Abstract:
BACKGROUND:The transaxillary approach for breast augmentation has gained popularity because of the absence of scarring on the breast. However, the effects of this procedure on breast cancer detection and treatment (which rely heavily on the results of axillary status studies) remain under debate. Specifically, sentinel lymph node biopsy is not indicated for patients who have undergone axillary surgery, due to controversy about the interference of the axillary approach with evaluation of the axillary drainage. OBJECTIVES:The authors evaluate changes in axillary lymphatic drainage in patients who underwent transaxillary breast augmentation. METHODS:Twenty-seven patients who presented to Rio de Janeiro State University for breast augmentation were selected for this study. All patients underwent preoperative mammary lymphoscintigraphy, a subsequent transaxillary breast augmentation, and postoperative lymphoscintigraphy at 21 days and six months after the procedure. The postoperative imaging results examining the axillary lymphatic chain and the first axillary lymph node were analyzed and compared to the preoperative images. RESULTS:One of the 27 patients (4.5%) demonstrated a lower rate of lymphatic drainage at 21 days postoperatively compared to preoperative values, but the flow rate had recovered by her six-month follow-up visit. All other patients showed no changes between the preoperative and postoperative images at either time point. The sentinel lymph node remained visible in all patients at all time points, and all breasts showed drainage primarily to the axillary lymphatic chain. Two patients experienced hematoma and one patient experienced late infection at four months postoperatively. The sentinel lymph node was still evident in both axillae. CONCLUSIONS:The data showed preservation of lymphatic drainage and visible sentinel lymph nodes even after transaxillary breast augmentation. Therefore, the authors believe that this procedure does not alter the integrity of mammary drainage for properly selected patients. These data provide surgeons with a less invasive treatment option for patients with early breast cancer, even when they have undergone prior breast augmentation through a transaxillary approach.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Weck Roxo AC,Aboudib JH,De Castro CC,De Abreu ML,Camões Orlando MMdoi
10.1177/1090820X11404399subject
Has Abstractpub_date
2011-05-01 00:00:00pages
392-400issue
4eissn
1090-820Xissn
1527-330Xpii
31/4/392journal_volume
31pub_type
杂志文章abstract::The author presents guidelines and new instruments for transplanting autologous fat. He describes this procedure as effective, predictable, and reliable when performed with careful donor-zone preparation, atraumatic fat extraction, anaerobic sterility, and precise placement in a properly prepared receiving zone. (Aest...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2003.44
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abstract::The retaining ligaments of the face are important in understanding concepts of facial aging and rejuvenation. They are located in constant anatomic locations where they separate facial spaces and compartments. Their superficial extensions form subcutaneous septa that separate facial fat compartments. Their main signif...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
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abstract:BACKGROUND:Although placement of silicone implants remains the standard technique for gluteal augmentation, lipoinjection of autologous fat obtained from lipoplasty is emerging as an alternative procedure. OBJECTIVE:We report the results of large-volume lipoinjection of the gluteal region in a series of 96 patients. ...
journal_title:Aesthetic surgery journal
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doi:10.1067/maj.2002.121960
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pub_type: 杂志文章
doi:10.1093/asj/sjaa037
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa342
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abstract:BACKGROUND:In order for aesthetic surgery to participate in the movement toward evidence-based medicine, a system that quantifies aesthetic outcomes must be developed based on reliable and reproducible data. Previous studies have investigated the attractiveness of averaged (or composite) faces. Data has shown that thes...
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pub_type: 杂志文章
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abstract:BACKGROUND:The Regnault classification of breast ptosis is insufficient for determining surgical strategies for different stages of ptosis. OBJECTIVE:A new clinical classification of breast ptosis is proposed that allows greater precision in the development of an appropriate surgical plan. METHODS:Breast ptosis is cl...
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abstract:BACKGROUND:The Plastic Surgery In-Service Training Exam (PSITE) is a multiple-choice examination taken by plastic surgery trainees to provide an assessment of plastic surgery knowledge. OBJECTIVE:The purpose of this study was to evaluate cosmetic questions and determine overlap with national procedural data. METHODS:...
journal_title:Aesthetic surgery journal
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pub_type: 杂志文章,评审
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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abstract::Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)-a new category of anaplastic large cell lymphoma associated with textured breast implants-has a distinct variation in incidence and is especially rare in Asia. We report the first case of BIA-ALCL in Korea and present its histological and genetic char...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa398
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abstract:BACKGROUND:Despite multiple advantages of fat grafting for calf augmentation and re-shaping over traditional silicone calf implants, few reports have been published. OBJECTIVES:To report our technique and results with autologous fat grafting for calf augmentation and reshaping. METHODS:A retrospective review of the s...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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abstract::Endoscopic forehead rejuvenation offers the advantages of greater patient acceptance and lower complication rates. The author describes technical modifications that make the endoscopic approach effective in a wide range of patients. Particular attention is paid to the problem of asymmetry. When the preoperative differ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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abstract:BACKGROUND:Abdominoplasty, a commonly performed aesthetic procedure, is considered to have an increased risk of venous thromboembolism (VTE) events. At present, routine VTE chemoprophylaxis following abdominoplasty remains controversial. OBJECTIVES:This study evaluates the authors' experience with rivaroxaban, an oral...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,多中心研究
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journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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abstract:BACKGROUND:A critical issue for aesthetic surgeons may be whether some patients have psychiatric conditions that contraindicate cosmetic procedures. OBJECTIVE:This study reports on the results of an e-mail survey of American Society for Aesthetic Plastic Surgery (ASAPS) members about their awareness of and experiences...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2002.129451
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journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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pub_type: 杂志文章,评审
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析,评审
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更新日期:2017-03-01 00:00:00