Abstract:
BACKGROUND:Increased scrotal laxity is a poorly defined entity often associated with discomfort while wearing loose clothes, walking, doing sports and during intercourse. In our experience, this condition is produced by an enlarged scrotal bag hanging more than 1-2 cm below the tip of the penis and can be associated with persistent penoscrotal webbing. Our objective was to perform a systematic literature review addressing the diversity of this entity and its surgical treatment, as well as propose a diagnostic and therapeutic approach. METHODS:A systematic search strategy was performed following PRISMA guidelines under the terms: Scrotum(Mesh), Plastic Surgery(Mesh), Reduction Surgery, Scrotoplasty, Ventral Phalloplasty, Scrotomegaly, Penoscrotal Web, Webbed Penis(Mesh), Scrotal Lifting, Scrotopexy and Scrotal Tuck. Articles referring to scrotum reduction or plasty in male genital rejuvenation context and ventral phalloplasty related to adult penoscrotal webbing correction were considered eligible for analysis. A management algorithm and surgical technique is proposed along with the results. RESULTS:A total of 1430 articles were found. After removing duplicates and applying inclusion and exclusion criteria, 11 articles were eligible for analysis. Most articles corresponded to case reports or surgical technique descriptions. Based on correcting excessive scrotal skin and/or penoscrotal webbing, we propose a vertical midline scrotal skin resection and a penoscrotal junction Z plasty, respectively. CONCLUSIONS:Aesthetic scrotoplasty and scrotal rejuvenation surgical techniques still remain as entities poorly addressed in the international literature. More reported experiences are needed in order to complement our proposed management algorithm and develop a nomenclature, diagnostic and treatment consensus. 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 Table of Contents or the online Instructions to Authors www.springer.com/00266 . Genital Surgery.
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Thomas C,Navia Adoi
10.1007/s00266-020-01998-3subject
Has Abstractpub_date
2020-10-14 00:00:00eissn
0364-216Xissn
1432-5241pii
10.1007/s00266-020-01998-3pub_type
杂志文章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:BACKGROUND:A multitude of options are traditionally used for the treatment of acne scars; however, newer treatment modalities are emerging to decrease the propensity for post-inflammatory hyperpigmentation and upregulate new collagen production. The aim of this study was to evaluate the efficacy of nanofat and platelet...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0777-3
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:The scroll area of the nose is important for breathing; thereby, its reconstruction can improve the nasal patency. OBJECTIVE:To evaluate the effect of scroll reconstruction on breathing in patients following open rhinoplasty. METHODS:Using the prospective controlled study design, we enrolled a cohort of pa...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-020-02125-y
更新日期:2021-01-28 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::Acute hematoma remains one of the most frequently encountered complications after face-lift surgery. Several risk factors inherent to the patient and omission of certain intraoperative regimens are considered to cause hematoma. Significant risk factors include high blood pressure and male gender. Possible intraoperati...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9488-8
更新日期:2010-08-01 00:00:00
abstract::Previous efforts to use adipocyte transplants for tissue augmentation have been limited by high and unpredictable resorption rates. Preadipocytes are precursor cells that are capable of replication and differentiation into mature adipocytes. Furthermore, they are more resilient to ischemia, making them a desirable tra...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s002660010096
更新日期:2001-01-01 00:00:00
abstract:BACKGROUND:Repositioning the medial crura cephalically onto the caudal septum (tongue-in-groove; TIG) allows alteration of the columella, ala, and nasal tip to address alar-columellar disproportion as seen from the lateral view. To date, quantitative analysis of nostril dimension, alar-columellar relationship, and nasa...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-015-0450-7
更新日期:2015-04-01 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:Several classification systems have been reported to define the spectrum of tuberous breast deformity, and a range of surgical techniques has been described. In this paper, we proposed a new classification including tuberous breast and minor deformity based on stenosis type, glandular trophism and ptosis ada...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0903-2
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Curved osteotomy of a prominent mandibular angle is widely used in narrowing the width of the lower face, but its influence on occlusal force has not been evaluated. METHODS:The maximum occlusal forces of five different teeth areas in 20 consecution patients with an average age of 26.5 years were studied. T...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-009-9439-4
更新日期:2010-06-01 00:00:00
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 limite...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01582-4
更新日期:2020-04-01 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:Macromastia necessitating breast reduction with free nipple grafts often results in a breast shape that lacks upper pole projection. This study aimed to describe and review the experience with use of the Graf/Biggs flap to improve upper pole fullness in patients requiring breast reductions with free nipple g...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-010-9509-7
更新日期:2010-12-01 00:00:00
abstract::The case of a patient who experienced temporary myopic change after transconjunctival blepharoplasty using the carbon dioxide (CO(2)) laser is reported. Transconjunctival lower lid blepharoplasty using the CO(2) laser, one of the most frequent laser procedures performed in aesthetic surgery, is considered to be a safe...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-004-0131-4
更新日期:2005-07-01 00:00:00
abstract:INTRODUCTION:Abdominoplasty is one of the most popular body-contouring procedures. Despite its popularity, classic abdominoplasty is still associated with a significant rate of complaints from patients such as: fullness of flanks and epigastric areas, lack of a posterior lumbar curve, hanging skin over the incision lin...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-018-1176-0
更新日期:2019-02-01 00:00:00
abstract::A modification of the standard periareolar incision is described. It provides better access for augmentation mammoplasty and gynecomastia, as well as allowing for correction of asymmetry in the size and siting of the nipple-areola complex. Finally, it achieves a very slight tightening of the skin envelope in cases of ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01571118
更新日期:1983-01-01 00:00:00
abstract:BACKGROUND:Nipple reconstruction is usually performed as a separate procedure, several months after the primary breast reconstruction. This study compared the outcomes of immediate and delayed nipple reconstructions during implant-based breast reconstructions. METHODS:A retrospective review was conducted of patients w...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-017-0804-4
更新日期:2017-08-01 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::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::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:OBJECTIVE:To establish botulinum toxin-A (BTX-A) rejuvenation as an innovative technique to treat facial sagging with descent of the mid and lower face in Asian females. METHODS:Between March 2016 and March 2017, 512 female patients with facial sagging were treated with regional platysma BTX-A injection. Droplet injec...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-019-01396-4
更新日期:2019-08-01 00:00:00
abstract:UNLABELLED:Use of a skin flap has been a common technique in reconstructive surgery for more than five decades. However, partial necrosis of its distal end is still a serious postoperative complication. Many theories about this problem have been proposed, including deficient blood supply, which is the most accepted the...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-012-9993-z
更新日期:2013-02-01 00:00:00
abstract:BACKGROUND:Levator resection surgery is commonly performed to correct ptosis, and a large number of postoperative complications are well known. This report presents a previously unreported complication of marginal ectropion after levator resection surgery for congenital ptosis. METHODS:The three patients with upper ey...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-014-0360-0
更新日期:2014-08-01 00:00:00
abstract::The Daguerreotype is an integral part of modern history as artifact and witness to great events and forms the basis on which the first surgical photograph of an amputation was taken in North America, during the Mexican-American War between 1846 and 1847; however, its photographer remains unknown. ...
journal_title:Aesthetic plastic surgery
pub_type: 历史文章,杂志文章
doi:10.1007/BF00437111
更新日期:1993-10-01 00:00:00
abstract::The independent effect of the contraction of various facial mimetic muscles on the nasolabial fold was defined through study of cadaver dissections. The four major lip elevator muscles were identified and the effect of traction of these muscles on the nasolabial fold was studied. This study identified the levator alae...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF00450609
更新日期:1992-04-01 00:00:00
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::We have treated rhinophyma by a variety of methods during the past 35 years. We describe our current management, which has given the most satisfactory results and fewest problems. ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01571333
更新日期:1983-01-01 00:00:00
abstract::It is important to understand the anatomical characteristics of forehead wrinkles in order to perform a forehead lift. This study aimed to elucidate the mutual relationships among tissues composing the forehead using computer software that enables the stereoscopic observation of the tissues studied in arbitrary direct...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/s00266-001-0041-7
更新日期:2002-01-01 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::Complications during or after blepharoplasty operations are described. These range from errors in assessing the patient's psychological state and the state of their health, through the more common physical sequelae of bleeding with haematoma formation, ectropion, hypertrophy of scars, etc., to complications affecting ...
journal_title:Aesthetic plastic surgery
pub_type: 杂志文章
doi:10.1007/BF01570269
更新日期:1976-12-01 00:00:00