MedWorm: Breast Augmentation

Ohio woman: U.S. doctor botched breast surgery

CTV Health — Mon, 15 Mar 2010 18:05:12 +0100

An Ohio woman claims in a lawsuit that a Pennsylvania plastic surgeon used the wrong kind of breast implants on her, then kept her knocked out longer than necessary and continued with the botched operation on the advice of her fiance. (Source: CTV Health)

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Woman Says She Got Wrong Breast Implants

WDSU.com - Health — Mon, 15 Mar 2010 16:28:59 +0100

Histological Features of Periprosthetic Mammary Capsules: Silicone vs. Polyurethane

Aesthetic Plastic Surgery — Sun, 14 Mar 2010 12:31:26 +0100

Abstract Background Periprosthetic capsules are a common reaction of the body to silicone or polyurethane breast implants. The aim of this study was to evaluate similarities and differences in the histological features of periprosthetic capsules surrounding silicone implants and polyurethane foam-coated implants and to correlate those features with the age of the implants. Methods Tissues were studied from 41 periprosthetic capsules surrounding textured prostheses and from 20 capsules surrounding polyurethane foam-coated implants. For each sample we evaluated synovial metaplasia, density of collagen fibers or fibrosis, orientation of collagen fibers, and foreign body reaction (granulomatous reaction). Results Synovial metaplasia was s...

I grew my own breast implants...from the fat on my tummy

the Mail online | Health — Sun, 14 Mar 2010 07:54:51 +0100

A new enhancement procedure uses surplus tissue from your body to enlarge your bust, with no need for a surgeon's knife...but is it too good to be true? (Source: the Mail online | Health)

Recession May Mean Fewer Nips & Tucks

MedlinePlus Health News — Tue, 09 Mar 2010 21:00:00 +0100

Breast augmentation, Botox still popular, but plastics surgeons' group cites 2% decline Source: HealthDay Related MedlinePlus Page: Plastic and Cosmetic Surgery (Source: MedlinePlus Health News)

Woman suing over breast augmentation

Health News - UPI.com — Wed, 03 Mar 2010 17:09:39 +0100

NEW YORK, March 3 (UPI) -- A New York mother-of-two alleges in a lawsuit she was essentially left with four breasts because of a botched breast augmentation procedure. (Source: Health News - UPI.com)

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[Sex reassignment surgery in transsexuals.]

Tidsskrift for den Norske Laegeforening — Thu, 25 Feb 2010 00:00:00 +0100

This article describes diagnosis and treatment of transsexualism with an emphasis on surgery. Material and methods. The article is based on a non-systematic review of the literature and our own clinical experience. Results. Patients are evaluated for sex reassignment surgery after at least one year of psychiatric evaluation and an additional year of endocrine treatment. Male-to-female patients are evaluated for breast augmentation if hormone therapy has given unsatisfactory results. Thereafter, genital surgery can be performed, i.e. the testis and corpus cavernosum are removed and a neovagina and neoclitoris are constructed. Female-to-male patients have the possibility to undergo breast reduction, hysterectomy, salpingoophorectomy and construction of a neopenis. If the patient responds wel...

Improvements in Transaxillary Breast Augmentation

Aesthetic Plastic Surgery — Sat, 20 Feb 2010 06:48:53 +0100

Conclusion Transaxillary augmentation mammaplasty without routine endoscopic assistance is a safe method with predictable results and a high rate of patient satisfaction. The transaxillary technique offers the advantage of locating the surgical scar off the breast. It requires closer supervision during the first few postoperative months compared with the submammary or periareolar technique because it is more difficult to place and maintain implants at the proper level using the transaxillary approach. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9437-6Authors Igor Niechajev, Lidingö-kliniken Torsvägen 30 181 32 Lidingö, Stockholm Sweden Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesth...

The effects of copper additives on the quantity and cell viability of adherent Staphylococcus epidermidis in silicone implants.

Biofouling — Tue, 09 Feb 2010 22:16:05 +0100

Authors: Gosau M, Prantl L, Feldmann M, Kokott A, Hahnel S, Burgers R This in vitro study evaluated the antibacterial effect of copper additives in silicone implants. Specimens of a standard silicone material used in breast augmentation and modified copper-loaded silicone specimens were prepared and incubated in a Staphylococcus epidermidis suspension (2 h, 37 degrees C). After the quantification of adhering staphylococci using a biofluorescence assay (Resazurin), the viability of the adhering bacterial cells was quantified by live or dead cell labeling in combination with fluorescence microscopy. In the Resazurin fluorometric quantification, a higher amount of adhering S. epidermidis cells was detected on pure silicone (4612 [2319/7540] relative fluorescence units [rfu]) than on silic...

Brows up, breasts down: the UK in plastic surgery statistics

Guardian Unlimited Science — Tue, 02 Feb 2010 09:00:00 +0100

More men than ever before are having plastic surgery - and it's often to reduce moobs. Find out who has what done in the UK• Get the dataPlastic surgeons are reporting a record number of "man boob" reduction operations as the rise in demand outstrips that for all other procedures - including women's breast enlargement.Figures published by the British Association of Aesthetic Plastic Surgeons (BAAPs) showed operations to correct gynecomastia in men grew by 80%, while overall male cosmetic surgery grew by 21%.The association's audit reveals 581 male breast reduction operations were performed by members in 2009, up from 323 in 2008. Five years ago, just 22 gynecomastia operations were performed on men. The association represents one in three plastic surgeons, so the UK total is likely to be...

Mondor’s Syndrome: A Clinical Finding on Subfascial Breast Augmentation

Aesthetic Plastic Surgery — Fri, 29 Jan 2010 12:14:18 +0100

Abstract Mondor’s syndrome is a clinical finding that can present in young to middle-age women 7–14 days after subfascial breast augmentation. Three cases of women who presented Mondor’s syndrome after subfascial breast augmentation are reported. The cases were characterized by a tender and painful cord that originates on the middle clavicle line from the inframammary border to the umbilicus scar on the thoracoabdominal wall. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-009-9468-zAuthors Victor Noe Elizondo Tijerina, Monterrey Nuevo Leon MexicoRodolfo A. Elizondo Saenz, Monterrey Nuevo Leon Mexico Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

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Subfascial Breast Augmentation: A Comprehensive Experience

Aesthetic Plastic Surgery — Fri, 29 Jan 2010 12:14:16 +0100

Conclusions Subfascial breast augmentation is a safe, effective procedure allowing for predictable results with excellent shape and longevity. For the properly selected patient, this approach provides the benefits of subglandular and submuscular placement without the disadvantages associated with each. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9466-1Authors Joseph P. Hunstad, The Hunstad Center for Cosmetic Surgery, PA 11208 Statesville Road Huntersville NC 28078 USAL. Shayne Webb, Nirvana Plastic Surgery 1331 44th Ave. North Myrtle Beach SC 29577 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Doctors Feel 'Choosing To Be Thinner In 2010 Could Be Bad For Your Health'

Health News from Medical News Today — Fri, 29 Jan 2010 05:00:00 +0100

Doctors are worried that as the New Year begins, many Americans will resolve to be thinner in 2010 by using over-the-counter supplements. According to a survey conducted by ADSAM and SenseUS polling companies, about 60 percent of physicians feel troubled about the safety of taking diet pills. Not surprisingly, while physicians feel negatively about the safety of over-the-counter diet pills, they are much more comfortable about the use of injections like Botox and Restylane or even breast implants... (Source: Health News from Medical News Today)

Survivor Contestant Jennifer Lyon Succumbs to Breast Cancer

About.com Cancer — Thu, 21 Jan 2010 10:23:27 +0100

Survivor: Palau contest, Jennifer Lyon, has lost her battle with breast cancer. The aspiring actress and photographer died in her Oregon home Tuesday evening. She was 37. Lyon was diagnosed in 2005 with stage 3 breast cancer and immediately underwent a double mastectomy, followed by chemotherapy. She told People magazine that she felt something abnormal in her breast in 2004, but let it go. She chalked it up to scar tissue from breast augmentation. We learn from Jenn how important it is to check your breasts regularly and to report any abnormal findings to your doctor immediately. Do not make assumptions if you find something and certainly don't wait for them to go away or decrease in size.Survivor Contestant Jennifer Lyon Succumbs to Breast Cancer originally appeared on About.com Cancer...

Plastic Surgery: Sculpting the body sculpting the mind

Psychology Today Personality Center — Sun, 17 Jan 2010 02:16:42 +0100

My house is spanking clean today. My Brazilian cleaners are as fastidious about creating a meticulous house as they are about creating a perfectly sculpted body. First "Julia" got her nose done. For months every time she cleaned she complained to me that her nose was too fat and round. She wanted a leaner line. So she set up an appointment with a plastic surgeon specializing in noses. It didn't go well. She had difficulty breathing. Although he was reputable he didn't get it right the first time. She went back for several surgeries, missed work and was in a lot of pain. After all that her nose didn't look that different to me and I couldn't see how it changed her looks. But she began to wear more make-up, did a Brazilian treatment on her hair so it was straight and flowing and generally st...

Breast implants: Saline vs. silicone

MayoClinic.com Full Feed — Sat, 16 Jan 2010 06:00:00 +0100

Breast implants — A Mayo Clinic specialist discusses implants for breast augmentation or reconstruction. (Source: MayoClinic.com Full Feed)

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MRI-Based Breast Volumetry—Evaluation of Three Different Software Solutions

Journal of Digital Imaging — Tue, 12 Jan 2010 06:45:00 +0100

Abstract As lipofilling of the female breast is becoming more popular in plastic surgery, the use of MRI to assess breast volume has been employed to control postoperative results. Therefore, we sought to evaluate the accuracy of magnetic resonance imaging (MRI)-based breast volumetry software tools by comparing the measurements of silicone implant augmented breasts with the actual implant volume specified by the manufacturer. MRI-based volume analysis was performed in eight bilaterally augmented patients (46 ± 9 years) with three different software programs (Brainlab© I plan 2.6 neuronavigation software; mass analysis, version 5.3, Medis©; and OsiriX© v.3.0.2. 32-bit). The implant volumes analysed by the BrainLab© software had a mean deviation of 2.2 ± 1.7% (r�...

Simultaneous Augmentation and Periareolar Mastopexy: Selecting the Correct Implant

Aesthetic Plastic Surgery — Thu, 31 Dec 2009 07:28:48 +0100

Conclusions With proper selection of patients and Style 410 breast implants, cases of grade 3 breast ptosis can be managed successfully by the periareolar approach, thus extending the range of cases suitable for this technique. The different shapes of the Style 410 form-stable, silicone gel implants help to recreate the desired natural-looking breast, achieving stable results with minimal complications. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9440-yAuthors Alberto Rancati, Universidad Catolica Argentina Plastic Surgery Instituto Quirurgico Callao, University of Buenos Aires Avenue Callao 1046 PB A (1046) Buenos Aires ArgentinaMaurizio Nava, Fondazione IRCCS Istituto Nazionale dei Tumori Direttore Struttura Complessa di Oncologia Ch...

Specific Volume of Female Subcutaneous Abdominal Tissue as a Reference in Autologous Breast Reconstruction

Journal of Reconstructive Microsurgery — Sat, 19 Dec 2009 15:18:06 +0100

J reconstr MicrosurgDOI: 10.1055/s-0029-1243301ABSTRACTUse of the deep inferior epigastric perforator (DIEP) flap is gaining popularity as the method of choice for breast reconstruction and replacement of prosthetic breast implants. Ideally, the volume of the prosthesis is replaced by the same volume of autologous tissue to restore shape and symmetry. Still, intraoperative tissue volumetry is not practical under sterile circumstances. The first step toward a clinical intraoperative measure for volume matching would be to acquire knowledge of the specific density of female subcutaneous abdominal fat tissue. The weight and volume of abdominoplasty specimens from 32 women were measured. From these data, the specific volume of DIEP flap tissue was calculated. The mean specific density was 1.12...

Cosmetic Surgery Industry Lobbies Against The 'Botax' In Senate Health Bill

Health News from Medical News Today — Mon, 07 Dec 2009 08:00:00 +0100

"Leading makers of antiwrinkle drugs, breast implants and other appearance-related products are trying to derail a proposed tax on elective cosmetic surgery in the Senate's health-overhaul bill," The Wall Street Journal reports. "The proposed 5% levy -- dubbed the 'Botax' after the antiwrinkle treatment product Botox -- would raise an estimated $5.8 billion over 10 years." The tax proposal has raised the ire of the cosmetic surgery industry. "Two leading companies in aesthetic treatments, Allergan Inc. and Medicis Pharmaceutical Corp... (Source: Health News from Medical News Today)

Cosmetic Surgery Industry Lobbies Against The 'Botax' In Senate Health Bill

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Mon, 07 Dec 2009 08:00:00 +0100

"Leading makers of antiwrinkle drugs, breast implants and other appearance-related products are trying to derail a proposed tax on elective cosmetic surgery in the Senate's health-overhaul bill," The Wall Street Journal reports. "The proposed 5% levy -- dubbed the 'Botax' after the antiwrinkle treatment product Botox -- would raise an estimated $5.8 billion over 10 years... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

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Cosmetic Surgery Industry Lobbies Against The 'Botax' In Senate Health Bill

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Mon, 07 Dec 2009 08:00:00 +0100

"Leading makers of antiwrinkle drugs, breast implants and other appearance-related products are trying to derail a proposed tax on elective cosmetic surgery in the Senate's health-overhaul bill," The Wall Street Journal reports. "The proposed 5% levy -- dubbed the 'Botax' after the antiwrinkle treatment product Botox -- would raise an estimated $5.8 billion over 10 years... (Source: Cosmetic Medicine / Plastic Surgery News From Medical News Today)

Papillary synovial metaplasia–like change in oral mucoceles: a rare and previously undescribed histopathologic variant of a common oral lesion

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics — Mon, 07 Dec 2009 00:00:00 +0100

We report 2 unusual cases of oral mucoceles exhibiting papillary synovial metaplasia–like change: the first arising in the lower lip of an 11-year old African-American boy and the second in the lower lip of a 12-year-old European-American girl. We propose that these cases represent a rare and previously undescribed histopathologic variant of the oral mucocele. These lesions should be distinguished from other oral lesions that may exhibit a papillary cystic growth pattern. (Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics)

Men Suffer When Women Hate Their Bodies

Psychology Today Relationships Center — Sun, 06 Dec 2009 02:05:22 +0100

Men often bear the biggest brunt of women's negative body image (NBO). If she is suffering, he is too. Sarah Maria, body image expert and author of Love Your Body, Love Your Life works intensively with women and men to overcome their negative body image (NBO). She addresses the core causes and their consequences -- how their past experiences, memories, and repetitious self talk impacts how they deal with themselves and others in daily life, and in intimate settings, where NBO is often is triggered. Sarah Maria worked with one woman, Tawnya* (Name changed) who was thin, fit and exercised compulsively. Tawnya had tremendous anxiety about weight gain. When she got her breast implants the plastic surgeon said, "If I were you're husband I'd be glad you were doing this." But this wasn't the case...

Is Breast Augmentation Using Hyaluronic Acid Safe?

Aesthetic Plastic Surgery — Sat, 05 Dec 2009 08:58:06 +0100

DiscussionDOI 10.1007/s00266-009-9451-8Authors Sebastián Mir-Mir Caragol, Paseo del Perello 12, San Andres del Llavaneras Barcelona 08392 Spain Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Is Breast Augmentation Using Hyaluronic Acid Safe?

Aesthetic Plastic Surgery — Sat, 05 Dec 2009 08:58:06 +0100

This article reviews the evidence available on the safety of using hyaluronic acid and raises concerns with regard to its use as a product for breast augmentation, the technique recommended for its use, and the authorisation process for new implantable medical devices. It is strongly recommended that clinicians review the lack of data on Macrolane before offering it as a treatment option to patients. Content Type Journal ArticleCategory ReviewDOI 10.1007/s00266-009-9450-9Authors Micheal J. McCleave, The Royal Adelaide Hospital Department of Plastic & Reconstructive Surgery North Terrace Adelaide SA 5000 Australia Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

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Can the Pectoral Fascia Integrity Be Preserved During Subfascial Breast Augmentation Through the Axillary Approach?

Aesthetic Plastic Surgery — Tue, 01 Dec 2009 08:29:12 +0100

Conclusion The integrity of most pectoral fascias (11 + 5 fascias) could be preserved through the axillary approach during subfascial breast augmentation without endoscopic assistance. Even if the lower portion of the pectoral fascia was broken, this did not interfere with the aesthetic outcome or the normal postoperative recovery. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9443-8Authors Lin Jinde, Nanjing Medical University International Plastic and Aesthetic Center Nanjing Jiangsu ChinaChen Xiaoping, Nanjing Medical University International Plastic and Aesthetic Center Nanjing Jiangsu ChinaZhang Wanquan, Nanjing Medical University International Plastic and Aesthetic Center Nanjing Jiangsu ChinaGao Xia, Nanjing Medical Unive...

Venezuelans borrow for plastic surgery in hard times

Reuters: Health — Tue, 24 Nov 2009 16:15:49 +0100

CARACAS (Reuters) - Unfazed by a recession and rampant inflation, image-conscious Venezuelans show no signs of cutting back on the facelifts, liposuction, and breast augmentation that have become de rigueur beauty treatments. (Source: Reuters: Health)

The Nuss Procedure After Breast Augmentation for Female Pectus Excavatum

Aesthetic Plastic Surgery — Tue, 24 Nov 2009 07:08:55 +0100

Abstract Pectus excavatum, the most common congenital chest wall malformation, has a higher incidence among men. Since 1987, when Donald Nuss performed his technique for the first time, the minimally invasive approach has become the most widely used technique for treating pectus excavatum. Few reported studies have focused on the repair of female pectus excavatum. Women with pectus excavatum often present with breast asymmetry that may require breast augmentation, either before or after pectus excavatum repair. To the authors’ knowledge, no reports on the Nuss procedure after breast implant surgery have been published. This report describes the case of a 26-year-old woman who underwent minimally invasive repair after breast implant surgery. The authors believe that for w...

'Botax' On Cosmetic Surgery Questioned

Health News from Medical News Today — Mon, 23 Nov 2009 09:00:00 +0100

The Associated Press: "The White House and Senate Democrats have turned to a proposal to tax breast implants, tummy tucks, wrinkle-smoothing injections and other procedures as they search for ways to pay for costly health care overhaul plans. (Source: Health News from Medical News Today)

'Botax' On Cosmetic Surgery Questioned

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Mon, 23 Nov 2009 09:00:00 +0100

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'Botax' On Cosmetic Surgery Questioned

Cosmetic Medicine / Plastic Surgery News From Medical News Today — Mon, 23 Nov 2009 09:00:00 +0100

Breast Implant Stability in the Subfascial Plane and the New Shaped Silicone Gel Breast Implants

Aesthetic Plastic Surgery — Sat, 21 Nov 2009 09:49:35 +0100

Abstract The author presents his experience with breast augmentation using a next-generation, form-stable, anatomically shaped silicone gel breast implant. Rotation is a potential complication for anatomically shaped breast implants. Anatomically shaped saline implants have been reported to have a rotation rate as high as 14%, while lower rotation rates of 1–2.6% for anatomic cohesive gel silicone implants have been reported. Currently, these implants are limited in the United States to US FDA-approved clinical trials. The author reviews the appropriate surgical techniques to prevent rotation when using these devices. A recent innovation, placement of the superior pole of the implant underneath the superficial fascia of the pectoralis major muscle, is described. Primary ...

The Botax? Nip/Tuck Levy to Help Health Care Plan

Drugs.com - Pharma News — Fri, 20 Nov 2009 14:47:35 +0100

From Associated Press (November 20, 2009) WASHINGTON--They call it the "Botax." The White House and Senate Democrats have turned to a proposal to tax breast implants, tummy tucks, wrinkle-smoothing injections and other procedures as they search for... (Source: Drugs.com - Pharma News)

The Botax? Nip/Tuck Levy To Help Health Plan

WDSU.com - Health — Fri, 20 Nov 2009 13:57:10 +0100

The White House and Senate Democrats have turned to a proposal to tax breast implants, tummy tucks, wrinkle-smoothing injections and other procedures as they search for ways to pay for costly health care overhaul plans. (Source: WDSU.com - Health)

Augmentation Mastopexy in Muscle-Splitting Biplane: Outcome of First 44 Consecutive Cases of Mastopexies in a New Pocket

Aesthetic Plastic Surgery — Thu, 19 Nov 2009 07:39:32 +0100

Conclusion The submuscular biplane technique is a good option for breast augmentation with mastopexy as a single or staged procedure. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9434-9Authors Umar Daraz Khan, Re-shape House, 2-4 High Street, West Malling Kent ME196QR UK Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

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Progenitor-Enriched Adipose Tissue Transplantation as Rescue for Breast Implant Complications

The Breast Journal — Fri, 13 Nov 2009 00:00:00 +0100

Abstract: Breast enhancement with artificial implants is one of the most frequently performed cosmetic surgeries but is associated with various complications, such as capsular contracture, that lead to implant removal or replacement at a relatively high rate. For replacement, we used transplantation of progenitor-supplemented adipose tissue (cell-assisted lipotransfer; CAL) in 15 patients. The stromal vascular fraction containing adipose tissue progenitor cells obtained from liposuction aspirates was used to enrich for progenitor cells in the graft. Overall, clinical results were very satisfactory, and no major abnormalities were seen on magnetic resonance imaging or mammogram after 12 months. Postoperative atrophy of injected fat was minimal and did not change substantially after 2 months...

Diagnosis of breast cancer at dynamic MRI in patients with breast augmentation by paraffin or silicone injection

Clinical Radiology — Thu, 12 Nov 2009 15:24:38 +0100

Conclusion: In patients with breasts injected with foreign material, MRI was used to successfully diagnose malignant breast lesions and could be the diagnostic method of choice. Analysis of the morphological and kinetic features at MRI in conjunction with clinical findings is essential. (Source: Clinical Radiology)

Liposuction: A source for breast augmentation?

Reuters: Health — Mon, 02 Nov 2009 15:20:03 +0100

NEW YORK (Reuters Health) - Worried about what to do with fat you've had liposuctioned from pudgy areas? Researchers have turned it into stem cells in the lab, but here's a more immediate use: Fat liposuctioned from other parts of the body can safely be used to increase a woman's breast size, according to study findings presented this week at the Plastic Surgery 2009 meeting in Seattle. (Source: Reuters: Health)

Silicone breast implantation-induced scleroderma: description of four patients and a critical review of the literature.

Lupus — Sun, 01 Nov 2009 00:00:00 +0100

Authors: Levy Y, Rotman-Pikielny P, Ehrenfeld M, Shoenfeld Y Since the early 1980s, case reports and case series describe an association between silicon breast implants and the appearance of autoimmune diseases, particularly scleroderma. The publication of those cases led to a large number of studies to investigate this association. The conclusion of those studies is that most probably there has not been an increased incidence of autoimmune diseases in women with silicon breast implants. Nevertheless, the US Food and Drug Administration determined that silicone gel breast implants are not completely safe, only that they are 'reasonably safe.' The debate continues regarding this association. In this article we present new cases of silicon breast implant-induced scleroderma and review th...

Use of the Acellular Dermal Matrix in Revisionary Aesthetic Breast Surgery

Aesthetic Surgery Journal — Sun, 01 Nov 2009 00:00:00 +0100

Conclusions: Revisionary augmentation and revision of augmentation mastopexy are commonly performed procedures and they have a significantly higher complication rate than primary procedures. This series shows that the ADM can be used both safely and effectively in revisionary cases, resulting in decreased rates of capsular contracture and implant cushioning/stabilization. (Source: Aesthetic Surgery Journal)

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Liposuction: A source for breast augmentation?

Reuters: Health — Fri, 30 Oct 2009 21:25:51 +0100

Liposuctioned Fat Can Be Used for Breast Augmentation

MedicineNet Cancer General — Tue, 27 Oct 2009 07:00:00 +0100

Title: Liposuctioned Fat Can Be Used for Breast AugmentationCategory: Health NewsCreated: 10/26/2009 2:10:00 PMLast Editorial Review: 10/27/2009 (Source: MedicineNet Cancer General)

Fat Injections Can Enhance Breasts

WebMD Health — Mon, 26 Oct 2009 19:48:26 +0100

Breast lifts can raise, shape, and firm sagging breasts. If a woman wants to add some volume, she may need to get breast implants too, but fat injections can also do the trick, according to new research. (Source: WebMD Health)

Liposuctioned Fat Can Be Used for Breast Augmentation

MedlinePlus Health News — Mon, 26 Oct 2009 18:00:00 +0100

Method may be safe alternative to implants, researchers say Source: HealthDay Related MedlinePlus Topic: Plastic and Cosmetic Surgery (Source: MedlinePlus Health News)

Postoperative impact of regular tobacco use, smoking or snuffing, a prospective multi-center study

Acta Anaesthesiologica Scandinavica — Mon, 26 Oct 2009 00:00:00 +0100

The aim was to study the effects of different tobacco administration routes on pain and post-operative nausea and vomiting (PONV), following three common day surgical procedures: cosmetic breast augmentation (CBA), inguinal hernia repair (IHR) and arthroscopic procedures (AS). We have prospectively investigated the effects of regular tobacco use in ambulatory surgery. The 355 allocated patients were followed during recovery and the first day at home. Thirty-two percent of the patients used tobacco regularly, 33% of CBA, 27% of IHR and 34% of AS. Pain was well controlled in the post-anesthesia care unit at rest; during ambulation, 37% of all patients reported VAS>3. Tobacco use had no impact on early post-operative pain. Post-operative nausea was experienced by 30% of patients during recove...

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Experience of 1000 Cases on Subfascial Breast Augmentation

Aesthetic Plastic Surgery — Thu, 22 Oct 2009 05:59:23 +0100

Conclusion The subfascial procedure offers a high-grade result for the short and long term and has fewer disadvantages than the submuscular or subglandular technique. Likewise, there are fewer immediate postoperative symptoms and patients have a much better and less painful recovery. The morbidity in these patients is less than with the subglandular and submuscular methods. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9402-4Authors Victor Noe Elizondo Tijerina, Monterrey Nuevo Leon MexicoRodolfo A. Elizondo Saenz, Monterrey Nuevo Leon MexicoJair Garcia-Guerrero, Monterrey Nuevo Leon Mexico Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Cosmetic Breast Implants Do Not Interfere With Detecting Breast Cancer

Breast Cancer News From Medical News Today — Wed, 21 Oct 2009 09:00:00 +0100

October is Breast Cancer Awareness Month, and breast experts from The University of Texas M. D. Anderson Cancer Center agree that getting breast implants does not increase a woman's breast cancer risks or prevent her from getting accurate mammogram test results. "The question of how implants affect breast cancer risk and screening tests, like the mammogram, is a question that many women ask," says Therese Bevers, M. D., medical director of the Cancer Prevention Center at M. D. (Source: Breast Cancer News From Medical News Today)

Breast Augmentation, Antibiotic Prophylaxis, and Infection: Comparative Analysis of 1,628 Primary Augmentation Mammoplasties Assessing the Role and Efficacy of Antibiotics Prophylaxis Duration

Aesthetic Plastic Surgery — Tue, 20 Oct 2009 15:19:37 +0100

Conclusion A single dose of intravenous antibiotic is adequate for prophylaxis in breast augmentation surgery, and the extra duration of antibiotic cover does not result in reduced superficial or periprosthetic infections. Infection can be managed in more than one way depending on the nature, degree, and extent of infection. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9427-8Authors Umar Daraz Khan, Re-shape House 2-4 High Street ME 19 6QR West Malling, Kent UK Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Implants should not deter breast mammogram

Health News - UPI.com — Wed, 14 Oct 2009 05:02:19 +0100

DALLAS, Oct. 14 (UPI) -- Mammograms may be more difficult for women who have breast implants but they are still necessary, U.S. researchers say. (Source: Health News - UPI.com)

Breast Prostheses and Connective Tissue Disease (CTD): Myth or Reality?

Aesthetic Plastic Surgery — Sat, 03 Oct 2009 06:32:55 +0100

Abstract Since their first appearance, breast prostheses have been criticized as being both responsible for and giving rise to systemic disease. The literature contains many reports on the subject, and theories were controversial from the 1980s to the 2000s. The aim of this review was to gather together the most important studies on breast prostheses and systemic disease, with particular attention to connective tissue disease (CTD), in order to verify any relationship between silicone breast implants and the occurrence of pathologies. Content Type Journal ArticleCategory ReviewDOI 10.1007/s00266-009-9422-0Authors F. Bassetto, University of Padova Plastic Surgery Clinic Padova ItalyV. Vindigni, University of Padova Plastic Surgery Clinic Padova ItalyCarlotta Scarpa, Univ...

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Anesthesia at outpatient clinics targeted

Health News - UPI.com — Thu, 24 Sep 2009 16:51:02 +0100

BOCA RATON, Fla., Sept. 24 (UPI) -- A Florida couple whose teenage daughter died in a 2008 breast-augmentation surgery say anesthesia should not be used at outpatient surgical centers. (Source: Health News - UPI.com)

Hey Dove! Talk to YOUR Parent!

Psychology Today Food and Diet Center — Sat, 19 Sep 2009 14:59:29 +0100

[Two years ago], as part of its much lauded "Dove Campaign for Real Beauty," Unilever released "Onslaught," a video (above) examining disturbing images of women in beauty-industry advertising. The video ends with this admonition to parents: "Talk to your daughter before the beauty industry does." It's a powerful video with a disturbing collection of images. The situation of our daughters -- and, by the way, our sons -- seems both overwhelming and diabolical. Read the comments about the film on the Dove website discussion board, and you can feel the love and gratitude that viewers, particularly mothers, feel toward Dove for this film. Skimming the first ten comments, one finds these reviews and remarks:"This is a POWERFUL little film for sure"; " I love the message behind the Dove movies/ad...

Review of 1,447 Breast Augmentation Patients Using PERTHESE Silicone Implants

Aesthetic Plastic Surgery — Thu, 17 Sep 2009 12:41:32 +0100

Conclusions This review demonstrates that these implants are safe, maybe easier to introduce than other implants, and result in a high level of surgeon and patient satisfaction. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9405-1Authors Jorge Miguel Psillakis, Universidade Estadual de Campinas (FCM-UNICAMP) Plastic Surgery Area, Department of Surgery, School of Medical Sciences São Paulo BrazilPaulo Henrique Facchina, Universidade Estadual de Campinas (FCM-UNICAMP) Plastic Surgery Area, Department of Surgery, School of Medical Sciences São Paulo BrazilPaulo Kharmandayan, Universidade Estadual de Campinas (FCM-UNICAMP) Plastic Surgery Area, Department of Surgery, School of Medical Sciences São Paulo BrazilLuis Trillo, Universidade Estad...

New IDEAL IMPLANT Is The Next Breast Thing, Combining Natural Results And Safety Of Saline

Health News from Medical News Today — Thu, 03 Sep 2009 13:00:00 +0100

Like many women, Teri did her research before making the decision to undergo breast augmentation. As a health-conscious mother seeking a better fit in her clothes, she was dissatisfied with the current breast implant choices of saline for safety or silicone gel for a more natural look, yet with bothersome potential risks. (Source: Health News from Medical News Today)

Technique and incisions ease challenge of breast augmentation with large gel implants

Modern Medicine — Mon, 31 Aug 2009 23:00:00 +0100

Return of silicone gel breast implants to market presented new challenge to surgeons (Source: Modern Medicine)

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Anaplastic large cell lymphoma involving the breast: a clinicopathologic study of 6 cases and review of the literature.

Archives of Pathology and Laboratory Medicine — Mon, 31 Aug 2009 23:00:00 +0100

CONCLUSIONS: Including the 6 cases we describe, a total of 21 cases of ALCL involving the breast are reported. Fifteen cases, all ALK(-), were associated with breast implants, suggesting a possible pathogenetic relationship, and associated with an excellent prognosis. Patients with cutaneous ALCL can subsequently develop ALK(-) ALCL involving the breast, and these tumors can be associated with breast implants. PMID: 19722744 [PubMed - in process] (Source: Archives of Pathology and Laboratory Medicine)

Fat Injection to the Breast: Technique, Results, and Indications Based on 880 Procedures Over 10 Years

Aesthetic Surgery Journal — Mon, 31 Aug 2009 23:00:00 +0100

Conclusions: Lipomodeling, because of a low complication rate and positive results, presents a new option for plastic, reconstructive, and aesthetic surgery of the breast. Pre- and postoperative examination by a radiologist specialized in breast imaging is necessary to limit the risk that a cancer may occur coincidentally with lipomodeling. (Aesthet Surg J;29:360-378.) (Source: Aesthetic Surgery Journal)

Commentary

Aesthetic Surgery Journal — Mon, 31 Aug 2009 23:00:00 +0100

Despite growing interest in the technique of fat grafting for breast augmentation, many plastic surgeons remain wary. To date, neither the American Society for Aesthetic Plastic Surgery (ASAPS) nor the American Society of Plastic Surgeons (ASPS) has revised its official public position statement of February 2007 advising that lipoaugmentation is not recommended to patients at this time. Nevertheless, this excellent article by Delay et al presents an impressive experience with lipomodeling of the breast performed in France and a fine analysis of the various factors involved in successful outcomes. The authors have taken a responsible approach in emphasizing thorough patient education and informed consent. They have further acknowledged the need for more and longer-term research. (Source: Ae...

Efficacy of Neopectoral Pocket in Revisionary Breast Surgery

Aesthetic Surgery Journal — Mon, 31 Aug 2009 23:00:00 +0100

Conclusions: The neopectoral pocket is a new type of site change operation. This procedure will address many of the issues seen today in revisionary aesthetic breast surgery for subpectoral implants that are already in place. These are frequently large implants that have displaced medially, inferomedially, inferiorly, or are encapsulated. (Aesthet Surg J;29: 379-385.) (Source: Aesthetic Surgery Journal)

Patient Information Before Aesthetic Lipomodeling (Lipoaugmentation): A French Plastic Surgeon's Perspective

Aesthetic Surgery Journal — Mon, 31 Aug 2009 23:00:00 +0100

Fat grafting to the breasts has long been controversial among aesthetic surgeons. We have developed a new, safe, effective, and reliable lipomodeling method to be used in breast augmentation. This method grew out of our clinical and radiologic experience acquired since 1998 with fat injections to the breast. The aim of the present report is to provide facts and data concerning lipomodeling and to document our procedures for ensuring that clear, consistent, up-to-date information is given to the patients who are undergoing aesthetic lipomodeling. The key element in our preparation is our commitment to avoid missing the diagnosis or altering the presentation of a preexisting or newly arising breast cancer. We must also ensure that the patient understands the need to comply with follow-up rec...

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Rare lymphoid malignancies of the breast: a report of two cases illustrating potential diagnostic pitfalls

Journal of Hematopathology — Thu, 20 Aug 2009 08:31:19 +0100

We describe two cases of lymphoid malignancies predominantly involving the breast, both presenting diagnostic dilemmas. The first case, ALK-negative anaplastic large-cell lymphoma involving a seroma associated with a breast implant, is an emerging clinicopathologic entity. Anaplastic large-cell lymphoma has been identified in association with breast implants and seroma formation relatively recently. The second case, hairy cell leukemia involving the breast and ipsilateral axillary sentinel lymph node, is, to our knowledge, the first reported case of hairy cell leukemia involving the breast at the time of diagnosis. While a localized bone lesion was present at time of diagnosis, bone marrow involvement was relatively mild in comparison to that seen in the breast and lymph node. In the...

The growing breast implant – a complication of homologous fat transplantation for breast augmentation

Journal of Plastic, Reconstructive & Aesthetic Surgery — Mon, 17 Aug 2009 00:00:00 +0100

Breast augmentation has been fascinating patients and surgeons for over a century. Ever since the search for the ideal material has resulted in the use of a wide range of materials for breast enlargement, including sponges, rubber, plastics, paraffin, glass, ivory. Since its development in 1963 the silicon implant is the gold standard. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

[Indications and technical procedures of mastectomy with immediate breast reconstruction.]

Gynecologie, Obstetrique & Fertilite — Tue, 11 Aug 2009 23:00:00 +0100

Authors: Mazouni C, Pachet C, Rimareix F Achieving a mastectomy occurs in one third of the acts of breast cancer surgery. In the present context, the increase in the diagnosis of early breast cancer, including widespread or multifocal forms, the possibility of a reconstruction at the same time is discussed. It will be proposed in a specific context, taking into account various factors: oncological (characteristics of the tumor, adjuvant treatments), clinical (smoking, comorbidity) and psychological (choice of the patient). The technique of mastectomy will be adapted to the indication and choice of reconstruction procedure. Including the preservation of the nipple-areola complex, or the skin envelope will be possible for some guidance. The reconstruction is possible with the use of brea...

[Benefit of complementary lipofilling in aesthetic breast augmentation with implant.]

Annales de Chirurgie Plastique et Esthetique — Tue, 11 Aug 2009 23:00:00 +0100

Authors: Auclair E Since 2 years, the author uses an aesthetic mammary augmentation technique with a combination in the same surgical procedure of: placement of a breast implant in a retrofascial plane; lipofilling under the skin of the cleavage to cover the upper part of the implant. Forty-seven women have been operated with this procedure since 2006, with immediate satisfactory results in all the cases. We consider this procedure as an interesting alternative to retromuscular placement in thin patients with small breast. PMID: 19682785 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

Hepatitis B vaccines: Chronic fatigue syndrome in a patient with silicone leakage from breast implants: case report

Reactions — Mon, 03 Aug 2009 10:55:12 +0100

(Source: Reactions)

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Breast imaging technology can project outcomes

Modern Medicine — Wed, 29 Jul 2009 11:09:43 +0100

Three-dimensional imaging has its plusses for breast augmentation, reduction and reconstruction. (Source: Modern Medicine)

Transaxillary Breast Augmentation: A Prospective Comparison of Subglandular, Subfascial, and Submuscular Implant Insertion

Aesthetic Plastic Surgery — Tue, 14 Jul 2009 12:09:50 +0100

Conclusion Transaxillary breast augmentation provides consistent, satisfactory results with ease of dissection, when properly indicated. Although the subfascial augmentation mammaplasty has all the advantages of the subpectoral and subglandular augmentation mammaplasties and eliminates the disadvantages of increased postoperative discomfort, implant visibility, and distortion, patients of all three groups had similar rates of satisfaction. Further follow-up is needed in order to compare the long-term effects of the three different planes of insertion. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9389-xAuthors Luiz Haroldo Pereira, Rua Xavier da Silveira 45/206 22061-010 Rio de Janeiro BrazilAris Sterodimas, 4224 Av Epitacio Pessoa 2247...

Abdominal Fascial Flaps for Providing Total Implant Coverage in One-Stage Breast Reconstruction: An Autologous Solution

Aesthetic Plastic Surgery — Tue, 14 Jul 2009 12:09:49 +0100

Conclusion There are many ways to provide soft-tissue coverage of silicone breast implants in breast reconstruction. These include acellular dermis slings, polyglycolic mesh, deepithelialized skin, and muscle. The ideal soft-tissue cover would be supple, easily harvested, of minimal morbidity, of minimal cost, and preferably autologous. We feel that the technique described here has these qualities and allows for complete coverage of silicone implants. An additional benefit of this technique is that it helps to increase the definition of the inframammary sulcus. This method is a good alternative in providing implant coverage during breast reconstruction, especially when there is a large implant or small pectoralis major muscle. Content Type Journal ArticleCategory Inn...

Intrapulmonary and Cutaneous Siliconomas after Silent Silicone Breast Implant Failure

The Breast Journal — Sun, 12 Jul 2009 23:00:00 +0100

We present six female patients with an average age of 55 (±5) years with bilateral rupture of silicone implants after breast augmentation for aesthetic reasons. The average time after operation was 18 (±6) years. In five patients, we identified peripheral located cutaneous siliconomas and one patient suffered from an intrapulmonal siliconoma. The diagnosis of bilateral rupture of the silicone implants was performed preoperatively by MRI-scans. All five peripheral cutaneous siliconomas and the intrapulmonal siliconoma were validated by histopathologic analysis. Six female patients suffered from bilateral rupture of silicone implants after breast augmentation. In five patients, we identified peripheral located cutaneous siliconomas which were surgically excised. One patient suffered from a...

Persistent hyperprolactinemia following mammoplasty: a rare association.

Tennessee Medicine — Tue, 30 Jun 2009 23:00:00 +0100

We report a patient with galactorrhea and hyperprolactinemia following breast augmentation, with several unique features. We used monomeric prolactin in the diagnosis of hyperprolactinemia and macro prolactinemia was specifically excluded. Common causes of prolactin excess such as prolactinoma, hypothyroidism and renal dysfunction were excluded. The close temporal relationship of the galactorrhea and apparent prolactin elevation shortly after augmentation mammoplasty strongly suggests a causal link. Patient continued to have galactorrhea, and prolactin level rose for two years without any apparent identified cause, except breast implantation surgery. These persistently elevated levels of prolactin contradict previously reported transient character of prolactin elevation. The submuscular lo...

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Nodular fasciitis: differential considerations and current management strategies.

The American Surgeon — Tue, 30 Jun 2009 23:00:00 +0100

We report our recent experience with two cases of NF that were both referred with a diagnoses of "soft tissue sarcoma." Patient 1 was a 46-year-old woman who had undergone breast augmentation and was referred with a rapidly growing firm mass on the left chest wall beneath the breast implant. Computed tomography of the chest noted the mass to be 8 cm x 11 cm in size displacing the implant laterally with no radiological involvement of the bony structures of the chest. Core biopsy was suggestive of inflammation only. Given the clinical suspicion of malignancy, the patient underwent resection of the mass with implant removal. Final pathology showed NF. Patient 2 was a 65-year-old woman referred with an enlarging tender 3-cm infraclavicular mass and a clinical diagnosis of "soft tissue sarcoma....

Severe Allergic Reaction to Dermabond

Aesthetic Surgery Journal — Tue, 30 Jun 2009 23:00:00 +0100

This article describes a severe allergic reaction to Dermabond following breast augmentation/mastopexy. (Source: Aesthetic Surgery Journal)

Hematoma Risk Should Not Preclude the Use of Venous Thromboembolism Prophylaxis

Aesthetic Surgery Journal — Tue, 30 Jun 2009 23:00:00 +0100

We congratulate Patronella et al on their recent article entitled “Thromboembolism in high-risk aesthetic surgery: Experience with 17 patients in a review of 3871 consecutive cases” (Aesthet Surg J 2008;28:648–655), which provides a clear set of guidelines to minimize venous thromboembolic events (VTEs) in ambulatory aesthetic surgery. With regard to prophylaxis and the risk of reoperative hematoma, the authors noted that: “…in the senior author's experience…if this medication [postoperative prophylactic low-molecular weight heparin] is given in the high-risk patients who are having additional breast procedures, a higher incidence of hematomas can be expected…to avoid the risk of postoperative bleeding and hematoma formation, [postoperative prophylaxis with] enoxaparin should...

The influence of cosmetic breast augmentation on the stage distribution and prognosis of women subsequently diagnosed with breast cancer

International Journal of Cancer — Tue, 30 Jun 2009 00:00:00 +0100

In conclusion, this study suggests that breast implants delay the detection of breast cancer, but there was no statistically significant difference in survival between the breast implant and other plastic surgery groups. (Source: International Journal of Cancer)

Dow Corning Benefits Include Breast Tissue Expanders, Bankruptcy Judge Rules

LexisNexis® Mealey's™ Emerging Drugs & Devices Legal News — Fri, 26 Jun 2009 14:31:04 +0100

DETROIT - Women who were implanted with tissue expanders in preparation for permanent breast implants are eligible to receive benefits under the Dow Corning Corp. breast implant settlement plan, the judge overseeing the Dow Corning bankruptcy ruled June 10 (In Re: Settlement Facility Dow Corning Trust, No. 00-5, E.D. Mich., Southern Div.). Full story on lexis.com (Source: LexisNexis® Mealey's™ Emerging Drugs & Devices Legal News)

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Do biomaterials cause implant-associated mesenchymal tumors of the breast? Analysis of 8 new cases and review of the literature

Human Pathology — Sun, 21 Jun 2009 23:00:00 +0100

Summary: Implant-associated mesenchymal tumors (IAMT) of the breast are rare, and most are fibromatoses. There has been no systematic analysis of IAMT to determine their full histologic spectrum, whether there is an association with implant type or rupture, and if evidence supports a causal or fortuitous relationship between tumor and implant. We, therefore, analyzed all mesenchymal tumors associated with breast implants from our soft tissue consultation database spanning a period from 1989 to 2005. Information regarding location, type, and integrity of implant and its temporal relationship to tumor was recorded. Eight IAMT were identified exclusively in female patients (ages 28-64 years; median, 38 years), all of whom presented with a palpable mass. Tumors developed after placement of eit...

Autologous Fat Transplantation and Delayed Silicone Implant Insertion in a Case of Mycobacterium avium Breast Infection

Aesthetic Plastic Surgery — Thu, 04 Jun 2009 10:09:17 +0100

Conclusion Although this kind of complication has significantly compromised the aimed result and has caused frustration to both the patient and the physicians involved, we believe that the combination of autologous fat transplantation and delayed silicone implant insertion can be a safe strategy and can produce an acceptable aesthetic result. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-009-9357-5Authors Luiz Haroldo Pereira, Luiz Haroldo Clinic Department of Plastic Surgery Rua Xavier da Silveira 45/206 22061-010 Rio de Janeiro BrazilAris Sterodimas, Pontifical Catholic University of Rio de Janeiro and the Carlos Chagas Postgraduate Medical Institute Department of Plastic Surgery Av. Beira Mar 406 20021-020 Rio de Janeiro Brazil Journal A...

Autologous Fat Transplantation to the Breast: A Personal Technique with 25 Years of Experience

Aesthetic Plastic Surgery — Thu, 04 Jun 2009 10:09:16 +0100

Conclusion In the last 25 years the results of autologous fat transplantation have been predictable and satisfying on the condition that the treatment is performed in stages with small quantities of adipose tissue fat injected in each treatment session. To prevent major complications the final expected result should not be the aim of a single procedure. Mammary lipografting is a procedure that can be offered to patients for breast reconstructive and cosmetic purposes. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9377-1Authors Yves Gérard Illouz, Saint Louis Hospital Department of Plastic Surgery Avenue Claude-Vellefaux 75010 Paris FranceAris Sterodimas, 4224 Av Epitacio Pessoa 22471-001 Rio de Janeiro Brazil Journal Aesthet...

Posterior ischemic optic neuropathy following breast augmentation and abdominal liposuction.

Canadian Journal of Ophthalmology — Sun, 31 May 2009 23:00:00 +0100

Authors: Rath EZ, Falick Y, Rumelt S PMID: 19492003 [PubMed - in process] (Source: Canadian Journal of Ophthalmology)

New Breast Implant Designed As Alternative To Silicone Gel

Health News from Medical News Today — Sun, 31 May 2009 07:00:00 +0100

At a time when breast augmentation tops the list for U.S. cosmetic surgical procedures, women are still left choosing between either the safety of saline or the natural result of silicone gel. Plastic surgeons are now looking to offer the best features of both in the revolutionary new technology of the IDEAL IMPLANT® Saline-filled Breast Implant. (Source: Health News from Medical News Today)

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Round Gel Breast Implants or Anatomic Gel Breast Implants: Which is the Best Choice?

Aesthetic Plastic Surgery — Sat, 30 May 2009 08:15:50 +0100

Conclusions The use of anatomic implants is suggested for patients with significant differences in chest height and width measurements, for cases of significant mammary asymmetry, for patients with a small breast volume or a prominent thorax, and for breasts with a significant deficit of inferior mammary volume or significant shortening of the breast. The authors recommend round implants for patients with a superior pole deficit or moderate breast pseudoptosis, for patients who have a breast that will cover the implant, and for patients who present with a small asymmetry. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9370-8Authors Lázaro Cárdenas-Camarena, Instituto Jalisciense de Cirugía Reconstructiva Guadalajara Jalisco MexicoJoel...

Unacceptable Results with an Accepted Soft Tissue Filler: Polyacrylamide Hydrogel

Aesthetic Plastic Surgery — Tue, 19 May 2009 05:58:40 +0100

Conclusions A wide range of complications seen among our patients showed that polyacrylamide hydrogel may not be as safe and biocompatible as it was thought previously. Both patients and physicians must be aware of the potential side effects of polyacrylamide hydrogel before gel administration. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9359-3Authors Ali Manafi, Fatemeh Zahra Hospital, Iran University of Medical Sciences Department of Plastic and Reconstructive Surgery Street No 21, Seyed Jamaladin Asad-Abadi Avenue Tehran IranAbol-Hasan Emami, Fatemeh Zahra Hospital, Iran University of Medical Sciences Department of Plastic and Reconstructive Surgery Street No 21, Seyed Jamaladin Asad-Abadi Avenue Tehran IranAydin H. Pooli, Fatemeh Za...

Doc says Quebec women shortchanged on breast implants

CTV Health — Sun, 17 May 2009 18:12:08 +0100

One Montreal doctor says that the more natural-looking and longer-lasting cohesive gel type of breast implant is less widely available in Quebec than in the rest of Canada. (Source: CTV Health)

Safety and Effectiveness of Mentor’s MemoryGel Implants at 6 Years

Aesthetic Plastic Surgery — Wed, 13 May 2009 05:54:05 +0100

Conclusions Mentor MemoryGel Silicone Breast implants represent a safe and effective choice for women seeking breast augmentation or breast reconstruction following mastectomy. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9364-6Authors Bruce Cunningham, University of Minnesota Medical School Division of Plastic and Reconstructive Surgery Mayo Memorial Bldg., 420 Delaware Street SE Minneapolis MN 55455 USAJonathan McCue, University of Minnesota Medical School Division of Plastic and Reconstructive Surgery Mayo Memorial Bldg., 420 Delaware Street SE Minneapolis MN 55455 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Long-Term Safety and Effectiveness of Style 410 Highly Cohesive Silicone Breast Implants

Aesthetic Plastic Surgery — Wed, 13 May 2009 05:54:05 +0100

Conclusions The Style 410 anatomically shaped, form-stable gel breast implants demonstrated long-term safety and effectiveness. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9360-xAuthors Per Hedén, Akademikliniken Stockholm SwedenGiorgio Bronz, Bronz Clinic Lugano SwitzerlandJens Jorgen Elberg, Rigshospitalet Copenhagen DenmarkRika Deraemaecker, Tumor Centre of the Free University of Brussels, CHU St. Pierre, University of the Brussels Bordet Institut Brussels BelgiumDiane K. Murphy, Allergan Santa Barbara CA USAAraceli Slicton, Allergan Santa Barbara CA USAR. James Brenner, Bay Imaging Consultants San Francisco CA USACatarina Svarvar, Helsinki University Central Hospital Department of Plastic Surgery Helsinki FinlandJoost van Tetering, K...

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Long-Term Safety and Effectiveness of Style 410 Highly Cohesive Silicone Breast Implants

Aesthetic Plastic Surgery — Wed, 13 May 2009 05:54:00 +0100

DiscussionDOI 10.1007/s00266-009-9362-8Authors Bruce Cunningham, University of Minnesota Division of Plastic and Reconstructive Surgery 420 Delaware St. SE, MMC 195 Minneapolis MN 55455 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

A False-Positive Fluorodeoxyglucose Positron Emission Tomography (FDG-PET) Imaging Result for a Patient After Augmentation Mammaplasty

Aesthetic Plastic Surgery — Thu, 07 May 2009 05:57:15 +0100

Conclusion It is important to identify an imaging methodology that improves the detection of breast cancer in patients with a previous mammaplasty. We show here that FDG-PET may improve breast cancer detection after mammaplasty. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9347-7Authors Kyoko Kobe, Nippon Medical School Hospital Department of Plastic and Reconstructive Surgery 1-1-5, Sendagi Bunkyo-ku, Tokyo 113-8603 JapanTakafumi Chin, Nippon Medical School Hospital Department of Plastic and Reconstructive Surgery 1-1-5, Sendagi Bunkyo-ku, Tokyo 113-8603 JapanRitsu Aoki, Nippon Medical School Hospital Department of Plastic and Reconstructive Surgery 1-1-5, Sendagi Bunkyo-ku, Tokyo 113-8603 JapanHiko Hyakusoku, Nippon Medical School Hospi...

Breast Implant Reconstruction

About.com Breast Cancer — Sun, 03 May 2009 04:00:00 +0100

Breast implants are the option for reconstruction that requires the least surgery. About half of all breast reconstructions are done using implants. No skin or muscle needs to be relocated for an implant reconstruction. Learn more about breast implant reconstruction after a mastectomy. (Source: About.com Breast Cancer)

Satisfaction and quality of life in women who undergo breast surgery: a qualitative study

BioMed Central — Fri, 01 May 2009 04:00:00 +0100

Conclusions: Our conceptual framework establishes the main issues of concern for breast surgery patients. This new framework can be used to help develop local guidelines for future clinical assessment, management and measurement, establish the validity of the current management strategies, and develop evidence-based guidance for the development of new patient reported outcome measures for future outcomes research. (Source: BioMed Central)

Rethinking Silicone vs. Saline Breast Implants

Internal Medicine News — Fri, 01 May 2009 04:00:00 +0100

SCOTTSDALE, ARIZ. — Silicone or saline? With 550,000 breast augmentations performed each year in the United States, it's a question physicians and surgeons get asked a lot. (Source: Internal Medicine News)

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Multisite Analysis of 177 Consecutive Primary Breast Augmentations: Predictors for Reoperation

Aesthetic Surgery Journal — Thu, 30 Apr 2009 23:00:00 +0100

Background: Plastic surgeons and manufacturers of breast implants have been examining the complication and reoperation rates of primary breast augmentations for more than 18 years. The seemingly high rates reported by the manufacturers to the United States Food and Drug Administration (FDA) were the impetus for this multicenter study. Objective: This paper reports on data pooled from three plastic surgery practices that were geographically distributed across the United States and examines the reoperation rate, time to reoperation, the reason for reoperation, and specific complications in 177 consecutive primary breast augmentation patients. These data are statistically compared to the manufacturers' 2005 and 2008 FDA data. In addition, the significance of selected variabl...

Pr52pto assess the effectiveness of topical negative pressure (tnp) combined with local instillation of biocides against staphylococcus epidermidis and pseudomonas aeruginosa biofilm in vitro

ANZ Journal of Surgery — Mon, 27 Apr 2009 04:00:00 +0100

Introduction: S epidermidis is a recognised major biofilm pathogen and has been implicated in medical device contamination ranging from artificial hip prostheses to breast implants. Pseudomonas aeruginosa is a known pathogen in chronic wounds. Within biofilms, bacteria are enclosed in a polymeric matrix or EPS which cements the bacteria to each other and to the surface. Biofilms act to protect the bacteria from the environment increasing resistance to host immunity, antibiotics and biocides. More recently, we have shown that biofilm occurs on the surface of chronic wounds and that this may have aetiological implications.Method: Staph spp and pseudomonas spp biofilm were grown on glass coupons using the CDC biofilm reactor for 48 hrs and the coupons randomly inserted into the wound model ...

Pr54pwhat is biofilm and what does it have to do with surgery?

ANZ Journal of Surgery — Mon, 27 Apr 2009 04:00:00 +0100

Conclusions: There needs to be an increased recognition of the role biofilms play in infections. Methods for assessment of biofilm removal need to be developed and adequate cleaning regimes implemented in the health care setting. (Source: ANZ Journal of Surgery)

Chronic pain in women after breast augmentation: Prevalence, predictive factors and quality of life

European Journal of Pain — Sun, 26 Apr 2009 23:00:00 +0100

Chronic pain is a common complaint after surgery (). Because little is known about chronic pain after cosmetic surgery we investigated the prevalence of chronic pain after breast augmentation, tried to identify possible characteristics of patients developing chronic pain, measured cosmetic satisfaction after surgery and determined quality of life. We performed a retrospective, mono-center study and used a questionnaire which included questions about presence of pain, biometric characteristics, a cosmetic satisfaction VAS, the McGill Pain Questionnaire and the RAND-36 Health Survey and we contacted 494 female patients who underwent breast augmentation from 2002 to 2005. We defined chronic post-surgery pain, according to the International Association for the Study of Pain, as “persisting c...

Breast implant migration into pleural cavity

Journal of Plastic, Reconstructive & Aesthetic Surgery — Fri, 24 Apr 2009 09:23:47 +0100

Complications caused by chest-wall injury, such as pneumothorax, are known to be rare after breast augmentation, although they can be caused by the intra-operative laceration of the pleura and needle puncture during local injection, among other factors. It is extremely rare that a breast implant would migrate into the pleural cavity owing to this kind of a chest-wall defect, but such a case is reported herein. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

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Top court rejects bid to sue Health Canada over implants

CTV Health — Thu, 23 Apr 2009 19:56:42 +0100

The Supreme Court of Canada has rejected a bid by thousands of women to sue Health Canada for negligence after ruptured breast implants leaked silicon into their bodies. (Source: CTV Health)

Primary Anaplastic Large Cell Lymphoma of the Breast Arising in Reconstruction Mammoplasty Capsule of Saline Filled Breast Implant after Radical Mastectomy for Breast Cancer: An Unusual Case Presentation

Diagnostic Pathology — Thu, 02 Apr 2009 04:00:00 +0100

Conclusion: Primary ALK negative ALCL arising at the site of saline filled breast implant is rare. It is still unclear whether chemotherapy and breast implantation increases risk of secondary hematological malignancies significantly. However, it is important to be aware of these complications and need for careful pathologic examination of tissue removed for implant related complications to make the correct diagnosis for further patient management and treatment. It is important to be aware of this entity at this site as it can be easily misdiagnosed on histologic grounds and to exclude sarcomatoid carcinoma, malignant melanoma and pleomorphic sarcoma by an appropriate panel of immunostains to arrive at the correct diagnosis of ALCL. (Source: Diagnostic Pathology)

Silicone inflammatory pseudotumor of the breast

European Journal of Radiology Extra — Wed, 01 Apr 2009 04:00:00 +0100

Abstract: Breast augmentation with free silicone particle injection is a technique that was popular from the 1950s to the 1970s. It was used as an inexpensive alternative to surgical augmentation. Although no longer performed, patients who underwent silicone particle augmentation are occasionally encountered. Imaging of breast tissues in these patients is complicated as the presence of extensive silicone particles may hide the signs of early breast cancer. In addition the chronic presence of such particulate material may cause ongoing inflammation which can distort normal breast tissue architecture, mimicking breast cancer. The authors describe a patient who underwent free silicone injection for breast augmentation in the 1960s, and developed an incidental new mass on chest CT 40 years lat...

An experimental analysis of silicone leakage.

Journal of Nippon Medical School — Tue, 31 Mar 2009 23:00:00 +0100

Authors: Chin T, Kobe K, Hyakusoku H, Uekusa K, Hirakawa K, Ohno Y We analyzed whether gel bleed, the leakage of silicone gel from breast implants, occurs in the human body. We simulated the phenomenon with olive oil. Silicone breast implants were submerged in olive oil, and the concentration of silicone polymers in the olive oil was measured periodically with nuclear magnetic resonance spectroscopy. We found no increase in the silicone concentration. However, clinical conditions might not be adequately simulated because of the shortness of the experimental period and the lack of external stress. However, when clinical experiences and our data are considered, we think that silicone implant durability is an important factor to prevent leakage or gel bleeding. PMID: 19443997 [PubMed ...

[Constitutional asymmetries in aesthetic breast augmentation: Incidence, postoperative satisfaction and surgical options.]

Annales de Chirurgie Plastique et Esthetique — Tue, 31 Mar 2009 04:00:00 +0100

CONCLUSION: The asymmetry rate of our study is compared with the others studies found in the literature. In the daily practice, asymmetry can be diagnosed by a complete clinical examination and standardized chest wall pictures. Patients with constitutional asymmetry should be educated, helping to increase postoperative satisfaction. The authors propose and discuss a surgical pattern for the handling of the different types of asymmetries in breast augmentation. PMID: 19342142 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

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[Acute periprosthetic infection after aesthetic breast augmentation. Report of three cases of implant "salvage". Proposal of a standardized protocol of care.]

Annales de Chirurgie Plastique et Esthetique — Mon, 30 Mar 2009 04:00:00 +0100

Authors: Laveaux C, Pauchot J, Loury J, Leroy J, Tropet Y The authors report three cases of contaminated implant "salvage" after aesthetic breast augmentation. Patients' care included a lavage of the pocket, a change of the implant and an adapted bi-antibiotherapy of 6 weeks, including 8 days intravenous. In one case, this protocol has been started after failure of antibiotherapy alone. Patients, reviewed at 13 months or more, were not showing any signs of infection. One of them was showing a Baker's grade 3 capsule contracture on the infected side. Through a literature review, we discuss the modalities of an effective conservative treatment and its justification. PMID: 19339097 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

Effect of Tissue Inhibitors of Metalloproteinases and Matrix Metalloproteinases on Capsular Formation Around Smooth and Textured Silicone Gel Implants

Aesthetic Plastic Surgery — Sat, 28 Mar 2009 09:05:41 +0100

Conclusion The decrease in MMP-to-TIMP expression can cause increased synthesis and deposition of collagen surrounding alloplastic breast implants, leading to a profibrotic state. The higher expression of TIMPs in capsular tissue of patients with smooth silicone gel implants might be a reason for the observed higher rates of capsular contracture. In the future, a nonoperative treatment that decreases TIMPs but increases the activity of MMPs may be an appropriate therapy for patients with capsular contracture. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9335-yAuthors Dietmar Ulrich, University Hospital, Aachen University of Technology Department of Plastic Surgery, Hand Surgery, Burn Unit Pauwelsstrasse 30 52074 Aachen GermanyFranziska ...

Recession Cuts Into Plastic Surgery

WDSU.com - Health — Thu, 26 Mar 2009 13:18:11 +0100

Fewer people got breast augmentation or face-lifts in 2008 than in 2007, but the number of people receiving Botox injections or other smaller-scale treatments keeps rising. (Source: WDSU.com - Health)

Fascial Suspension Mastopexy Combined with Augmentation Mammaplasty

Aesthetic Plastic Surgery — Thu, 26 Mar 2009 08:23:27 +0100

Conclusion The combined technique of fascial suspension mastopexy and breast augmentation with implants is a safe and reliable method to correct ptosis in volume-depleted breasts. Patients should be counseled on the possible need for minor revisional procedures. Importantly, the technique achieves excellent upper-pole fullness and the projected and rejuvenated breast has an overall pleasing result. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9323-2Authors Morris Ritz, The Melbourne Institute of Plastic Surgery 253 Wattletree Road Malvern 3144 Victoria AustraliaSanjay Mahendru, The Melbourne Institute of Plastic Surgery 253 Wattletree Road Malvern 3144 Victoria AustraliaOren Goldan, The Melbourne Institute of Plastic Surgery 253 Wattlet...

Sonication of Removed Breast Implants for Improved Detection of Subclinical Infection

Aesthetic Plastic Surgery — Thu, 26 Mar 2009 08:23:24 +0100

Conclusions Sonication detected bacteria in 41% of removed breast implants. The identified bacteria belonged to normal skin flora. Further investigation is needed to determine any causal relation between biofilms and capsular fibrosis. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9333-0Authors U. M. Rieger, University Hospital of Basel Department of Plastic, Reconstructive, and Aesthetic Surgery Spitalstrasse 21 4031 Basel SwitzerlandG. Pierer, University Hospital of Basel Department of Plastic, Reconstructive, and Aesthetic Surgery Spitalstrasse 21 4031 Basel SwitzerlandN. J. Lüscher, Swiss Olympic Medical Center Plastic Surgery Unit, Crossklinik and Merian Iselin Spital Föhrenstrasse 2 4009 Basel SwitzerlandA. Trampuz, University Hosp...

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LETTERS: Silicone Breast Implants and Anaplastic Large T-Cell Lymphoma

JAMA — Tue, 24 Mar 2009 04:00:00 +0100

(Source: JAMA)

LETTERS: Silicone Breast Implants and Anaplastic Large T-Cell Lymphoma--Reply

JAMA — Tue, 24 Mar 2009 04:00:00 +0100

(Source: JAMA)

A Case of Late Unilateral Hematoma and Subsequent Late Seroma of the Breast After Bilateral Breast Augmentation

Aesthetic Plastic Surgery — Fri, 20 Mar 2009 10:46:47 +0100

Conclusion A previously unreported case of recurrent late postaugmentation collections, namely, a seroma and a subsequent hematoma, in an otherwise well female patient is reported. The authors found no obvious reason for the recurrence in this patient. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-009-9325-0Authors B. McArdle, Gold Coast Hospital Division of Surgery 108 Nerang St Southport QLD 4215 AustraliaC. Layt, AHC House Benowa Clinic Suite 1 14 Carrara Street Benowa QLD 4215 Australia Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Breast Augmentation in Asymmetrically Placed Nipple-Areola Complex in the Horizontal Axis: Lateralisation of Implant Pocket to Offset Lateralised Nipples

Aesthetic Plastic Surgery — Fri, 20 Mar 2009 10:46:45 +0100

Conclusion Lateralisation of the breast pocket in a breast with a lateralised nipple improves the aesthetic position of the NAC. In compensated augmentation mammaplasties, lateral quadrant enhancement of the breast is aesthetically superior to uncompensated cases and prevents the appearance of medially malplaced implants. The intermammary distance in compensated cases was acceptable without any compromise to the aesthetic outcome. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9324-1Authors Umar Daraz Khan, Belvedere Private Hospital Knee Hill Abbeywood London SE2-0GD UK Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Psychological Considerations in Cosmetic Breast Augmentation.

Plastic Surgical Nursing — Tue, 17 Mar 2009 14:31:18 +0100

Page: 49DOI: 10.1097/01.PSN.0000347725.13404.5fAuthors: Crerand, Canice E. PhD; Infield, Alison L. BA; Sarwer, David B. PhD (Source: Plastic Surgical Nursing)

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Psychological Considerations in Cosmetic Breast Augmentation.

Plastic Surgical Nursing — Tue, 17 Mar 2009 14:31:18 +0100

Page: 58DOI: 10.1097/01.PSN.0000347726.13404.84 (Source: Plastic Surgical Nursing)

Health News of the Day

Clinical Cases and Images — Tue, 17 Mar 2009 11:55:01 +0100

is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.Mental powers start to decline at 27 after peaking at 22, marking the start of old age. Decline in brain speed & reasoning starts at 27 but memory stayed intact until the age of 37 http://is.gd/nwBjBritain has 10th highest alcohol consumption in the world, equivalent of 12 L of pure alcohol consumed by each citizen http://is.gd/nxNZWorkers cutting diamonds for jewel trade in China risk silicosis, die in their 40s http://is.gd/nxPiPreterm birth can have persistent effect resulting in lower IQs and more developmental problems. Preterm birth can have persistent effect: at age 12, the preter...

Body Shaping and Volume Restoration: The Role of Hyaluronic Acid

Aesthetic Plastic Surgery — Thu, 12 Mar 2009 10:19:09 +0100

Abstract Driven by the rising popularity of minimally invasive techniques, the demand for cosmetic procedures is increasing. Cosmetic body-shaping procedures can be categorized into those that remove tissue and those that add volume. This review focuses on the latter of these categories, particularly on the use of resorbable hyaluronic acid gels specifically developed for minimally invasive volume enhancement. Pilot studies of hyaluronic acid involving its injection to contour various body deformities and its recent use in female breast augmentation are discussed. Injectable hyaluronic acid is effective and well tolerated. It represents an attractive treatment option for volume restoration or augmentation by providing predictable long-lasting results after minimally invasi...

Breast Implant Reconstruction

About.com Breast Cancer — Sat, 07 Mar 2009 05:00:00 +0100

Breast Implant Types

About.com Breast Cancer — Sat, 07 Mar 2009 05:00:00 +0100

If you are considering breast reconstruction after a mastectomy, and prefer implants to tissue flap surgery (TRAM, DIEP, latissimus dorsi) you will need to know what kinds of implants are available. There are two kinds of implants that are approved for reconstruction. Learn more about saline and silicone breast implants. (Source: About.com Breast Cancer)

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Motivational factors and psychological processes in cosmetic breast augmentation surgery

Journal of Plastic, Reconstructive & Aesthetic Surgery — Fri, 06 Mar 2009 00:00:00 +0100

Conclusion: These new insights into how and why women seek cosmetic breast augmentation may aid plastic surgeons in enhancing their communication with patients. This can be achieved by addressing the patient's psychological process and motives, and thereby better assist them in making the best decision possible in their particular situation. It may also lay the groundwork for future quantitative studies on the prevalence of certain motives for undergoing such surgery and, as such, help explain the increasing popularity of cosmetic breast-augmentation surgery. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

The disaster of DIY breast augmentation

Journal of Plastic, Reconstructive & Aesthetic Surgery — Mon, 02 Mar 2009 00:00:00 +0100

We describe a case of Do-It-Yourself (DIY) breast augmentation. A 60-year old male-to-female transgender hopeful, was prematurely discharged from a NHS sex reassignment scheme (SRS) elsewhere. In frustration, she started injecting her breasts with a variety of commercial-grade vegetable oils over a six-month period, without any aseptic precaution. Although she succeeded in enlarging her breasts to a 42D cup size, she developed chronic mastitis along with multiple sinuses (). (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

Chyle Leak After Breast Augmentation

Aesthetic Surgery Journal — Sun, 01 Mar 2009 05:00:00 +0100

A 34-year-old woman developed a chyle leak after removal and replacement of her breast prostheses. This is the first such case reported in the literature. We discuss the diagnosis and management of this rare and interesting case. (Aesthetic Surg J 2009;29:113–115.) (Source: Aesthetic Surgery Journal)

Primary Breast Augmentation Today: A Survey of Current Breast Augmentation Practice Patterns

Aesthetic Surgery Journal — Sun, 01 Mar 2009 05:00:00 +0100

A study was undertaken to survey current practice patterns concerning primary breast augmentation. Members of the American Society for Aesthetic Plastic Surgery (ASAPS) were electronically surveyed concerning issues such as incision location, implant size and type, and complications, as well as information about the surgeons, their practices, and where procedures are performed. The survey response rate was 30%. Plastic surgeons from the South and Southwest made up 40% of respondents. Forty-six percent of respondents had more than 20 years of experience in practice. Forty-three percent of primary breast augmentations were performed in outpatient surgery centers. An anesthesiologist was in attendance in 60% of cases. The average operative time—indicated in 80% of responses—ranged from 45...

Effect of Botulinum Toxin Type A on the Capsule Around a Subpectoral Implant for Breast Augmentation

Aesthetic Plastic Surgery — Thu, 26 Feb 2009 10:08:44 +0100

Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00266-009-9319-yAuthors Zhibo Xiao, Harbin Medical University, The 2nd Affiliated Hospital The Cosmetic and Plastic Center No. 246, Xuefu Road Nangang District, Harbin Heilongjiang 150086 China Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

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The inframammary approach for the correction of iatrogenic synmastia

Journal of Plastic, Reconstructive & Aesthetic Surgery — Mon, 23 Feb 2009 00:00:00 +0100

We present an unusual case of iatrogenic synmastia along with the surgical technique to correct the deformity. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

Current status and perspectives of brachytherapy for breast cancer

International Journal of Clinical Oncology — Thu, 19 Feb 2009 14:58:28 +0100

Abstract Before the era of breast-conserving therapy, brachytherapy implants were used to treat large inoperable breast tumors. In later years, interstitial brachytherapy with rigid needles or multiple flexible catheters has been used to deliver an additional (boost) dose to the tumor bed after breast-conserving surgery and whole-breast irradiation. Reexcision followed by reirradiation using interstitial breast implants has also been implemented as an alternative to mastectomy to treat ipsilateral breast local recurrence after previous breast-conserving therapy. In the past two decades, the new concept of accelerated partial breast irradiation opened a new perspective for breast brachytherapy. The first technique utilized in early accelerated partial breast irradiation stu...

Is Boxing for Model Not the Breast Idea?

ABC News: Health — Wed, 18 Feb 2009 17:53:23 +0100

British boxing group says woman's breast implants could cause her injury. (Source: ABC News: Health)

BioElectronics Corporation: BioElectronics Begins Shipments of Next-Generation Breast Surgery Recovery Kits

Market Wire - Pharmaceuticals and Biotech — Wed, 18 Feb 2009 13:30:00 +0100

FREDERICK, MD (MARKET WIRE) BioElectronics Corp. (PINKSHEETS: BIEL), the maker of inexpensive, disposable drug-free anti-inflammatory devices, today announced significant enhancements to its RecoveryRx(TM) breast surgery recovery kit. The product has been converted to a more efficient 12 cm loop design, which is even more effective than previous versions in reducing inflammation, bruising and pain following breast augmentation, lift or reduction. The product begins shipping immediately. (Source: Market Wire - Pharmaceuticals and Biotech)

Sentinel Node Biopsy in Patients with Previous Breast Aesthetic Surgery

Annals of Surgical Oncology — Thu, 12 Feb 2009 06:55:42 +0100

Conclusions Past history of breast augmentation or reduction is not a contraindication to SLNB technique. Content Type Journal ArticleCategory Breast OncologyDOI 10.1245/s10434-009-0349-0Authors Julia Rodriguez Fernandez, European Institute of Oncology Breast Surgery Department Milan ItalyStefano Martella, European Institute of Oncology Plastic Surgery Department Milan ItalyGiuseppe Trifirò, European Institute of Oncology Nuclear Medicine Department Milan ItalyMujgan Caliskan, European Institute of Oncology Breast Surgery Department Milan ItalyCamelia Chifu, European Institute of Oncology Breast Surgery Department Milan ItalyFabricio Brenelli, European Institute of Oncology Plastic Surgery Department Milan ItalyEdoardo Botteri, European Institute of Oncology Division o...

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Augmentation Mammaplasty in Asian Women

Seminars in Plastic Surgery — Tue, 10 Feb 2009 23:15:07 +0100

Seminars in Plastic Surgery 2009; 23: 048-054DOI: 10.1055/s-0028-1111101ABSTRACTWith the rapid economic development of Southeast Asia, the demand for cosmetic surgery has increased rapidly. Breast augmentation is among the most frequently performed cosmetic procedures. However, breast augmentation still has “bad press” in Southeast Asia because of not so distant catastrophes caused by direct liquid silicone injection and “Amazing Gel” augmentations. Asian patients have special characteristics that need to be taken into consideration when performing breast augmentation. The patients are usually thin and small with proportionally smaller breasts. The areola is often small with a large nipple. Because of poor scar healing, incisions need to be hidden. The transaxillary...

Pelvic Thrusts in Public

Psychology Today Sex Center — Tue, 10 Feb 2009 22:19:44 +0100

The ongoing movement to glorify the s. has lately taken a stiletto-heeled, sauntering step farther. For a large sector of the American population -- spanning race, class, and gender lines -- the prevailing aesthetic is Modern Prostitute. The s. thing was different. Promiscuous people, one could argue, simply like lots of sex. Their passion doesn't merit prejudice. So you could say that the de-stigmatization of s.s was progressive. But prostitutes and others who sell sex: Most of them do not want to. Most do it only under duress, as a last resort. Sex-positive? I don't think so.Yet now it's super cool, especially among the young, to dress like those who sell sex. Top performers dress and act, at least onstage, like those who sell sex. "Who's dancing the dirtiest? Lady Gaga tries to out...

Capsular calcification may be an important factor for the failure of breast implant

Journal of Plastic, Reconstructive & Aesthetic Surgery — Tue, 10 Feb 2009 00:00:00 +0100

Nowadays, breast augmentation is one of the most common aesthetic surgical procedures in plastic surgery practice, but is not entirely free of complications, such as haematoma, seroma, implant displacement or rotation, capsular contracture, rippling, disfigurement, perforation and calsification in both early and late implantation period. Perforation of the implant by way of tears or leakage, namely bleed, may be considered as an end point of all complications, leading to end of the life span of the prosthesis in vivo and subsequently needing explantation. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

Late post-traumatic intracapsular seroma after breast augmentation

Journal of Plastic, Reconstructive & Aesthetic Surgery — Fri, 06 Feb 2009 00:00:00 +0100

A 29-year-old woman underwent bilateral breast augmentation with textured, round, silicone gel implants (McGhan/Inamed) 5 years earlier. The surgery was uneventful, and there were no signs of acute or chronic complications. During a car accident, she noticed a sudden pressure on the chest due to activation of the safety belt. As a result, progressive swelling was noticed on the left breast, with no other associated injuries. At clinical examination, the volume of the left breast was almost double that of the right. An ultrasound examination revealed general swelling with no clear signs of liquid collection surrounding the implant. However, a month later, when the swelling did not subside, a second ultrasound examination was performed (). This test demonstrated signs of implant rupture as w...

Aesthetic and functional correction of female, asymmetric funnel chest - A combined approach.

Breast — Mon, 02 Feb 2009 05:00:00 +0100

In conclusion we recommend correction of female asymmetric funnel chest by primary sternal reduction with secondary breast augmentation during metal plate removal 1 year after. PMID: 19196512 [PubMed - as supplied by publisher] (Source: Breast)

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A Prospective, Multi-Center Study of Psychosocial Outcomes After Augmentation With Natrelle Silicone-Filled Breast Implants.

Annals of Plastic Surgery — Thu, 22 Jan 2009 07:31:30 +0100

Page: 118DOI: 10.1097/SAP.0b013e31817f01f8Authors: Murphy, Diane K. MBA *; Beckstrand, Maggi MPH *; Sarwer, David B. PhD + (Source: Annals of Plastic Surgery)

Skin Deep: Seeking Self-Esteem Through Surgery

NYT > Health — Thu, 15 Jan 2009 01:43:27 +0100

Acne is no longer the star of teenange and adolescence horrors. (Source: NYT > Health)

Superficial thrombophlebitis (Mondor's Disease) after breast augmentation surgery

Indian Journal of Plastic Surgery — Sun, 11 Jan 2009 03:55:43 +0100

Viana Giovanni Andre P, Okano Fabricio MIndian Journal of Plastic Surgery 2008 41(2):219-221Although the aetiology of Mondor's disease remains unclear, the most commonly cited cause is trauma of some sort. Although surgical trauma has frequently been quoted, reports that specifically implicate aesthetic breast surgery are unusual in the literature. In this article, the authors report a case of superficial thrombophlebitis of the anterolateral chest wall secondary to breast augmentation surgery in a woman, five months after the procedure. The authors performed an analysis of the disease's main etiologic components and preponderant clinical aspects, and determined all appropriate therapeutic measures. (Source: Indian Journal of Plastic Surgery)

Efficacy of Pocket Irrigation With Bupivacaine and Ketorolac in Breast Augmentation: A Randomized Controlled Trial.

Annals of Plastic Surgery — Fri, 09 Jan 2009 07:40:42 +0100

Page: 15DOI: 10.1097/SAP.0b013e31817e9c5bAuthors: McCarthy, Colleen M. MD *; Pusic, Andrea L. MD *; Hidalgo, David A. MD + (Source: Annals of Plastic Surgery)

Breast augmentation

MayoClinic.com Full Feed — Tue, 06 Jan 2009 06:00:00 +0100

— Overview covers what to expect, risks and results of breast implant surgery. Sponsored by:Chemotherapy.com - http://www.chemotherapy.com (Source: MayoClinic.com Full Feed)

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Superficial thrombophlebitis (Mondor's Disease) after breast augmentation surgery

Indian Journal of Plastic Surgery — Tue, 06 Jan 2009 04:11:57 +0100

Viana Giovanni Andre P, Okano Fabricio MIndian Journal of Plastic Surgery 2008 41(2):221-223Although the aetiology of Mondor's disease remains unclear, the most commonly cited cause is trauma of some sort. Although surgical trauma has frequently been quoted, reports that specifically implicate aesthetic breast surgery are unusual in the literature. In this article, the authors report a case of superficial thrombophlebitis of the anterolateral chest wall secondary to breast augmentation surgery in a woman, five months after the procedure. The authors performed an analysis of the disease's main etiologic components and preponderant clinical aspects, and determined all appropriate therapeutic measures. (Source: Indian Journal of Plastic Surgery)

Are Silicone Breast Implants Linked to Anaplastic Large-cell Lymphoma?

Medscape Hematology-Oncology Headlines — Mon, 05 Jan 2009 15:23:16 +0100

Commentary on a study on the development of large-cell lymphoma in the breast after silicone breast implants, published November 2008 in JAMA. Medscape General Surgery (Source: Medscape Hematology-Oncology Headlines)

The augmented breast.

Radiologic Technology — Thu, 01 Jan 2009 05:00:00 +0100

This article reviews mammographic techniques and other imaging modalities used to screen for and diagnose breast disease in patients with augmented breasts. Other topics include different types of breast implants and surgical techniques used for implantation, as well as overviews of breast disease and mammographic reporting. This article is a Directed Reading. Your access to Directed Reading quizzes for continuing education credit is determined by your area of interest. For access to other quizzes, go to www.asrt.org/store. PMID: 19153201 [PubMed - in process] (Source: Radiologic Technology)

Plastic surgeons 'can't make you famous'

Telegraph Health — Sat, 27 Dec 2008 08:56:07 +0100

Women hoping plastic surgery will give them celebrity looks are increasingly being turned down by doctors who say they are labouring under a delusion. (Source: Telegraph Health)

Breast Augmentation Motivations and Satisfaction: A Prospective Study of More Than 3,000 Silicone Implantations.

Plastic Surgical Nursing — Thu, 18 Dec 2008 08:44:31 +0100

Page: 170DOI: 10.1097/PSN.0b013e31818ea7e0Authors: Gladfelter, Joanne RN, CPSN; Murphy, Diane MBA (Source: Plastic Surgical Nursing)

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Breast Augmentation Motivations and Satisfaction: A Prospective Study of More Than 3,000 Silicone Implantations.

Plastic Surgical Nursing — Thu, 18 Dec 2008 08:44:31 +0100

Page: 175DOI: 10.1097/01.PSN.0000342820.59634.d2 (Source: Plastic Surgical Nursing)

Reduction of the hypertrophic nipple following total skin sparing mastectomy

Journal of Plastic, Reconstructive & Aesthetic Surgery — Mon, 15 Dec 2008 00:00:00 +0100

This article details an innovative technique for reducing nipple height while maintaining excellent nipple viability. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

Brachytherapy effective for breast cancer patients with implants

MedWire News - Consumer Health — Fri, 12 Dec 2008 00:00:00 +0100

Women with early-stage breast cancer who have previously undergone breast augmentation may be treated successfully with a partial-breast radiation treatment called brachytherapy, study results show. (Source: MedWire News - Consumer Health)

Measuring patient outcomes in breast augmentation: introducing the BREAST-Q Augmentation module.

Clinics in Plastic Surgery — Thu, 11 Dec 2008 07:41:29 +0100

Authors: Pusic AL, Reavey PL, Klassen AF, Scott A, McCarthy C, Cano SJ The Breast-Q Augmentation module is a new and unique questionnaire for measuring patient-reported outcomes following breast augmentation. It has undergone a rigorous development and validation process and is currently the only questionnaire for breast augmentation that meets international and federal standards for questionnaire development. The Breast-Q Augmentation module covers a comprehensive set of concerns of breast augmentation patients, including satisfaction with breasts and impact on quality of life. With its excellent psychometric properties, the Breast-Q Augmentation module can provide clinicians and researchers with a wealth of essential data to improve the field of breast augmentation from the perspecti...

Breast Cancer Treatment Offers Better Outcome To Women With Implants

ScienceDaily Headlines — Thu, 11 Dec 2008 03:33:22 +0100

Women with early-stage breast cancer who have undergone breast augmentation may be treated successfully with a partial-breast radiation treatment called brachytherapy, according to a new study. (Source: ScienceDaily Headlines)

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Brachytherapy advised for breast cancer patients with implants

MedWire News - Oncology — Tue, 09 Dec 2008 11:59:20 +0100

Women with early-stage breast cancer who have previously undergone breast augmentation can be treated successfully with partial-breast brachytherapy radiation, US study findings demonstrate. (Source: MedWire News - Oncology)

Studies of injection ports of permanent expandable breast implants

Journal of Plastic, Reconstructive & Aesthetic Surgery — Tue, 09 Dec 2008 00:00:00 +0100

Summary: It has previously been questioned if the injection port of soft-tissue expanders is a source of leakage. However, several laboratory studies have concluded that the port is safe.A former quality assessment of our one-stage breast reconstructive procedures showed, that suspicion of leakage led to the removal of the injection port in 12% of the cases.With this level of inconsistency with previous laboratory studies, we found a need to conduct a separate study in order to confirm the true cause of leakage.Thirteen consecutively removed McGhan Style 150 injection ports were examined for leakage by increasing intraluminal pressure. Eight of the 13 ports had been removed because of discomfort due to the subcutaneous placement. Three of these eight ports showed substantial leakage (up to...

Desmoid tumour of the breast

Journal of Plastic, Reconstructive & Aesthetic Surgery — Tue, 09 Dec 2008 00:00:00 +0100

Summary: Desmoid tumour of the breast is a rare fibroblastic tumour whose spectrum ranges from being locally inert to aggressive and destructive, and represents 0.2% of all breast tumours.A 22–year-old woman, 2 years post-cosmetic augmentation mammoplasty with silicone implants, presented with a 6-month history of an enlarging mass in her left breast. Ultrasound showed a well-defined, hypoechoic mass arising within the muscles of the anterior chest, deep beneath the implant and not involving the underlying rib. Fine needle aspiration (FNA) showed features in keeping with changes associated with silicone implants. A provisional diagnosis of scarring and fibroblastic proliferation was made. The lesion was excised and the implant, noted to be intact, was exchanged. Immunochemistry showed st...

Brachytherapy advised for breast cancer patients with implants

MedWire News - Breast Cancer — Mon, 08 Dec 2008 00:00:00 +0100