Abstract:
BACKGROUND:Microvascular reconstruction provides natural, lasting breasts that can be integrated easily into body image but most thin patients are often not ideal candidates because of inadequate donor-site volume. The purpose of this study was to present our experience in delayed augmented DIEP flaps with large fat-volume transfer. METHODS:From 2010 to 2014, 20 consecutive patients were prospectively enrolled for delayed fat-graft-augmented DIEP flaps (active group, AG) and matched with a control group (CG) submitted to the same procedure without fat-injection. Patient's age, mastectomy and flap weight, number of take-backs to the theater for secondary procedures, total treatment period (TTP), and complications were collected and analyzed. Patient and surgeon surveys rated aesthetic outcomes. Continuous and categorical variables were analyzed using student t test and Kruskal-Wallis test, respectively. A value of p ≤ 0.05 was considered statistically significant. RESULTS:The groups did not differ in age and mastectomy weight (p > 0.05). The AG had a smaller BMI and flap weight (p < 0.05). Comparison of the mean number of take-backs (1.5 in AG vs. 1.4 in CG) and mean TTP (8.6 months in AG vs. 8.9 months in CG) did not show a significant difference (p > 0.05) between groups. Volume, upper/lower-pole shapes, projection, breast mound placement, IMF, symmetry, overall appearance, and general satisfaction sub-items obtained high-score evaluation without a significant difference between groups (p > 0.05). CONCLUSION:Delayed fat-graft-augmented DIEP flaps can be offered to patients with insufficient donor-site volume and medium/large breasts. In comparison with the same technique without fat grafting, no additional take-backs and no prolonged TTP were required to achieve pleasing aesthetic results. LEVEL OF EVIDENCE III: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
Laporta R,Longo B,Sorotos M,Pagnoni M,Santanelli di Pompeo Fdoi
10.1007/s00266-015-0475-ysubject
Has Abstractpub_date
2015-06-01 00:00:00pages
339-49issue
3eissn
0364-216Xissn
1432-5241journal_volume
39pub_type
杂志文章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::To ensure the best results from aesthetic breast augmentation, preoperative evaluation and adequate patient information are essential. However, assessment of the underlying thoracic shape often is neglected. Patients with obvious deformities are aware of the problematic reconstruction, whereas patients with mild or mo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9520-z
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND:Although reduction malarplasty is a well-accepted procedure for Asians with prominent cheek bones, some patients are not fully satisfied with the outcomes and request further surgery. This is because much attention on the contouring procedure has focused on the position of the zygomatic body and arch. As a r...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01342-4
更新日期:2019-06-01 00:00:00
abstract:CONCLUSIONS:With most methods, it is possible to obtain a good breast shape as an immediate postoperative result. The question is whether the satisfactory shape is permanent.The 7-year evaluation of the method described here has confirmed the safety of the procedure as well as the satisfactory conic breast shape it ach...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01577935
更新日期:1978-12-01 00:00:00
abstract::Seventy-seven cases of delayed or inadequately treated zygoma fractures, treated between 1977 and 1999 in the Maxillofacial Surgery Division of the La Sapienza University in Rome, are presented. The functional and aesthetic problems caused by this pathology are analyzed. The results achieved resolve some of the variou...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-002-1484-1
更新日期:2002-03-01 00:00:00
abstract::The author emphasizes the close cooperation between U.S. plastic surgeons and the first international journal entirely devoted to plastic surgery, the Revue de Chirurgie Plastique (1931-1934) later to become the Revue de Chirurgie Structive (1935-1938) published under the editorship of Maurice Coelst, M.D. from Brusse...
journal_title:Aesthetic plastic surgery
pub_type: 历史文章,杂志文章
doi:10.1007/s002669900244
更新日期:1999-01-01 00:00:00
abstract:UNLABELLED:Borderline personality disorder (BPD) is a common axis II disorder associated with a high risk of impulsivity and self-injury. Several authors have suggested that individuals with BPD are poor candidates for plastic surgery. Recent changes in the Diagnostic and Statistical Manual of Mental Disorders, Fifth E...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-014-0396-1
更新日期:2014-12-01 00:00:00
abstract:INTRODUCTION:Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare and recently described type of peripheral T-cell lymphoma. Fewer than 550 cases have been reported worldwide. Although BIA-ALCL is usually indolent, early diagnosis and treatment have been shown to improve outcome. CASE DESCRIPT...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-018-1204-0
更新日期:2018-12-01 00:00:00
abstract::Craniofacial surgery, developed by Paul Tessier, has shown that subperiosteal undermining and lifting of the soft tissues of the upper two-thirds of the face results in an excellent and long-lasting rejuvenated look to the entire face. The result is significantly more durable and longer lasting than the classic subcut...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF02273874
更新日期:1991-10-01 00:00:00
abstract::An innovative liposuction technique using a laser device is presented. It is a precise method, less traumatic than the conventional one. The interaction between the laser and the adipocyte causes lipolysis with reduced bleeding and its effect on collagen tone promotes collagen retraction and skin shrinkage. The result...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-002-1510-3
更新日期:2002-09-01 00:00:00
abstract::Masseteric hypertrophy occurs frequently among Asians, including Koreans, because of racial characteristics and dietary habits. It is thought to be an unpleasant feature, especially because of its strong and masculine impression. Recently, the authors developed a method for the volumetric reduction of hypertrophied ma...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0151-3
更新日期:2007-01-01 00:00:00
abstract::Basing our work on ideal aesthetic features of the feminine figure and focusing our attention on the waist, we add several points to the abdominoplasty classification. We have carried out 150 abdomino plasties in the last 5 years: 60% of the patients presented with musculoponeurosis alterations, for whom plicature of ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900195
更新日期:1998-05-01 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::Soft tissue filler injections are the second most common non-surgical procedure performed by the plastic surgeon. Embolization of intravascular material after facial injection is a rare but terrifying outcome due to the high likelihood of long-term sequela such as blindness and cerebrovascular accident. The literature...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-016-0728-4
更新日期:2017-02-01 00:00:00
abstract:AIM:In female genital rejuvenation and beautification, interest and demand for combined surgical and non-surgical methods are increasing. This study presents the results of our labia minora reduction technique and a vulvovaginal rejuvenation and beautification concept, where a combination of fat injection into the mons...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01980-z
更新日期:2020-09-30 00:00:00
abstract::Lasting elimination of forehead wrinkles and glabellar frown may be achieved by a partial resectioning of the muscles of the forehead. In those cases in which the eyebrows are also lifted, we use a line of incision which is similar to the blepharoplasty of the upper lids used by Morel-Fatio. We carry out the resection...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01577978
更新日期:1978-12-01 00:00:00
abstract:BACKGROUND:Neck rejuvenation has been one of the most important components in treatment for the aging face because the neck frequently is the first feature to show signs of aging. Several techniques have been described, but assessment of the long-term effects, although limited, has shown frequent recurrence of neck pto...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-005-0028-x
更新日期:2005-09-01 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: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::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::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::An alternative method of draping of the ears is presented in which a mesh gauze dressing is used as an adjunctive method for restraining hair from the surgical field. Its use is rapid and permits exposure and visibility of the ears bilaterally. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01578364
更新日期:1990-10-01 00:00:00
abstract:BACKGROUND:Facial and cranial asymmetry is common in bilateral vertebrates, particularly human beings. Through years of injecting fillers and performing face-lift operation on patients, we began to observe that more fillers were required on the right side to reach symmetry and also more loose skin and soft tissue was o...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01526-y
更新日期:2020-02-01 00:00:00
abstract::To better our ability to analyze the facial disproportions of patients of Chinese ancestry, we compared the validity of four neoclassical canons of facial proportion in Chinese and North American Caucasians populations. We tested the frequency of four horizontal facial canons and their eight variations in 206 healthy ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900123
更新日期:1997-07-01 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::After weight reduction by means of small intestine bypass, the patients have problems with cutis laxa of abdomen, femora, brachia, and mammae pendens. When all these problems are solved by reduction operations, the skin still does not fit. A new operation, "body lift," to resolve the remaining problem with respect to ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570655
更新日期:1982-01-01 00:00:00
abstract::A one-stage surgical correction of tuberous and tubular breast deformities is described. An intraareolar donut of pigmented skin is deepithelialized to correct the associated mega areola, allowing, at the same time, a port of entry for insertion of a retroglandular breast implant. The exposed areolar dermis is then te...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900204
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Graft use is inevitable in some primary and secondary rhinoplasty cases with cartilage or bone deficiency. Although rib graft is one of the best graft sources, it has several disadvantages. The purpose of this study is to minimize the risks of using rib grafts. MATERIAL AND METHODS:Between 2018 and 2020, a ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-02108-z
更新日期:2021-01-11 00:00:00
abstract:BACKGROUND:Over the past few years, treatment of burn scars with lipofilling has shown encouraging clinical results in terms of texture, color, softness, and quality of skin patterns. This clinical application has been widened to include treatment for scars resulting from surgical correction of cicatricial ectropion. I...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9117-y
更新日期:2008-05-01 00:00:00
abstract::A critical comparison of the contracture rate in subglandular versus subpectoral augmentations was done in a personal series (senior author's) of 100 consecutive augmentation patients, 50 with subglandular augmentation and 50 with subpectoral augmentation. The average followup for the series was 27 months. Baker's cla...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575478
更新日期:1987-01-01 00:00:00