Objective: It is generally difficult to achieve symmetry in implant-only breast reconstruction with ptosis, and it remains unclear what quantitative criterion may be applied in cases of breast ptosis regarding the application of this modality. Our study aimed to suggest a criterion for obtaining good aesthetic outcomes and a symmetrical inframammary fold that is well-fitting for the brassiere i...

1 Leonidas Pavlidis Georgia A. Spyropoulou Antonis Tsimponis Efterpi Demiri Department of Plastic Surgery Papageorgiou Hospital Aristotle University of Thessaloniki Thessaloniki, Greece Sir, A skin has never been reported as contraindication for surgery. Approximately 290,000 patients underwent an augmentation mammoplasty in 2013, whereas for the same year, the number of implant removals for br...

BACKGROUND An increased weight of the breasts causes several spinal postural alterations that reduce the ability to perform dynamic tasks requiring a stable balance. The effects of the increased weight of the breasts on static posture after implant breast augmentation have not been investigated yet. METHODS Forty volunteer healthy women were asked to wear different sized breast implants (800,...

BACKGROUND Achieving symmetry is a key goal in breast reconstruction. Anatomically shaped tabbed expanders are a new tool in the armamentarium of the breast reconstruction surgeon. Suture tabs allow for full control over the expander position and thus inframammary fold position, and, in theory, tabbed expanders mitigate many factors responsible for poor symmetry. The impact of a tabbed expander...

BACKGROUND Many authors have considered dental implants to be unrelated to increased risk of medication-related osteonecrosis of the jaw (MRONJ). Nevertheless, more recently, more cases of peri-implant MRONJ (PI-MRONJ) have been described, thus becoming a challenging health problem. Also, metastatic cancer deposits are not infrequently found at peri-implant sites and this may represent an addit...

METHODS: A single-center, retrospective analysis of all patients who underwent implant-based breast reconstruction at Mount Sinai Hospital was performed. All patients who developed an implant infection and then underwent capsulectomy with implant exchange and STIMULAN beads impregnated with antibiotics were included. Patient demographics, medical history, operative complications, and surgical o...

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an uncommon T Non-Hodgkin Lymphoma (NHL) associated with breast implants. Raising awareness of the possibility BIA-ALCL in anyone implants and new symptoms crucial to early diagnosis. The tumour begins on inner aspect peri-implant capsule causing effusion, or less commonly a tissue mass form within capsule, which may spread ...

Quantitative and objective methods to evaluate the morphology of the reconstructed breast may help plastic surgeons improve their surgical practice, and thus ultimately help breast cancer survivors derive the intended psychosocial benefits of reconstruction. Recently, we developed a quantitative and objective way to measure the curvature of the breast on standard clinical photographs. Here we c...

Preservation of the breast skin envelope during immediate implant-based breast reconstruction is important for producing symmetrical and natural-looking breasts. We propose the lazy S design for the closure of round-shaped wounds with the hope of improving the aesthetic outcomes and reducing the tension on the wound by preserving the skin. Additionally, the direction of tension is dispersed due...

BACKGROUND Simultaneous breast augmentation and mastopexy has historically been a controversial topic, and it has been considered by some to be a difficult and unpredictable procedure. Secondary breast augmentation and mastopexy after previous breast surgery is rarely discussed in the literature, and little is known about the outcomes of these secondary procedures. OBJECTIVE The authors prese...