Abstract:
BACKGROUND:To obtain an ideal outcome in breast augmentation procedures, breast implants may be overfilled to reduce wrinkles and improve longevity. Determination of the optimal volume for saline-filled breast implants remains problematic for plastic surgeons. OBJECTIVE:We sought to evaluate the effect of overfilling or underfilling implants on sensory response and on implant shell mechanical properties. METHODS:Fifty-three Mentor Style 1600 smooth saline-filled mammary implants (275-cc base volume) were examined. Saline fill volumes ranged from 230 cc to 1650 cc. Implants were incubated at 37 degrees C and 100% humidity for 6 weeks. Before destructive testing to determine strength, elasticity, and toughness, 22 women ranging in age from 18 to 55 years graded the implants for firmness to palpation. Objective indices of firmness were measured by durometer. RESULTS:Implants filled 50% above manufacturer's recommended volume were considered firm, whereas implants 50% below manufacturer's recommended volume were considered natural or soft. A linear relationship was observed between sensory response and durometer hardness data. Fill volume did not affect shell mechanical properties: shell strength, toughness, and elasticity remained unchanged (P > .05). CONCLUSIONS:Saline-filled breast implants can be safely filled far beyond manufacturer's recommendations with regard to the mechanical properties of the Silastic polymer implant shell. Clinical judgment is required to avoid hardness due to overfill. Repeating this study using an in vivo incubation method is required to determine how overfill will affect implant shells over time in the harsh milieu of a biologic environment.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Greenwald D,Moloye O,Ondrovic L,Lee Wdoi
10.1016/j.asj.2005.11.003subject
Has Abstractpub_date
2006-01-01 00:00:00pages
29-34issue
1eissn
1090-820Xissn
1527-330Xpii
S1090-820X(05)00518-2journal_volume
26pub_type
杂志文章abstract:BACKGROUND:The development of effective antiretroviral therapy for the treatment of human immunodeficiency virus (HIV) has allowed for prolonged and healthier lives for affected patients. However, significant side effects from the drugs have been well documented, including syndromes of abnormal fat distribution. Cervic...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2007.12.003
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Transgender patients may seek nonsurgical methods for facial masculinization and feminization as an adjunct or alternative to undergoing surgical procedures. OBJECTIVES:The authors reviewed the existing literature regarding this topic and provided an overview of nonsurgical techniques for facial masculiniza...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjy253
更新日期:2019-04-08 00:00:00
abstract:BACKGROUND:Most aesthetic rhinosurgeons rely on proper photographic documentation of the nose using several different views. The frontal view is probably the most important, but it is also the most demanding. OBJECTIVES:In the frontal view, delicate, 3-dimensional (3D) anatomic structures require special photographic ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sju081
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Breast reduction is a commonly performed procedure. Understanding the postoperative complication profile is important for preoperative planning and patient education. OBJECTIVES:The authors sought to assess complication rates following breast reduction in females and identify potential risk factors. METHOD...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa146
更新日期:2020-11-19 00:00:00
abstract:Background:Improvement in the retention rate of transplanted fat is currently a topic of interest. The retention of transplanted fat relies heavily on the reestablishment of blood supply and the function of the adipose-derived stem cells (ADSCs), which may both be impeded by mechanical force. However, the effect of mec...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy104
更新日期:2018-08-16 00:00:00
abstract:BACKGROUND:Adipocyte viability is affected by fat preparation and processing methods, but rigorous and objective studies of these relationships are lacking. OBJECTIVES:The authors conducted a comprehensive evaluation of variables affecting adipocyte viability prior to injection of fat at the recipient site. METHODS:L...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjw106
更新日期:2016-11-01 00:00:00
abstract::Full and high cheekbones are considered a desirable component of facial attractiveness. The aging process can result in a loss of facial volume and changes in facial contours. Cheek augmentation can replace lost facial volume, rejuvenate facial appearance, enhance cheek prominence, and improve facial symmetry. A new, ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2009.03.004
更新日期:2009-05-01 00:00:00
abstract:BACKGROUND:Although abdominoplasty and other body-contouring procedures are being performed more frequently, the incidence of seroma and other complications has remained relatively unchanged. In 2000, a small retrospective series introduced progressive tension sutures (PTS) in abdominoplasty to reduce seroma without th...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X12452294
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Current brachioplasty techniques include excisional surgery alone or in combination with liposuction. These techniques are associated with poor outcomes, such as residual contour deformities and unfavorable scarring. OBJECTIVES:The authors proposed a new classification system and treatment algorithm for bra...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjv277
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Alloplastic malar augmentation is becoming an increasingly common procedure for enhancement of the midface and an adjunct method of improving the effects of other rejuvenation procedures. OBJECTIVES:The authors present a new surgical approach for placement of malar implants by means of an intranasal incisio...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11430498
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:A significant proportion of patients seeking labiaplasty are nulliparous and may experience later changes to their labia following vaginal delivery. OBJECTIVES:In the present study, we report the long-term outcomes of a single surgeon's patient cohort who had vaginal delivery after labiaplasty. METHODS:A r...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa027
更新日期:2020-01-29 00:00:00
abstract:BACKGROUND:Traditionally, repair of the midline fascial defect has been performed with interrupted or running permanent sutures during abdominoplasty. Barbed suture devices, however, eliminate the need for knot tying and potentially are equally effective at maintaining the repair while allowing for faster deployment an...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11415242
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND:Safety and efficacy of botulinum toxin A for glabellar line (GL) treatment are well established. Currently approved formulations require reconstitution before injection. OBJECTIVES:The authors sought to assess 6-month efficacy, safety, and patient satisfaction of new ready-to-use abobotulinumtoxinA solution...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1093/asj/sjz003
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Running parallel with-and perhaps driven by-the huge increase in demand for cosmetic surgery, office-based anesthesia (OBA) is the fastest growing segment of anesthesia practice. Despite this, only 2% of anesthesiology residencies provide exposure to OBA, and many practicing anesthesiologists are not convinc...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2008.07.012
更新日期:2008-09-01 00:00:00
abstract:BACKGROUND:Recommendations for venous thromboembolism (VTE) prophylaxis have been published in the plastic surgery literature. However, no comprehensive survey of the overall incidence of VTE among plastic surgery patients has been undertaken. OBJECTIVE:This study was performed to determine the incidence of VTE in pla...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.07.003
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Breast capsular contracture is a major problem following implant-based breast reconstruction, particularly in the setting of radiation therapy. Recent work has identified a fibrogenic fibroblast subpopulation characterized by CD26 surface marker expression. OBJECTIVES:This work aimed to investigate the role...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz109
更新日期:2020-03-23 00:00:00
abstract:BACKGROUND:Many studies have demonstrated that the specific method of wound dressing used may affect the healing process. However, the effect of the method of wound dressings on the expression of growth factors is not well documented. OBJECTIVE:The aim of this study was to evaluate the effects of different methods of ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.12.002
更新日期:2007-01-01 00:00:00
abstract::The formation of symptomatic capsular contractures remains both a mystery to the plastic surgeon and a significant clinical challenge. Ninety Sprague-Dawley rats had 2 ml dimethylpolysiloxane gel-filled implants placed in two dorsal pockets. The animals were randomly assigned to three groups. One group received daily ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/s1090-820x(98)70090-1
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Volume loss and muscular hyperactivity are two major components of the aging process that contribute to the formation of the folds and wrinkles. Tear trough deformity is one of the most difficult depressions to correct surgically. OBJECTIVE:The authors evaluate the results of periorbital filling with hyalur...
journal_title:Aesthetic surgery journal
pub_type: 临床试验,杂志文章
doi:10.1177/1090820X10395505
更新日期:2011-02-01 00:00:00
abstract:BACKGROUND:Body contouring after massive weight loss has become more popular as the rate of gastric bypasses and other bariatric surgeries increases. After bariatric surgery, the buttocks not only tend to become loose and ptotic but also lose their natural fullness. OBJECTIVE:To improve buttock fullness in postbariatr...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.09.015
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Plastic surgeons increasingly use social media as a means for patient engagement, trainee education and research dissemination. Appropriate patient diversity on these platforms is critical to promote interaction with all patients and ensure adequate training of plastic surgeons to work with diverse populatio...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa378
更新日期:2020-12-17 00:00:00
abstract:BACKGROUND:Hyperalgesia, defined as hypersensitivity to pain, refers to sensitization of nociceptors to normal levels of pain. OBJECTIVES:We aimed to determine whether hyperalgesia occurs due to the development of sensitization following repeated applications of platelet-rich plasma (PRP), and to ascertain the mechani...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz113
更新日期:2019-09-13 00:00:00
abstract::The authors have created a strategy for rejuvenation of the peribuccal region based on the concept that the repeated contraction of certain fascicles of the mimetic muscles, and not gravity, is the primary cause of structural aging. Treatment is based on a 4-stage strategy, with interventions including botulinum toxin...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.08.001
更新日期:2006-09-01 00:00:00
abstract:BACKGROUND:Within the plastic surgery community, it is widely believed that waiting a minimum of 6 to 12 months after patient cessation of systemic retinoid therapy is necessary before proceeding with elective surgery. OBJECTIVE:The authors investigate partial- and full-thickness wound healing after treatment with sys...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X12462383
更新日期:2012-11-01 00:00:00
abstract::Posterior neck lift, which combines anterior platysmaplasty and anterior and lateral neck lift, is a good alternative to a full or lower face lift for patients with minimal or no jowl sagging. It may be combined with neck lipoplasty, serial platysma notching, expanded polytetrafluoroethylene neck sling, and chemical p...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.01.005
更新日期:2004-03-01 00:00:00
abstract:BACKGROUND:Nasal filler placement is associated with a high risk of blindness. The arterial supply to the upper nose overlaying the nasal bones is poorly understood. OBJECTIVES:This study attempts to visualize and analyze the deployment of the ophthalmic and facial angiosomes in the upper nose and help prevent blindne...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjab003
更新日期:2021-01-09 00:00:00
abstract:BACKGROUND:Adipose-derived stromal cells (ADSCs) may play a pivotal role by differentiating into multilineage cells or by secreting growth factors or cytokines in cell-assisted lipotransfer, which participates in adipose tissue regeneration. The angiogenic potential of various ADSCs from different anatomical regions re...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy252
更新日期:2019-04-08 00:00:00
abstract:BACKGROUND:A device to assist in the delivery of dermal filler may achieve reductions in patient discomfort and adverse events, as well physician fatigue. It may also increase the accuracy of material placement. OBJECTIVES:The authors assess the safety and performance of the Artiste Assisted Injection System (Nordson ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1177/1090820X13487372
更新日期:2013-07-01 00:00:00
abstract:BACKGROUND:A preliminary report on a new technique for dermal overlap subareolar mastopexy appeared in 2001. OBJECTIVE:This paper reports on a series of 117 patients who underwent subareolar mastopexy and describes several modifications of the original technique. METHODS:Preoperative markings defined the upper edge o...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/S1090-820X(03)00205-X
更新日期:2003-09-01 00:00:00
abstract::Young aesthetic surgeons may wonder, "Why care about aesthetic medicine?" The answer is based on the "five principles" of aesthetic medicine: patient acquisition, patient retention, patient optimization, patient education, and patient conversion. The explosion in new nonsurgical technologies and treatments combined wi...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy273
更新日期:2019-06-21 00:00:00