OBJECTIVES To describe the use of sonication and microcalorimetry in diagnosing necrotizing fasciitis in a 27-year-old woman with bilateral breast implants. METHODS The removed breast implants were subjected to sonication and microcalorimetry. The microcalorimetry findings were correlated with conventional microbiologic methods. The time to detection of infection was noted. RESULTS The pati...

The "PIP problem", in the field of the breast augmentation, represents today a surgical epidemiological emergency. The massive media coverage produced a kind of mass fear and many women are asking for explantations. A 47 y.o. female, breasts implanted with PIP devices for breast augmentation in 1998, came to our clinic asking for explantation and excisional biopsy of a 2.5 cm nodule adjacent to...

OBJECTIVE: The purpose of this study was to compare the efficacies of mammography, sonography and MR imaging in the detection of breast implant rupture of an asymptomatic population. MATERIALS AND METHODS: We prospectively evaluated 83 breast implants in 44 asymptomatic patients who subsequently had implants removed by a surgeon to determine sensitivity and specificity of mammography, ultrasono...

AIMS To identify the number of women with breast implants in the Newcastle Breast Screening Programme, it's additional workload and compare the number of screen detected cancers in the implant and non-implant group. METHODS Retrospective 9 year review of all women with cosmetic breast augmentation who have joined the National Breast Screening Programme in Newcastle. RESULTS The percentage o...

OBJECTIVE: The purpose of this study was to compare the efficacies of mammography, sonography and MR imaging in the detection of breast implant rupture of an asymptomatic population. MATERIALS AND METHODS: We prospectively evaluated 83 breast implants in 44 asymptomatic patients who subsequently had implants removed by a surgeon to determine sensitivity and specificity of mammography, ultrasono...

Introduction: Breast augmentation remains one of the most commonly performed cosmetic procedures. It is a surgery breast in order to increase its size by placing implants under tissue or chest muscles. Silicon implant used for both and reconstructive reasons. The purpose this study was evaluate outcomes primary with silicon implant. Methods: A retrospective patients who underwent based through ...

A forty two years old woman with a history of bilateral breast augmentation for cosmetic reasons was presented for poor healing of the surgical site. Tissue and periprosthetic fluid were removed from the wound site revealing an atypical lymphoid infiltrate. Subsequently the patient developed axillary lymph adenopathy. Excisional biopsy was performed. Flow cytometry was non-diagnostic. She conti...

This opinion article has been written on request because of the recent public controversy over silicone breast implants produced by a now-defunct company, Poly Implant Prosthese (PIP) in France. More than 300,000 PIP devices have been implanted. The purposes of my article are to (1.) provide a general overview of silicone breast implant materials, (2.) to describe the general safety of these ma...

Despite increasing interest in prepectoral implant-based reconstruction to avoid animation deformity (AD), the prevalence of this deformity and patient attitudes toward it have not been extensively studied. The purpose of this study was to report on AD in the breast reconstruction population and identify those at highest risk. METHODS A retrospective chart review was completed for patients at...

OBJECTIVE We sought to determine the risk of lymphedema associated with immediate breast reconstruction compared to mastectomy alone. BACKGROUND Immediate breast reconstruction is increasingly performed at the time of mastectomy. Few studies have examined whether breast reconstruction impacts development of lymphedema. METHODS A total of 616 patients with breast cancer who underwent 891 mas...