Abstract:
BACKGROUND:In the surgical treatment of breast ptosis, the plastic surgeon's main challenge is to mobilize the nipple-areola complex (NAC) over long distances, preserving its sensitivity. Herein, we aimed to evaluate the NAC sensitivity following a periareolar dermis release in patients undergoing surgical correction of breast ptosis. METHODS:This is a prospective, double-blinded, randomized study in which 39 patients (78 breasts) were operated on for the treatment of breast ptosis. Patients' breasts were divided into two groups, each breast in a group. In breasts of the experiment group, the periareolar dermis release was used after decortication. This maneuver was not used in the control group's breasts. To analyze the sensitivity in relation with the distance that the NAC should be mobilized to correct breast ptosis, the value of 6 cm was used as boundary. Sensitivity of the NAC was assessed with monofilaments preoperatively and postoperatively-at three and six weeks and one year. RESULTS:Regarding the sensitivity of the areola, a significant difference was observed in the comparison between the control and experiment groups at the NAC mobility ≤ 6.0 cm in the preoperative. Regarding the nipple, a significant difference was observed in the comparison between the control and experiment groups at three weeks postoperatively for a NAC mobility ≤ 6.0 cm. After one year, there was no difference in the comparison between the groups in either areola or nipple. CONCLUSION:The periareolar dermis release does not compromise NAC vascularization and pressure sensitivity in patients undergoing breast ptosis correction. LEVEL OF EVIDENCE II: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
Sá JZ,Santa Cruz Oliveira F,Santinoni WF,Freire A,de Oliveira Rodrigues AE,de Andrade Aguiar JLdoi
10.1007/s00266-020-01835-7subject
Has Abstractpub_date
2020-10-01 00:00:00pages
1405-1411issue
5eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-020-01835-7journal_volume
44pub_type
杂志文章,随机对照试验abstract::One of the advantages of polyurethane foam-covered prostheses has been that in the first 5 to 10 years after their use, the amount of capsular contraction was found much less than when similar "slick" prostheses were used. Another advance was their fixation to the surrounding tissue thus giving a more natural appearan...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900108
更新日期:1997-05-01 00:00:00
abstract::Liposuction has been traditionally performed under general anesthesia. Standard instrumentation for the procedure has included blunt-tipped suction cannulae connected to an electric vacuum pump by noncollapsible tubing. A subcutaneous injection of Lidocaine with Epinephrine is routinely employed to minimize blood loss...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00451658
更新日期:1995-07-01 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:Nipple reconstruction is an important last step in the process of autologous or implant-based breast reconstruction. A multitude of techniques have been described, among others the S-flap. To prevent nipple retraction after surgery, we modified the originally described method by Cronin. METHODS:By adding an...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0789-z
更新日期:2017-04-01 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:BACKGROUND:A new method of autoaugmentation mammaplasty is presented to correct ptosis and to increase the projection and volume of the breast in patients who would like a reposition augmentation mammaplasty after breast implant removal but do not want a new implant. METHODS:Between 1999 and 2007, a total of 27 patien...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9471-4
更新日期:2010-08-01 00:00:00
abstract:UNLABELLED:Subcutaneous emphysema is a clinical entity that may be associated with trauma. Rhinoplasty is not an atraumatic procedure. This report presents a case of acute periorbital emphysema after cosmetic rhinoplasty. LEVEL OF EVIDENCE V:This journal requires that authors assign a level of evidence to each article...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0325-3
更新日期:2014-08-01 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: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:BACKGROUND:Although it is seldom reported in the Western literature, the buried-suture operation to create a double eyelid is very popular in Asia. However, the buried-suture methods are traditionally associated with a high recurrence rate. Corneal damage and exposed conjunctiva suture are also possible. METHODS:The t...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9344-x
更新日期:2009-05-01 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:BACKGROUND:Cranioplasty using alternate alloplastic bone substitutes instead of autologous bone grafting is inevitable in the clinical field. The authors present their experiences with cranial reshaping using methyl methacrylate (MMA) and describe technical tips that are keys to a successful procedure. METHODS:A retro...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-013-0110-8
更新日期:2013-06-01 00:00:00
abstract:BACKGROUND:Hyaluronic acid (HA) injections involve a risk of vascular complications. Transillumination (TL) is a noninvasive technique that appears to allow preliminary detection of superficial vascular structures of the face to avoid intravascular HA injection. The purpose of our study was to test the efficacy of TL i...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01447-w
更新日期:2020-04-01 00:00:00
abstract::Liposuction is a widely used technique today and indications are that it is becoming even more popular due to new technical refinements. The use of cannulae with a smaller diameter allows suction of the fat immediately under the dermis. The cannula we use to perform this new kind of fat suction is straight and has an ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01578339
更新日期:1990-04-01 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::Improvements have been made throughout the history of medicine, causing physicians to abandon a technique or medications clearly shown to be suboptimal. Unfortunately, this has not happened with rejuvenative surgery. Conventional lower eyelid procedures continue to include removal of orbital fat in most cases, and fac...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,评审
doi:10.1007/s00266-004-4019-0
更新日期:2004-07-01 00:00:00
abstract:BACKGROUND:One of the undesirable complications that might occur after breast augmentation with silicone implants is capsular contracture. In its etiology, the relations between mast cells and myofibroblasts play an important role in collagen synthesis. Mast cells are able to activate fibroblasts into myofibroblasts, t...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-018-1238-3
更新日期:2019-02-01 00:00:00
abstract::Plastic surgeons have the appropriate knowledge and clinical experience to perform a rhinoplasty. In the past 8 years, the authors have received for consultation some patients who had already undergone more than one rhinoplasty. As this shows, the specialist must be familiarized with the surgical technique specific fo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-004-3068-8
更新日期:2005-03-01 00:00:00
abstract:BACKGROUND:Numerous techniques have been reported for the correction of the inverted nipple. It was also reported that no single technique was appropriate for correcting all types of nipple deformities because different grades of inverted nipple have different levels of fibrosis, soft tissue bulk, and lactiferous ductu...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9322-3
更新日期:2009-11-01 00:00:00
abstract:BACKGROUND:Capsular contracture is one of the most distressing complications after cosmetic breast augmentation. Evidence suggests that matrix metalloproteinases (MMPs) and tissue inhibitors of metalloproteinases (TIMPs) may play a key role in the onset or progression of several fibrotic disorders. In this study we use...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9335-y
更新日期:2009-07-01 00:00:00
abstract:UNLABELLED:Capsular contracture remains a major complication after reconstructive or aesthetic breast augmentation. Formation of capsular fibrosis is a multifactorial process. An initial inflammatory reaction appears to be key to the development of capsular contracture. Recent studies have shown that pulsed acoustic ce...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-013-0235-9
更新日期:2014-02-01 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: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::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::Tissue expansion is one of the most important armamentaria for aesthetic scalp reconstruction after burn; however, the proper way to employ this technique for the scalp reconstruction usually presents a challenge to the plastic surgeon, especially in the case of a "sideburn" scenario or a large lesion, as with, for ex...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900154
更新日期:1997-11-01 00:00:00
abstract::This report presents a variable standardized technique for reductive mammoplasty, based on techniques used by Pontes and Skoog, which is easily performed, carries low risk, and gives good postoperative results. This method enables the surgeon to perform a greater variety of physiologic mammoplasties, through nipple-ar...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575227
更新日期:1980-12-01 00:00:00
abstract::A nomenclature for the definition, diagnosis, and surgical management of the congenital anomalies of the breast is suggested. The International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT) code numbers pertaining to these anomalies have been tabulated. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570327
更新日期:1989-01-01 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::A new method of immobilizing nasal implants is the creation of a strong fibrotic reaction with sewn polyester (Dacron) felt. It has been applied to saddle nose deformity, as well as maxillary retrusion of flat nasal tip. Over a period of 15 years in a large number of cases, the complications have been only a temporary...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01575205
更新日期:1980-12-01 00:00:00
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 c...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0864-5
更新日期:2017-06-01 00:00:00