Background: The need to restore both the missing breast volume and breast surface area makes achieving excellent aesthetic outcomes in delayed breast reconstruction especially challenging. Autologous breast reconstruction can be used to achieve both goals. The aim of this study was to identify surgical maneuvers that can optimize aesthetic outcomes in delayed breast reconstruction. Methods: This is a retrospective review of operative and clinical records of all patients who underwent unilateral or bilateral delayed breast reconstruction with autologous tissue between April 2014 and January 2017. Three groups of delayed breast reconstruction patients were identified based on patient characteristics. Results: A total of 26 flaps were successfully performed in 17 patients. Key surgical maneuvers for achieving aesthetically optimal results were identified. A statistically significant difference for volume requirements was identified in cases where a delayed breast reconstruction and a contralateral immediate breast reconstruction were performed simultaneously. Conclusions: Optimal aesthetic results can be achieved with: (1) restoration of breast skin envelope with tissue expansion when possible, (2) optimal positioning of a small skin paddle to be later incorporated entirely into a nipple areola reconstruction when adequate breast skin surface area is present, (3) limiting the reconstructed breast mound to 2 skin tones when large area skin resurfacing is required, (4) increasing breast volume by deepithelializing, not discarding, the inferior mastectomy flap skin, (5) eccentric division of abdominal flaps when an immediate and delayed bilateral breast reconstructions are performed simultaneously; and (6) performing second-stage breast reconstruction revisions and fat grafting.
http://ift.tt/2wKP3Zk
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Walking Forward: A Narrative from South Dakota
- Editorial.
- Management of Type I and Type II laryngeal clefts:...
- Acid–base safety during the course of a very low-c...
- Acid–base safety during the course of a very low-c...
- Editorial.
- Management of Type I and Type II laryngeal clefts:...
- The efficacy and safety of a monophasic hyaluronic...
- Editorial.
- Management of Type I and Type II laryngeal clefts:...
- The efficacy and safety of a monophasic hyaluronic...
- Study of the mechanism of remediation of Cd-contam...
- Susceptibility to Dengue Virus and Genetic Polymor...
- Chikungunya Virus-Induced Arthritis: Role of Host ...
- Epidemiology and outcomes of nasopharyngeal carcin...
- Comparison of the applicability of Hasford score a...
- Testicular metastasis in Wilms' tumor
- Systemic and primary cutaneous anaplastic large ce...
- Activation of phosphoinositide 3-kinase/Akt/mechan...
- Primary intraosseous squamous cell carcinoma in a ...
- Metastatic gastrointestinal stromal tumor: A regio...
- Breast cancer risk factor evaluation in a Western ...
- Serum alkaline phosphatase in oral squamous cell c...
- Clinical practice and outcomes in advanced gastroi...
- A comparative study of bloodstream infections in a...
- Unraveling the spectrum of KIT mutations in gastro...
- Pattern of occurrence and treatment outcome of sec...
- Recurrence of Gastroesophageal Reflux After Laparo...
- Feasibility and Efficacy of Mat Pilates on People ...
- Mast cells derived from human induced pluripotent ...
- The Minimal Clinically Important Difference for th...
- Benefits of the Restorative Exercise and Strength ...
- Rasch Analysis, Dimensionality, and Scoring of the...
- Evaluation of delivery costs for external beam rad...
- Stereotactic Body Radiotherapy as an Alternative t...
- Newborn Thyroid Screening: Influence of Pre-Analyt...
- Disease Severity at Presentation in Patients with ...
- Future Meetings
- Idiopathic Low Ovarian Reserve Is Associated with ...
- Intermittent Dosing of Dabrafenib and Trametinib i...
- Clinical Implications of Immunoglobulin G4 to Grav...
- Newborn Thyroid Screening: Influence of Pre-Analyt...
- Disease Severity at Presentation in Patients with ...
- Future Meetings
- Idiopathic Low Ovarian Reserve Is Associated with ...
- Intermittent Dosing of Dabrafenib and Trametinib i...
- Clinical Implications of Immunoglobulin G4 to Grav...
- Mammary phyllodes tumor with six episodes of a rel...
- Salvage brachytherapy for radiorecurrent prostate ...
- The effects of needle damage on annulus fibrosus m...
- Applicability of the grip strength and automated v...
- Processing a glass-forming Zr-based alloy by selec...
- Material process development for the fabrication o...
- A study of parametric calibration for low cost 3D ...
- Hyperbranched alkyd/magnetite-silica nanocomposite...
- Visualization of Accessory Lymphatic Pathways in S...
- The Limitations of Implantable Mesh in Mastopexy
- Online Patient Resources for Gender Affirmation Su...
- Reviewing the Evidence to Guide Clinical Care: Pro...
- Nonincisional Conjoint Fascial Sheath Suspension: ...
- Reconstruction of Anterolateral Thigh Defects Usin...
- Does the Use of Acellular Dermal Matrix Increase P...
- Enhancing Nitric Oxide Bioavailability via Exogen ...
- Effect of Exercise Training on the Frequency of Co...
- Teledermatology: Is it Beneficial to Patients?
- Outcomes of Geriatric Burns Treated as Outpatients
- Epineural Sheath Jacket as a New Surgical Techniqu...
- The Crisis of Deficiency in Emergency Coverage for...
- Localized Arm Volume Index: A New Method for Body ...
- Double Composite Tissue Z-plasty Technique for Ana...
- Comparison of Negative Pressure Wound Therapy and ...
- Anatomical Reconstruction of the Nasal Floor in Co...
- Vascular Endothelial Growth Factor Induction of Mu...
- The Periosteal Medial Femoral Condyle Free Flap: A...
- Telemedicine: From Microsurgery and Free Flaps to ...
- Airflow Error Measurement Due to Pneumotachograph ...
- Distinct Effects of Body Mass Index and Waist/Hip ...
- Comprehensive Genomic Profiling of 282 Pediatric L...
- Histology of non-small cell lung cancer predicts t...
- Inter-observer agreement in GTV delineation of bon...
- Ex vivo γH2AX radiation sensitivity assay in prost...
- Stereotactic body radiotherapy for lung cancer pat...
- Temporal variation in bat-fruit interactions: Fora...
- Revisiting murine models for atopic dermatitis and...
- Development and optimization of dispersible tablet...
- α-Glucosidase inhibitory activity of selected Mala...
- Oral health status and treatment needs of Gunj mar...
- Risk versus benefit: Who assesses this in the mana...
- Novel pathogens in periodontal microbiology
- Increased risk of osteoporosis in depressive patie...
- Effect of the inclusion nanocomplex formed of tita...
- Glycosides based standardized fenugreek seed extra...
- Developing an integrated treatment pathway for a p...
- Validation of the Vectra H1 portable three-dimensi...
- Depression, evening salivary cortisol and inflamma...
- Xenoestrogen regulation of ERα/ERβ balance in horm...
- Endocrine disruptors and the tumor microenvironmen...
- Hormone-related cancers and endocrine disruptors: ...
- Recent advances on the stimulatory effects of meta...
- Recent views of heavy metals as possible risk fact...
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