Abstract：
BACKGROUND:Phyllodes tumors of the breast are the rarest of all breast neoplasms. Giant phyllodes tumors (>10 cm) of the breast have been less discussed in the literature. Reconstruction of the large defect created after wide excision (safety margin >1 cm) is a challenge in these patients. We present one technique using a bi-pedicled deep inferior epigastric perforator flap for post-mastectomy breast reconstruction for giant phyllodes tumors. METHODS AND RESULTS:We treated three patients with giant phyllodes tumors between 2013 and 2016. The histological characteristics were benign and borderline; tumor sizes were 18 × 13 × 12, 20 × 16 × 9.5, and 18 × 15 × 9 cm. Immediate post-mastectomy reconstruction was performed using bi-pedicled deep inferior epigastric perforator flaps. Flap sizes measured 30 × 11, 28 × 12, and 28 × 13 cm. Total operative time, including that for mastectomy, was 285, 425, and 410 min. The duration of hospital stay was 12, 13, and 9 days. No local recurrence or distant metastasis occurred in the first two patients over a follow-up period of 3 years and in the third patient over a follow-up period of 6 months. CONCLUSION:A higher local recurrence rate was associated with positive margins, histological grade, tumor size, and necrosis. Immediate post-mastectomy breast reconstruction may become the preferred option for treatment of giant phyllodes tumors. A bi-pedicled deep inferior epigastric perforator flap conferred adequate leverage for wide excision and resolved scar contracture of the axilla. Good functional and cosmetic results were achieved. 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
Fang CL,Hsu CH,Tu CWdoi
10.1007/s00266-017-0792-4subject
Has Abstractpub_date
2017-08-01 00:00:00pages
768-772issue
4eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-017-0792-4journal_volume
41pub_type
杂志文章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：: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：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: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：: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：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：INTRODUCTION:Due to the fact that the number of breast implant surgeries for cosmetic and medical purposes is rising yearly, a discussion about the quality of service for both patients and physicians is more important than ever. To this end, we reviewed the Austrian Breast Implant Register with one specific question in...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-014-0407-2
更新日期：2014-12-01 00:00:00
abstract：:The authors describe six procedures used for the correction of various symptoms of the aging process in the perioral region, featuring augmentation cheiloplasty and smoothening of the nasolabial crease. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570237
更新日期：1976-12-01 00:00:00
abstract：:This article presents an alternative method to correct the sagging neck with a local dermolipectomy and median platysma duplication. The technique is recommended mainly for the older patient with redundant skin and fat in that region and who, for some reason, does not want to undergo a facelift. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570688
更新日期：1992-10-01 00:00:00
abstract：:Although posterior closure of male pattern baldness is usually accomplished in two procedures when using extensive scalp-lifting, there is the occasional patient who will require three operations because of very poor scalp laxity. A newly developed horseshoe-shaped tissue expander was designed for these patients so th...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF02273884
更新日期：1991-10-01 00:00:00
abstract：:Nowadays, oncological breast surgery has to be performed to maximize cosmetic results, and even mastectomies, when unavoidable, should conform to acceptable aesthetics. We investigated surgical approaches to skin-sparing mastectomies. Scar positioning and volume replacement were evaluated. We also discuss nipple-spari...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,评审
doi：10.1007/s00266-009-9382-4
更新日期：2009-09-01 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：: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：BACKGROUND:Fat-preserving lower blepharoplasty techniques and filling techniques using autologous or non-autologous materials are increasingly used to treat tear trough deformity. However, there has been no definitive comparison of the results of fat repositioning versus autologous fat grafting for this condition. The ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-016-0692-z
更新日期：2017-02-01 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
abstract：OBJECTIVE:To establish botulinum toxin-A (BTX-A) rejuvenation as an innovative technique to treat facial sagging with descent of the mid and lower face in Asian females. METHODS:Between March 2016 and March 2017, 512 female patients with facial sagging were treated with regional platysma BTX-A injection. Droplet injec...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01396-4
更新日期：2019-08-01 00:00:00
abstract：:Vertical scar mammaplasty, first described by Lötsch in 1923 and Dartigues in 1924 for mastopexy, was extended later to breast reduction by Arié in 1957. It was otherwise lost to surgical history until Lassus began experimenting with it in 1964. It then was extended by Marchac and de Olarte, finally to be popularized ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,评审
doi：10.1007/s00266-005-0093-1
更新日期：2005-11-01 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：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
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：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:Subcutaneous phosphatidylcholine to cause local lipolysis has been performed effectively and safely in the nonsurgical treatment of periorbital fat pads and also in the treatment of localized fat deposits in the abdomen, neck, arms and thighs. However, the studies do not explain the mechanism through which i...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-005-0170-5
更新日期：2006-07-01 00:00:00
abstract：:The mandible's contour determines the shape of the lower part of the face and thus influences the appearance of the face and neck. There are two types of operative procedures that can be used on mandibular contour and they do not require orthodontic treatment: mandible angle reduction and genioplasty. We divided the m...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF02273834
更新日期：1991-01-01 00:00:00
abstract：:We present our experience with endoscopic transaxillary subglandular breast augmentation using textured silicon gel implants. Fourteen implants were placed in seven patients through a 4 cm axillary incision, in a subglandular pocket, with the help of a 10 mm, 30 degrees endoscope with a subcutaneous retractor and endo...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002660010035
更新日期：2000-05-01 00:00:00
abstract：:This report describes the management of a 28-year-old female patient who had herniation of part of her left breast through a defect in the superficial fascia of the anterior thoracic wall. Closure of the defect was associated with correction of the deformity. To the best of our knowledge, this is the first report desc...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-008-9142-x
更新日期：2008-05-01 00:00:00
abstract：:Anne K. Groth's name was wrongly tagged in the original publication of this article. It has been corrected here. ...
journal_title：Aesthetic plastic surgery
pub_type： 已发布勘误
doi：10.1007/s00266-020-01739-6
更新日期：2020-10-01 00:00:00
abstract：BACKGROUND:A percutaneous electrocauterization technique for the treatment of deep hemangiomas is introduced as an alternative and minimally invasive treatment mode. METHODS:Percutaneous electrothrombosis was applied through a needle-catheter that is a small silicone catheter with a needle guide in it. Thus, it is pos...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-009-9425-x
更新日期：2010-04-01 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:Resection of the cephalic or middle portion of lateral crura of alar cartilages is a method for correcting bulbous nose in which the resected cartilages usually are discarded, resulting in a waste of autologous tissues. A silastic implant usually is used to correct saddle nose in Asian countries, but implant...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-005-0183-0
更新日期：2006-09-01 00:00:00
abstract：:When a rhinoplasty is performed, one must keep in mind that the nose is a part of a whole structure, the face. In the ideal nose operation all the components of the nose are well balanced among themselves and the nose itself is a harmonic part of the face. The present article briefly reports on how the different excis...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01577844
更新日期：1979-12-01 00:00:00
