The nipple-areola complex is an integral part of breast reconstruction. It serves as important landmark for the new and many techniques have been described its Historically, nipple projection has most difficult to achieve maintain. authors found that use isolated soft tissue flaps eventually fail secondary scar contraction with loss projection. Since 1994, used a local skin fat flap shaped arrow reconstruction on 454 breasts. shape advantageous because it allows be broken closure, minimizing...

Perforator flap breast reconstruction is an accepted surgical option for cancer patients electing to restore their body image after mastectomy. Since the introduction of deep inferior epigastric perforator flap, microsurgical techniques have evolved support a 99 percent success rate variety flaps with donor sites that include abdomen, buttock, thigh, and trunk. Recent experience highlights as proven solution who experienced failed implant-based reconstructions or those requiring irradiation....

The combination of liposuction and abdominoplasty has been slow to be accepted, primarily due a perceived higher incidence complications associated with the procedure. There also extensive debate about combined procedure's effects on flap vascularity viability extent which may performed in conjunction surgical abdominoplasty.The authors present data from their four-year experience supporting lipoabdominoplasty as safe effective procedure for body contouring.The retrospectively reviewed case...

Three-dimensional (3D) digital photography uses integrated image capture technology and rendering software to create 3D models. Volumetric measurements project simulated post-operative images prior breast augmentation.To evaluate the accuracy reproducibility of volume using Portrait Surgical Simulation Platform (Axis Three, Boston, Massachusetts).Twenty-two patients underwent augmentation. volumetric imaging analysis was performed by two independent observers preoperatively at 6 weeks...

The inferior gluteal artery perforator (IGAP) free flap represents an alternative technique for autogenous breast reconstruction in patients with insufficient abdominal donor tissue. Historically, underwent a staged approach bilateral the IGAP because it is technically demanding and can be time consuming. simultaneous performed effectively 2 microsurgeons operating together. This retrospective study of 22 (44 flaps) who flaps one operation between January 2005 December 2007. following...

Adipose tissue is now recognized as a complex organ serving endocrine, immune, and metabolic functions. depots are composed of mature adipocytes well stromal vascular fraction (SVF) cells, heterogeneous population B T lymphocytes, endothelial macrophages, pericytes, smooth muscle, cells that can be isolated by enzymatic digestion. When placed into culture medium, subset the SVF adhere to plastic surface expand in number. This latter population, known "adipose-derived stromal/stem cells"...

Abstract Background Improving the ptotic breast with mastopexy and restoring upper pole fullness augmentation continues to be a challenging issue for plastic surgeons. Autologous fat grating (AFG) shaping contouring of implant augmented breasts has shown positive outcomes few complications. Objectives The objective this study was evaluate our experience combined grafting women existing ptosis who prefer not receive prosthetic implants but do desire volume enhancement. Methods A retrospective...

We present a unique case in which dog bite resulted total full-thickness upper eyelid avulsion young Caucasian female. The was replanted using meticulous microsurgical techniques reanastamosing the arterial supply. To our knowledge, this is first reported of successful microvascular replantation completely avulsed eyelid. details and photographic clinical improvement are described discussed.

We propose a neoumbilicoplasty technique that can be applied when the umbilical stalk becomes disrupted during an abdominoplasty. This case used surgical concepts involved progressive thinning of flap in 3-cm radius around neoumbilicus, with increased toward neoumbilical position. was followed suture tacking thinned abdominal to create concavity neoumbilicus. A longer "U" shaped incision created and also sutured down wall recreate "floor" adjacent skin superior-based construct walls An...

The internal mammary (IM) vessels have been shown to be an excellent option for use as recipient in microsurgical free tissue transfer. authors preferentially the IM all flap breast reconstructions unless perforators are suitable. Accessing past has involved removal of entire rib cartilage. Removal cartilage may associated with increased postoperative pain, and a visible depression upper chest. In order avoid these problems, they developed method accessing within interspace, which does not...

A case is presented of a massive, full-thickness, trunk-wall defect successfully reconstructed with free-tissue transfer the entire vastus lateralis muscle. Indications, technical details, and donorsite considerations are discussed.

Abdominoplasty is one of the most common cosmetic surgical procedures. Patients who undergo abdominoplasties with abdominal scars are at an increased risk for skin necrosis and wound breakdown. To prevent further disruption vascularity, dissection mobilization often limited resulting in a suboptimal esthetic result. The periumbilical perforator-sparing technique allows vascular preservation adequate to produce excellent results patients scars.

Post-mastectomy patients who are unwilling or deemed too high risk for implant flap-based reconstruction have an alternative option breast reconstruction. Our study evaluated the use of multi-stage fat grafting after mastectomy total technique produced successful aesthetic outcomes in terms both volume and shape. In certain patient populations, serial, staged is a viable that can produce satisfactory results with minimal complications donor site morbidity.