Abstract:
BACKGROUND:The increasing demand for further aesthetic outcome improvement in implant-based breast reconstruction after nipple-sparing mastectomy (NSM) leads to major novelties, including endoscopic and robotic NSM with the aim to limit scar visibility. In this paper, we report our experience with a novel and simplified surgical approach-single-axillary-incision non-endoscopic NSM and node surgery followed by an endoscopic DTI breast reconstruction-by focusing on reconstructive indications, technical refinements and aesthetic outcomes. METHODS:Between June 2016 and October 2019, 14 women underwent this novel technique using definitive anatomical silicone gel filled, totaling 20 breasts. Reconstructive evaluation methods were clinically and photography-based assessment. Breast-Q has been used to quantify patient satisfaction. Feasibility and safety data are also provided. RESULTS:The average follow-up time was 11 months (range 3-42 months). No local-regional recurrence occurred during follow-up. Median operation time was 340 min; mean hospital stay was 4.1 days. The average mastectomy specimen weight was on average 139 g (ranging from 98 to 182 g). The average implant volume for the reconstructed side was 306 cc (ranging from 165 to 550 cc). Patients' satisfaction was high to very high. CONCLUSION:Authors' experience suggests that non-endoscopic transaxillary NSM, node surgery and endoscopic direct-to-implant breast reconstruction is a valid, oncological safe, aesthetically sound scarless option in breast cancer patients with small to moderate breast size. It should represent the incision of choice in patient with previous breast surgery with scars that may compromise flap/NAC vascularity using traditional NSM incisions. 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
Visconti G,Franceschini G,Bianchi A,Barone-Adesi L,Garganese G,Masetti R,Salgarello Mdoi
10.1007/s00266-020-01792-1subject
Has Abstractpub_date
2020-10-01 00:00:00pages
1466-1475issue
5eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-020-01792-1journal_volume
44pub_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::The case of a patient who experienced a late, spontaneous breast hematoma 9 years after augmentation mammaplasty in the absence of trauma or anticoagulation is reported. Although hematoma is not an uncommon complication in the immediate postoperative period, it is very rare as a late complication of breast implantatio...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-004-3120-8
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Insight into the physical processes of aging can be gained by comparing the loss of facial volume that occurs during aging with the dramatic fat loss resulting from acquired lipoatrophy, including human immunodeficiency virus (HIV) treatment-associated lipoatrophy. The superficial effects of aging, such as r...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-008-9258-z
更新日期:2009-01-01 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: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:With the global increase in the use of injectable fillers, more cases with serious adverse events such as skin ischemia and vision loss are being reported. This article aims to review the role of HA fillers, as a subgroup separate from fat graft and non-HA fillers, in causing vision loss and to elucidate var...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01562-8
更新日期:2020-06-01 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:OBJECTIVE:We aim to measure the zygomatic width and protrusion changes in hard tissue after reduction malarplasty and then calculate facial proportion changes and analyze the relationship between facial proportion changes and patients' satisfaction. METHODS:We retrospectively reviewed our database and selected 36 elig...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-01654-w
更新日期:2020-06-01 00:00:00
abstract::In the past few years the approach to lower blepharoplasty complications has evolved. New and worthy preventive and curative treatments have been suggested for both scleral show and ectropion (operations with or without interruption of the lid margin, mucosal grafts, orbicularis flaps, etc.). Among these, several tech...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900214
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Chest reconstruction ('top surgery') is an important component of transition in the transmasculine population that can substantially improve gender incongruence. The aim of this study was to evaluate the demographic characteristics, surgical technique, and postoperative outcomes following transmasculine ches...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01479-2
更新日期:2019-12-01 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::Toxic shock syndrome (TSS) is a serious, potentially life-threatening condition resulting from an exotoxin of Staphylococcus aureus. Presenting symptoms include high fever, diarrhea, nausea, and vomiting progressing to hypotension, oliguria, conjunctival hyperemia, and an erythematous rash over the trunk, abdomen, and...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/BF00454477
更新日期:1994-04-01 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::The author uses Zyplast to help increase the volume of the upper or lower lip. It is emphasized that there is a clear bilobulation of the lower lip which creates the appearance of a beautiful mouth. His injection of Zyplast demonstrates a technique that helps to emphasize this bilobulation. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00190069
更新日期:1992-07-01 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: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: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::The author emphasizes and clarifies some disputed anatomical points based on topographical histological studies of the superficial muscular and fibrous layers of the face and neck, made in 8 cadavers, 6 human fetuses, 3 monkeys, and 42 surgical specimens. The findings in this anatomical study should make certain plast...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575505
更新日期:1987-01-01 00:00:00
abstract:BACKGROUND:Evaluation of outcomes after aesthetic surgery still is a challenge in plastic surgery. The evaluation frequently is based on subjective criteria. This study used a new clinical grading scale to evaluate aesthetic results for plastic surgeries to the abdomen. The method scores each of the following five para...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9776-y
更新日期:2012-02-01 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::Since Lamont first presented his hairflap procedure over 15 years ago for correction of frontal baldness, a number of changes and improvements in the technique have taken place. The author presents a one-stage temporo-parieto-occipital flap procedure that has developed from the work of Lamont and Juri. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01597518
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:The ideal method of breast reconstruction should be safe, reliable, and have minimal or no donor-site morbidity. We present our experience with the latissimus dorsi musculocutaneous flap for delayed breast reconstruction with immediate permanent implant insertion. METHODS:The latissimus dorsi musculocutaneo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9338-8
更新日期:2009-05-01 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::The incidence of breast asymmetry is not well known. A review of 500 mastoplasties showed that we have treated 26 cases (5.2%) of significant asymmetry. Most of the uneven breasts are rather common cases and can be corrected with routine techniques of reduction and augmentation mammaplasties. In only a few patients is...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/BF00451347
更新日期:1994-10-01 00:00:00
abstract::Although the newer techniques for reduction mammoplasty generally give excellent results, some patients may develop recurrent ptosis as a result of greater tissue elasticity, or the breast may sag beneath the inframammary line, elevating the nipple. Proper preoperative evaluation and planning can help to prevent such ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575216
更新日期:1980-12-01 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: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::This report summarizes the opinions advanced by an international panel of acknowledged expert plastic surgeons convened to discuss women's attitudes about aesthetic breast surgery. To inform the discussions, a survey was undertaken to explore women's attitudes and opinions. The survey showed that significant numbers o...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9329-9
更新日期:2009-05-01 00:00:00
abstract::Several methods for the treatment of scar keloids have been reported. In this article, use of a 1-mm-thick silastic sheet placed over the scar keloid for 8-12 hours daily is reported. This procedure produced better results than the so-called pressure method. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01576921
更新日期:1988-05-01 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