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Journals and Conferences
Breast augmentation techniques using the submuscular and subglandular planes to introduce the implant are well known and widely used procedures. The authors have been using the subfascial dissection plane, a new concept for breast augmentation. From October of 1998 to September of 2001, 263 patients underwent breast augmentation. In all cases, the implants… (More)
"Bottoming out" of parenchyma after several months is a problem extant in previous techniques of mastopexy and reduction mammaplasty. The authors have addressed this problem by creation of a mobile, chest wall-based flap of breast tissue that is passed under and held in place by a loop of pectoral muscle. Experience with this technique spans a period of 7… (More)
Video endoscopy for breast hypoplasia and glabellar frown lines has been used since 1996 at our private clinic. Breast augmentation with an S-shape incision for transaxillary access is utilized to introduce the implant, in a submuscular or subglandular and, recently (since October 1998), in a subfascial location. From August 1998 through January 1999, 62… (More)
The authors offer a new technique that provides a better long-term upper pole fullness to the shape of the breasts following reduction mammoplasty, thus creating an overall more satisfactory aesthetic appearance for both breasts.
Breast surgery has been greatly modified in the past few years as surgeons sought to shorten scars and improve and maintain of breast shape in the late postoperative period. Working with both the periareolar technique and vertical scar technique, it is possible to reduce scar length, avoiding the area below the inframammary crease by compensating skin… (More)
The ultimate aim of breast reduction surgery is to reduce breast tissue with long-term maintenance of good breast shape. A technique using interwoven fascial flap suspension of the inferior pedicle through the pectoralis muscle and fascia is described. For this study, 25 patients were followed for 1 year after surgery. The vertical length of the breast… (More)
The early experiences using ultrasound-assisted liposuction in treating difficult fibrous cases, such as gynecomastia, have led to the evolution and improvement of ultrasound-assisted liposuction techniques. This prospective study examined 348 consecutive patients treated with ultrasound-assisted liposuction over two and a half years, from October of 1998… (More)
The quest for better results in the midface after a face lift has led to the repositioning of a structure called the malar fat pad. Finger-assisted malar elevation (FAME) consists of detaching the malar fat pad from the underlying SMAS, which allows for the elevation of this structure. Two hundred five patients (189 females and 16 males) from January 2002… (More)
Mammaplasty for patients who have experienced massive weight loss involves some concepts that differ from those that apply to mammaplasty for normal patients. Breast anatomic characteristics make this procedure a very challenging situation. The authors present their experience with a new mammaplasty technique using an extended thoracic wall flap associated… (More)
The authors describe a mastopexy technique that is effective in treating small and mildly ptotic breasts to extremely large breasts and maintains breast shape over time. Tissue that in more traditional procedures has frequently "bottomed out" is moved into the upper pole and supported with a sling of pectoralis muscle.