S L Spear

..This technique is riskier in the irradiated breast but may be facilitated with hyperbaric oxygen therapy...

..While clinical experience is accruing for these indications, acellular dermal matrix continues to be used in primary and secondary breast reconstruction...

..Late seromas surrounding breast implants are becoming an increasingly important issue in breast surgery. The authors report their experience with late seromas and describe their previous management options...

..The authors compared the outcomes of two-stage, acellular dermal matrix (AlloDerm)-assisted prosthetic breast reconstruction including different timings of radiotherapy...

..As radiation therapy becomes more prevalent in the treatment of breast cancer, more patients requesting breast reconstruction for mastectomy defects will have a history of radiation therapy...

..Some studies report better outcomes with autologous reconstruction, whereas other studies report no difference in outcomes across multiple reconstructive methods...

..The purpose of this study was to evaluate both clinical outcomes and satisfaction in patients who have undergone prophylactic mastectomy and breast reconstruction...

..This set the stage for a series of Food and Drug Administration advisory panel meetings and a moratorium on the sale of these implants from 1992 until 2006, when sufficient clinical data were presented to demonstrate their safety...

..This study examined the effect of obesity on complications in patients undergoing pedicled TRAM flap breast reconstruction...

..Although some may still consider autologous tissue reconstruction as the gold standard, today's prosthetic reconstructions play an equally important role in the reconstruction of the breast for many women...

..The role of the latissimus dorsi flap with a prosthesis in reconstruction of the previously irradiated breast is examined in this retrospective review of one surgeon's 10-year experience...

..This condition, though rare, has been seen with increasing frequency in the authors' practice...

..Augmentation/mastopexy is of considerable interest to plastic surgeons who perform breast surgery because of its complexity as well as its high rate of legal claims...

..The purpose of this study was to identify the incidence and severity of animation deformity as well as its effect on patient satisfaction and interference with certain activities...

..Finally, we describe how these past events will help the field of plastic surgery grow and continue to push the bounds of medicine...

..Nipple-sparing mastectomy remains controversial and its adoption has been slow because of oncologic and surgical concerns...

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..This study investigates the use of acellular dermal matrix for correction or prevention of implant-associated breast deformities...

..Much of the current data on complications of gel and saline implants are examined, as well as some practical implications associated with the use of each implant type...

..The purpose of this study was to build on the authors' prior experience by expanding the cohort of patients and to identify risk factors for failed breast device salvage and recurrent infection/exposure...

..Over the past several years, it has become more widely accepted, especially in the setting of prophylactic mastectomy, but its role in the treatment of breast cancer has only recently been reexamined...

..The "neosubpectoral" pocket is therefore not a "repair" of the excessively medialized symmastia pocket, but is a new pocket, limited at its perimeter by the patient's own tissues rather than by sutures or a patch...

..Specific case reports are presented in detail to examine the nature of these revisions...

..This demand has led to the need for careful preoperative planning and surgical execution to minimize the most frequent complications. This article focuses on the authors' experience with the technical aspects of the procedure...

..The purpose of this study was to examine the effect of smoking on flap, donor-site, and other individual and multiple complications in pedicled transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction...

..Purely autologous reconstruction such as a TRAM flap is another option for these patients, either before or after radiation therapy...

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..This technique appears to be effective when performed with either silicone or saline-filled implants...

..Photographed examples of aesthetic subunits illustrate the placement of scars along natural lines that maximize the advantages of camouflage afforded by clothing...

..45 years, prosthetic reconstruction was significantly less expensive...

..Such a coordinated program gives women an important boost, both physically and psychologically, during management of their breast cancer...

..From a risk point of view, implants used opposite a TRAM flap reconstruction had a lower incidence of complication than did implants used beneath TRAM flaps...

..Although the risk for rotational deformities could be expected to be increased, clinically significant rotational deformities have not been a major problem...

..Any products not yet submitted to the FDA for review of study designs by this time are not likely to be available in the United States in the next 4 or 5 years...

..35 of a possible 4.0. These results were comparable to or better than those in the matched controls, who scored a mean of 3.0...

..Most studies suggest that textured-surface silicone gel-filled implants, saline-filled implants, and tissue expanders have less frequent capsular contracture than their smooth-surface counterparts...

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..These deficits result in a faster rate of fatigue during activities in which the arms are extended over the head, such as ladder climbing and swimming. In addition, there is no decrease in range of shoulder motion...

..In certain cases, a nipple-sparing mastectomy may provide cosmetic advantages that could outweigh the additional oncologic risk...

..The authors recommend that TRAM flap breast reconstruction be postponed in those patients known or expected to receive postmastectomy radiation...

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..Eight surgical procedures, in various combinations, were performed during revision, with repeat mastopexy being the most common...

..Although an attempt at implant salvage may be offered to a patient, device removal and delayed reinsertion will always remain a more conservative and predictable option...

..The number of patients receiving augmentation mammaplasty is rapidly growing. Breast cancer will develop in a significant number of these women...

..This study aimed to examine the safety and efficacy of an acellular dermal sling in providing inferolateral support to the device during immediate breast reconstruction and expansion...

..A potential time allotment and method of objective and subjective evaluations are offered...

..This study evaluated the safety and reliability of the superomedial pedicle with various skin reduction patterns and compared the surgical time with the inferior pedicle technique...

..The tools provided in this article will help expedite and clarify the decision-making process...

..As differently shaped, cohesive breast implants continue to be introduced, breast implant surgery will become more customized to the patient's biological conditions and desires...

..Race and family history of cancer increase the likelihood of these early events...

..This second decade "look-back" on pedicled TRAM flap breast reconstruction emphasizes the need for appropriate patient selection to achieve successful results with pedicled TRAM breast reconstruction...

..Should these improvements be maintained over time, liposuction may prove to be a valuable tool for reducing the comorbid conditions associated with obesity...

..A ten-year, single-surgeon study of 37 patients from 1993 to 2003 who underwent fat injections to improve contour deformities in their reconstructed breasts was reviewed...