BACKGROUND Periareolar augmentation mastopexy is one of the most demanded operations at Plastic Surgery clinics. Nevertheless, it is one of the leads of malpractice claims in United States caused by the high patient expectations and the standard surgical techniques which may result in common complications. The aim of this report is to present a new surgical approach to solve these complications...

BACKGROUND Although there are a few broadly agreed on contributory factors, the multifaceted causes of capsular contracture have remained unresolved for decades. This study investigates a variety of potential risk factors that contribute to capsular contracture in primary augmentation patients. METHODS The data used for this analysis include 5109 implants in 2560 primary augmentation patients...

BACKGROUND Gynecomastia is a deformity of male chest. Treatment of gynecomastia varied from direct surgical excision to other techniques (mainly liposuction) to a combination of both. Skin excision is done according to the grade. In this study, experience of using liposuction adjuvant to surgical excision was described. PATIENTS AND METHODS Between September 2012 and April 2015, a total of 14...

A technique using a posteriorly based dermoglandular flap as an augmentation of the superior hemisphere of the breast combined with a periareolar mastopexy and vertical mastopexy is presented. The advantages of combining a periareolar mastopexy, in terms of reducing the length of the vertical scar and preventing areolar distortion, are explained.

BACKGROUND The body of literature documenting normative breast sensation and postoperative changes in sensation after reduction mammaplasty has grown considerably over the last several years. Despite this, only two studies have ever been published on the subject of postaugmentation mammaplasty sensory outcomes. The purpose of this study was to precisely measure sensory thresholds at the nipple-...

Breast reconstruction that leaves no visible scars on the breast is possible for a subset of patients. This article reviews a cohort of 10 patients who underwent 14 autologous breast reconstructions. To achieve a reconstruction without visible breast scars, the mastectomy and autologous reconstruction are carried out through a periareolar incision. At the completion of the reconstruction, a sma...

BACKGROUND Tuberous breast deformity is a developmental aberration of the breast whereby a constricting ring on the base of the breast prevents its expansion on the horizontal and/or the vertical axis. This leads to the well-known "tuberous" appearance of the breast, causing a herniation of the breast tissue toward the nipple-areola complex due to the increased pressure. Several techniques have...

American population, but there is limited literature on creation of the male nipple-areolar complex (NAC) from the female NAC. Studies have been performed to assess the dimensions and positioning of the ideal male nipple, 1,2 but there are limited techniques to developing that ideal from a female NAC, which tend to have a larger areola, a more prominent nipple, and a different anatomic location...

BACKGROUND Patients with moderate to severe ptosis are often considered poor candidates for nipple-sparing mastectomy. This results from the perceived risk of nipple necrosis and/or the inability of the reconstructive surgeon to reliably and effectively reposition the nipple-areola complex on the breast mound after mastectomy. METHODS A retrospective review identified patients with grade II/I...