Saul Hoffman

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Policy makers and the healthcare industry have proposed changes to physician payment structures as a way to improve the quality of health care and reduce costs. Several of these proposals require healthcare providers to employ a valuebased purchasing program (also known as pay-for-performance [P4P]). However, the way in which existing payment structures(More)
Tubular or nipple breasts are descriptive of an unusual deformity in which a hypoplastic mammary gland is situated under a stretched out areola, giving the breast a tubular shape. Six patients, age 17 to 21 years, have undergone surgical correction of this deformity. The one-stage procedure involves excision of excess areola, augmentation through the(More)
In order to properly evaluate results after reduction mammaplasty and correction of breast asymmetry, it is necessary to follow patients for several years. Cases are presented in which unusual deformities occurred after an initial satisfactory result. Pregnancy, aging, and fluctuations in weight contributed to these deformities. A case of recurrent(More)
Background: Although epidemiological studies have failed to demonstrate an increased incidence of breast cancer in women who had undergone prior prosthetic augmentation mammoplasty (PAM), it has been reported that when breast cancer arises in this group it presents mostly in a palpable form and at a more advanced stage. This is thought to be secondary to(More)
In spite of the potential for complications and poor results, reduction mammaplasty remains a procedure with a high degree of patient satisfaction. Although thousands of cases are done annually, only a small percentage of the patients are unhappy enough to consider a law suit. A questionnaire was sent to the members of the ASPRS. Thirty-eight percent of the(More)
Silicone sheeting that has the thickness and consistency of septal cartilage for use as a template has been developed to facilitate cartilage grafting in the nose. This technique makes it easier to determine whether or not a graft will correct the deformity and how much autogenous material will be needed before the donor site is harvested. It also allows(More)
Nonsurgical management of a penile fracture can result in penile deformity due to plaque, and impaired tumescence due to corporeal fibrosis and altered erectile hemodynamics. We describe the correction of penile deformity and impaired tumescence by extensive resection of corporeal fibrosis and insertion of a unilateral unitary inflatable prosthesis. A(More)