PubMed · 15781719
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Peter A Adamson. Alar base reduction.. https://doi.org/10.1001/archfaci.7.2.98
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The paper describes different manoeuvres and surgical details that may help the general surgeon to improve the aesthetic outcomes after breast-conserving treatment for cancer. Among them, the pre-operative planning, the position of the patient in the operative room, the mobilisation of the glandular tissue when the tumour has been removed. All these manoeuvres contribute to achieving better symmetry with the healthy breast and to improve the final aesthetic result, minimising the surgical conflict between large resections and defects for optimal control of local disease and the consequent breast deformities.
Along with continuing progress in reconstructive surgery of the breast numerous techniques of nipple-areola reconstruction have been developed. With time and experience some methods have been discredited to historical significance only while others have evolved to widely accepted concepts used by surgeons all over the world, which in turn contributed new ideas and modifications. In addition to those favourite techniques others are reserved as second-line alternatives in specific situations. The principle criterion for a pleasing nipple-areola complex is symmetry regarding several parameters: colour, texture, size, and projection. The purpose of this manuscript is to review and discuss the concepts and techniques of nipple-areola reconstruction that have evolved over the past decades. Furthermore, those principles and techniques are pointed out that fulfil best the criteria of an ideal nipple-areola complex with emphasis on different techniques of breast reconstruction and individual conditions of the patient.
This article discusses the complications of liposuction and is divided into two parts. The first part discusses surgical and systemic complications. Since liposuction is surgery, it has the same complications as any surgery, but because of the minimalization of the procedure done by the author since he invented it in 1977, the complications were and are still minimal in the traditional way. Others have tried to maximalize the procedure and so, almost immediately after, appear a maximalization of complications and new severe complications. The second part discusses sequelae or undesirable results, which are numerous and complex. To really understand these sequelae, the second part is divided into four sections: description of sequelae, how and why do they appear, how to try to avoid them, and how to try to treat them.