Learn More
BACKGROUND Subfascial placement of breast implants for augmentation has been advocated as an option that has some of the advantages of both the subpectoral and subglandular approaches while minimizing the disadvantages of each. OBJECTIVE The author reports on the use of the subfascial approach in athletic and thin individuals, including extension of the(More)
Despite advances in surgical techniques and breast implant design, certain problems unique to breast implant surgery remain. The historically most onerous problem, capsular contracture, is relatively uncommon now. However, problems related to thin capsules and periprosthetic atrophy are becoming more common; these problems include rippling, symmastia,(More)
BACKGROUND High-intensity focused ultrasound presents a noninvasive approach to body sculpting for nonobese patients. The purpose of this study was to evaluate the safety and effectiveness of a high-intensity focused ultrasound device for sculpting of the abdomen and flanks. METHODS Adults (aged 18 to 65 years) with subcutaneous abdominal fat greater than(More)
Resveratrol, an antioxidant polyphenol from red wine, has been the subject of intense interest in recent years due to a range of unique anti-aging properties. These include cardiovascular benefits via increased nitric oxide production, down-regulation of vasoactive peptides, lowered levels of oxidized low-density lipoprotein, and cyclooxygenase inhibition;(More)
BACKGROUND High-profile round saline breast implants that permit a better match of implant diameter to the base diameter of the breast are now available. OBJECTIVE The advantages and disadvantages of high-profile breast implants are defined from the point of view of the author's initial experience. METHODS The maximal optimal breast implant was(More)
RATIONALE AND OBJECTIVES The authors compared the contrast-detail detectability properties of an optically coupled charge-coupled device (CCD) digital mammography system with those of a conventional analog screen-film mammography system. METHODS A proprietary contrast-detail phantom was imaged with both systems. Twelve observers viewed analog and digital(More)
The subpectoral technique [1] and systematic analysis of soft tissue characteristics [2] have resulted in a more predictable approach to breast implant surgery, yet certain problems receive scant attention. Among these problems are animation distortions and shape issues such as ‘‘doublebubble’’ deformity. In 2004, I reported the split-muscle technique as an(More)
A patient with essential mixed cryoglobulinemia (EMC) presented initially with gastric ulcers and, six months later, with a lesion of the ileum, mild stricture of the transverse colon, and stricture of the sigmoid colon with deep ulceration. The initial diagnosis was Crohn's disease, but pathologic examination of the resected sigmoid lesion showed(More)
The use of acellular dermal matrices (ADMs) has become a useful adjunct to implant-based breast reconstruction and revision of the augmented breast. In both instances, the goal is replacement or reinforcement of thinned or missing tissues for implant support and control of the implant pocket. This article reviews the factors that contribute to(More)