Abstract:
UNLABELLED:Adipose patients, especially after massive weight loss, pose a challenge to the breast surgeon due to the major loss of volume and the inelasticity of the skin. Rubin described a suitable mammaplasty technique for these patients involving dermal suspension sutures and total parenchymal reshaping. With this technique, the tissue of the prominent axillary skin fold typically found in patients with massive weight loss is used to increase the upper pole volume of the breast. To prove the effectiveness of this technique, the current study compared it with a traditional inverted T-scar technique using a superior pedicle, as described by Höhler. This technique usually is used for a different patient clientele that requires reduction mammaplasty. However, because none of the difficult aforementioned preconditions are found in this clientele, it leads to the best possible outcome and represents the authors’ internal “gold standard” for mammaplasty against which all other techniques must be compared. This study retrospectively analyzed the complication rate, lift effect, and upper pole fullness by chart analysis and photometric analysis of 21 Höhler and 24 Rubin mammaplasties. Despite the more challenging patient clientele in the Rubin groups, both therapies achieved a similar lift effect without significant differences (Höhler 4.8 ± 3.3 cm vs Rubin 6 ± 4 cm). In both groups, the upper pole area increased significantly. The ratio of upper pole-to-lower pole area increased from 1.31 preoperatively to 2.1 postoperatively in the Rubin group, suggesting a redistribution of tissue in favor of the upper pole, and it increased from 1.18 to 1.69 in the Höhler group, indicating an even greater increase in upper pole volume in the Rubin group. In conclusion, the technique described by Rubin, despite the dramatically more difficult soft tissue condition of the patients with massive weight loss, results in an outcome similar to that of a traditional reduction mammaplasty technique in terms of increased upper pole volume. It is suitable and preferable for patients who have a lateral axillary roll deformity and can be applied safely for these patients without increasing the complication rate. LEVEL OF EVIDENCE IV: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_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Eisenhardt SU,Nienhueser H,Braig D,Penna V,Bannasch H,Torio-Padron Ndoi
10.1007/s00266-013-0223-0subject
Has Abstractpub_date
2013-12-01 00:00:00pages
1153-60issue
6eissn
0364-216Xissn
1432-5241journal_volume
37pub_type
杂志文章abstract::We conducted a retrospective study to evaluate the diagnosability of breast tumors after breast reductions as this is a frequent surgical procedure. The data should shed light on the hypothesis that routine screening methods concerning the diagnosis of breast tumors prove more difficult after breast operations. All wo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF02390313
更新日期:1996-09-01 00:00:00
abstract::The role of clinical photography in aesthetic plastic surgery requires it to set high standards for the quality of the photos taken. The comparable portrayal of a series of dynamic changes leaves little room for artefacts. Even very small variations in the pictures may cause drastic changes in the value of clinical ph...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575289
更新日期:1986-01-01 00:00:00
abstract:BACKGROUND:The recent rise in popularity of minimally invasive facial aesthetic procedures has resulted in the overall heightened patient interest in lip rejuvenation. There is a variety of techniques and modifications for surgical upper lip enhancement described in the literature but no single method is considered opt...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01871-3
更新日期:2020-07-16 00:00:00
abstract:UNLABELLED:Breast implants are frequently used for both cosmetic breast augmentation and breast reconstruction after mastectomy. Three companies currently offer FDA-approved breast implants (Allergan, Mentor, and Sientra), but their product offerings-including permanent breast implants, breast tissue expanders, sizers,...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-015-0537-1
更新日期:2015-10-01 00:00:00
abstract::In this invited discussion, we applaud the authors of "Awareness of Facial Asymmetry and Its Impact on Postoperative Satisfaction of Rhinoplasty Patient" for their efforts to reinforce the importance of recognizing facial asymmetry preoperatively in the rhinoplasty patient. They can be applauded for translating this k...
journal_title:Aesthetic plastic surgery
pub_type: 信件
doi:10.1007/s00266-020-02003-7
更新日期:2020-10-15 00:00:00
abstract:BACKGROUND:One-stage augmentation/mastopexy entails the challenge of augmenting breast volume with an implant while resecting excess skin. Although both augmenting and lifting the breast in a one-stage operation is gaining in popularity, its safety and its efficacy are still under debate and merit deeper evaluation. M...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0388-1
更新日期:2014-10-01 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:BACKGROUND:Nasal valve collapse is relatively common with a lifetime prevalence of up to 13%. Etiologies include prior rhinoplasty, other surgical procedures, facial paralysis, congenital defects, trauma, and aging. Internal nasal valve collapse leads to impairment of nasal breathing, which significantly disturbs quali...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-020-02075-5
更新日期:2021-01-05 00:00:00
abstract::The practice of injecting phosphatidylcholine/sodium deoxycholate compounds into subcutaneous fat is growing rapidly. As with any new procedure, a standard of practice should be developed so that practitioners maintain patient safety as the primary goal. Efficacy and predictability of outcome are another priority. As ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-008-9188-9
更新日期:2008-11-01 00:00:00
abstract::The medicinal leech, Hirudo medicinalis, played a central role in the evolution of medieval and folk medicine. Today, for the first time in history, the leech actually has a real and valuable purpose in medicine as a useful adjunct for the plastic surgeon: It provides relief of venous congestion. For over 2000 years, ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570698
更新日期:1992-10-01 00:00:00
abstract:UNLABELLED:Currently, aesthetic and reconstructive surgery of the breast should be considered in terms of contouring, and hence in terms of dimensions. Based on experience performing more than 5,000 breast augmentations with highly cohesive anatomic implants, the authors explore the aesthetic anatomy of the (augmented)...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-013-0190-5
更新日期:2014-04-01 00:00:00
abstract::The removal of certain facial-bone defects is a prerequisite to restoration of function, stability, and appearance. Synthetic bone substitutes are beneficial in cases where other operative techniques would be an unacceptable burden for a patient. Satisfactory results can be achieved in one surgical intervention with l...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-002-1032-z
更新日期:2002-07-01 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:This study evaluates the impact of different hump takedown techniques, namely the conventional hump resection with midvault reconstruction, the push-down (PD) and the let-down (LD) procedures, on the INV dimensions. METHODS:In this cadaveric study, six heads were divided randomly into either the conventiona...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01627-z
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:Van der Woude syndrome (VWS; OMIM 119300) is an autosomal dominant developmental malformation presenting with bilateral lower lip pits related to cleft lip, cleft palate, and other malformations in about half the patients. These congenital lip pits appear clinically as a defect in the vermilion border of the...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-007-9027-4
更新日期:2008-01-01 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::Reports on rhinoplastic sequelae are infrequent. Reported incidence rates vary from 5% to 12%. The authors have an overall rate of 8%, with 6.5% of cases involving slight sequelae and 1.5% moderate ones. Various techniques for correction are used, depending on the sequel. Silastic implants have been unsatisfactory ove...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570667
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Cosmetic surgery is no longer just for females. More men are opting for cosmetic procedures, with marked increases seen in both minimally invasive and surgical options over the last decade. Compared to females, relatively little work has specifically focused on factors predicting males' attitudes toward cosm...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0882-3
更新日期:2017-12-01 00:00:00
abstract::Various techniques are used to repair circular defects in special positions on the face. Simple closure will yield unsatisfactory results because of skin tension. As an ideal method of reconstruction, various flaps are used to provide a versatile and safe alternative. The authors applied double opposing-rhomboid flaps...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9237-4
更新日期:2009-07-01 00:00:00
abstract::Several methods for the treatment of scar keloids have been reported. In this article, use of a 1-mm-thick silastic sheet placed over the scar keloid for 8-12 hours daily is reported. This procedure produced better results than the so-called pressure method. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01576921
更新日期:1988-05-01 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::The author emphasizes and clarifies some disputed anatomical points based on topographical histological studies of the superficial muscular and fibrous layers of the face and neck, made in 8 cadavers, 6 human fetuses, 3 monkeys, and 42 surgical specimens. The findings in this anatomical study should make certain plast...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575505
更新日期:1987-01-01 00:00:00
abstract::While blindness after hyaluronic acid gel filler injection occurs only very rarely, it represents a devastating complication for the patient and the surgeon. Retrobulbar injection with hyaluronidase is the only known potential means of reversing this adverse event. However, positive outcomes remain anecdotal. We have ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-019-01388-4
更新日期:2019-08-01 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::Obesity is a serious problem in our century. Nowadays, the incidence of obesity has been increased to 35%. Two common methods for surgical treatment of obesity are surgical lipectomy and ultrasound-assisted liposuction (UAL). This study included 40 patients in two groups, 20 patients in the surgical lipectomy group an...
journal_title:Aesthetic plastic surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1007/s00266-003-0085-y
更新日期:2003-03-01 00:00:00
abstract::Augmentation mammaplasty is generally associated with a high degree of patient satisfaction, but many studies now suggest that silicone gelfilled implants leak and that free gel migrates. A series of saline-filled augmentations is presented with technique that results in a small and inconspicuous incision and superior...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01577868
更新日期:1979-12-01 00:00:00
abstract:BACKGROUND:Anterior septal height is an important determinant of nasal tip projection. Accordingly, the anterior septal extension technique has proven itself to be a powerful tool for achieving long-lasting nasal tip projection in rhinoplasty. However, anterior septal extension does not protect against postoperative lo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0307-5
更新日期:2014-04-01 00:00:00
abstract:BACKGROUND:Ectopic primary carcinoma of breast tissue is a rare entity, and its diagnosis often is delayed. The axilla is the most common site involved. The Limberg flap as a random flap is easy and practicable for coverage of many defects including those involving the axilla. In the reported case, the vascularity of t...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9218-7
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Lipoabdominoplasty is nearly a daily aesthetic procedure. Despite the emergence of laser-assisted liposuction, to date, it has not been clearly evaluated combined with abdominoplasty. This prospective study aimed to evaluate the effectiveness and safety of laser-assisted liposuction relative to traditional l...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00266-013-0242-x
更新日期:2014-02-01 00:00:00
abstract::The estimation of breast implant size in both aesthetic and reconstructive surgery often is a matter of clinical and intraoperative trial and error, with subsequent differences in the resulting postoperative outcomes. Numerous techniques for preoperative estimation of implant size are in current use. However, although...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-007-9045-2
更新日期:2008-01-01 00:00:00