the nipple-areola complex. This procedure has been developed and modified from the French oblique method of Dufourmentel and Mouly converted to an inverted T, while the glandular resection is performed in a keel fashion behind the areola to house and give room for these very long flaps without undue compression on them and endangering the blood supply to the areola-nipple complex. RESULTS:The method is described in detail, the early and late results presented, and advantages and disadvantages discussed. It has stood the test of time as it has been used regularly for more than 20 years and has become our standard method. CONCLUSION:The method presented is especially suitable for very large breasts with ptosis; however, excellent results are also achieved for all other degrees of ptosis, with very little modification in the procedure needed to suit different breast sizes and shapes. Most of the time we obtain a pleasing and attractive breast. This method rarely resulted in complications and never required a blood transfusion.
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Gheita Adoi
10.1007/s00266-009-9316-1subject
Has Abstractpub_date
2009-05-01 00:00:00pages
461-70issue
3eissn
0364-216Xissn
1432-5241journal_volume
33pub_type
杂志文章abstract::A simplified technique for surgical correction of prognathism, consisting of an angled or L-shaped osteotomy in the mandibular ramus starting from the sigmoid notch and ending on the posterior border of the ascending ramus, has been performed on 365 patients. Modifications of the procedure allow for concomitant correc...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575238
更新日期:1980-12-01 00:00:00
abstract:BACKGROUND:This study aimed to explore the treatment of capsular contracture after augmentation mammaplasty by insertion of a breast prosthesis anterior to the original capsule. METHODS:Through transaxillary or submammary incisions and small capsular incisions, 14 patients (18 breasts) with Baker grades 3 and 4 capsul...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9733-9
更新日期:2011-12-01 00:00:00
abstract::In the past decade, the number of patients demanding rhinoplasty has increased, and this has increased the use of grafts. Although different materials are used as grafts, cartilage is the most popular one. In secondary rhinoplasties the need for cartilage is very frequent. The most suitable cartilage grafts are the on...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-002-1475-2
更新日期:2002-03-01 00:00:00
abstract::Revision rhinoplasties and saddle nose deformities usually require grafting for reconstruction. Between January 1, 2000, and January 1, 2017, autologous rib grafts were used in 127 secondary and tertiary rhinoplasty patients [(57/127 females) and (70/127 males)]. Osseous-cartilaginous rib grafts (OCRGs) were divided i...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0916-x
更新日期:2017-10-01 00:00:00
abstract:PURPOSE:Puerperal breast abscess after polyacrylamide hydrogel (PAAG) augmentation mammoplasty can induce breast auto-inflation resulting in serious consequences. Mammography, ultrasound, and conventional MRI are poor at detecting related PAAG abnormality histologically. We evaluated the value of diffusion-weighted ima...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0442-z
更新日期:2015-02-01 00:00:00
abstract:UNLABELLED:Capsular contracture remains a major complication after reconstructive or aesthetic breast augmentation. Formation of capsular fibrosis is a multifactorial process. An initial inflammatory reaction appears to be key to the development of capsular contracture. Recent studies have shown that pulsed acoustic ce...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-013-0235-9
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Surgery of the abdominal cavity may lead to postoperative defects to the ventricular segment of the abdominal wall. The reconstruction of these defects, especially in the area of the median line, represents an issue during the course of healing due to the role of the abdominal cavity in respiratory processes...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-016-0626-9
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:The scroll area of the nose is important for breathing; thereby, its reconstruction can improve the nasal patency. OBJECTIVE:To evaluate the effect of scroll reconstruction on breathing in patients following open rhinoplasty. METHODS:Using the prospective controlled study design, we enrolled a cohort of pa...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-02125-y
更新日期:2021-01-28 00:00:00
abstract:UNLABELLED:In cosmetic clinical practice, many patients express the desire for removal of melanocytic nevi, especially those on the face. The carbon dioxide (CO2) laser currently is the preferred for treatment of such lesions because of less scar formation, less bleeding, and simplicity of the procedure. However, if th...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0303-9
更新日期:2014-04-01 00:00:00
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 cha...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9163-5
更新日期:2008-07-01 00:00:00
abstract:BACKGROUND:Botulinum toxin A (BTX-A) is a medical product that is used widely in cosmetics, and concern over the safety profile has increased among injectors and patients. OBJECTIVE:The purpose was to enhance the statistical effect size using a meta-analysis to detect the incidence rate of adverse events (AEs) in the ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00266-016-0682-1
更新日期:2016-10-01 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::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:BACKGROUND:Implants with a polyurethane foam cover have been used by plastic surgeons since Ashley described them in 1970. Overwhelming evidence confirms the benefits of these implants, especially the extremely low incidence of capsular contracture (grades 3 and 4, Baker classification). On the other hand, except for a...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9826-5
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:Numerous methodologies and algorithms have been suggested to enhance fat graft survival, including the usage of stromal vascular fraction (SVF) and platelet-rich plasma (PRP), but no long-term studies are available. OBJECTIVES:This single-center prospective, case-controlled study investigated the safety and...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-015-0533-5
更新日期:2015-12-01 00:00:00
abstract:UNLABELLED:Abdominoplasty is a frequent operative procedure among patients with massive weight loss following laparoscopic adjustable gastric banding (LAGB) surgery. After abdominoplasty, patients are carefully monitored and usually discharged from the clinic after overnight hospitalization. We report a case of acute e...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-012-0021-0
更新日期:2013-02-01 00:00:00
abstract:INTRODUCTION:The severe postpregnancy diastasis of recti muscles causes a biomechanical alteration of the statics of the trunk and an unaesthetic bulging of the abdominal wall. This is always combined with cutaneous and subcutaneous excess, which is different on a case-by-case basis. There is not a consensus on the bes...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01991-w
更新日期:2020-10-27 00:00:00
abstract:BACKGROUND:There have been several reports of patients experiencing cerebral embolisms following the injection of autologous fat into the face during cosmetic surgery. These embolisms likely resulted from unintentional introduction of fat particles into facial arteries, which then reached the cerebral arteries by retro...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-018-1265-0
更新日期:2019-04-01 00:00:00
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. Pa...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9235-6
更新日期:2009-01-01 00:00:00
abstract::A modification of the standard periareolar incision is described. It provides better access for augmentation mammoplasty and gynecomastia, as well as allowing for correction of asymmetry in the size and siting of the nipple-areola complex. Finally, it achieves a very slight tightening of the skin envelope in cases of ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01571118
更新日期:1983-01-01 00:00:00
abstract::In this paper we present our procedure for the treatment, histopathological diagnosis, and resection of skin cancer in the nasal pyramid and its subsequent reconstruction. Because we are dealing with the most important anatomical feature of the face our goal is an aesthetic reconstruction [2,4] according to the anatom...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002660010135
更新日期:2001-07-01 00:00:00
abstract::Is aesthetic surgery a business guided by market structures aimed primarily at material gain and profit or a surgical intervention intended to benefit patients and an integral part of the health-care system? Is it a frivolous subspecialty or does it provide a real and much needed service to a wide range of patients? A...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-020-01821-z
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Hypertrophic scar is the abnormal appearance of wound healing that usually causes major physical, psychological, and cosmetic problems. Treatment of the hypertrophic scar still is a dilemma due to the lack of effective and excellent methods and agents. Recent reports show that botulinum toxin type A (BTX-A) ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00266-009-9334-z
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:The increasing demand for further aesthetic outcome improvement in implant-based breast reconstruction after nipple-sparing mastectomy (NSM) leads to major novelties, including endoscopic and robotic NSM with the aim to limit scar visibility. In this paper, we report our experience with a novel and simplifie...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01792-1
更新日期:2020-10-01 00:00:00
abstract::Based on prior experience with implant exposure, an aggressive regimen to eradicate periprosthetic infections has proven successful in delayed gram-positive and gram-negative bacterial infections and in atypical microbacterial infections. The objective of the "salvage" procedure is to retain a prosthesis, to maintain ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570333
更新日期:1985-01-01 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::Dermatofibrosarcoma protuberans is a rare soft tissue cancer of the skin with the potential for intermediate malignity, characterized by local invasion and recurrence. Presenting with local atrophic and sometimes erythematous plaques, these lesions are best treated with surgery in which large excisions are necessary t...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-003-0107-9
更新日期:2003-03-01 00:00:00
abstract::The liposuction technique has changed greatly over the years. In 1989, the authors presented subdermal superficial liposuction which treats the superficial fat layer and yields better skin retraction. With this technique the surgeon can treat thin adipose layers to obtain better results in more cases than the traditio...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/BF00209305
更新日期:1995-01-01 00:00:00
abstract:BACKGROUND:Rhinoplasty and rhinoseptoplasty are very important and complex surgical procedures because the nose plays a pivotal aesthetic role in the face and an important functional role in breathing. Mild bulbous, plunging, undefined tips are very common, and tip refining and repositioning often are required surgical...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9839-0
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND:Malar mounds may be accentuated by chronic lid edema, with the development from malar edema to malar mounds and finally to malar festoons. Because standard techniques do not seem effective and not specifically proposed for the treatment of malar festoons, subperiosteal vertical upper-midface lift associated ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9650-3
更新日期:2011-08-01 00:00:00