Ten Measurements That Can Reduce Anxiety in Physicians and Their Patients Undergoing Breast Augmentation Surgery

2021 ◽  
pp. 074880682110585
Author(s):  
Tim Brown ◽  
Tracey Murphy
Keyword(s):  
Patient Outcomes ◽  
Breast Augmentation ◽  
Measuring Equipment ◽  
Breast Implant ◽  
Personal View ◽  
Measuring Systems ◽  
3 Dimensional ◽  
Breast Symmetry ◽  
Direct Measurements ◽  
Presurgical Assessment

There are numerous measuring systems that practitioners employ as part of their presurgical assessment for breast implant surgery. These range from direct measurements of patients using a tape measure, to assessment of standardized photographs and 3-dimensional scanning technologies. This personal view describes the authors system, developed over 20 years. The data yielded have assisted in assessing breast symmetry, ptosis, and match of implant to patient, with proven benefits for managing patient outcomes and expectations. It is simple, rapid to undertake, and requires inexpensive measuring equipment to provide useful data.

Modified Breast Band Improving the Postoperative Breast Augmentation and Reconstructive Experience

2021 ◽  
pp. 074880682110327
Author(s):  
Arian Mowlavi ◽  
Bryce Bash ◽  
Shea Skenderian ◽  
Zachary Sin
Keyword(s):  
Postoperative Period ◽  
Breast Augmentation ◽  
Breast Implant ◽  
Early Postoperative Period ◽  
Common Complication ◽  
Reconstructive Procedures ◽  
Implant Position ◽  
Time Period ◽  
To Receive

Superior displacement of implants is a common complication in the early postoperative period following breast augmentation surgery. Postoperative breast bands are used during the first 4 weeks to optimize breast implant position following breast augmentation and reconstructive procedures. Although currently available breast bands are effective in maintaining implants in an inferior position, they have been observed to irritate the armpit region. We hypothesized that a modified breast band geometry with cut outs to accommodate the armpit region would provide equal maintenance of desired implant position while providing improved postoperative comfort. Forty patients who underwent breast augmentation and/or reconstruction were randomly assigned to receive either the traditional breast band or the modified cut out designed breast band following surgery for 4 weeks. Patients rated their breast bands on a 1 to 10 scale regarding (1) comfort, (2) appearance, and (3) overall satisfaction at their routine postoperative visits at 1, 2, and 4 weeks following surgery. The modified breast band scored higher for all factors at 1, 2, and 4 weeks following surgery. The traditional band demonstrated decreasing scores for comfort and overall satisfaction when compared at 4 weeks versus 1 week. There was no change in the modified breast band scores for comfort, appearance, nor overall satisfaction over the same time period. This study of 40 patients found that the modified band provides equally effective maintenance of implants in a desired position without compromising comfort and appearance. Patients who used the modified band had a better experience with the band comfort, appearance, and overall satisfaction in comparison to the traditional band. The higher ratings for the cut out band for comfort, appearance, and overall satisfaction were consistent from week 1 to 4. In contrast, the traditional band not only scored lower in comfort, appearance, and overall satisfaction compared to the modified band but also demonstrated significant decrease in the patients’ ratings for comfort and overall satisfaction for the traditional band from week 1 to 4. This study supports the conclusion that a modified cut out breast band design provides an equally effective maintenance of implants in a desired position without compromising comfort, appearance, and overall satisfaction when compared to the traditional band.

scholarly journals A Pilot Study Evaluation of Three-Dimensional Imaging in Cosmetic Breast Augmentation: Results of a Single Surgeon 3.5 Year Retrospective Study Using the BREAST-Q Questionnaire

2021 ◽  
Author(s):  
Lauren E Hutchinson ◽  
Andrea D Castaldo ◽  
Cedar H Malone ◽  
Nicole Z Sommer ◽  
Ashley N Amalfi
Keyword(s):  
Patient Satisfaction ◽  
Breast Augmentation ◽  
3D Imaging ◽  
Breast Implant ◽  
Three Dimensional ◽  
Well Being ◽  
Three Dimensional Imaging ◽  
Size Selection ◽  
Implant Size ◽  
Implant Selection

Abstract Background Traditional methods of breast implant size selection provide limited ability to demonstrate postoperative outcomes. Three-dimensional imaging provides an opportunity for improved patient evaluation, surgical planning, and evaluation of postoperative breast appearance. Objectives We hypothesized that preoperative 3D imaging for patients undergoing breast augmentation would improve patient satisfaction and understanding of expected surgical outcomes. Methods A retrospective review of patients undergoing breast augmentation by a single surgeon over a 3.5-year period was performed. Patients presenting after the VECTRA was purchased had preoperative 3D imaging, while patients presenting before this did not. Eligible patients received a BREAST-Q questionnaire designed for postoperative evaluation of breast augmentation. They also received a second survey that evaluated expected versus actual breast outcomes. Results 120 surveys were mailed and 61 patients (50.8%) returned the survey. The 3D imaged group had improved BREAST-Q scores regarding satisfaction with outcome, surgeon, and physical well-being compared to the group that did not. The imaged group also had higher size, shape, and overall breast correlation scores, confidence in implant size selection scores, and communication with surgeon scores. The differences between the two groups were not statistically significant. Conclusions Three-dimensional imaging is a valuable tool in breast surgery. Although our study showed improvement in patient satisfaction and predicted outcome scores in the 3D imaged group, our results were not statistically significant. With the majority of patients reporting they would choose 3D imaging, it appears to instill confidence in patients regarding both surgeon and implant selection.

Ankle joint dorsiflexion. Establishment of a normal range

1993 ◽  
Vol 83 (5) ◽  
pp. 251-254 ◽  
Author(s):  
BD Baggett ◽  
G Young
Keyword(s):  
Ankle Joint ◽  
Clinical Relevance ◽  
Poor Correlation ◽  
Normal Range ◽  
Measuring Systems ◽  
Ankle Joint Dorsiflexion ◽  
Direct Measurements

Various values have been proposed as the required amount of ankle joint dorsiflexion, but a normal range has not been established. The authors establish a normal range based on direct measurements and compare the standard nonweightbearing method of measuring ankle joint dorsiflexion with a weightbearing method. The normal range for ankle joint dorsiflexion was established as 0 degrees to 16.5 degrees nonweightbearing and 7.1 degrees to 34.7 degrees weightbearing. A statistically significant (p < 0.01) difference exists between the two measuring systems. In addition, the study shows poor correlation between the two measurements. This lack of correlation brings into question the clinical relevance of the standard nonweightbearing measurement.

Breastfeeding After Breast Implant Surgery

2020 ◽  
Vol 11 (4) ◽  
pp. 202-206
Author(s):  
Catherine Watson Genna
Keyword(s):  
Milk Production ◽  
Breast Augmentation ◽  
Breast Surgery ◽  
Breast Implant ◽  
Significant Risk ◽  
Breast Implants ◽  
Augmentation Mammaplasty ◽  
Implant Surgery ◽  
History Of ◽  
Type Of Surgery

Breast surgery increases the risk for difficulties with milk production and breastfeeding. Research on lactation outcomes of breast augmentation with implants is reassuring, but reveals a significant risk of low milk production that varies with the type of surgery and position of the implants. Understanding the potential effects of breast implants on breastfeeding can help lactation professionals optimize outcomes for families with a history of augmentation mammaplasty.

Silicone lymphadenopathy: an unexpected cause of neck lumps

2012 ◽  
Vol 126 (9) ◽  
pp. 970-973 ◽  
Author(s):  
E Omakobia ◽  
G Porter ◽  
S Armstrong ◽  
K Denton
Keyword(s):  
Lymph Nodes ◽  
Breast Augmentation ◽  
English Language ◽  
Breast Implant ◽  
Excisional Biopsy ◽  
Needle Aspiration ◽  
Lymph Node Involvement ◽  
Supraclavicular Lymph Nodes ◽  
Node Involvement ◽  
Needle Aspiration Cytology

AbstractObjective:To report a rare case of silicone lymphadenopathy solely affecting the left supraclavicular lymph nodes.Case report:Our patient presented with a painless swelling in the left supraclavicular region. Notably, she had previously undergone cosmetic breast augmentation using silicone-containing implants. Radiological imaging and subsequent excisional biopsy of the swelling produced findings consistent with a silicone foreign body reaction secondary to bilateral breast implant rupture.Conclusion:Silicone lymphadenopathy following breast augmentation primarily affects the axillary nodes. Supraclavicular lymph node involvement is unusual. To our knowledge, this is the first report in the English language literature of silicone lymphadenopathy manifesting solely in the supraclavicular lymph nodes. Although the need to exclude malignancy in such cases is of the utmost importance, silicone lymphadenopathy should also be considered in the differential diagnosis. Fine needle aspiration cytology is a useful initial investigation, which may be followed up by excisional biopsy and histological analysis for further confirmatory diagnostic information.

scholarly journals Breast implant-associated anaplastic large cell lymphoma in an Asian patient: The first case report from Thailand

2020 ◽  
Vol 47 (5) ◽  
pp. 478-482
Author(s):  
Peera Thienpaitoon ◽  
Wareeporn Disphanurat ◽  
Naree Warnnissorn
Keyword(s):  
Case Report ◽  
Anaplastic Large Cell Lymphoma ◽  
Breast Augmentation ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Large Cell ◽  
The United States ◽  
True Incidence ◽  
First Case ◽  
Large Cell Lymphoma

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has received increasing interest among plastic surgeons as a long-term complication of breast augmentation. Although the prognosis is usually good, mortality is a possible outcome. Most of the cases reported in the past two decades have been from the United States, Europe, and Australia, whereas cases of BIA-ALCL in Asia remain rare. Herein, we describe the first known case of BIA-ALCL in Thailand, in which a 32-year-old woman developed BIA-ALCL 3 years after breast augmentation using textured implants. The patient underwent bilateral removal of the implants and ipsilateral total capsulectomy. This case report—the first of its kind from Thailand—should increase awareness of BIA-ALCL among plastic surgeons in Asia. The true incidence of BIA-ALCL in Asia may be underreported.

Nonsurgical Methods for Treatment of Capsule Contracture

2009 ◽  
Vol 26 (3) ◽  
pp. 137-143
Author(s):  
Melvin A. Shiffman
Keyword(s):  
Extracellular Matrix ◽  
Foreign Body ◽  
Breast Augmentation ◽  
Breast Implant ◽  
Inflammatory Cells ◽  
Scar Formation ◽  
Fibroblast Proliferation

Background: The breast implant is a foreign body that stimulates a “walling-off” response associated with scar formation (fibroblast proliferation). It has been presumed that inflammatory cells, extracellular matrix, and fibroblast proliferation are responsible for capsule contracture following breast augmentation. The possible causes of capsule contracture are described, and nonsurgical methods for relief of the capsule contracture are discussed. Methods: The literature was reviewed for medications and other nonsurgical methods that may possibly be used for relief of capsule contracture or reduction of the incidence of capsule contracture. Conclusion: Additional studies are needed that address the effects of drugs and electrostimulation on capsule contracture following breast augmentation.

Breast Augmentation

2019 ◽  
Author(s):  
Eric J. Culbertson ◽  
William P. Adams Jr
Keyword(s):  
Breast Augmentation ◽  
Breast Implant ◽  
Capsular Contracture ◽  
Three Dimensional ◽  
Surgical Techniques ◽  
Postoperative Recovery ◽  
Silicone Implants ◽  
Aesthetic Result ◽  
Incision Location ◽  
Implant Selection

Breast augmentation is a complicated process that goes far beyond placing an implant in a pocket. The implants and techniques of breast augmentation have undergone significant evolution over the past 50 years, and this is now one of the most commonly performed cosmetic procedures worldwide. Advancements in shell barrier technology and silicone form stability have improved implant functional characteristics and mechanical properties. Tissue-based planning uses measurable patient characteristics to match an implant to the patient’s tissue for greater control of the aesthetic result while minimizing complications. The realization of three-dimensional modeling systems allows a more sophisticated approach to implant selection and establishment of patient expectations. Specific surgical techniques, including pocket plane and incision location, ensure ideal implant placement. Optimal patient outcomes are achieved by integrating patient education, implant selection with tissue-based planning, refined surgical technique, and detailed postoperative recovery.  This review contains 12 figures, 6 tables, 1 video, and 74 references. Key Words: breast augmentation, breast implants, breast implant-associated anaplastic large cell lymphoma, dual plane, capsular contracture, saline implants, silicone implants, tissue-based planning, three-dimensional imaging 

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