Aesthetic Surgery of the Breast

Georgiade, Nicholas G.; Georgiade, Gregory S.; Riefkohl, Ronald; Fredricks, Simon

doi:10.1097/00006534-199108000-00039

Cited by 20 publications

(10 citation statements)

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“…This is an implant surface irregularity seen more frequently when the implant is underfilled or placed behind a very thin layer of breast tissue. 22 In our report, rippling was observed in 66 percent of patients, especially in the subglandular group, confirming that the submuscular position decreases the incidence of breast surface irregularities because of a thicker tissue layer covering the implant. Although we did not perform any implant volume measurement in our patients, the high incidence of rippling could be strictly related to a phenomenon called "implant bleeding" or "leaking," which seems to occur commonly with Trilucent prostheses.…”

Section: Resultssupporting

confidence: 74%

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Trilucent Breast Implants: Voluntary Removal following the Medical Device Agency Recommendation. Report on 115 Consecutive Patients

Gherardini

Zaccheddu

Basoccu

2004

Plastic and Reconstructive Surgery

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In June of 2000, the U.K. Medical Device Agency recommended the removal of Trilucent implants as a precautionary maneuver in response to reports of local inflammatory reactions. This decision allowed the authors to operate on 115 consecutive patients between June of 2000 and January of 2001. On the preoperative examination, the authors found a very high incidence of rippling (66 percent), whereas capsular contracture was seen in only three patients (2.6 percent). Rippling was significantly more common in patients with subglandular implants. Five implants were found ruptured during the operation. This figure, together with the relative ease of implant breakage at removal, shows a premature deterioration of the implant shell. The authors also comment on implant bleeding, which seems common in this type of breast implant. The authors think that this is a possible cause for the rippling phenomenon, resulting from a reduction of the implant content. On the basis of these findings, the authors conclude that Trilucent implants are associated with a poor cosmetic outcome and a high rate of complications.

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Section: Resultssupporting

confidence: 74%

“…Trilucent implant deflation is rated at approximately 10 percent in a 3-year review of 50 patients. 22 Other studies found the bleeding rate to be as high as 5 percent of the implant content per year. 13,23 The consequent underfilled implant could explain why rippling is so common in these women.…”

Section: Resultsmentioning

confidence: 97%

Trilucent Breast Implants: Voluntary Removal following the Medical Device Agency Recommendation. Report on 115 Consecutive Patients

Gherardini

Zaccheddu

Basoccu

2004

Plastic and Reconstructive Surgery

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“…Furthermore, the technical difficulties associated with handling of long pedicles poses another concern. The main concern of the first of breast reduction surgeries, described in Georgiade’s Reconstructive Breast Surgery was maintaining nipple-areola viability and preventing partial breast and skin loss ( 11 ). The superomedial pedicle technique was first described by Orlando and Guthrie ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Supero-medial reduction mammaplasty: a safe and reliable technique in gigantomastia and severe breast ptosis

Ashour

Khachaba

2018

Electron Physician

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Reduction mammaplasty in huge breasts poses a great challenge for plastic surgeons. The classic technique is free nipple and areola grafting after breast amputation. This paper is a short technical report of reduction mammoplasty on 40 patients with severe breast ptosis (suprasternal notch to nipple >35 cm) and giganticomastia (anticipated resection of more than 1 kg per breast) were operated upon using superomedial pedicle technique for reduction mammaplasty. All patients were satisfied with their results aesthetically, and showed relief in their neck pain. There were no cases of total nipple-areola loss. In one breast, the nipple-areolar complex (NAC) was congested intra-operatively and free nipple grafting was done. The NAC sensation was preserved in 36 cases, and all other complications were minimal and self-limiting. The superomedial pedicle technique has proven to be a safe and reliable method for reduction mammaplasty in huge breasts. Compared to the classic free nipple and areola technique, this method showed promising results in preserving the nipple sensation and giving more pleasant natural projecting breasts.

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“…Moloy and Gonzales (1986) showed that the LTA can independently supply a pectoralis major myocutaneous flaps. There is some anatomical data indicating that only 30% of breast tissue is normally supplied by the LTA, typically limited to the lateral and upper outer portions of the breast (Georgiade et al, 1990). However, it has been shown that the LTA is sufficient to nourish the entire breast tissue, based on a study in which the breast is fabricated as a free flap based only on the LTA (Safak et al, 1995).…”

Section: Discussionmentioning

confidence: 99%

Anomalous branching order of the superior and lateral thoracic arteries

Yüksel

1997

Clin. Anat.

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Aesthetic Surgery of the Breast

Cited by 20 publications

References 0 publications

Trilucent Breast Implants: Voluntary Removal following the Medical Device Agency Recommendation. Report on 115 Consecutive Patients

Trilucent Breast Implants: Voluntary Removal following the Medical Device Agency Recommendation. Report on 115 Consecutive Patients

Supero-medial reduction mammaplasty: a safe and reliable technique in gigantomastia and severe breast ptosis

Anomalous branching order of the superior and lateral thoracic arteries

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