Abstract:
BACKGROUND:The question of whether expander inflation/deflation status has any bearing on surgical complications in the setting of adjuvant radiation (XRT) has not been addressed. The objective of this study is to investigate whether the inflation/deflation status of the expander at the time of XRT is associated with complications in immediate two-stage expander-implant breast reconstruction. METHODS:A retrospective review of 49 consecutive patients who underwent immediate two-stage expander-implant breast reconstruction and received post-mastectomy XRT was conducted. Full deflation of the expanders was performed in the deflation group (20 patients), while the expanders remained inflated in the inflation group at the time of XRT (29 patients). XRT-related complications of each stage of reconstructions were compared between the two groups, and multivariable regression analysis was performed to identify risk factors for XRT-related complications. RESULTS:Overall XRT-related complications (65.0 vs. 6.9%, p < 0.001) and reconstruction failures (35.0 vs. 6.9%, p = 0.022) of the first-stage reconstructions were significantly higher in the deflation group. The most common cause of reconstruction failure in the deflation group was failure to re-expand due to skin fibrosis and contracture. In multivariable analysis, deflation of expanders was a significant risk factor for overall complications (odds = 94.4, p = 0.001) and reconstruction failures (odds = 9.09, p = 0.022) of the first-stage reconstructions. CONCLUSIONS:Maximal inflation without deflation before XRT can be an option to minimize XRT-related complications and reconstruction failure of the first-stage reconstructions. 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
Woo KJ,Paik JM,Bang SI,Mun GH,Pyon JKdoi
10.1007/s00266-017-0864-5subject
Has Abstractpub_date
2017-06-01 00:00:00pages
551-559issue
3eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-017-0864-5journal_volume
41pub_type
杂志文章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:BACKGROUND:Periareolar mastopexy is a well-described technique for cosmetic improvement of breasts classified as Regnault ptosis grades 1 and 2. However, this technique is used less frequently for cases of grade 3 ptosis. METHODS:Grades 2 and 3 ptosis were corrected for selected patients using a combination of augment...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9440-y
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:Radiofrequency-assisted liposuction involves the delivery of a controlled amount of energy to treated tissue resulting in fat liquefaction, accompanying hemostasis, and skin tightening. The purpose of this study is to report experience with a larger sample size using the BodyTite™ radiofrequency-assisted lip...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9846-1
更新日期:2012-08-01 00:00:00
abstract::Although abdominoplasty has always been a routine operation, demands for it are constantly increasing for diverse reasons. For one, stomach reduction practiced by digestive surgeons is becoming a regular procedure. Massive weight loss induced by this surgery leads to a demand for abdominoplasty with increased risks of...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002660010061
更新日期:2000-09-01 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::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:UNLABELLED:Medpor is a biocompatible, porous, high-density polyethylene implant material used as a skeleton substitute. During the last two decades, it has been successfully applied for aesthetic contour enhancement and at reconstruction of the facial skeleton. Reports on the long-term host tissue tolerance of Medpor a...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-012-9911-4
更新日期:2012-08-01 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::In the systematic approach to rhinoplasty, the author routinely uses an intercartilaginous columellar incision for dissection and reconstruction of the nasal tip, especially to facilitate separation of the tip cartilages from other tissues in the lower third of the nose. This technique has been used by the author for ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575511
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:This report introduces a new method for correction of congenital severe upper eyelid ptosis. METHODS:The poor levator-function upper eyelid ptosis of 22 patients was corrected using suspension of the frontal muscle flap overlapped with an inferiorly based orbital septum flap as a motor unit, which substitut...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9125-y
更新日期:2008-07-01 00:00:00
abstract::A technique to facilitate correct preoperative marking for an en bloc resection in superiorly based mammaplasty is presented. A temporary triangular suture is placed to control the estimated resection lines for the removal of the medial and lateral tissue block. The described technique helps to avoid the formation of ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900233
更新日期:1998-11-01 00:00:00
abstract::A case of a patient with a suspicious glandular node found during reduction mammaplasty is described. The preoperative search for such nodes, the management of cases on which a suspicious node is found intraoperatively, and a situation on which the diagnosis of breast cancer is made during histology are discussed. Whe...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-001-0014-x
更新日期:2002-01-01 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:Body-contouring implants are becoming increasingly popular and more accepted and requested for aesthetic purposes. These implants must be placed in a safe and reproducible plane of anatomic dissection for a successful long-term outcome. Poor implant placement techniques result in greater complications such a...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-008-9292-x
更新日期:2009-03-01 00:00:00
abstract::A study was undertaken to determine the physical properties and microscopic structure of the superficial musculoaponeurotic system (SMAS) tissue. Forty virginal specimens and eight reoperated specimens were examined. The following findings were discovered. 1) Microscopic appearance shows the SMAS to consist of collage...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900113
更新日期:1997-07-01 00:00:00
abstract::Liposuction is one of the most common procedures undertaken in plastic surgery with a steadily increasing trend over the years. Although usually performed as an aesthetic procedure for body contouring, it can also be utilized in specific patient groups for disease symptom reduction. One such disease entity is lipedema...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01910-z
更新日期:2020-08-12 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:BACKGROUND:Otoplasty is a century-old procedure that, through continued modifications, now has over two hundred different procedures described in the literature. In this article, we seek to describe the anatomy and principles of aesthetic otoplasty, as well as some of the key contributions to aesthetic otoplasty. This ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-019-01441-2
更新日期:2019-10-01 00:00:00
abstract::The author describes the collagen alterations in adipose tissue autografts as evaluated by the Picrosirius red stain used with polarized light microscopy. Four female patients--candidates for classical abdomino-plasty--previously had adipose tissue autografts at the infraumbilical region. The grafting intervals were 6...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00444241
更新日期:1994-01-01 00:00:00
abstract:BACKGROUND:Three-dimensional (3D) imaging offers new opportunities to enable objective and quantitative analysis of the breast. Unlike scanning of rigid objects, respiration may be one of the factors that can influence the measurement of breast when using 3D imaging. In this study, we aimed to investigate how the diffe...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-018-1231-x
更新日期:2019-02-01 00:00:00
abstract::Until now, aesthetic goals in parotid surgery have seldom been addressed because oncologic concerns have largely overshadowed aesthetic issues for patients with parotid masses. Fortunately, the majority of parotid masses are benign pleomorphic adenomas that rarely recur, leaving a large group of patients healthy after...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-005-0153-6
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Dual-plane breast augmentation is a popular cosmetic procedure. However, objective evaluations on the effects of dual-plane breast augmentation on breast morphology are lacking. This study evaluated the breast morphological changes and correlative factors after dual-plane anatomic implant augmentation with a...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01665-7
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:Several classification systems have been reported to define the spectrum of tuberous breast deformity, and a range of surgical techniques has been described. In this paper, we proposed a new classification including tuberous breast and minor deformity based on stenosis type, glandular trophism and ptosis ada...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0903-2
更新日期:2017-10-01 00:00:00
abstract::The surgical correction of one of the most frequent congenital malformations, inverted nipples, is analyzed here following a long series of cases, some of which, among the first, date back 17 years and more. The article describes the previous surgical methods and the reasons why they failed, as well as the principle, ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669910010
更新日期:2000-01-01 00:00:00
abstract:BACKGROUND:The aesthetic relevance of the chin and its relatively simple correction through different approaches make genioplasty one of the most performed aesthetic procedures of the face. Sliding genioplasty is extremely rewarding, particularly when performed as an adjunction to rhinoplasty, rhytidectomy, or jaw surg...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-015-0518-4
更新日期:2015-10-01 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: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::Lifting the lower eyelid includes removing skin excess of the lid and, most of the time, improves the fat herniation without any removal of the fat because of the tension of the orbicularis muscle obtained with this maneuver. The "lifting" also corrects the arcus marginalis as well as malar bags when they exist. Most ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002660010071
更新日期:2000-11-01 00:00:00
abstract:BACKGROUND:Many Oriental people have a square face with a prominent mandibular angle. This article presents a good osteotomy method for the prominent mandibular angle (PMA). METHODS:Two modifications of the conventional procedures have been made. The first is a one-stage curved osteotomy for the mandibular angle. The ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-004-0149-7
更新日期:2005-11-01 00:00:00
abstract::A clinical study on the surgical anatomy of the upper-eyelid fat pads was performed on 55 consecutive patients who underwent a blepharoplasty. It was confirmed that the periorbital fat is encapsulated in compartments and that the number of fat pads varies. In 56% of the cases there were two fat pads and in the 44% thr...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF02273862
更新日期:1991-07-01 00:00:00