Articles
  • Topic: Aesthetic Surgery of the Breast

    An overview of aesthetic surgery of the breast

    Umar Daraz Khan
    Aesthetic surgery for the breast is one of the common procedure performed by an aesthetic plastic surgeon today. The surgery is frequently performed for aesthetic as well reconstructive reasons. Breast itself is a uniquely important part of the female body and as such embodies in itself anatomical, physiological and aesthetic role. A proportionately developed breast is an important feminine feature, a sign for fertility and sexuality. It is not surprising that breasts are extremely important for women’s self-confidence especially when their role in society has expanded immensely.
    Published on: 15 Jan 2016
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  • Topic: Aesthetic Surgery of the Breast

    Internal bra: a unifying solution for reconstructive and aesthetic breast surgery issues

    Richard A. Baxter
    The internal bra is a concept utilizing implantable materials for long term maintenance of support and shape of the breast with mastopexy and in revision breast surgery. This article reviews the various materials used for the internal bra including Acellular Dermal Matrices, non-absorbable meshes, and newer bio-inductive products such as Seri silk scaffold and Galaflex.
    Published on: 15 Jan 2016
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  • Topic: Aesthetic Surgery of the Breast

    An analysis of underweight status on 30-day outcomes after breast reconstruction

    Anas Eid , Jon P. Ver Halen
    Aim: To examine the impact of underweight body mass index (BMI) values on breast reconstruction outcomes. Methods: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was retrospectively reviewed for all patients who underwent breast reconstruction between 2006 and 2011. Patients were first stratified by breast reconstruction modality into prosthetic or autologous cohorts, and second by BMI values into underweight (BMI < 18.5), normal to overweight (reference, BMI 18.5-29.99), moderate obesity (BMI 30-34.99), severe obesity (BMI 35-39.99),...
    Published on: 15 Jan 2016
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  • Topic: Aesthetic Surgery of the Breast

    Commentary

    Francesco M. Egro , Chibueze A. Nwaiwu , Vu T. Nguyen
    The association between body mass index (BMI) and surgical complications has been of great interest in recent years given the rise of obesity worldwide. Current evidence shows that there is a strong correlation between obesity and the rate of complications following breast reconstruction, such as wound dehiscence, superficial wound infection, and graft or flap loss. Although malnutrition has been identified as a risk factor for poor wound healing and the effects of reconstruction, no articles have examined the impact of low BMI on the outcomes of breast reconstruction.

    Published on: 15 Jan 2016
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  • Topic: Aesthetic Surgery of the Breast

    Bi-plane breast augmentation: a case series supporting its use and benefits

    Matthew Stodell , Gordon McArthur , Mathew James
    Aim: Breast augmentation has traditionally been performed in either the subglandular or submuscular plane. Dual plane augmentation has been described before and captures the advantages of both of these techniques but reduces the trade-offs. The biplane muscle splitting technique adopts the similar advantages seen with the dual plane method without the need for extensive costal muscle fibre release at the infra-mammary fold. Methods: Thirty-five patients underwent bilateral breast augmentation using the biplanar technique from November 2007 to December 2008. All operations were performed by...
    Published on: 15 Jan 2016
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  • Topic: Aesthetic Surgery of the Breast

    A long term review of augmentation mastopexy in muscle splitting biplane

    Umar Daraz Khan
    Aim: Simultaneous or single stage mastopexy with augmentation is challenging, unique and commonly performed by a plastic surgeon. In this procedure pocket for implant placement, marking for envelope reduction and type of implants used can affect the outcome of the procedure. Muscle splitting pocket for mastopexy is a plane described by the author for implant placement with a short term follow up. The use and outcome of the technique is presented with a larger series and a long term follows up to evaluate the efficacy of the procedure. Methods: Retrospective data was collected. Augmentation...
    Published on: 15 Jan 2016
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  • Topic: Aesthetic Surgery of the Breast

    Augmentation mastopexy and augmentation mammoplasty: an analysis of 1,406 consecutive cases

    Umar Daraz Khan
    Aim: Simultaneous augmentation mastopexy is a challenging operation for esthetic plastic surgeons. Complication and revision rates following augmentation mammoplasty or mastopexy are less commonly seen when these two procedures are performed separately. However, when the two procedures are combined, the complication rate is reported exponentially higher when compared with its individual component carried out separately. The current retrospective chart review is a comparative analysis of the two procedures performed by a single surgeon. Methods: Retrospective data were collected using...
    Published on: 15 Jan 2016
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  • Topic: Aesthetic Surgery of the Breast

    Pathogenesis, presentation and classification of late autoinflation of the breasts: case report and literature search

    Umar Daraz Khan
    Aim: Autoinflation of the breast following mammoplasty using breast implants can be divided into early and late. Early autoinflation of the breast is commonly due to haematoma. Late autoinflation of the breast is an uncommon complication and its true incidence is not known due to the paucity of its reporting. Methods: A retrospective review was performed of the available charts for 2,772 consecutive bilateral primary, secondary augmentation mammoplasties and mastopexy with augmentation mammoplasties by the author between April 1999 and February 2015. Each breast was taken as a single unit...
    Published on: 15 Jan 2016
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  • Topic: Aesthetic Surgery of the Breast

    Cleavage classification: categorizing a vital feminine aesthetic landmark

    Muhammad Adil Abbas Khan , Ammar Asrar Javed , Nigel Mercer
    Breast cleavage is defined by the International Federation of Associations of Anatomists (IFAA), as the space present between a woman’s breasts. The width of the inter-mammary cleft is defined by the distance between the points of attachment of the breast tissue to the periosteal tissue.
    Published on: 15 Jan 2016
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