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 or even more aesthetically pleasing breast than before tumor resection. We discuss the approach to shaping the breast through the footprint, conus, and skin envelope. We then discuss how donor site aesthetics can be optimized through flap design, scar management, and umbilical positioning. Each patient has a different perception of their ideal breast appearance, and through conversation and counseling, realistic goals can be set to reach optimal aesthetic outcomes in breast reconstruction.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Wagner RD,Hamilton KL,Doval AF,Spiegel AJdoi
10.1093/asj/sjaa223subject
Has Abstractpub_date
2020-11-17 00:00:00pages
S45-S54issue
Suppl 2eissn
1090-820Xissn
1527-330Xpii
5985614journal_volume
40pub_type
杂志文章abstract:BACKGROUND:In 1971, Ribeiro isolated a segment in the inferior pole of the ptotic breast, nourished by muscular perforating vessels, and moved it cranially to the posterior region of the remaining detached breast tissue, where it was fixed to the pectoral fascia. This maneuver created a flap with autologous implant fun...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz188
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:The demand for minimally invasive cosmetic procedures has continued to rise, yet few studies have examined this patient population. OBJECTIVES:This study sought to define the demographics, social characteristics, and motivations of patients seeking minimally invasive facial cosmetic procedures. METHODS:A p...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjv094
更新日期:2015-11-01 00:00:00
abstract::Increasingly, patients are seeking minimally invasive methods to tighten skin and remodel adipose tissue. A large treatment gap exists among 3 types of patients: (1) the younger demographic, who increasingly desire soft tissue tightening without traditional operations, scars, and downtime; (2) patients with soft tissu...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz055
更新日期:2019-04-08 00:00:00
abstract:Background:Synkinesis represents involuntary muscular movements that occur in association with voluntary contraction of other muscle groups. Oculonasal synkinesis is a rare phenomenon. Objectives:In a series of videos, the authors present clinical findings and surgical correction of oculonasal synkinesis. Methods:Two...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx074
更新日期:2017-09-01 00:00:00
abstract::Gluteal augmentation with fat has become one of the most common cosmetic procedures worldwide. Gluteal augmentation is designed to increase the volume and contour of the gluteal region. Intramuscular lipoinjection has been linked to multiple reports of severe complications, including death due to macro fat embolism (M...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz151
更新日期:2019-08-22 00:00:00
abstract:BACKGROUND:Surgeons often advise patients with large ptotic breasts to undergo a Wise pattern reduction (WPR) mammaplasty using an inferior pedicle technique with consideration of a free-nipple graft. OBJECTIVE:We describe the Boston modification of the Robertson technique (BMRT), which allows for the elimination of t...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.10.010
更新日期:2006-11-01 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::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:BACKGROUND:Breast augmentation is the most common aesthetic surgery performed in the United States. Despite its popularity, there is no consensus on many aspects of the procedure. OBJECTIVES:The authors assessed current trends and changes in breast augmentation from January 1, 2011 to December 31, 2015. METHODS:A ret...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy176
更新日期:2019-05-16 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:It would be useful if existing tools or outcomes measures could predict which patients are at greater risk of revision surgery following rhinoplasty. OBJECTIVE:We aim to determine if a single question assessing nasal self-esteem could be used to predict which patients are at greatest risk of revision surger...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa252
更新日期:2020-08-28 00:00:00
abstract::Abdominoplasty, the removal of excess skin combined with muscle plication of a patient's abdominal region, can yield pleasing postoperative results alone, but adding significant concurrent circumferential abdominal liposuction to the procedure can dramatically improve the overall shape and contour of the final result....
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11412487
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Previous anatomic studies have provided valuable information on the two-dimensional (2-D) course of the angular segment of the facial artery in the midface and its arterial connections. The third dimension (ie, the depth of the artery) is less well characterized. OBJECTIVE:The objective of the present study...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa176
更新日期:2020-06-27 00:00:00
abstract:BACKGROUND:The primary outcome measures for patients who undergo aesthetic facial procedures are quality of life and satisfaction with appearance. The FACE-Q, a new patient-reported outcome (PRO) instrument composed of independently functioning scales, is designed to measure a broad range of important outcomes in patie...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,多中心研究
doi:10.1177/1090820X13510170
更新日期:2013-11-01 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::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
更新日期:2003-05-01 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: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::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
更新日期:2020-12-26 00:00:00
abstract:BACKGROUND:Deep lines, facial folds, retracted scars, and contour depressions on all areas of the body have typically been resistant to efforts at release. OBJECTIVE:A method using a wire dissector to achieve complete release or subcision of these subdermal attachments with access only through the needle insertion sit...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2006.05.004
更新日期:2006-07-01 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:Despite the rapid increase in the number of publications pertaining to COVID-19, there is a lack of data examining patient outcomes following elective procedures performed during this pandemic. OBJECTIVES:The purpose of this investigation was to examine the postoperative outcomes of patients who underwent e...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa180
更新日期:2021-01-25 00:00:00
abstract:BACKGROUND:Anatomical structures of the nose (including muscles) are elevated, sutured, or reshaped during rhinoplasty. Electromyography and electroneurography are the objective electrophysiologic tests performed for the direct measurement of nasal muscle function. OBJECTIVES:The authors investigate the predictive val...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X11398478
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Following primary rhinoplasty, the nasal tip may become wider on front view, possibly due to splaying of the lateral crura. OBJECTIVES:The authors describe a technique, the "supratip-plasty," to create an all-cartilaginous supratip that resists splaying and postoperative broadening of the nasal tip complex....
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1177/1090820X13515269
更新日期:2014-01-01 00:00:00
abstract:Background:Lower eyelid blepharoplasty has continued to evolve with ongoing debate regarding optimal techniques. Despite large case series publishing excellent results and minimal complications, the true longevity of these procedures remains unclear. Objectives:The aim of this study was to determine how thoroughly the...
journal_title:Aesthetic surgery journal
pub_type: 历史文章,杂志文章,评审
doi:10.1093/asj/sjy186
更新日期:2018-11-12 00:00:00
abstract:BACKGROUND:Patient Reported Outcome Measures (PROM) are increasingly used in healthcare to assess outcomes. The BREAST-Q Implant Surveillance (BREAST-Q IS) is a 5-question Patient Reported Outcome Measure (PROM) used by the Australian Breast Device Registry (ABDR) to monitor the performance of breast devices. Validatio...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa342
更新日期:2020-12-08 00:00:00
abstract:BACKGROUND:Many strategies have been developed to lower the high complications rate associated with a full abdominoplasty. The dissection technique may have a role to achieve this goal. OBJECTIVES:The present study compares two different dissection techniques to perform a full abdominoplasty with Scarpa fascia preserv...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa428
更新日期:2021-01-06 00:00:00
abstract::Reduced scarring, improved shape, long-term shape retention, and good nipple sensation are advantages of medial pedicle vertical breast reduction. This technique precludes the concept of the skin brassiere as holding breast shape and discards the 5-cm vertical rule and the chasing of dogears. The author provides a det...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1067/maj.2002.123052
更新日期:2002-03-01 00:00:00
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:Tranexamic acid (TXA) is an antifibrinolytic agent shown to decrease intraoperative bleeding, reduce transfusions, and improve outcomes across multiple specialties. Within plastic surgery, initial reports are encouraging but formal studies are lacking. OBJECTIVES:The aim of this study was to determine wheth...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjaa072
更新日期:2021-01-25 00:00:00