Abstract:
BACKGROUND:Free tissue transfer with lower abdominal flaps for autologous breast reconstruction is not suitable for all patients. The latissimus dorsi (LD) musculocutaneous flap is an alternative, effective method for both immediate and delayed breast reconstruction. OBJECTIVES:The authors assess their experience with LD flaps for breast reconstruction, including indications for patient selection, donor site choice, aesthetic outcomes, complications, and patient satisfaction. METHODS:Charts for all patients who underwent breast reconstruction with one of three types of LD myocutaneous flaps during a three-year period at a single institution were retrospectively reviewed. Patients (n = 82) were divided into three groups: (1) 35 patients received a standard LD myocutaneous flap with implant, (2) 18 patients underwent a muscle sparing LD flap procedure with implant, and (3) 29 patients had an autologous LD flap. A questionnaire was administered to assess flap and donor site complications, aesthetic outcomes, patient satisfaction, and shoulder function. RESULTS:Flap complications occurred in 13 patients (15%). Donor site complications occurred in 24 patients (28%), mostly consisting of back seroma with the autologous LD flap. There was no significant difference in shoulder range of motion or muscle strength between the operated and unoperated sides. Patient satisfaction was high in all three study groups. CONCLUSIONS:The LD is a safe, versatile, and reproducible technique for breast reconstruction. The procedure benefits from ease of flap harvesting and setting and may provide satisfactory results in diverse patients, including those for whom an abdominal flap is neither indicated nor feasible. .
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Bonomi S,Settembrini F,Salval A,Gregorelli C,Musumarra G,Rapisarda Vdoi
10.1177/1090820X12437783subject
Has Abstractpub_date
2012-03-01 00:00:00pages
294-302issue
3eissn
1090-820Xissn
1527-330Xpii
32/3/294journal_volume
32pub_type
杂志文章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::Social media has changed the way plastic surgeons interact with their colleagues, patients, and friends. Social media is a rapidly changing phenomenon that it is critical to plastic surgeons and their practice. Plastic surgery can be marketed directly to consumers and therefore social media can provide a valuable plat...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjw246
更新日期:2017-05-01 00:00:00
abstract::After 4 years of experience with this technique, the author recommends using minimal incision brachioplasty (MIB) to treat mild to moderately severe upper arm soft tissue excess and laxity. However, when treating arms with gravity-induced skin furrows, he finds MIB problematic. ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.02.002
更新日期:2005-03-01 00:00:00
abstract::For people requiring large volumes to shape facial contours, add volume to a sunken midface, or correct asymmetry, the options today are limited. Fat injections for adding volume, solid implants for cheeks and chin enhancement, face lift and injectable permanent or semi-permanent products are some of the alternatives ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2005.09.009
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Economic evaluation is important for making decisions about resource allocation. Few cost-utility or cost-effectiveness studies on breast hypertrophy have been reported in the medical literature. OBJECTIVES:The authors sought to determine the cost-utility of reduction mammaplasty in the Brazilian national h...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,随机对照试验
doi:10.1177/1090820X14539972
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Severe blepharoptosis with poor LF has traditionally been managed with exogenous frontalis suspension but complications such as lagophthalmos, infection, rejection were often reported. OBJECTIVES:The function-preserving frontalis orbicularis oculi muscle (FOOM) flap was designed to correct severe blepharopt...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa429
更新日期:2021-01-05 00:00:00
abstract:BACKGROUND:Both the conventional periareolar approach and the inframammary approach present difficulties in breast augmentation when treating the patient with a small nipple-areolar complex diameter. OBJECTIVE:We describe an approach that uses a 360-degree periareolar incision. METHODS:A ring of skin was demarcated a...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2001.117702
更新日期:2001-07-01 00:00:00
abstract:BACKGROUND:Paradoxical adipose hyperplasia (PAH) is a rare, moderate-to-severe adverse event associated with cryolipolysis (Coolsculpting, CS). OBJECTIVES:Describe the incidence, diagnoses and treatment of PAH, following CS for nonsurgical fat reduction. METHODS:A multicenter evaluation of all patients who underwent ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa310
更新日期:2020-11-20 00:00:00
abstract:BACKGROUND:In the biological response to biomaterials, implant shell play a key role in immune and inflammatory reactions. Our hypothesis is that the capsules formed around nanotextured implants exhibit an immunohistochemical behavior different from those formed around polyurethane implants. OBJECTIVES:Evaluate throug...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa315
更新日期:2020-11-24 00:00:00
abstract::With continuous technical and functional advances in the field of breast reconstruction, there is now a greater focus on the artistry and aesthetic aspects of autologous reconstruction. Whereas once surgeons were most concerned with flap survival and vessel patency, they are now dedicated to reconstructing a similarly...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa223
更新日期:2020-11-17 00:00:00
abstract:BACKGROUND:Some degree of eyebrow asymmetry is present in many patients who request periorbital rejuvenation, although patients are often unaware of minor asymmetries. There are few parameters for defining eyebrow asymmetry and its incidence in otherwise healthy patients in the literature. OBJECTIVE:We investigated wh...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2007.06.005
更新日期:2007-09-01 00:00:00
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
pub_type: 杂志文章
doi:10.1067/maj.2002.121960
更新日期:2002-01-01 00:00:00
abstract::There is a perfect storm developing in 21st century healthcare; rising complexity and patient expectations in the context of fiscal restraint. Evidence-based medicine (EBM) may be the best-kept secret in dealing with the "storm." Such an approach prefers management pathways that deliver better outcomes at less relativ...
journal_title:Aesthetic surgery journal
pub_type: 历史文章,杂志文章,评审
doi:10.1093/asj/sjv204
更新日期:2016-03-01 00:00:00
abstract:BACKGROUND:Excessive concavity of the lower lateral crura can cause significant aesthetic problems for the nasal tip and can be associated with significant functional problems, such as insufficiencies in the external nasal valve. OBJECTIVES:The aim of this study was to develop a novel technique for the improvement of ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa018
更新日期:2020-09-14 00:00:00
abstract:BACKGROUND:The use of textured breast implants over smooth implants has been widely shown to have a lower incidence of capsular contracture. However, the impact of micropatterning techniques on the incidence of postoperative patient morbidity has not been comprehensively investigated. OBJECTIVES:The authors sought to ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析
doi:10.1093/asj/sjy178
更新日期:2019-05-16 00:00:00
abstract:BACKGROUND:The advantages of dual-plane, partially submuscular breast implants are well documented. Standard conversion techniques to dual-plane positioning use marionette sutures and internal capsulorrhaphy sutures from the lower edge of the pectoralis major muscle to the anterior capsule or breast fascia within the s...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2008.12.005
更新日期:2009-01-01 00:00:00
abstract::The different types of sutures utilized in plications and for correction of diastasis during abdominoplasty are reviewed and discussed. Because correction of abdominal deformities also involves fascia and muscle advancement, this review also covers the suture materials used in muscle advancement. The selection of spec...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjy333
更新日期:2019-03-14 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:Background:Research regarding quality of life (QoL) among women who have undergone breast aesthetic surgery is expanding. A comparative, anonymous study between the two main breast aesthetic procedures is needed. Objectives:The authors compared patient characteristics and aspects of QoL among women who underwent breas...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy047
更新日期:2018-11-12 00:00:00
abstract:BACKGROUND:Concerns about the safety of silicone breast implants have existed for years, but a causal relationship between systemic complaints and SBI has not been proven. Nevertheless, women are worried and even request explantation. OBJECTIVES:This study aimed to review the explantation procedures performed, focusin...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa337
更新日期:2020-11-30 00:00:00
abstract::Wrinkles are just one indicator of facial aging, but an indicator that is of prime importance in our world of facial aesthetics. Wrinkles occur where fault lines develop in aging skin. Those fault lines may be due to skin distortion resulting from facial expression or may be due to skin distortion from mechanical comp...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1093/asj/sjw074
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:Studies have shown that scarring is a primary reason for patient dissatisfaction with reduction mammaplasty. OBJECTIVES:The authors prospectively evaluated patient preferences for the 3 most common breast reduction scar patterns: horizontal, vertical, and Wise. METHODS:Sixty-six patients were recruited for...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13495868
更新日期:2013-08-01 00:00:00
abstract:BACKGROUND:YouTube is increasingly being utilized as a major educational resource by patients. It is important for plastic surgeons to understand the quality and characteristics of videos that patients are likely to view about procedures of interest. OBJECTIVES:The aim of this study was to evaluate the quality of the ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz268
更新日期:2020-04-14 00:00:00
abstract::The authors recommend this brachioplasty technique for patients who have lost a significant amount of weight. The sinusoidal-shaped scar helps to avoid problems such as linear scar contracture, wound tension, and widened or hypertrophic scars. ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2004.04.010
更新日期:2004-09-01 00:00:00
abstract::Recent technical advances in fat grafting and the development of surgical devices such as liposuction cannulae have made fat grafting a relatively safe and effective procedure. However, new guidelines issued by the American Society of Plastic Surgeons in 2009 announced that fat grafting to the breast is not a strongly...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
doi:10.1177/1090820X10373063
更新日期:2010-05-01 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:There is relatively scant evidence concerning radiation effects on reduction mammaplasty and mastopexy, two procedures which are often used in the irradiated breast to restore symmetry following breast-conserving therapy (BCT). OBJECTIVE:The purpose of this study is to further examine outcomes of reduction ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2008.12.004
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND:Canthopexies can be performed to modify the eye slant, both when the lateral canthus is lower than the medial one (congenital defect) or in case the patient asks for an almond-shaped eye (cosmetic indication). OBJECTIVES:This peculiar type of canthopexy can be defined as "dynamic canthopexy," meaning that t...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz077
更新日期:2019-11-13 00:00:00
abstract::The male breast area can be difficult to treat following massive weight loss. In such patients, it is essential to correct the deformity without leaving disfiguring scars over the anterior surface of the chest, if possible. We suggest a surgical technique that involves a torsoplasty with concomitant nipple-areolar com...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2008.07.008
更新日期:2008-11-01 00:00:00
abstract:BACKGROUND:Women tend to develop more and deeper wrinkles in the perioral region than men. Although much is known about the complex mechanisms involved in skin aging, previous studies have described histologic differences between men and women with respect to skin aging only incidentally and have not investigated the p...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2009.08.018
更新日期:2009-11-01 00:00:00