Unusual Keloid Formation at the Mammostat Location Following Breast Reduction

2017 ◽  
Vol 34 (3) ◽  
pp. 118-122
Author(s):  
L. Adjadj ◽  
T. Schmitt ◽  
C. Fenoll ◽  
R. Makhoul ◽  
P. Levan
Keyword(s):  
High Risk ◽  
Risk Ratio ◽  
Revision Surgery ◽  
Breast Reduction ◽  
Reduction Mammoplasty ◽  
Breast Hypertrophy ◽  
Keloid Scarring ◽  
Keloid Scars ◽  
Keloid Formation ◽  
Intralesional Injections

We report the case of a patient who developed keloid scarring associated with Mammostat-induced skin trauma during reduction mammoplasty. A 32-year-old patient consulted for breast hypertrophy and developed from the fourth postoperative month significant keloid scars on skin shears caused by dermal stretching techniques used during de-epithelialization. The Mammostat-related scars were keloid, while those found on old skin incisions were only enlarged and slightly hypertrophic. We followed up this patient for 7 years. During this time, she received the following local treatments: scar kneading, silicone dressings, intralesional injections of corticosteroids, and potent dermocorticosteroids. After balancing the benefit/risk ratio of a possible revision surgery for resection and plasty of her keloid scars, we opted for therapeutic abstention. In patients at high risk of keloids, we recommend a soft de-epithelialization causing no skin shear, performed by manual tensioning of the dermis.

scholarly journals Giant Breast Hypertrophy in Juvenile: A Rare Case

2020 ◽  
Vol 14 (2) ◽  
pp. 60
Author(s):  
Dila Junita ◽  
Edmond Rukmana Wikanta
Keyword(s):  
Breast Reduction ◽  
Early Stage ◽  
Psychosocial Problems ◽  
Reduction Mammoplasty ◽  
Treatment Modalities ◽  
Breast Hypertrophy ◽  
Breast Reduction Surgery ◽  
Benign Condition ◽  
Breast Enlargement ◽  
Severe Back Pain

Introduction: Juvenile hypertrophy of the breast (JHB) is a benign condition that can lead to gigantomastia in adolescence. The development of breast enlargement in adolescence can cause both physical and psychosocial problems. Therefore, appropriate investigation and proper management at an early stage of the disease are very important. One of the treatment modalities is breast reduction surgery which ideal and offers an improvement in the quality of life. Case Presentation: A 13-year-old female with massive bilateral breast enlargement for a period of 8 months. The patient also complained of severe back pain and neck discomfort since her breast progressively enlarged. Psychosocial problems were recorded. Right breast reduction was performed and closed with inverted-T mammoplasty. The post-operative period was uneventful, and the patient was discharged on day 5 after the operation. Conclusions: Reduction mammoplasty is well accepted by adolescents with juvenile breast hypertrophy and can improve physical and psychological outcomes.

scholarly journals Management of Breast Hypertrophy: our experience

2015 ◽  
Vol 1 (1) ◽  
pp. 21-25
Author(s):  
Prema Dhanraj ◽  
MS Mahesh ◽  
N Naveen ◽  
K Ramesh Babu ◽  
Rajashekar Jade
Keyword(s):  
Chest Wall ◽  
Surgical Procedure ◽  
Breast Tissue ◽  
Breast Reduction ◽  
Reduction Mammoplasty ◽  
Plastic Surgeon ◽  
Breast Hypertrophy ◽  
Breast Reduction Surgery ◽  
Excess Skin ◽  
Benign Disorders

ABSTRACT Breast hypertrophy and sagging of the breast are two different benign disorders of breast that can occur during various stages of women's life from adolescence to menopause. A woman can seek a plastic surgeon for breast reduction for reasons both physical and psychological. Breast reduction surgery or reduction mammoplasty is a plastic surgical procedure by which the sizes of large breasts are reduced. During this procedure, excess skin, fat and breast tissue are removed. The procedure recreates a breast with the desired appearance, contour and volume. Breast lift operation/mastopexy is a procedure where only skin is removed with repositioning of the nipple higher on the chest wall and is the procedure of choice in small but sagging breast. We present a series of five cases, two presenting with virginal hypertrophy, one with gestational hypertrophy and other two with postmenopausal sagging and hypertrophy. Four patients underwent reduction mammoplasty and one patient underwent mastopexy. None of our patients complained of any problems and were satisfied with the results. How to cite this article Dhanraj P, Mahesh MS, Naveen N, Babu KR, Jade R. Management of Breast Hypertrophy: Our Experience. J Med Sci 2015;1(1):21-25.

Meatoplasty keloid: a rare lesion treated with an unusual surgical approach

2006 ◽  
Vol 120 (7) ◽  
pp. 594-596
Author(s):  
N P Shine ◽  
K Lew
Keyword(s):  
Unusual Case ◽  
Steroid Injection ◽  
Fibrous Tissue ◽  
Surgical Excision ◽  
Mastoid Cavity ◽  
Ear Piercing ◽  
Keloid Scarring ◽  
Microscopic Evaluation ◽  
Keloid Formation ◽  
Rare Lesion

Keloid scarring is a benign hyperproliferation of fibrous tissue occurring at a wound healing site. Keloid formation related to the ear is generally the result of ear-piercing, mainly causing cosmetic disfigurement. We present an unusual case of keloid formation at a previous meatoplasty incision scar in a 10-year-old Caucasian with a modified radical mastoid cavity. This lesion prevented the cavity from self-cleaning and obstructed microscopic evaluation of the cavity. Treatment was successfully performed by surgical excision, with closure of the defect using supra-keloid skin flaps, followed by serial steroid injection therapy.

Validation of the breast evaluation questionnaire for breast hypertrophy and breast reduction

2018 ◽  
Vol 52 (5) ◽  
pp. 274-281
Author(s):  
Richard Lewin ◽  
Anna Elander ◽  
Jonas Lundberg ◽  
Emma Hansson ◽  
Andri Thorarinsson ◽  
...  
Keyword(s):  
Breast Reduction ◽  
Breast Hypertrophy ◽  
Evaluation Questionnaire

Experimental Keloid Scar Models: A Review of Methodological Issues

2002 ◽  
Vol 6 (4) ◽  
pp. 354-359 ◽  
Author(s):  
M. P. Hillmer ◽  
S. M. MacLeod
Keyword(s):  
Tissue Culture ◽  
Experimental Models ◽  
Critical Importance ◽  
Methodological Issues ◽  
Keloid Scar ◽  
Keloid Scars ◽  
Culture Models ◽  
Keloid Formation ◽  
New Treatments ◽  
Early Benefit

Background: Keloid scars are benign fibrous proliferations in the dermis that arise after dermal trauma. The scars are raised in appearance and extend beyond the boundaries of the original wound. Scarring in predisposed individuals is out of proportion to the severity of the inciting wound. Current treatments sometimes yield early benefit but scars often resume exuberant growth. The pathophysiology of keloid scars is still poorly understood. In order for new treatments to be developed, the mechanisms leading to the formation of keloid scars must be further elucidated. The search for improved experimental models is of critical importance because such models have an important role to play in both the study of keloid formation and in the development of new therapies. Objective: The objective of this article is to introduce the reader to the experimental models available for studying keloid scars and to outline the advantages and limitations of animal and tissue culture models. Conclusion: Both models may help to elucidate the pathways of keloid formation and promote development and testing of therapies. Tissue culture is better suited to studies of pathogenesis, whereas the animal models are more suitable for therapeutic testing.

scholarly journals Management of asymptomatic silicone-injected breast with reduction mammoplasty

2015 ◽  
Vol 48 (03) ◽  
pp. 317-320 ◽  
Author(s):  
Theddeus Octavianus Hari Prasetyono ◽  
Patricia Marcellina Sadikin
Keyword(s):  
Breast Reduction ◽  
Reduction Mammoplasty ◽  
Long Term Effects ◽  
Breast Ptosis ◽  
Silicone Injection ◽  
Asymptomatic Patients ◽  
Liquid Silicone ◽  
History Of ◽  
Silicone Injections

ABSTRACTEven though Silicone injection for breast augmentation has been related to disastrous long-term effects and complications, some patients do not develop significant symptoms at all (asymptomatic). Unfortunately, the management of asymptomatic Silicone-injected breast is still unclear and has never been reported exclusively. We present two cases of asymptomatic patients with a history of liquid Silicone injections who refused to have a mastectomy. They were concerned with the breast ptosis and chose to undergo reduction mammoplasty to improve the appearance of the breasts. Magnetic resonance imaging may be useful as an additional screening tool to confirm the diagnosis and exclude the presence of malignancy in breasts with injected Silicone. We believe that breast reduction may be the alternative option for women with a history of liquid Silicone injection who have no symptoms but desire to preserve their breasts and improve their aesthetics.

High Risk Ratio on Mortality and Characteristics of Malignancies in Dialysis Patients

1983 ◽  
Vol 7 (3) ◽  
pp. 219-224 ◽  
Author(s):  
Hajime Inamoto ◽  
Yoshisuke Ino ◽  
Kazuko Sata ◽  
Ryoko Ozaki ◽  
Koh Aizawa ◽  
...  
Keyword(s):  
High Risk ◽  
Risk Ratio ◽  
Dialysis Patients
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