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Aesthetic Surgery Journal Nov 2015Breast augmentation and reconstruction mammaplasty have been in practice for decades and are highly prevalent surgeries performed worldwide. While overall patient... (Comparative Study)
Comparative Study Review
Breast augmentation and reconstruction mammaplasty have been in practice for decades and are highly prevalent surgeries performed worldwide. While overall patient satisfaction is high, common long-term effects include breast tissue atrophy, accelerated ptosis and inframammary fold breakdown. Increasing evidence attributes these events to the durative loading and compressive forces introduced by the breast implants. Mechanical challenges exceeding the elastic capacity of the breast tissue components, eventually lead to irreversible tissue stretching, directly proportional to the introduced mass. Thus, it is suggested that, contrary to long-standing dogmas, implant weight, rather than its volume, stands at the basis of future tissue compromise and deformation. A novel lightweight implant has been developed to address the drawbacks of traditional breast implants, which demonstrate equivalence between their size and weight. The B-Lite(®) breast implant (G&G Biotechnology Ltd., Haifa, Israel) design allows for a reduction in implant weight of up to 30%, while maintaining the size, form, and function of traditional breast implants. The CE-marked device can be effectively implanted using standard of care procedures and has been established safe for human use. Implantation of the B-Lite(®) breast implant is projected to significantly reduce the inherent strains imposed by standard implants, thereby conserving tissue stability and integrity over time. In summary, this novel, lightweight breast implant promises to reduce breast tissue compromise and deformation and subsequent reoperation, further improving patient safety and satisfaction.
Topics: Adult; Aged; Breast Implantation; Breast Implants; Esthetics; Female; Follow-Up Studies; Humans; Mammaplasty; Middle Aged; Prosthesis Design; Prosthesis Failure; Risk Assessment; Treatment Outcome; Weights and Measures
PubMed: 26333989
DOI: 10.1093/asj/sjv080 -
Journal of Plastic, Reconstructive &... Mar 2012
Topics: Breast; Breast Diseases; Breast Implants; Female; Humans; Mammaplasty; Patient Satisfaction; Silicone Gels
PubMed: 21996441
DOI: 10.1016/j.bjps.2011.09.021 -
Journal of Plastic, Reconstructive &... Aug 2011
Topics: Breast Implants; Female; Humans; Mammaplasty; Surgical Flaps; Tissue Expansion
PubMed: 21440521
DOI: 10.1016/j.bjps.2011.02.004 -
In Vivo (Athens, Greece) 2009Macromastia is a health problem that requires the coordination of surgical and medical specialists. Goals of reduction mammaplasty are to alleviate physical, emotional...
BACKGROUND
Macromastia is a health problem that requires the coordination of surgical and medical specialists. Goals of reduction mammaplasty are to alleviate physical, emotional and psychosocial discomforts and to restore a conical-shaped breast, maintaining scars as short as possible. We report our approach for reduction mammaplasty with superior pedicle.
MATERIALS AND METHODS
Our method combines advantages of round block with vertical scar, using a dermal flap that is fixed to the new mammary crease. We analyzed skin and glandular resection customizing the mammaplasty.
RESULTS
The dermal flap works against the weight of residual tissue, maintaining the crease at the desired position with a natural result. Benefits are an excellent projection, short scar, suitable reshaping and patient satisfaction.
CONCLUSION
This technique can be used for mild to severe hypertrophy with various degrees of ptosis. It results in a successful aesthetic outcome with minimal scarring, suitable breast remodeling and natural long-lasting projection.
Topics: Breast; Breast Diseases; Female; Humans; Hypertrophy; Mammaplasty; Middle Aged; Surgery, Plastic
PubMed: 19779126
DOI: No ID Found -
Nursing Forum Jul 2022It could be argued that mastectomy tattoos are being considered by some women in contemporary society as an alternative to breast reconstruction.
BACKGROUND
It could be argued that mastectomy tattoos are being considered by some women in contemporary society as an alternative to breast reconstruction.
AIM
To gain insight into the experience of "being" tattooed where breast(s) once occupied space, six women with mastectomy tattoos were interviewed.
METHODOLOGY
The teachings of Gadamer's philosophical hermeneutics were engaged to better understand what it means "to be" tattooed postmastectomy.
RESULTS AND DISCUSSION
Discoveries include feeling sad and damaged postmastectomy, embodying the tattoo as a novel representation of self for women living without breast(s), and reclaiming power, control, and confidence in a way that is symbolically meaningful.
CONCLUSION
Health care providers working with women diagnosed with breast cancer are invited to learn from women with mastectomy tattoos and to consider expanding discourse about care to include options beyond breast reconstruction.
Topics: Beauty; Breast Neoplasms; Female; Humans; Mammaplasty; Mastectomy; Tattooing
PubMed: 35218228
DOI: 10.1111/nuf.12714 -
Plastic and Reconstructive Surgery Apr 2018Prosthetic breast reconstruction rates have risen in the United States, whereas autologous techniques have stagnated. Meanwhile, single-institution data demonstrate that...
BACKGROUND
Prosthetic breast reconstruction rates have risen in the United States, whereas autologous techniques have stagnated. Meanwhile, single-institution data demonstrate that physician payments for prosthetic reconstruction are rising, while payments for autologous techniques are unchanged. This study aims to assess payment trends and variation for tissue expander and free flap breast reconstruction.
METHODS
The Blue Health Intelligence database was queried from 2009 to 2013, identifying women with claims for breast reconstruction. Trends in the incidence of surgery and physician reimbursement were characterized by method and year using regression models.
RESULTS
There were 21,259 episodes of breast reconstruction, with a significant rise in tissue expander cases (incidence rate ratio, 1.09; p < 0.001) and an unchanged incidence of free flap cases (incidence rate ratio, 1.02; p = 0.222). Bilateral tissue expander cases reimbursed 1.32 times more than unilateral tissue expanders, whereas bilateral free flaps reimbursed 1.61 times more than unilateral variants. The total growth in adjusted tissue expander mean payments was 6.5 percent (from $2232 to $2378) compared with -1.8 percent (from $3858 to $3788) for free flaps. Linear modeling showed significant increases for tissue expander reimbursements only. Surgeon payments varied more for free flaps (the 25th to 75th percentile interquartile range was $2243 for free flaps versus $987 for tissue expanders).
CONCLUSIONS
The incidence of tissue expander cases and reimbursements rose over a period where the incidence of free flap cases and reimbursements plateaued. Reasons for stagnation in free flaps are unclear; however, the opportunity cost of performing this procedure may incentivize the alternative technique. Greater payment variation in autologous reconstruction suggests the opportunity for negotiation with payers.
Topics: Adolescent; Adult; Aged; Aged, 80 and over; Breast Implants; Databases, Factual; Female; Free Tissue Flaps; Humans; Insurance, Health, Reimbursement; Linear Models; Mammaplasty; Middle Aged; Practice Patterns, Physicians'; Tissue Expansion; Tissue Expansion Devices; United States; Young Adult
PubMed: 29595721
DOI: 10.1097/PRS.0000000000004205 -
Tidsskrift For Den Norske Laegeforening... May 2022Breast reconstruction using free flaps based on the lower abdominal tissue is a common procedure. Postoperatively, the blood supply and innervation of the flap will be...
BACKGROUND
Breast reconstruction using free flaps based on the lower abdominal tissue is a common procedure. Postoperatively, the blood supply and innervation of the flap will be altered due to denervation. The case presented here illustrates the resulting increased sensitivity to heat exposure.
CASE PRESENTATION
A woman in her sixties was treated for right-sided breast cancer with mastectomy and autologous reconstruction using a deep inferior epigastric perforator (DIEP) flap. Fourteen years later she experienced a dermal and subcutaneous burn in the flap after sunbathing for three hours wearing a black bikini. The burn injury required surgical treatment including debridement and skin transplantation.
INTERPRETATION
Postoperative denervation resulting in altered thermoregulatory mechanisms and reduced sensation of a free flap can increase the risk of thermal damage long after surgery. Lifelong preventive measures might therefore be necessary. Patients and medical professionals need to be aware of this hazard after reconstructive surgery using free flaps.
Topics: Breast Neoplasms; Burns; Epigastric Arteries; Female; Humans; Mammaplasty; Mastectomy; Perforator Flap; Retrospective Studies
PubMed: 35510451
DOI: 10.4045/tidsskr.21.0392 -
Journal of Surgical Oncology Jun 2016A number of factors have contributed to a paradigm shift in US post-mastectomy breast reconstruction. The increasing numbers of contralateral prophylactic mastectomies... (Review)
Review
A number of factors have contributed to a paradigm shift in US post-mastectomy breast reconstruction. The increasing numbers of contralateral prophylactic mastectomies strongly correlated to a rise in implant-based reconstructions. Autologous reconstruction, however, has faced a number of barriers including technically complicated perforator flaps and declining reimbursements. As such, a market concentration has developed within high volume microsurgical centers. As more patients receive radiation, the timing and method of reconstruction has become a controversial topic. J. Surg. Oncol. 2016;113:891-894. © 2016 Wiley Periodicals, Inc.
Topics: Breast Implants; Breast Neoplasms; Female; Humans; Mammaplasty; Mastectomy; Radiotherapy
PubMed: 26876921
DOI: 10.1002/jso.24201 -
Annals of the Royal College of Surgeons... Feb 2017
Topics: Female; Humans; Mammaplasty; Nipples; Surgical Flaps
PubMed: 27659355
DOI: 10.1308/rcsann.2016.0307 -
Editorial Comment on: One-Year Experience of Same-Day Mastectomy and Breast Reconstruction Protocol.Annals of Surgical Oncology Sep 2022
Topics: Breast Neoplasms; Female; Humans; Mammaplasty; Mastectomy; Postoperative Complications; Retrospective Studies
PubMed: 35834143
DOI: 10.1245/s10434-022-12021-1