• The Island-Type Pedicled TRAM Flap: Improvement of the Aesthetic Outcomes of Breast Reconstruction

    One year ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    The pedicled transverse rectus abdominis myocutaneous flap remains an effective and widely-used method for breast reconstruction despite well-documented donor-site morbidity. We present the island-type pedicled TRAM flap as a way to obtain better and more reliable outcomes in breast reconstruction.
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  • A Novel Approach to Sensory Re-innervation to the Nipple Areolar Complex after Mastectomy with Implant-Based Reconstruction: Anatomic and Technical Considerations

    One year ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    Breast cancer is the most commonly diagnosed invasive cancer in women worldwide. The physical and psychological consequences of breast cancer can be somewhat mitigated with reconstruction, making it an integral part of the treatment approach in women requiring mastectomy.1 With improvements in surgical management, increasing amounts of the native breast skin can be spared with oncologic safety. This skin sparing approach has improved aesthetic outcomes, but it does not affect the loss of sensation in the breast, one of the most commonly reported deficiencies after mastectomy.
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  • The Influence of Contralateral Breast Augmentation on the Development of Complications in Direct-to-Implant Breast Reconstruction

    One year ago - By Journal of Plastic, Reconstructive & Aesthetic Surgery

    Simultaneous contralateral augmentation in direct-to-implant breast reconstruction may increase the risk of skin flap necrosis on the reconstruction side due to increased tension on the skin flap when implants are larger than the original breast size. The purpose of this study was to evaluate whether the contralateral augmentation procedure affects complications in unilateral DTI breast reconstruction.
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