Abstract:
INTRODUCTION:Many breast cancer patients remove their contralateral breast unaffected by cancer, commonly referred to as contralateral prophylactic mastectomy (CPM). CPM has been extensively studied and does not improve survival in patients without deleterious genetic mutation or lobular histology. Despite these limited indications, CPM rates have increased recently. We observed CPM trends in our county safety-net hospital. METHODS:We performed a retrospective review of women treated for breast cancer who underwent bilateral mastectomy in our institution. RESULTS:We analyzed 100 CPMs: 51% (n = 51) had bilateral breast MRI before CPM, 54% (n = 54) had genetic testing prior to CPM, and 56% (n = 30) had a deleterious genetic result. Another 12% (n = 12) had lobular histology as the primary determinant for CPM. Of patients without genetic mutation or lobular histology, 13% (n = 13) had suspicious MRI findings in the CPM side that drove the decision for CPM. Forty-seven percent (n = 47) had reconstructive surgery documented. CONCLUSION:Only 42% (n = 42) of patients who underwent CPM had a documented justifiable medical reason. In the future, physician and patient education may decrease unindicated CPM. We also found that 13% of women without a medical indication chose CPM based on suspicious MRI findings, while only 8% of these MRI findings were malignant. 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
Fairbairn K,Cervantes A,Rayhrer C,Steen Sdoi
10.1007/s00266-019-01582-4subject
Has Abstractpub_date
2020-04-01 00:00:00pages
323-329issue
2eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-019-01582-4journal_volume
44pub_type
杂志文章abstract:BACKGROUND:Combination treatments of botulinum toxin type-A and other rejuvenation agents or instruments are gradually becoming more popular. After observing a high incidence of therapy failure following simultaneous applications of botulinum toxin type-A and platelet-rich plasma mesotherapy, we aimed to investigate wh...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0418-z
更新日期:2015-02-01 00:00:00
abstract::Ectropion is the most common serious complication following blepharoplasty for the correction of baggy eyelid deformity. Although blepharoplasty may be considered one of the most gratifying plastic operations, if an ectropion results it then becomes one of the most distressing to patient and surgeon alike.Ectropion co...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01577946
更新日期:1978-12-01 00:00:00
abstract::The current tendency to perform corrective rhinoplasty with the help of computerized images or cephalometric evaluations is justified by the need to adapt the amount of correction to all of the cephalometric relationships and draw on indications on the exact quantity of tissue to add or remove. We propose a very simpl...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900088
更新日期:1997-03-01 00:00:00
abstract::The basic principles influencing scar expression and outcome have long been defined. Although these were relatively clear at the time, the exact events at a molecular level were poorly defined. The past decade has delineated the myriad of events that occur in the run-up to scar evolution far more clearly, although the...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-010-9635-2
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:Several different methods have been proposed for treatment of gynecomastia, depending on the amount of breast enlargement and skin redundancy. The liposuction pull-through technique has been proposed as an efficacious treatment for many gynecomastia cases. This work aims to study the outcome of this techniqu...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-016-0749-z
更新日期:2017-04-01 00:00:00
abstract::The use of large-particle stabilized hyaluronic acid-based gel of nonanimal origin (NASHA™) for facial aesthetic procedures is widespread and increasing. A panel of experts with extensive clinical experience with NASHA based gel recently attended an advisory board meeting to develop guidelines for its use in volumetri...
journal_title:Aesthetic plastic surgery
pub_type: 共识发展会议,杂志文章
doi:10.1007/s00266-009-9433-x
更新日期:2010-02-01 00:00:00
abstract:BACKGROUND:The safest pocket location for gluteal augmentation surgery using implants still is unknown. This study conducted a systematic review to derive evidence-based recommendations concerning the safest type of pocket location (sub-muscular, subfascial, intramuscular, or intramuscular XYZ method) for silicone impl...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00266-012-0018-8
更新日期:2013-04-01 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::Skeletal deformity in the fronto-orbital region resulting from various problems can have significant aesthetic concerns. Restoring an aesthetically acceptable appearance relies most importantly on the restoration of a precise skeletal contour. Current surgical options for depression deformities or partial-thickness de...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9723-y
更新日期:2011-12-01 00:00:00
abstract::Liposuction or its modifications have become accepted therapy for hyperhidrosis. During the nearly 20 years since its introduction, the actual anatomic removal of sweat glands has not been investigated. In this study, three patients underwent axillary liposuction and histologic examination of the aspirates. Apocrine s...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-006-0192-7
更新日期:2007-01-01 00:00:00
abstract::Maxillary and mandibular anterior segmental osteotomies (ASO) are ways to correct disharmony in the lip (contour, lip seal, and profile) and occasional dentoalveolar malocclusion. We performed 23 maxillary setback ASO, three maxillary advancement ASO, 21 mandibular setback ASO, and six mandibular advancement ASO in 28...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF02274734
更新日期:1993-04-01 00:00:00
abstract:BACKGROUND:Hypermelanosis includes a diverse group of genetic and acquired skin anomalies that appear as darker, hyperpigmented areas. Melasma, in particular, is a hypermelanotic condition that affects sun-exposed skin in females. Whether this condition is acquired or genetic is still controversial. However, it clearly...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9485-y
更新日期:2010-08-01 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::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: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:UNLABELLED:The extended spreader graft technique in septorhinoplasty is presented. The procedure involves applying spreader grafts before lateral osteotomies to support the whole osteocartilaginous vault. This study enrolled 51 patients who had undergone open septorhinoplasty between January 2010 and March 2012. The do...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-013-0168-3
更新日期:2013-08-01 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:BACKGROUND:The use of human acellular dermal matrix (HADM) materials in prosthetic-based breast reconstruction has gained popularity in recent years. Questions remain, however, regarding the nature and incidence of postoperative complications associated with this technique. The results reported in the available literat...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1007/s00266-010-9631-6
更新日期:2011-02-01 00:00:00
abstract::The author evaluates the new endoscopic treatment of the upper part of the face. The application of the endoscopic method for treating the effects of aging introduces great expectation for aesthetic plastic surgery. The procedure is performed under the periosteum, through tiny incisions near the hairline. The techniqu...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00449793
更新日期:1994-07-01 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:PURPOSE:To determine the dimensions and function of the auricular muscle and to consider applications of this muscle in facial plastic surgery. METHODS:Nonpreserved fresh frozen human cadaver dissections from the (HOSPITAL-Blinded) Body Donation program were dissected. The length and width of the superior auricular mu...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-02045-x
更新日期:2020-11-30 00:00:00
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::In this retrospective study, a brief description of the folds located lateral to the lips' commissurae and their anatomy is followed by a method to improve or eliminate them with local procedures. These folds, referred to as paralabial folds, can be treated by either limited resection or liposuction. The method descri...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-003-3003-4
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Nipple hypertrophy is a rare aesthetic problem. Ideal nipple dimensions are 6-8 mm, while nipples larger than 10 mm are considered hypertrophic. PATIENTS AND METHODS:A total of 24 female patients, aged between 22 and 53 years, with a nipple diameter or height greater than 10 mm, underwent augmentation mammo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01861-5
更新日期:2020-12-01 00:00:00
abstract::A case of herpes zoster neuritis (shingles) is reported, closely following a face lift with adjunctive dermabrasion and chemical peel. The etiologic relationships are unclear. However, the mental nerve distribution suggests mechanical irritation of the nerve as a possible factor. Management of this complication is con...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570380
更新日期:1988-02-01 00:00:00
abstract::Pectus excavatum, the most common congenital chest wall malformation, has a higher incidence among men. Since 1987, when Donald Nuss performed his technique for the first time, the minimally invasive approach has become the most widely used technique for treating pectus excavatum. Few reported studies have focused on ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9438-5
更新日期:2010-06-01 00:00:00
abstract::An innovative bury-and-knot suturing method for firm fixation of a graft through a small skin incision is described and two clinical cases presented. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00455146
更新日期:1992-01-01 00:00:00
abstract::Ultrasound-assisted lipoplasty (UAL) was developed in Europe and South America. Its introduction into the mainstream of United States surgery in 1997 was initially received with great enthusiasm. Soon, however, anecdotal reports surfaced describing limitations and complications related to the emerging technology. Amon...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-002-0093-3
更新日期:2003-01-01 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:UNLABELLED:We present an unusual insatiable aesthetic/plastic surgery patient with borderline personality disorder (BPD) who removed her upper eyelids by herself after we rejected her request for revision blepharoplasty. This impulsive self-injury was attributed to anxiety from what the patient considered to be abandon...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0332-4
更新日期:2014-08-01 00:00:00