Abstract：
BACKGROUND:In patients with a thin soft tissue breast envelope, lower pole implant palpability is a postoperative sequela that concerns patients. Anatomically, the lower aspect of the breast near the inframammary fold lacks sufficient soft tissue to cover the breast implant after augmentation. METHODS:A transareolar incision was made, and subcutaneous dissection was performed. The dissection first proceeded caudally to the lower aspect to the breast parenchyma. The dissection then changed direction and moved cephalad to the mid breast or nipple region. The fatty tissue and pectoralis muscle fascia were cut transversely at this level, and the dissection was reversed caudally in a subfascial plane to the new inframammary fold region. This maneuver created a retromammary adipofascial flap. RESULTS:A total of 368 breast augmentations were performed in 184 patients. Breast implants were inserted in the subfascial plane in 40 patients (21.7%) and in the subpectoral-subfascial plane in 144 patients (78.3%). A total of 368 breast implants were inserted, including 140 smooth cohesive silicone implants (38.0%), 2 textured round implants (0.5%), and 226 anatomic-type implants (61.5%). A cadaveric dissection revealed that a retromammary adipofascial flap measuring 3-4 mm in thickness can be acquired. Capsular contracture occurred in six breasts (1.7%). CONCLUSIONS:During breast augmentation, an inferiorly based retromammary adipofascial flap can be created to help cover the lower pole of the breast from implant palpability. This is helpful especially in patients with thin skin, hypoplastic breasts, or constricted breasts. 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
Han HH,Kim KK,Lee KH,Kim IB,Lee PKdoi
10.1007/s00266-018-1215-xsubject
Has Abstractpub_date
2018-12-01 00:00:00pages
1447-1456issue
6eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-018-1215-xjournal_volume
42pub_type
杂志文章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：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：BACKGROUND:The hammock technique combines inferior pedicle mammaplasty with retropectoral and inferior suspensions to prevent displacement of breast tissue toward the inferior mammarian pole. This study aimed to assess the long-lasting internal suspension with the author's mammary reduction technique. METHODS:From 198...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-006-0188-3
更新日期：2007-05-01 00:00:00
abstract：BACKGROUND:Web contractures are fairly commonly encountered in those who have suffered from burn injury or other trauma. Numerous local flaps have been adopted previously. The five-flap Z-plasty is one that has been used frequently. To release the scar as much as possible, based on the traditional design, we developed ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-015-0548-y
更新日期：2015-12-01 00:00:00
abstract：:A total of 165 patients with varying indications have been treated with Zyderm Collagen Implant. Among these patients, only 4 allergic reactions were found: 3 local and 1 general. Results obtained depend on the type of lesion treated; it is suggested that the treatment of rhytids provides the best indication for colla...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570348
更新日期：1985-01-01 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：:Several techniques for treating the breasts of patients with female-to-male gender identity disorders have been reported. When the patient's breasts do not sag significantly, the authors prefer to remove the breast tissue through a crescent-shaped excision of infraareolar skin in the first operation. In the second ope...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-005-0201-2
更新日期：2006-03-01 00:00:00
abstract：UNLABELLED:A 42-year-old primigravida woman of 20 weeks gestation was referred to the authors for the treatment of a suspected malignant melanoma of her left areola. She had undergone bilateral augmentation mammoplasty with periareolar mastopexy elsewhere 6 years previously. Her history included partial necrosis of her...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-013-0075-7
更新日期：2013-04-01 00:00:00
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 report describes preoperative digital planning for rhinoplasty using a new three-dimensional (3D) radiologic viewer that allows both patients and surgeons to visualize on a common monitor the 3D real aspect of the nose in its inner and outer sides. METHODS:In the period 2002 to 2008, 210 patients under...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-009-9455-4
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:Tissue expansion for breast reconstruction after mastectomy is a safe and effective procedure. A magnetic resonance imaging (MRI) scan can be requested for patients with a breast expander to evaluate concurrent diseases. The electromagnetic field of the MR can interfere with biomedical devices, resulting in ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-012-9908-z
更新日期：2012-08-01 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: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:This study was designed to evaluate the structures, muscles, and fasciae of which the modiolus is composed. It can aid in the understanding and, therefore, the utilization of plastic surgery for the aesthetic or reconstructive treatment of that region, especially the angle of the mouth. METHODS:Dissections ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-008-9187-x
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Polyacrylamide hydrogel (PAAG), once used as an injection for breast augmentation, has been banned in the medical field for cosmetic purposes for more than 10 years in China. But a large number of breasts have characteristic deformities due to the gel's feature of erosion. Our aim is to explore a retrospecti...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-016-0646-5
更新日期：2016-08-01 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：INTRODUCTION:In two previous studies, the quality of randomized controlled trials (RCTs) with the participation of at least one plastic surgeon was evaluated in two periods: 1966-2003 and 2004-2008. OBJECTIVE:To evaluate the evolution of the quality of RCT publications by plastic surgeons in the subsequent 5-year peri...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01335-3
更新日期：2019-06-01 00:00:00
abstract：INTRODUCTION:Scarpa fascia preservation might be a promising approach to reduce seroma and other complications after abdominoplasty. However, the results remained controversial. We conducted a systematic review and meta-analysis to evaluate the efficacy and safety of scarpa fascia preservation in patients with abdomino...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00266-017-0784-4
更新日期：2017-06-01 00:00:00
abstract：:Implants from Poly Implant Prothése (PIP), the French manufacturer, showed increased risk of implant rupture and silicone leakage through the shell. Concerns also exist about the potential irritant behavior of silicone gel filler in these implants. This report presents the clinical, histologic, and microbiologic chara...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-013-0196-z
更新日期：2013-10-01 00:00:00
abstract：:Muscle hypertrophy is a rare finding in neurologic lesions. Infiltration, stretching, and exercise of the muscle are causative factors of enlargement and hypertrophy. We report a case of unilateral calf hypertrophy postpoliomyelitis. The resection of the total medial and partial lateral gastrocnemius muscle was perfor...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002660010106
更新日期：2001-03-01 00:00:00
abstract：BACKGROUND:Capsular contracture can be an ongoing problem in breast augmentation even with good surgical technique. In the author's practice, a higher incidence of capsular contracture was observed with the use of a periareolar incision than with an inframammary incision. METHODS:A review of breast augmentations perfo...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-007-9061-2
更新日期：2008-03-01 00:00:00
abstract：:Level of Evidence V 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_title：Aesthetic plastic surgery
pub_type： 信件
doi：10.1007/s00266-020-01754-7
更新日期：2020-10-01 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：:Botulinum toxin prevents acetylcholine release at motor nerve terminals. Group B vitamins (B-vit) are essential for proper nerve function. The present study addresses the question of whether B-vit accelerate recovery in rat skeletal muscle after botulinum toxin A (Btx-A) injection. Forty-four adult male Wistar albino ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-012-9873-6
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:Massive weight loss after bariatric surgery is associated with significant skin excess, laxity, and ptosis over the abdomen. Good results have been achieved with abdominoplasty and circumferential lipectomy. However, blood transfusions are sometimes needed, and patients may require long hospital stays. Furth...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-005-0126-9
更新日期：2006-01-01 00:00:00
abstract：:Autogenous fat grafting is widely used for the correction of soft tissue contour deformity. However, the high absorption rate results in the need for overcorrection, and graft longevity is unpredictable. The authors hypothesized that epidermal growth factor (EGF), a potent stimulator of neovascularization, would impro...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-011-9679-y
更新日期：2011-10-01 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：:The carbon dioxide laser, when used in the treatment of rhinophyma, allows accurate removal of the diseased tissue to the desired level without risk of exposure of any underlying osteocartilaginous structures. This ensures rapid reepithelialization that minimizes the untoward scarring that may occur from delayed heali...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570928
更新日期：1988-08-01 00:00:00
abstract：BACKGROUND:Neurotoxins initially were used to treat hyperfunctional rhytids of the face, but now have been expanded to improve facial shaping, correct facial asymmetry and even improve skin texture and tone. METHODS:The clinical approach to non-surgical facial rejuvenation is approached into four anatomical regions: t...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01691-5
更新日期：2020-10-01 00:00:00
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 t...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-013-0223-0
更新日期：2013-12-01 00:00:00
