Abstract:
BACKGROUND:Reduction mammoplasty in patients with gigantic breast hypertrophy runs a high risk of complication. Traditionally, inferior pedicle reductions or free nipple grafting techniques have been recommended for gigantic breasts on the basis of measurements and expected resection weights. The superiomedial pedicle (SMP) technique has been less commonly used, due to concerns of vascular inadequacy. This study examines the outcomes of SMP in large reductions and outlines suggested modifications for enhanced safety. METHODS:This is a retrospective review of all patients who underwent SMP breast reduction in our institution between 2005 and 2016. Included are cases with resection weights greater than 800 g. RESULTS:A total of 173 patients with 341 breasts were included. Mean sternal notch to nipple (SNN) distance was mean 35.0 ± 6.6 cm (range 23-44.5) on the left and 34.9 ± 6.6 cm (range 18-46) on the right. Mean resection weight was 1152.2 ± 368.6 g (range 810-2926) on the left and 1159.4 ± 326.6 g (range 800-2528) on the right. The total complication rate was 22.7%. Minor complications occurred in 63 (18.6%) breasts. Major complications occurred in 12 (4.1%) breasts. NAC congestion and partial necrosis occurred in 1.8% and total NAC necrosis in 0.9%. CONCLUSION:The SMP reduction technique is a safe option for gigantic breast reduction with comparable complication rates to other techniques. Preoperative measurements or resection weights are not reliable risk factors alone. High tissue density may be a significant risk factor. High-risk breasts mandate surgical planning and should be tailored to include technical modifications as described. 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
Roei S,Gal B,Tariq Z,Arik Z,Amir I,Eyal G,Yoav B,Ehud Adoi
10.1007/s00266-020-01973-ysubject
Has Abstractpub_date
2020-09-22 00:00:00eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-020-01973-ypub_type
杂志文章abstract::Platysma muscular bands are present during the aging period, generally starting in the second half of the fourth decade of life in both sexes. One or two bands along the anterior segment of the neck are the most frequent, with varied extensions and appearances. The literature records different techniques for solving t...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-011-9782-0
更新日期:2011-10-01 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::Tissue expansion is indicated in the reconstruction of various scalp defects when there is inadequate adjacent tissue to allow either primary closure of the defect or repair with a local flap. It is the most important armamentarium for aesthetic hair-bearing scalp reconstruction in cases of congenital or required defe...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-004-4008-3
更新日期:2004-07-01 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:BACKGROUND:Post-operative oedema and ecchymosis represent early post-operative complications, impacting negatively on the final aesthetic outcome of each surgical procedure. In particular, such complications are very frustrating for patients and-sometimes-are difficult to be managed by surgeons. Several strategies are ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00266-018-1108-z
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Anterior septal height is an important determinant of nasal tip projection. Accordingly, the anterior septal extension technique has proven itself to be a powerful tool for achieving long-lasting nasal tip projection in rhinoplasty. However, anterior septal extension does not protect against postoperative lo...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0307-5
更新日期:2014-04-01 00:00:00
abstract::Micrografting for hair restoration has become increasingly popular because of the natural results it can achieve. The procedure is often performed under local anesthesia or local anesthesia with sedation. To achieve adequate anesthesia, supraorbital and supratrochlear nerve blocks are often performed as well as infilt...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF02275575
更新日期:1996-01-01 00:00:00
abstract:BACKGROUND:One-stage augmentation/mastopexy entails the challenge of augmenting breast volume with an implant while resecting excess skin. Although both augmenting and lifting the breast in a one-stage operation is gaining in popularity, its safety and its efficacy are still under debate and merit deeper evaluation. M...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0388-1
更新日期:2014-10-01 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::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 surgical management of patients desiring removal of silicone mammary prostheses can be controversial. Patients fearful of implants may choose not to undergo implant exchange with saline implants. This fear is well documented and has been influenced by the media. Anecdotal reports attempting to link silicone mammar...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00228462
更新日期:1996-07-01 00:00:00
abstract::We prepared an L-shaped framework using autogenous auricular cartilage and combined this with dermal fat, according to each patient, to graft it in 12 patients with cleft lip nose. Although auricular cartilage is weak on its own, by our method we obtained a strong columella strut and nasal dorsum augmentation at the s...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900251
更新日期:1999-03-01 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
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: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::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::Nipple necrosis is a potential complication of breast reduction and mastopexy procedures that can be prevented if the surgeon is acquainted with the arterial blood supply to the breast, particularly the nipple-areolar complex (NAC). A review of the latest research on this with its clinical application is given. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-007-9070-1
更新日期:2008-03-01 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::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:BACKGROUND:Hematoma is the most common postoperative complication of rhytidoplasty, resulting in higher morbidity and longer recovery. Quilting suture for closure of the undermined area in abdominoplasty avoids the occurrence of seroma. Based on this principle and with the objective of reducing the number of patients w...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-013-0202-5
更新日期:2014-02-01 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::Basing our work on ideal aesthetic features of the feminine figure and focusing our attention on the waist, we add several points to the abdominoplasty classification. We have carried out 150 abdomino plasties in the last 5 years: 60% of the patients presented with musculoponeurosis alterations, for whom plicature of ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002669900195
更新日期:1998-05-01 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::Lower blepharoplasty is a challenging aesthetic procedure. Despite advances in clinical and neuroanatomical studies related to orbicularis oculi muscle innervation, no study has examined its histopathological aspects in different lower blepharoplasty procedures. This study aimed to assess changes in the pretarsal musc...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-018-01305-1
更新日期:2019-06-01 00:00:00
abstract::Y-scar vertical mammaplasty is a technical modification of vertical scar breast reduction, which avoids superior areolar scarring. It has been previously shown to be particularly useful in young patients with mild macromastia and minimal or no ptosis. This case report presents a new indication for which to apply this ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9484-z
更新日期:2010-08-01 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::Reduction mammaplasty is one of the most common procedures performed by plastic surgeons all around the world. This procedure is performed for aesthetic or reconstructive purposes, but also offers the opportunity to examine all resected breast tissue histopathologically. The purpose of this study was to evaluate the h...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-002-1486-z
更新日期:2002-05-01 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::The technique described in this article correcting the protruding ear deformity has evolved over 40 years. The original procedures and our subsequent modifications are described, including 20-year followup results. The possible pitfalls in carrying out this procedure and how to avoid them are also described. A relativ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00453877
更新日期:1995-09-01 00:00:00
abstract::Augmentation mammaplasty is generally associated with a high degree of patient satisfaction, but many studies now suggest that silicone gelfilled implants leak and that free gel migrates. A series of saline-filled augmentations is presented with technique that results in a small and inconspicuous incision and superior...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01577868
更新日期:1979-12-01 00:00:00