Assessing Risk and Avoiding Complications in Breast Reduction.

Abstract:

:Assessing risk and avoiding complications in breast reduction requires a meticulous history, systematic physical examination, management of expectations, and careful consideration and execution of operative technique. Attention should be paid to comorbidities. Shape, symmetry, contours, scar location, skin quality, nipple-areolar complex (NAC) shape, NAC position relative to inframammary fold, and NAC position relative to the volume of the breast should be evaluated. Because complications cannot always be anticipated, informed consent is a vital part of managing expectations. Intraoperative considerations include blood pressure control, limiting tension, delayed healing and tissue loss, and using applied anatomy to avoid malposition and asymmetry.

journal_name

Clin Plast Surg

authors

Shestak KC,Davidson EH

doi

10.1016/j.cps.2015.12.007

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

323-31

issue

2

eissn

0094-1298

issn

1558-0504

pii

S0094-1298(15)00194-7

journal_volume

43

pub_type

杂志文章,评审
  • A new method for total reconstruction of the nose: the ears as donor areas.

    abstract::The concha of the ear appears to be the best donor site for total nasal reconstruction, no matter what the cause of the loss of the nose. The advantages of the technique are as follows: (1) The skin is of the same color, texture, and thickness as that of a normal nose. (2) The osteocartilaginous framework is automatic...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Orticochea M

    更新日期:1981-07-01 00:00:00

  • Refinements in intrathoracic use of muscle flaps.

    abstract::Intrathoracic infections associated with infection, leakage, or bleeding of the airway, lung parenchyma, esophagus, heart or great vessels is a life-threatening situation that luckily is infrequently seen. Failure to control these infections with the usual techniques can often be attributed to the presence of persiste...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Meland NB,Arnold PG,Pairolero PC,Trastek VF

    更新日期:1990-10-01 00:00:00

  • Pedicled perforator flaps in the trunk.

    abstract::Trunk defects can be approached through a multitude of regional flaps that can be harvested from the shoulder girdle, the epigastric axis, the paraspinal region, or the pelvic girdle. The aim of the reconstruction is to provide adequate and tension-free restoration of tissue integrity with minimal functional morbidity...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:10.1016/j.cps.2010.06.004

    authors: Hamdi M,Stillaert FB

    更新日期:2010-10-01 00:00:00

  • Cross-face nerve transplant.

    abstract::The two stage principle is one of the most important features of the procedure. It allows starting the operation at a very early stage (one to six months). The donor area in the periphery is very well supplied, therefore as many facial fascicles as necessary can be sacrificed on the healthy side. We have never noticed...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Anderl H

    更新日期:1979-07-01 00:00:00

  • The role of Mohs' micrographic surgery in the management of skin cancer and a perspective on the management of the surgical defect.

    abstract::In the past 30 years, MMS has become recognized as the treatment of choice for certain uncommon cutaneous neoplasms and for certain variants of BCC, squamous cell carcinoma, and melanoma. It offers an extremely high cure rate and maximally preserves healthy tissue, which often allows for preservation of function as we...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0094-1298(03)00096-8

    authors: Lang PG Jr

    更新日期:2004-01-01 00:00:00

  • Analgesics and sedation in plastic surgery.

    abstract::The use of analgesic and sedative medications in plastic surgery can be divided into two main categories: premedication for general and local anesthesia and intraoperative sedation as an adjunct to local anesthesia. The actions and applications of specific agents are discussed. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Pratt JM Jr

    更新日期:1985-01-01 00:00:00

  • Ptosis repair in aesthetic blepharoplasty.

    abstract::A straightforward approach to ptosis in a patient interested in aesthetic blepharoplasty is presented. Beginning with an explanation of how ptosis often becomes apparent after an aesthetic surgery of the upper lid, this article describes functional anatomy of the eyelid relevant to ptosis, and discusses the various ca...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2012.06.007

    authors: Martin JJ Jr

    更新日期:2013-01-01 00:00:00

  • The endo-facelift. Basics and options.

    abstract::This article presents our approach to performing an endoscopically assisted facelift. The advantages of the subperiosteal dissection are discussed. The procedure is expoused considering different approaches and variations depending on each particular case. Surgical procedures for the forehead, cheeks, and neck are dis...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Del Campo AF,Lucchesi R,Cedillo Ley MP

    更新日期:1997-04-01 00:00:00

  • Management of frontal sinus fractures. Changing concepts.

    abstract::Since the turn of the century, surgeons have handled frontal sinus fractures with a variety of different procedures. The optimal management procedure remains controversial. We have presented a graduated anatomic algorithm for treatment of frontal sinus fractures based on the degree of fracture displacement and nasofro...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Rohrich RJ,Hollier LH

    更新日期:1992-01-01 00:00:00

  • Nonpigmented premalignant lesions of the skin.

    abstract::This article presents a survey of some of the nonpigmented cutaneous lesions that have the propensity or possibility to progress or transform into malignancies. For each lesion, the author discusses clinical appearance and course, histologic features, and general recommendations for treatment. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Gard D

    更新日期:1987-04-01 00:00:00

  • Temporal and malar-zygomatic reduction and augmentation.

    abstract::The temporal fossa, zygomatic arch, and malar-midface should be considered jointly when augmentation of the temporal area or reduction of the zygomatic arch are to be carried out. These anatomic areas relate so closely to one another that altering one affects the other. In addition, augmentation of the malar-midface a...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Whitaker LA

    更新日期:1991-01-01 00:00:00

  • Oskar Hirsch and surgery for exophthalmos.

    abstract::Despite a better appreciation of the relationship between the eye and the thyroid gland in Graves' disease, the treatment of moderate to severe exophthalmos remains surgical. For many years, standard textbooks recommended a risky, transfrontal approach for exophthalmos that had to be performed by a neurosurgeon. A pre...

    journal_title:Clinics in plastic surgery

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: McMurry JF Jr

    更新日期:1983-10-01 00:00:00

  • Nonmelanoma skin cancer.

    abstract::Each year, there are as many cases of nonmelanoma skin cancer as all other cancers combined. Although there is relatively low attributable mortality, the morbidity and expense of treatment is significant. Unlike many other malignancies, host and environmental factors relevant to the pathophysiology have been clearly d...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2004.11.009

    authors: Acartürk TO,Edington H

    更新日期:2005-04-01 00:00:00

  • Aesthetic reconstructive rhinoplasty.

    abstract::Aesthetic reconstructive rhinoplasty by definition means the creation of a nose that blends happily with its face and enjoys patent bilateral airways. This goal requires the construction of a delicate but dependable support to the bridge and tip, adequate viable lining, and cover of the correct color and texture. All ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Millard DR Jr

    更新日期:1981-04-01 00:00:00

  • Precision nasal profileplasty with life-sized slide projections, calibrated xerograms, and intraoperative measurements.

    abstract::Full-scale photographic projections and xerographic cephalograms are useful aids in obtaining precision alterations of the nasal profile line. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Furnas DW

    更新日期:1987-10-01 00:00:00

  • Aesthetic Applications of Radiofrequency Devices.

    abstract::Radiofrequency (RF)-based devices are used to improve face and neck laxity, a major feature of aging that until recently could only be addressed with surgery. Although these treatments are not meant to replace surgical procedures, patient satisfaction studies have been consistently high. For physicians offering these ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2016.03.014

    authors: Sadick N,Rothaus KO

    更新日期:2016-07-01 00:00:00

  • Brachioplasty with limited scar.

    abstract::There is a growing interest in upper arm aesthetic surgery but many patients do not accept the visible inner arm scar. Minimal incision brachioplasty using a shorter scar, concealed in the axilla, produces results equal to that of the traditional approach in comparable cases. Patients with massive weight loss may not ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2014.06.009

    authors: Reed LS

    更新日期:2014-10-01 00:00:00

  • Management of Pulmonary Failure after Burn Injury: From VDR to ECMO.

    abstract::This article highlights the challenges in managing pulmonary failure after burn injury. The authors review several different ventilator techniques, provide weaning parameters, and discuss complications. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2017.02.011

    authors: Nayyar A,Charles AG,Hultman CS

    更新日期:2017-07-01 00:00:00

  • Ring avulsion: injury pattern, treatment, and outcome.

    abstract::Ring avulsion injury is classically believed to be one of the most challenging for the reconstructive surgeon. Injury patterns include a spectrum from laceration to complete amputation, with differential magnitude of injury to soft tissue, tendon, joint complex, and bone. Although ring avulsion injury can result in de...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:10.1016/j.cps.2006.11.001

    authors: Brooks D,Buntic RF,Kind GM,Schott K,Buncke GM,Buncke HJ

    更新日期:2007-04-01 00:00:00

  • Strategies for the treatment of enophthalmos.

    abstract::The surgical correction of post-traumatic enophthalmos is among the most challenging problems for the surgeon. A thorough understanding of orbital anatomy and the purposed mechanisms of enophthalmos is crucial to the ultimate success or failure of the procedures. The successful orbital reconstruction begins with a car...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Grant MP,Iliff NT,Manson PN

    更新日期:1997-07-01 00:00:00

  • Breast Reshaping After Massive Weight Loss.

    abstract::The technique of dermal suspension, parenchymal reshaping mastopexy is a useful procedure for patients with massive weight loss with a typical presentation. The operation is tailored to the individual deformity, powerfully reshapes the breast, and can be safely combined with other commonly performed procedures. It is ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2018.08.009

    authors: Beidas OE,Rubin JP

    更新日期:2019-01-01 00:00:00

  • Reshaping of the Broad and Bulbous Nasal Tip.

    abstract::This article presents a contemporary overview of tip suturing and tip structural grafting techniques used to refine the wide nasal tip. Previous reductive techniques have proved to produce unnatural results over time. It is imperative to correctly evaluate the nose and assess all possible pitfalls during the preoperat...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2015.09.013

    authors: Dhir K,Ghavami A

    更新日期:2016-01-01 00:00:00

  • Dry eye syndrome and other tear film abnormalities.

    abstract::The goal of cosmetic blepharoplasty is to obtain an improvement in the appearance of the eyelids without causing functional or symptomatic alterations in the patients. Patients with undiagnosed problems in tear production who have cosmetic blepharoplasties are a common source of extremely dissatisfied patients with al...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Jelks GW,McCord CD Jr

    更新日期:1981-10-01 00:00:00

  • Surgical management of the burned scalp.

    abstract::Alopecia from scalp burns can present psychological problems. Reconstructive surgery with rotating hair-bearing skin flaps has been useful in the rehabilitation of these patients. In many patients, one flap shift can establish an acceptable hair line. In extensive cases, multiple operations are necessary, including fr...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Paletta FX

    更新日期:1982-04-01 00:00:00

  • Japanese suction-assisted lipectomy.

    abstract::The author discusses implementation of suction-assisted lipectomy in Japan and describes his experience in coping with the complications of this procedure over the past four years. Included are patient selection, preoperative testing, operative procedure, as well as complications. ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Shirakabe T

    更新日期:1984-07-01 00:00:00

  • An algorithm for limb salvage for diabetic foot ulcers.

    abstract::The treatment of diabetic foot ulceration is complex with multiple considerations often leading to limb amputation. This article presents the usefulness of a multidisciplinary approach along with an algorithm to manage and salvage diabetic foot ulcers from amputation. This algorithm is a step-by-step guide to manage t...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:10.1016/j.cps.2012.05.004

    authors: Hong JP,Oh TS

    更新日期:2012-07-01 00:00:00

  • Personnel for the office surgical facility.

    abstract::Ambulatory surgery in a private plastic surgery office is a practical and desirable reality. This can be achieved only in a properly staffed facility. A small number of employees are needed but each must be carefully selected for proper qualifications and attributes, appropriate training and skills necessary to execut...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Godfrey NV,Aston SJ

    更新日期:1983-04-01 00:00:00

  • Natural host defense mechanisms.

    abstract::Severe injury, whether the result of a major accident, a large burn, or a complicated surgical operation, often results in sepsis. Under such conditions both specific and nonspecific host defense systems are affected. The individual facets of major concern are chemotaxis, phagocytosis, intracellular killing, complemen...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Heggers JP

    更新日期:1979-10-01 00:00:00

  • "Think nerve" in upper extremity reconstruction.

    abstract::Upper extremity reconstruction may be greatly facilitated by "thinking nerve" in the initial evaluation. Frequently, the obvious soft tissue deformity or bone or joint pathology distracts the reconstructive surgeon from an underlying nerve problem. When pain is a portion of the presenting complaints, thinking nerve be...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Dellon AL

    更新日期:1989-07-01 00:00:00

  • Monitoring of the burn patient.

    abstract::Technologic advances have made routine use of some form of monitoring mandatory in modern burn care. Nevertheless, not all patients require all forms of monitoring. Patients with minimal burns require only minimal monitoring (vital signs, 24-hour urine output, biochemical and hematologic profile). Larger burns, associ...

    journal_title:Clinics in plastic surgery

    pub_type: 杂志文章

    doi:

    authors: Fabri PJ

    更新日期:1986-01-01 00:00:00