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I was seduced into my breast op by a Harley Street address... and after £17,000 of surgery I feel deformedEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
When businesswoman Sarah Cound booked a breast reduction operation at the prestigious address, it was the start of a horrific ten-year ordeal. (Source: the Mail online | Health)
Source: the Mail online | Health - October 31, 2009 Category: Consumer Health News Source Type: news

Study Links Breast Reduction To Reduced Back DisordersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
According to new research, women who have breast reduction surgery may be at a decreased risk for spine and other back disorders. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - October 27, 2009 Category: Science Source Type: news

Breast Reduction May Lead To Cancer Detection In PatientsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
There may be some new added benefits to breast reduction surgery. Testing tissue and fat removed during the procedure may lead to increased cancer detection, according to a new study. (Source: ScienceDaily Headlines)
Source: ScienceDaily Headlines - October 26, 2009 Category: Science Source Type: news

Safety and efficacy of contra-lateral breast reduction for women with mammary hypertrophy undergoing mastectomy for breast cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract: Women with mammary hypertrophy undergoing mastectomy for breast cancer suffer disability because of disproportionate asymmetry. The case notes of all women with mammary hypertrophy undergoing mastectomy and immediate contra-lateral reduction mammaplasty for primary breast cancer from February 2001 to December 2008 were reviewed. Thirty-three women were identified of whom twenty-seven underwent inferior pedicle reduction mammaplasty and six inferior dermoglandular pedicle reduction with free nipple graft. The duration of surgery ranged from 75 to 146 (median 110) minutes. Between 475 and 2350 (median 1090) grams o...
Source: The Breast - October 23, 2009 Category: Cancer & Oncology Authors: Michael Green, Sebastian Aspinall, James Kollias Tags: Review Source Type: journals

Gigantomastia in a patient with systemic lupus erythematosus successfully treated by reduction mammoplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of the study was to describe a Filipino woman with systemic lupus erythematosus (SLE) who developed gigantomastia associated with hyperoestrogenemia and successfully treated by reduction mammoplasty. A 37-year-old Filipino woman with SLE of 5-year duration presented with enlargement of breasts, which became more noticeable and progressive during disease flares requiring increased steroid dose (+/-40 mg/day). Following control of the last SLE flare, with prednisone effectively tapered to 15 mg/day, she consented to surgical breast reduction. Preoperative physical examination recorded the right and left breast ...
Source: Lupus - October 21, 2009 Category: Rheumatology Authors: Lanzon AE, Navarra SV Tags: Lupus Source Type: journals

Safety and efficacy of contra-lateral breast reduction for women with mammary hypertrophy undergoing mastectomy for breast cancer.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Women with mammary hypertrophy undergoing mastectomy for breast cancer suffer disability because of disproportionate asymmetry. The case notes of all women with mammary hypertrophy undergoing mastectomy and immediate contra-lateral reduction mammaplasty for primary breast cancer from February 2001 to December 2008 were reviewed. Thirty-three women were identified of whom twenty-seven underwent inferior pedicle reduction mammaplasty and six inferior dermoglandular pedicle reduction with free nipple graft. The duration of surgery ranged from 75 to 146 (median 110) minutes. Between 475 and 2350 (median 1090) grams of brea...
Source: Breast - October 20, 2009 Category: Cancer & Oncology Authors: Green M, Aspinall S, Kollias J Tags: Breast Source Type: journals

ASCO Breast: Reduction Surgery Often Uncovers PathologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
SAN FRANCISCO (MedPage Today) -- Breast reduction surgery turns up abnormal breast pathology in roughly one woman in 10, researchers affirmed. (Source: MedPage Today Hematology/Oncology)
Source: MedPage Today Hematology/Oncology - October 12, 2009 Category: Hematology Source Type: news

Breast reduction surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
— Overview covers risks, results of this procedure to decrease breast size. Sponsored by:Chemotherapy.com - http://www.chemotherapy.com (Source: MayoClinic.com Full Feed)
Source: MayoClinic.com Full Feed - October 10, 2009 Category: Consumer Health News Source Type: news

Breast cancer gene discoveredEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study has further investigated a potential role for the NRG1 gene in breast cancer, and the results suggest that the authors may have identified the gene on chromosome eight that acts as a tumour suppressor. This inital research is informative, but has so far only looked at a relatively small number of breast cancer tissue samples: further studies are needed to confirm the results and to see if the findings also extend to other types of cancer. The genetics of cancer are complex, and any subsequent research into NRG1 will also be accompanied by much further research into other genetic aspects of cancer. Time will te...
Source: NHS News Feed - October 6, 2009 Category: Consumer Health News Tags: Cancer Genetics/stem cells Source Type: news

Answer to Case of the Month #154: Osteoid OsteomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 50-year-old woman presented with right shoulder pain after lifting a heavy container. Over the next several months she was unable to work because of the pain. Her past medical history was significant only for a hysterectomy and breast reduction surgery. On physical examination the patient had mild tenderness over the right biceps tendon and a slightly reduced range of motion at the right shoulder. She had no systemic symptoms and no lymphadenopathy. Radiographs of the right shoulder were obtained and are shown in . A bone scan showed increased tracer uptake at the right humeral neck. Mammograms and an abdominal and pelvi...
Source: Canadian Association of Radiologists Journal - September 28, 2009 Category: Radiology Authors: Eva Wikholm, Adel Assaf Tags: Canadian Residents' Corner Source Type: journals

Improvement in Quality of Life and Self-Esteem After Breast Reduction SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  Both self-esteem and quality of life significantly improved after breast reduction surgery. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9409-xAuthors Arnaldo A. Mello, FAMERP Medical School and FUNFARME Hospital de Base Avenida Brigadeiro Faria Lima, 5416 São José do Rio Preto São Paulo 15090 000 BrazilNeide A. M. Domingos, FAMERP Medical School and FUNFARME Hospital de Base Avenida Brigadeiro Faria Lima, 5416 São José do Rio Preto São Paulo 15090 000 BrazilM. Cristina Miyazaki, FAMERP Medical School and FUNFARME Hospital de Base Avenida Brigadeiro Faria ...
Source: Aesthetic Plastic Surgery - September 19, 2009 Category: Cosmetic Surgery Tags: Aesthetic Plastic Surgery Source Type: journals

Record rise in male breast tissue opsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
MALE breast reduction operations across the UK have increased by more than 1,000 per cent in five years. (Source: Scotsman.com News - Health)
Source: Scotsman.com News - Health - September 17, 2009 Category: Consumer Health News Source Type: news

Mastopexy and Breast ReductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Principles and Practice This comprehensive guide covers all aspects of mastopexy and breast reduction, ranging from anatomy to the variety of procedures in mastopexy, mastopexy/breast reduction, and breast reduction, preoperative care, complications, breast tumors (benign and malignant), and medicolegal aspects. The vast array of information that is presented herein is without equal and makes this book a ... (Source: Springer Medicine titles)
Source: Springer Medicine titles - September 17, 2009 Category: Databases & Libraries Tags: Plastic Surgery Source Type: organizations

Would I regret having breast reduction surgery overseas?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
As she entered her fifties Cheryl Newman realised that it was time to tackle her lifelong uncomfortable relationship with her breasts by going under the knife. Here she recounts her struggle to find a surgeon and her dreams of the perfect perky Barbie boobs. (Source: Telegraph Health)
Source: Telegraph Health - September 2, 2009 Category: Consumer Health News Tags: breasts surgery cosmetic surgery reduction Source Type: news

HER1-4 protein concentrations in normal breast tissue from breast cancer patients are expressed by the same profile as in the malignant tissueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Clinical Chemistry and Laboratory Medicine 47 (8): 977-984 Abstract Background: The epidermal growth factor receptor HER2 is overexpressed or amplified in 25%–30% of patients with breast cancer. The mechanism behind HER2 amplification is unknown, but may be a patho-physiological phenomenon caused by continuous stimulation and activation of the HER1-4 system. We have mapped the protein concentrations of HER1-4 in breast cancer tissue, autologous reference tissue, normal breast tissue and serum samples, to see whether non-cancer cells from these patients express a protein profile indicating general activation. Methods: Tis...
Source: Clinical Chemistry and Laboratory Medicine - July 31, 2009 Category: Laboratory Medicine Source Type: journals

A versatile breast reduction technique: Conical plicated central U shaped (COPCUs) mammaplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion: Our technique is a versatile, safe, reliable technique which creates the least scar, avoids previously described disadvantages, provides maximum preservation of functions, can be employed in all breasts regardless of their sizes. (Source: BioMed Central)
Source: BioMed Central - July 2, 2009 Category: Journals (General) Authors: Eray Copcu Source Type: journals

Hematoma Risk Should Not Preclude the Use of Venous Thromboembolism ProphylaxisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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...
Source: Aesthetic Surgery Journal - June 30, 2009 Category: Cosmetic Surgery Authors: Christopher J. Pannucci, Edwin G. Wilkins Tags: Letters and Brief Communications Source Type: journals

Correction of postburn superior pole breast deformity and macromastia—A novel approachEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of postburn breast deformity in which unilateral superomedial hypertrophic scarring and tight contractures were treated concomitantly with bilateral macromastia utilising a novel combination of rotational glanduloplasty with nipple transposition and contralateral superior pedicle breast reduction. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 25, 2009 Category: Cosmetic Surgery Authors: J.E. Hunter, P.M. Gilbert, B.S. Dheansa Tags: Case Report Source Type: journals

HER1-4 protein concentrations in normal breast tissue from breast cancer patients are expressed by the same profile as in the malignant tissue.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: We suggest that these findings indicate that breast cancer is a systemic disease where the HER1-4 system in autologous reference tissue is continuously activated, thus favoring the subsequent development of cancer. Clin Chem Lab Med 2009;47. PMID: 19548848 [PubMed - as supplied by publisher] (Source: Clinical Genitourinary Cancer)
Source: Clinical Genitourinary Cancer - June 23, 2009 Category: Cancer & Oncology Authors: Olsen DA, Ostergaard B, Bokmand S, Wamberg PA, Jakobsen EH, Jakobsen A, Brandslund I Tags: Clin Chem Lab Med Source Type: journals

Nipple Reconstruction with Bipedicled Dermal Flap: A New and Easy TechniqueEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  We present a new technique that uses a bipedicled flap, oriented vertically. A rich blood supply to the flap may be the principal cause for long-lasting nipple projection. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9368-2Authors Gursel Turgut, Sisli Etfal State Hospital for Research and Training 19 Mayıs Mah. Celal Atik Sokak, Oguz apt. B Blok D21 Sisli-İstanbul TurkeyBulent Sacak, Sisli Etfal State Hospital for Research and Training 19 Mayıs Mah. Celal Atik Sokak, Oguz apt. B Blok D21 Sisli-İstanbul TurkeyTahsin Görgülü, Sisli Etfal State Hospital for...
Source: Aesthetic Plastic Surgery - June 4, 2009 Category: Cosmetic Surgery Tags: Aesthetic Plastic Surgery Source Type: journals

Case of the Month #154Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
A 50-year-old woman presented with right shoulder pain after lifting a heavy container. Over the next several months she was unable to work because of the pain. Her past medical history was significant only for a hysterectomy and breast reduction surgery. On physical examination the patient had mild tenderness over the right biceps tendon and a slightly reduced range of motion at the right shoulder. She had no systemic symptoms and no lymphadenopathy. Radiographs of the right shoulder were obtained and are shown in . A bone scan showed increased tracer uptake at the right humeral neck. Mammograms and an abdominal and pelvi...
Source: Canadian Association of Radiologists Journal - May 31, 2009 Category: Radiology Authors: Eva Wikholm, Adel Assaf Tags: Canadian Residents' Corner Source Type: journals

The use of Spectrophotometric Intracutaneous Analysis (SIAscopy) in reduction mammaplasty and its clinical application in predicting ‘T-junction’ wound breakdownEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Reduction mammaplasty or breast reduction is one of the most frequently performed breast surgeries worldwide. The commonest complication reported in up to 24 percent of breast reduction surgeries is T-junction wound breakdown. The ‘T-junction’ is the area at the base of the breast where skin flaps are approximated. It is widely accepted that the general cause of this phenomenon is reduced vascularity secondary to skin tension, smoking, diabetes and obesity. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive & Aesthetic Surgery - May 23, 2009 Category: Cosmetic Surgery Authors: A. Law, P. Vaiude, A. Magdum, H. Tehrani, M. Dalal Tags: ECSAPS Abstracts Source Type: journals

Satisfaction and quality of life in women who undergo breast surgery: a qualitative studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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)
Source: BioMed Central - May 1, 2009 Category: Journals (General) Authors: Anne F Klassen, Andrea L Pusic, Amie Scott, Jennifer Klok and Stefan J Cano Source Type: journals

Pr07volume displacement techniques for breast conserving surgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion volume displacement techniques are here to stay, are safe, have functional and cosmetic advantages, oncological advantages, allow extensive histological assessment of the contralateral breast and can aid in the delivery of radiotherapy. (Source: ANZ Journal of Surgery)
Source: ANZ Journal of Surgery - April 27, 2009 Category: Surgery Authors: D. R. Littlejohn Tags: Royal Australasian College of Surgeons Annual Scientific Congress, 69 May 2009, Brisbane, Queensland, Australia. Conference Abstracts < br/ > Plastic Surgery Program Abstracts Source Type: journals

Pr25training experience with breast reduction and otoplastyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions: Training in Plastic Surgery has no quotas for any procedures as exists in other specialty programs. This means that with changes in waiting list pressures and health priorities there is no safeguarding of procedures for trainees or the community alike. The results of these questionnaires will be presented in an attempt to formalise current opinion on these important issues. The Plastic Surgery community has an obligation to provide a service to the community and also to train its future providers and hence has a responsibility to be actively involved in addressing these topical and important issues. (Source: ...
Source: ANZ Journal of Surgery - April 27, 2009 Category: Surgery Authors: G. J. Avery Tags: Royal Australasian College of Surgeons Annual Scientific Congress, 69 May 2009, Brisbane, Queensland, Australia. Conference Abstracts < br/ > Plastic Surgery Program Abstracts Source Type: journals

Women's Perception of Life Following Breast Reduction: A Phenomenological Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Page: 39DOI: 10.1097/01.PSN.0000347723.28651.44Authors: Woodman, Roberta MSN, RN, RNFA, CNOR; Radzyminski, Sharon PhD, JD, RN (Source: Plastic Surgical Nursing)
Source: Plastic Surgical Nursing - March 17, 2009 Category: Nursing Tags: Abstract HTML PDF (141 K) Source Type: journals

Women's Perception of Life Following Breast Reduction: A Phenomenological Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Page: 47DOI: 10.1097/01.PSN.0000347724.05780.84 (Source: Plastic Surgical Nursing)
Source: Plastic Surgical Nursing - March 17, 2009 Category: Nursing Tags: HTML PDF (83 K) Source Type: journals

Should Breast Tissue Be Screened For Cancer After Cosmetic Surgery?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Young women undergoing cosmetic breast reduction surgery are being screened for cancer without their informed consent, according to a paper published on bmj.com today. Breast reduction surgery (mammoplasty) is one of the most common procedures performed by plastic surgeons all around the world. For decades it has been common practice to test the removed tissue for cancer. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - March 12, 2009 Category: Consumer Health News Tags: Breast Cancer Source Type: news

Breast tissue test consent fearEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Young women undergoing breast reduction surgery are being screened for cancer without their informed consent, a report says. (Source: BBC News | Health | UK Edition)
Source: BBC News | Health | UK Edition - March 11, 2009 Category: Consumer Health News Tags: Health Source Type: news

Routine Screening of Excised Breast Tissue Can BackfireEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Most plastic surgeons routinely send breast reduction tissue for routine histological testing, effectively screening women under the age of 50 for breast cancer without their consent, according to an article published online Mar. 10 in BMJ. Three related editorials discuss the surgical management problems, ethical dilemmas and implications for patients of such a practice. (Source: Modern Medicine)
Source: Modern Medicine - March 11, 2009 Category: Journals (General) Source Type: info

Modified Wise-Pattern Reduction Mammaplasty, a New Tool for Upper Quadrantectomies: A Preliminary ReportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions  Modified Wise-pattern reduction mammaplasty is a valid technique as immediate breast reconstruction to obtain a natural breast mound after upper quadrantectomies on patients with medium/large breasts. Content Type Journal ArticleCategory Breast OncologyDOI 10.1245/s10434-009-0358-zAuthors F. Santanelli, Sant’Andrea Hospital, II School of Medicine, University of Rome “La Sapienza” Plastic Surgery Unit Rome ItalyG. Paolini, Sant’Andrea Hospital, II School of Medicine, University of Rome “La Sapienza” Plastic Surgery Unit Rome ItalyA. Campanale, Sant’Andrea Hospital, II School of...
Source: Annals of Surgical Oncology - March 3, 2009 Category: Cancer & Oncology Tags: Annals of Surgical Oncology Source Type: journals

A new paradigm for African American breast cancer involving stem cell differentiation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Discussion: One interpretation of the hormonal risk factors for BC involves the susceptibility of undifferentiated breast tissue to transformation. In other systems, especially the gonads, interference with terminal differentiation is also associated with susceptibility to transformation. If AA breast tissue has more robust differentiation potential than that of white women, it may also contain stem cells more likely to transform into an aggressive tumor type. Citation Information: Cancer Res 2009;69(2 Suppl):Abstract nr 5051. (Source: Cancer Research)
Source: Cancer Research - February 19, 2009 Category: Cancer & Oncology Authors: Latimer, J., Lalanne, N., Myers, N., Courtney, A., Mock, L, Grant, S. Tags: Stem / Progenitor Cells Source Type: journals

Sentinel Node Biopsy in Patients with Previous Breast Aesthetic SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
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 Surger...
Source: Annals of Surgical Oncology - February 12, 2009 Category: Cancer & Oncology Tags: Annals of Surgical Oncology Source Type: journals

More British men seeking breast reductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
LONDON, Jan. 24 (UPI) -- Doctors say a record number of British men last year sought breast-reduction surgery for "man boobs" or "moobs," as some call them. (Source: Health News - UPI.com)
Source: Health News - UPI.com - January 24, 2009 Category: Consumer Health News Source Type: news

Periareolar Breast ReductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  A personal approach to periareolar breast reduction is presented. The circular demarcation of periareolar skin must be limited to twice the demarcated areolar diameter (2 × 4 = 8 cm). A cylindrical resection of volume is removed, as in Strömbeck’s technique, from below the areola to the aponeurosis of the pectoral muscle. Through this space, two to four “keel-like” parenchymal pieces are removed to reduce the breast at the cardinal points. The breast cone is assembled by suturing the raw areas from bottom to top, hyperprojecting it. A “round-block” suture around ...
Source: Aesthetic Plastic Surgery - January 3, 2009 Category: Cosmetic Surgery Tags: Aesthetic Plastic Surgery Source Type: journals

'Man boob' ops on the increaseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
One of the UK's top doctors says he's seen a rise in the number of men having breast reduction surgery. (Source: BBC News | Health | UK Edition)
Source: BBC News | Health | UK Edition - December 1, 2008 Category: Consumer Health News Tags: Health Source Type: news

bisp'> Bisphenol A Suppresses Release of Adipose Hormone Exposure May Contribute to Metabolic Syndrome Bisphenol A (BPA), a chemical used in the manufacture of numerous consumer products, is ubiquitous throughout the environment, and its widespread presence in human serum has been well documented. Although animal research indicates that BPA can alter several metabolic functions, interpretation of human data has been more controversial. A new study now presents evidence confirming that exposure of human adipose tissue and isolated fat cells to environmentally relevant levels of BPA suppresses release of the hormone adiponectin [EHP 116:1642?1647; Hugo et al.]. A high-calorie diet and sedentary lifestyle have both traditionally been linked to metabolic syndrome?the presence of a constellation of metabolic risk factors including insulin resistance, hypertension, and elevated blood sugar and lipid levels?but researchers are now examining environmental factors as additional causes. Adiponectin increases insulin sensitivity and reduces tissue inflammation, so suppression of its release could lead to insulin resistance and increased susceptibility to metabolic syndrome, the authors write. The study examined three types of adipose tissue samples taken during breast reduction, abdominoplasty, and gastric bypass surgery. The research team incubated each type of tissue for 6 hours in BPA or estradiol (E2), an endogenous human estrogen. They used enzyme-linked immunosorbent assay to measure secreted adiponectin. They also used quantitative real-time polymerase chain reaction to compare the expression of estrogen receptors?and estrogen-related receptors in these tissues. In all three tissue types, exposure to low-nanomolar concentrations of BPA suppressed adiponectin as effectively or more effectively compared with equimolar concentrations of E2. The authors also showed that the dose response to BPA was nonmonotonic, meaning lower doses caused different effects than higher doses. Finally, they report for the first time similar mRNA expression levels for several estrogen receptors in visceral adipose tissue, although the role of these receptors in the suppressive nature of BPA and E2?has yet to be determined. The results of the data are limited by the relatively small sample size in each tissue category, as well as the potential unknown effects of age or obesity on tissue responsiveness. However, the authors write that their data present clear evidence that BPA suppresses adiponectin, potentially leading to a much higher risk of developing metabolic syndrome and its resultant adverse health effects. They conclude that with BPA's persistence in the environment, more research should be done to determine the mechanism by which the chemical suppresses adiponectin. Tanya TillettEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
bisp"> Bisphenol A Suppresses Release of Adipose Hormone Exposure May Contribute to Metabolic Syndrome Bisphenol A (BPA), a chemical used in the manufacture of numerous consumer products, is ubiquitous throughout the environment, and its widespread presence in human serum has been well documented. Although animal research indicates that BPA can alter several metabolic functions, interpretation of human data has been more controversial. A new study now presents evidence confirming that exposure of human adipose tissue and isolated fat cells to environmentally relevant levels of BPA suppresses release of the hormone adip...
Source: Science Selections from EHP - December 1, 2008 Category: Environmental Health Authors: webmaster at ehp.niehs.nih.gov Source Type: journals

Breast Reduction Using Liposuction with Tumescent Local Anesthesia and Powered CannulasEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Having large, heavy breasts can be a problem for women. The widely accepted method of breast reduction is excision, but this procedure often leads to a large number of unwanted side effects and complications. There is, therefore, a need for an effective technique that produces fewer of these undesirable features. A study was conducted to evaluate the safety and efficacy of liposuction using tumescent local anesthesia (TLA) and powered cannulas. One hundred fifty-one women were treated. Exact measurements of volume and ptosis were performed before the procedure and at intervals of 6 weeks and 4 months after the procedure. T...
Source: Dermatologic Surgery - November 27, 2008 Category: Dermatology Authors: LOUIS HABBEMA Source Type: journals

Breast Sculpturing: Overcoming the Limits of Traditional Approaches in Breast ReductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusion  This technique further contributes to vertical mammaplasty refinements, enhancing the key role of selective liposuction prior to surgical dissection of the breast. The basic principle is to convert a large breast into a middle-sized one, making vertical scar breast reduction the most appropriate technique for all cases. A thorough and selective liposuction of the breast mound reduces the breast cone base width safely and with virtually no limitations, thus breaking a taboo of traditional breast reduction techniques. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008...
Source: Aesthetic Plastic Surgery - November 20, 2008 Category: Cosmetic Surgery Tags: Aesthetic Plastic Surgery Source Type: journals

Is breast reduction a functional or a cosmetic operation? Proposal of an objective discriminating criterionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: Classification of breast reduction as a functional or cosmetic operation is an unresolved issue.Surgical reduction of the breast is equally indicated both for correction of functional sequelae of breast hypertrophy and for a merely subjective aesthetic discomfort.Although several criteria are currently adopted by the national and international associations of plastic surgeons, none of them appears to fulfil the aim of objectively discriminating the functional from cosmetic indications.An original, simple and synthetic objective criterion was developed at the Plastic and Reconstructive Surgery Department of the Uni...
Source: Journal of Plastic, Reconstructive & Aesthetic Surgery - November 17, 2008 Category: Cosmetic Surgery Authors: Giovanni Nicoletti, Silvia Scevola, Angela Faga Tags: Original Articles Source Type: journals

The effect of superior pedicle breast reductions on breast sensationEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract  The aim of this study was to assess nipple, areola and breast skin sensation after breast reductions with two different superior pedicle techniques: a short, vertical scar technique compared to a long, inverted-T scar technique. Thirty-six women with a vertical technique (group I) and ten women with an inverted-T technique (group II) with a resection weight of ≤500 g per breast completed their 1-year follow-up. The four modalities used to evaluate sensation were pressure with Semmes–Weinstein filaments, vibration with a vibrometer, and temperature and pain perception on a qualitative basis....
Source: European Journal of Plastic Surgery - October 30, 2008 Category: Cosmetic Surgery Tags: European Journal of Plastic Surgery Source Type: journals

Improvement of physical and psychological symptoms after breast reductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study suggests that women who underwent breast reduction showed a significant improvement in both physical and psychological symptoms associated with macromastia and in their overall quality of life, 12 months postoperatively. Comparing pre- with postoperative scores obtained with the Body Dysmorphic Disorder Examination Self-Report (BDDE-SR23), the Short Form-36 Health Survey and the Symptom Inventory Questionnaire, the study objectively proves that breast reduction increases patient's satisfaction with their body image and improves their lives from both a psychological and relational point of view. (Source: Journal ...
Source: Journal of Plastic, Reconstructive & Aesthetic Surgery - October 24, 2008 Category: Cosmetic Surgery Authors: M. Rogliani, P. Gentile, L. Labardi, A. Donfrancesco, V. Cervelli Tags: Original Articles Source Type: journals

Use of the VersaJet for Pedicle Deepithelialization During Breast Reduction SurgeryEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Conclusions  The VersaJet is a safe and effective tool for pedicle deepithelialization in breast reduction surgery. The VersaJet significantly facilitates the process of pedicle deepithelialization and requires less time than use of the scalpel for the procedure. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-008-9217-8Authors Ian Lonergan, Henry Ford Hospital Department of Plastic and Reconstructive Surgery, K-16 2799 West Grand Boulevard Detroit MI 48202 USAKenneth Moquin, Henry Ford Hospital Department of Plastic and Reconstructive Surgery, K-16 2799 West Grand Boulevard Detroit M...
Source: Aesthetic Plastic Surgery - August 28, 2008 Category: Cosmetic Surgery Tags: Aesthetic Plastic Surgery Source Type: journals

Another Look at Breast Projection After Breast ReductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article examines factors affecting breast projection by considering the difference in concept between vertical mammaplasty (using the modification proposed by Hall-Findley as an example) and the inferior pedicle\keyhole pattern. This article is not about “how to do” but rather about “why” things are done in a certain way. The emphasis is on understanding what is done and its effects rather than on technique. The breast can be considered a cone. Breast projection then is the ratio between the nipple projection and the breast base. Two key concepts need to be considered: the orientation of the ellipses durin...
Source: Aesthetic Plastic Surgery - August 19, 2008 Category: Cosmetic Surgery Tags: Aesthetic Plastic Surgery Source Type: journals

Increase In Self-Esteem, Functionality Seen In Patients After Breast ReductionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Findings from a study published in the July/August 2008 issue of the Aesthetic Surgery Journal show a marked improvement in quality of life for patients who underwent breast reduction surgery, indicating that benefits of the procedure go beyond the mere aesthetic result. One hundred patients with breast hypertrophy were chosen to participate in the study, and randomly allocated into two groups. (Source: Women's Health / OBGYN News From Medical News Today)
Source: Women's Health / OBGYN News From Medical News Today - August 5, 2008 Category: OBGYN Tags: Cosmetic Medicine / Plastic Surgery Source Type: news

News From The American Society Of Plastic Surgeons August 2008Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Is Breast Reduction More Dangerous for Morbidly Obese Women? As the obese population increases, more overweight women are consulting plastic surgeons for breast reductions. In previous studies, this group of patients had been thought to have higher complication rates. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - July 24, 2008 Category: Consumer Health News Source Type: news

Decreased Postoperative Pain, Narcotic, and Antiemetic Use After Breast Reduction Using a Local Anesthetic Pain Pump.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Page: 147DOI: 10.1097/SAP.0b013e31815a23efAuthors: Kryger, Zol B. MD; Rawlani, Vinay BS; Lu, Leonard MD; Fine, Neil A. MD (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 24, 2008 Category: Cosmetic Surgery Tags: Abstract HTML PDF (753 K) Source Type: journals

A TRAM flap design refinement for use in delayed breast reconstructionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a design template that addresses these particular issues and in the senior author's hands has proved to be a very effective technique. Our technique allows raising an abdominal flap of less vertical height than traditionally used (thus reducing the risk of tight abdominal closure) and incorporates an inverted V-shaped flap of skin from the inferior mastectomy skin flap into the reconstruction. This allows more flap tissue to be available to fill the upper poles of the reconstructed breast and at the same time produces good ptosis. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive & Aesthetic Surgery - June 30, 2008 Category: Cosmetic Surgery Authors: A.J.K. Patel, M. Kulkarni, E.S. O'Broin Tags: Original Articles Source Type: journals

Modified Pitanguy Technique for Intraoperative Symmetrical Localization of Nipple–Areola ComplexEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a simple and objective peroperative technique to visualize the symmetry of any landmark both horizontally and vertically. This helps locate the final position of, for example, the nipple, and assess symmetry toward the end of the operation and it does not leave any needle marks on the patient. Content Type Journal ArticleCategory Innovative TechniqueDOI 10.1007/s00266-008-9202-2Authors Mubashir H. Cheema, University Hospital Birmingham Department of Burns and Plastic Surgery Birmingham B29 6JD UKShivram Singh, University Hospital Birmingham Department of Burns and Plastic Surgery Birmingham B29 6JD UK ...
Source: Aesthetic Plastic Surgery - June 24, 2008 Category: Cosmetic Surgery Tags: Aesthetic Plastic Surgery Source Type: journals

Draining after breast reduction: a randomised controlled inter-patient studyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Summary: One hundred and seven bilateral breast reductions were prospectively randomised during surgery to receive or not receive wound drains. Fifty-five patients were randomised to have a drain and 52 to not have a drain. There was no statistical difference in the number of complications between the drained and undrained group (P=0.092; student's t-test for independent observations). Twenty-two of the 55 patients in the drained group had a complication, 12 of the 52 patients in the undrained group had a complication. The hospital stay was significantly shorter (P (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive & Aesthetic Surgery - June 18, 2008 Category: Cosmetic Surgery Authors: Leonard U.M. Corion, Mark J.C. Smeulders, Paul P.M. van Zuijlen, Chantal M.A.M. van der Horst Tags: Original Articles Source Type: journals