An evaluation of the senior author's mentoplasty technique by use of inorganic silicone and acrylic implants is presented, encompassing 16 years of experience. The evaluation was chiefly concerned with the silicone implant and long-term followup observations of its survival and some of its extrusions and complications.

Malignant fibrous histiocytoma (MFH) represents the most common soft tissue sarcoma in adults. Visceral locations are uncommon and primary hepatic MFH is exceedingly rare.

No abstract

Despite the significant evolution of mammaplasty techniques, some undesirable changes on the operated breasts result in evident dissatisfaction for both patients and doctors. The main reason is that the breast has a tendency to resume its previous shape months after the operation. In pursuit of a procedure that would avoid this untoward morphologic evolution, we set to work on the development of a new approach of broad fixation to maintain the breast shape and to avoid ptosis by using the inferior third of the pectoralis major muscle. The authors report their experience with 46 consecutive cases of breast reduction and mastopexy operated between March 1994 and November 1995, studying the surgical procedure employed, its advantages, limitations, and possible complications.

The unfavorable breast contours resulting from a reductive mastoplasty and mastopexy influenced the authors into developing a technique that provided reduction of the breast base and axillary pole, convenient medial position of the lateral pole, and substantial conification of the breast tissue to help project the areolomamillary complex to the apex of that cone. From March 1987 to December 1994, 205 operations were performed with this technique, which consists of the construction of three glandular flaps and maximum preservation of the skin covering. The results obtained proved to be very satisfactory and more lasting.