scholarly journals Masculinized Male Chest Contouring: Creating the Armor Plate

2019 ◽  
Vol 2 (1) ◽  
Author(s):  
Arian Mowlavi ◽  
Waleed Rashid ◽  
Mariam Berri ◽  
Armin Talle
Keyword(s):  
Body Image ◽  
Fat Grafting ◽  
Armor Plate ◽  
Novel Approach ◽  
Male Patients

Abstract Male patients are routinely consulted regarding dislike of their chest appearance. To date, majority of patients have desired elimination of their feminine-appearing breast, termed gynecomastia. These patients have associated their overweight body image, with the femininity of their breasts as presented by fullness and roundedness of their breasts and subsequently have desired maximal flattening of their breast. We present a new set of patients who desire a more muscular-appearing chest than a gynecomastia repair that is interposed on a chiseled abdominal contour. In contrast to the former set of patients, these patients desire bulking of their breasts with a bolder-appearing armor plate look. We present an alternative to traditional gynecomastia repair which involves a novel approach to chest contouring creating a flat, yet bold, pentagonal-shaped breast with linear borders utilizing both fat and gland removal as well as strategic fat grafting back into the chest. We present a novel protocol to create an armor plate male chest appearance as an alternative to traditional gynecomastia contouring. All patients treated to date demonstrate a muscular-appearing chest that is harmonious on an interposed masculine-appearing abdomen.

Abstract P63: BRIDGE Clinic: A Novel Approach to the Hospital-to-Home Transition

2011 ◽  
Vol 4 (suppl_1) ◽  
Author(s):  
Sherry M Bumpus ◽  
Cydni Smith ◽  
Adam Kosteva ◽  
Eva Kline-Rogers ◽  
Susan Housholder-Hughes ◽  
...  
Keyword(s):  
Nurse Practitioners ◽  
Transitional Care ◽  
Complex Problem ◽  
Unplanned Readmission ◽  
Bridge Program ◽  
Patient Status ◽  
Novel Approach ◽  
Male Patients ◽  
Hospital To Home

Background: Unplanned 30-day rehospitalization rates for AMI (19.9%) and CHF (24.4%) represent a huge health care burden for patients and providers. Delays in follow-up and lack of adherence to standardized guidelines, by providers and patients, contribute to these findings. The hospital-to-home transition is one area with the potential to effect changes in this complex problem. Specially trained outpatient cardiovascular nurse practitioners (NP) aim to “bridge” the transitional care gap in the Cardiovascular Medicine Bridge Program (BRIDGE). NPs, acting as an extension of the inpatient team, adjust treatments depending on patient status, educate patients, and ensure adherence to lifestyle and therapeutic guidelines. Purpose: To assess differences between patients who attended the BRIDGE clinic and those who did not. Methods: This was a retrospective study of all patients referred to BRIDGE, from June 2008 to February 2009. Univariate techniques were used to compare those who attended BRIDGE and those who did not, in terms of age, diagnoses, comorbidities, time to follow-up visit with a cardiologist, and unplanned readmission. Results: Of 359 patients, 239 (67%) attended BRIDGE, mean time from discharge to BRIDGE follow-up was 19.8 days. Mean age of attendees was 63.9, non-attendees M = 61.2, P = .110; 66.6% were male. Patients were more likely to attend BRIDGE if they had greater than two comorbidities (≤ 2 comorbidities 10.5% vs. > 2 comorbidities 18.3%, P = .046). Primary cardiac diagnoses accounted for 217 (60.6%) BRIDGE referrals (ACS 21.2%, CAD 13.7%, CHF 13.4%, other cardiac 12.3%); cardiac was a secondary diagnosis or complication for the remaining 39.4%. Mean days from discharge to first cardiology appointment was 73.0 for attendees and 53.6 for non-attendees, P = .018. BRIDGE attendees had significantly lower 30-day readmission and ED rates than those who did not attend (readmit: attend 8.7 % vs. not attend 21.7%, P = .001, ED visits: attend 13.5% vs. not attend 28.2%, P = .005). Conclusion: Individuals who attended the BRIDGE clinic had fewer unplanned readmissions, when compared to patients who did not take advantage of this opportunity. These preliminary findings suggest that this strategy can improve efficiency of acute cardiac care in the US.

Body image and health locus of control among male patients with incisional hernias

Body Image ◽  
2009 ◽  
Vol 6 (3) ◽  
pp. 242-245 ◽  
Author(s):  
Emily L. Hiatt ◽  
Robert L. Collins ◽  
Nicholas J. Pastorek ◽  
Charles F. Bellows
Keyword(s):  
Body Image ◽  
Locus Of Control ◽  
Health Locus Of Control ◽  
Incisional Hernias ◽  
Male Patients

scholarly journals Towards a functional body: A novel approach to body image disturbances in eating disorders

2016 ◽  
Vol 7 (1) ◽  
pp. 64-70
Author(s):  
Juanita Gempeler ◽  
Maritza Rodríguez ◽  
Camila Patiño ◽  
Adriana Rogelis ◽  
Carolina Erazo ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Novel Approach ◽  
Body Image Disturbances

Safety and Satisfaction in High-Definition Power-Assisted Liposculpture in Men Under Local Anesthesia

2021 ◽  
pp. 074880682110247
Author(s):  
Paul von Waechter-Gniadek ◽  
Thomas Kündig ◽  
Pål Johansen ◽  
Roland Boeni
Keyword(s):  
Local Anesthesia ◽  
Deltoid Muscle ◽  
Fat Grafting ◽  
The Body ◽  
Safe Procedure ◽  
High Definition ◽  
High Satisfaction ◽  
High Satisfaction Rate ◽  
Male Patients ◽  
Satisfaction Rates

In high-definition liposculpture (HDL), the body is shaped in such a way that an athletic appearance and a defined, contoured look is created. Typical areas in the male patient include arms, pectoralis region, the area over the serratus muscle, lower back, as well as medial and lateral abdomen. This procedure is sometimes combined with fat grafting to areas over the deltoid muscle and/or pectorals. The objective was to evaluate the safety and satisfaction of HDL in a large series of patients using reciprocating power-assisted liposuction under local anesthesia. In this bicenter study, we performed HDL on 82 male patients using reciprocating power-assisted liposuction under tumescent local anesthesia with both lidocaine and prilocaine. No drains were used. Intraoperative and postoperative data were collected, and complication and satisfaction rates were evaluated after 6 months. All overall patients’ satisfaction was high. There were no major complications. Minor complications included seroma (n = 4), and 3 patients required touch-up surgery. There were no side-effects from the anesthesia, and there was no fluid overload. High-definition liposculpture using reciprocating power-assisted liposuction in local anesthesia is a safe procedure with a high satisfaction rate.

High Definition Lipoplasty in Male Patients: A Systematic Review of Surgical Techniques and Outcomes

2021 ◽  
Author(s):  
Joseph M Escandón ◽  
Krishna S Vyas ◽  
Oscar J Manrique
Keyword(s):  
Fluid Collection ◽  
Surgical Techniques ◽  
Fat Grafting ◽  
Variable Degree ◽  
High Definition ◽  
Adequate Knowledge ◽  
Ovid Medline ◽  
Proper Training ◽  
Male Patients

Abstract Background Lipoplasty has undergone a series of refinements throughout history. It is now possible to apply superficial suction to enhance the outline of a muscle in order to improve the results of aesthetic lipoplasty. Objectives Herein, we aimed to summarize the available evidence on the techniques and surgical outcomes of high definition lipoplasty (HDL) in male patients. Methods A systematic search across PubMed MEDLINE, Web of Science, Ovid MEDLINE(R) and In-Process and Other Non-Indexed Citations, and SCOPUS was performed in accordance with the PRISMA guidelines. Data regarding the surgical techniques, outcomes and complications, was extracted. Results Thirteen studies comprising 1,280 patients fulfilled the inclusion criteria. The age of patients ranged from 18-71 years. The average BMI was 26.5 kg/m 2. The follow-up ranged from 2 weeks-10 years. The liposculpting concepts reported were abdominal etching, high-definition, muscular sculpture, dynamic definition. Four studies used conventional liposuction, three used VASER-assisted HDL, and six studies used power-assisted liposculpting. Eight studies reported the use of fat grafting. All studies reported the use of postoperative garments and a well-established wound protocol. Overall satisfaction ranged from 84% to 100%. The most common complications reported were fluid collection, hyperpigmentation, contour irregularities, anemia, and port dehiscence. Conclusions A wide variety of techniques are available to perform HDL with a variable degree of definition. A careful patient selection is critical for successful results, as HDL cannot be applied to every patient. Finally, proper training and adequate knowledge of abdominal anatomy is necessary to avoid complications.

scholarly journals The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair

2014 ◽  
Vol 12 (2) ◽  
pp. 186-190 ◽  
Author(s):  
Jaime Anger ◽  
Raphael Francisco Vesterman Alcalde ◽  
Jose Ribas Milanez de Campos
Keyword(s):  
Pectus Excavatum ◽  
Surgical Repair ◽  
Surgical Techniques ◽  
Fat Grafting ◽  
Secondary Treatment ◽  
Custom Made ◽  
Base Size ◽  
Intraoperative Period ◽  
Male Patients ◽  
New Surgical Technique

Objective To describe a new surgical technique to treat pectus excavatumutilizing low hardness solid silicone block that can be carved during the intraoperative period promoting a better aesthetic result.Methods Between May 1994 and February 2013, 34 male patients presentingpectus excavatum were submitted to surgical repair with the use of low hardness solid silicone block, 10 to 30 Shore A. A block-shaped parallelepiped was used with height and base size coinciding with those of the bone defect. The block was carved intraoperatively according to the shape of the dissected space. The patients were followed for a minimum of 120 days postoperatively. The results and the complications were recorded.Results From the 34 patients operated on, 28 were primary surgeries and 6 were secondary treatment, using other surgical techniques, bone or implant procedures. Postoperative complications included two case of hematomas and eight of seromas. It was necessary to remove the implant in one patient due to pain, and review surgery was performed in another to check prothesis dimensions. Two patients were submitted to fat grafting to improve the chest wall contour. The result was considered satisfactory in 33 patients.Conclusion The procedure proved to be fast and effective. The results of carved silicone block were more effective for allowing a more refined contour as compared to custom made implants.

scholarly journals Autologous Fat Grafting as a Novel Approach to Parastomal Soft-tissue Volume Deficiencies

2014 ◽  
Vol 2 (3) ◽  
pp. e123 ◽  
Author(s):  
Robert C. Wu ◽  
Ian Maxwell ◽  
Ilun Yang ◽  
Mario B. Jarmuske ◽  
Robin P. Boushey
Keyword(s):  
Soft Tissue ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Autologous Fat ◽  
Tissue Volume ◽  
Soft Tissue Volume ◽  
Novel Approach

scholarly journals Quality of life and body image of patients with urinary disorders

2020 ◽  
Vol 73 (suppl 1) ◽  
Author(s):  
Gardênia Lima Gurgel do Amaral ◽  
Kleynianne Medeiros de Mendonça Costa ◽  
Charlene Maria Ferreira de Lima ◽  
Tânia Arena Moreira Domingues ◽  
Dulce Aparecida Barbosa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Short Form ◽  
The Body ◽  
Cross Sectional ◽  
Social Adversity ◽  
Emotional Aspects ◽  
Male Patients ◽  
High Degree

ABSTRACT Objective: to assess the quality of life and body image of men with difficulty urinating and indwelling urinary catheter users, integrating the socio-demographic, economic and morbidity variables. Method: a cross-sectional analytical study with 64 male patients with urinary problems. Three questionnaires were used for data collection: one containing sociodemographic, economic and morbid data, the Medical Outcome Study 36-item short-form health survey to analyze quality of life, and the Body Dysmorphic Examination, which assesses body image. T-test, Mann-Whitney, Pearson, Spearman, Linear Regression and Stepwise were used. Results: quality of life and body image were compromised in both groups, affecting emotional aspects, with a high degree of body dissatisfaction and altered physical and social adversity. Conclusion: changes in patients’ quality of life and body image were observed, confirming the need for improvement in care.

High-Definition Liposculpture in Males Using Power-Assisted Liposuction and Local Anesthesia

2019 ◽  
Vol 37 (2) ◽  
pp. 69-74
Author(s):  
Roland Boeni
Keyword(s):  
Side Effects ◽  
Local Anesthesia ◽  
Deltoid Muscle ◽  
Fat Grafting ◽  
The Body ◽  
High Definition ◽  
Tumescent Solution ◽  
Systemic Side Effects ◽  
Male Patients ◽  
A Prospective Study

In high-definition liposculpture, the body is being shaped in a manner that it creates an athletic appearance and defined, contoured look. Typical areas in the male patient include arms, pectoralis, the area over the serratus muscle, lower back, as well as lateral and medial abdomen. This is sometimes combined with fat grafting to areas over the deltoid muscle and/or pectorals. High-definition liposculpture poses a new challenge to local anesthesia using lidocaine alone. Sufficient analgesia has to be achieved in multiple areas, without reaching systemic toxic levels of lidocaine. To reduce the risk of systemic side effects, we added prilocaine to the tumescent solution. Prilocaine differs from lidocaine in its metabolizing pathway, and combining both anesthetics therefore allows for higher tumescent volumes. In a prospective study, 48 male patients underwent high-definition liposculpture. The mean injected volume was 9.4 L. There were no side effects resulting from the high volumes of tumescent solution. Minor complications included seroma (2); 3 patients required touch-up. To conclude, a combination of lidocaine and prilocaine enables treatment of the entire torso and arms in a single session. Potential systemic effects of each anesthetic, lidocaine and prilocaine, need to be known to the user.

Sign in / Sign up

Export Citation Format

Share Document