Veronesi, P; De Lorenzi, F; Loschi, P; Rietjens, M; Veronesi, U.
Aesthetic Plastic Surgery, February 2016, pp 1-10
Breast augmentation is the most common cosmetic surgery in the United States, and thousands of augmented patients develop breast cancer each year. The possible effects of implants on cancer incidence, diagnosis, and treatment usually generate a disarming confusion. The present paper represents an update of the more recent oncologic and surgical strategies, aiming to support plastic and general surgeons in such challenging aspects. Several aspects of breast cancer management in augmented women are investigated, including: risk estimation and cancer characteristics, cancer diagnosis and cancer treatment including breast conservation, intraoperative radiotherapy, sentinel node biopsy and mastectomy, and reconstruction.
Late haematomas and seromas (≥4 months postoperatively) in breasts with silicone prosthesis have been reported. Since 2001, there have only four patients with such delayed complication visiting our hospitals. The purpose of this literature review and our case presentation is to have more understanding about the clinical symptoms, surgical managements and relationship with implants for this late complication.
Nowadays, as in the past, much attention is paid to aesthetic operations in women, while only infrequently have such operations been referred to in males. Generally, male aesthetic surgery was introduced to surgical practise during the 19th century. In this study, we analysed the practise of such operations in Byzantine times and in other ancient cultures with surgical knowledge, i.e. ancient India and China.
Simultaneous breast augmentation and mastopexy is a common procedure often considered to be one of the most difficult cosmetic breast surgeries. One-stage augmentation mastopexy was initially described more than 50 years ago. The challenge lies in the fact that the surgery has multiple opposing goals: to increasing the volume of a breast, enhance the shape, and simultaneously decrease the skin envelope. Successful outcomes in augmentation can be expected with proper planning, technique, and patient education. This article focuses on common indications for simultaneous augmentation mastopexy, techniques for safe and effective combined procedures, challenges of the procedure, and potential complications.
Despite increased cases published on breast implant–associated anaplastic large cell lymphoma (BIA-ALCL), important clinical issues remain unanswered. We conducted a second structured expert consultation process to rate statements related to the diagnosis, management, and surveillance of this disease, based on their interpretation of published evidence.
El injerto de tejido adiposo se ha convertido en una de las principales herramientas con la que se cuenta en la Cirugía Plástica y, como no podía ser de otra forma, la mama es el principal órgano diana de la actuación del cirujano plástico. El autor hace una revisión del tema.
Late seromas after augmentation mammaplasty are uncommon, can manifest without a defined cause, and can be treated by implant removal or replacement. This study aimed to analyze three cases of this complication that occurred 1-10 years postoperatively and were treated differently.
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