The Experts below are selected from a list of 1224 Experts worldwide ranked by ideXlab platform
Lennart Ohlsen - One of the best experts on this subject based on the ideXlab platform.
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tendency to Capsular Contracture around smooth and textured gel filled silicone mammary implants a 5 year follow up
Plastic and Reconstructive Surgery, 1997Co-Authors: Lars Hakelius, Lennart OhlsenAbstract:Tendency to Capsular Contracture around smooth and textured gel-filled silicone mammary implants: A five-year follow-up
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a clinical comparison of the tendency to Capsular Contracture between smooth and textured gel filled silicone mammary implants
Plastic and Reconstructive Surgery, 1992Co-Authors: Lars Hakelius, Lennart OhlsenAbstract:The aim of this prospective, controlled clinical investigation was to find out if there is a difference in the Capsular Contracture rate between silicone implants with a smooth or textured surface as the only difference. Twenty-five women with bilateral mammary hypoplasia underwent mammary augmentation. All got a textured implant on one side and a smooth implant on the other. The implants were placed subglandularly. Follow-up examinations were done on six occasions. Three parameters were used for estimation of the tendency to Capsular Contracture: (1) the patient's opinion on differences in hardness of the breasts, (2) the investigator's classification of Capsular Contracture, and (3) applanation tonometry. At the end of the follow-up period, after 1 year, all parameters showed with no doubt that the breasts augmented with textured implants had a lower tendency to develop contracting capsules than the breasts augmented with smooth implants.
Maurice Y Nahabedian - One of the best experts on this subject based on the ideXlab platform.
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risk factor analysis for Capsular Contracture a 5 year sientra study analysis using round smooth and textured implants for breast augmentation
Plastic and Reconstructive Surgery, 2013Co-Authors: Grant W Stevens, Maurice Y Nahabedian, Bradley M Calobrace, Jennifer L Harrington, Peter J Capizzi, Robert E Cohen, Rosalyn C Dincelli, Maggi BeckstrandAbstract:Background:Although there are a few broadly agreed on contributory factors, the multifaceted causes of Capsular Contracture have remained unresolved for decades. This study investigates a variety of potential risk factors that contribute to Capsular Contracture in primary augmentation patients.Metho
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acellular dermal matrix for the treatment and prevention of implant associated breast deformities
Plastic and Reconstructive Surgery, 2011Co-Authors: Scott L Spear, Mitchel Seruya, Mark W Clemens, Steven Teitelbaum, Maurice Y NahabedianAbstract:Background Acellular dermal matrix has been increasingly accepted in prosthetic breast reconstruction. Observed benefits include improved control and support of implant position, better implant coverage, and the suggestion of a decreased Capsular Contracture rate. Based on this positive experience, it is not surprising that acellular dermal matrix would be applied to other challenging implant-related problems. This study investigates the use of acellular dermal matrix for correction or prevention of implant-associated breast deformities. Methods Patients who underwent primary aesthetic breast surgery or secondary aesthetic or reconstructive breast surgery using acellular dermal matrix and implants between November of 2003 and October of 2009 were reviewed retrospectively. Patient demographics, indications for acellular dermal matrix, and acellular dermal matrix type and inset pattern were identified. Preoperative and postoperative photographs, success or failure of the procedure, complications, and need for related or unrelated revision surgery were recorded. Results Fifty-two patients had acellular dermal matrix placed alongside 77 breast prostheses, with a mean follow-up of 8.6 months (range, 0.4 to 30.4 months). Indications included prevention of implant bottoming-out (n = 6), treatment of malposition (n = 32), rippling (n = 20), Capsular Contracture (n = 16), and skin flap deficiency (n = 16). Seventy-four breasts (96.1 percent) were managed successfully with acellular dermal matrix. Three failures consisted of one breast with bottoming-out following treatment of Capsular Contracture, one breast with major infection requiring device explantation, and one breast with recurrent rippling. There was a 9.1 percent total complication rate, consisting of three mild infections, one major infection necessitating explantation, one hematoma, and one seroma. Conclusion Based on this experience in 77 breasts, acellular dermal matrix has shown promise in treating and preventing Capsular Contracture, rippling, implant malposition, and soft-tissue thinning.
Lars Hakelius - One of the best experts on this subject based on the ideXlab platform.
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tendency to Capsular Contracture around smooth and textured gel filled silicone mammary implants a 5 year follow up
Plastic and Reconstructive Surgery, 1997Co-Authors: Lars Hakelius, Lennart OhlsenAbstract:Tendency to Capsular Contracture around smooth and textured gel-filled silicone mammary implants: A five-year follow-up
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a clinical comparison of the tendency to Capsular Contracture between smooth and textured gel filled silicone mammary implants
Plastic and Reconstructive Surgery, 1992Co-Authors: Lars Hakelius, Lennart OhlsenAbstract:The aim of this prospective, controlled clinical investigation was to find out if there is a difference in the Capsular Contracture rate between silicone implants with a smooth or textured surface as the only difference. Twenty-five women with bilateral mammary hypoplasia underwent mammary augmentation. All got a textured implant on one side and a smooth implant on the other. The implants were placed subglandularly. Follow-up examinations were done on six occasions. Three parameters were used for estimation of the tendency to Capsular Contracture: (1) the patient's opinion on differences in hardness of the breasts, (2) the investigator's classification of Capsular Contracture, and (3) applanation tonometry. At the end of the follow-up period, after 1 year, all parameters showed with no doubt that the breasts augmented with textured implants had a lower tendency to develop contracting capsules than the breasts augmented with smooth implants.
Scott L Spear - One of the best experts on this subject based on the ideXlab platform.
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acellular dermal matrix for the treatment and prevention of implant associated breast deformities
Plastic and Reconstructive Surgery, 2011Co-Authors: Scott L Spear, Mitchel Seruya, Mark W Clemens, Steven Teitelbaum, Maurice Y NahabedianAbstract:Background Acellular dermal matrix has been increasingly accepted in prosthetic breast reconstruction. Observed benefits include improved control and support of implant position, better implant coverage, and the suggestion of a decreased Capsular Contracture rate. Based on this positive experience, it is not surprising that acellular dermal matrix would be applied to other challenging implant-related problems. This study investigates the use of acellular dermal matrix for correction or prevention of implant-associated breast deformities. Methods Patients who underwent primary aesthetic breast surgery or secondary aesthetic or reconstructive breast surgery using acellular dermal matrix and implants between November of 2003 and October of 2009 were reviewed retrospectively. Patient demographics, indications for acellular dermal matrix, and acellular dermal matrix type and inset pattern were identified. Preoperative and postoperative photographs, success or failure of the procedure, complications, and need for related or unrelated revision surgery were recorded. Results Fifty-two patients had acellular dermal matrix placed alongside 77 breast prostheses, with a mean follow-up of 8.6 months (range, 0.4 to 30.4 months). Indications included prevention of implant bottoming-out (n = 6), treatment of malposition (n = 32), rippling (n = 20), Capsular Contracture (n = 16), and skin flap deficiency (n = 16). Seventy-four breasts (96.1 percent) were managed successfully with acellular dermal matrix. Three failures consisted of one breast with bottoming-out following treatment of Capsular Contracture, one breast with major infection requiring device explantation, and one breast with recurrent rippling. There was a 9.1 percent total complication rate, consisting of three mild infections, one major infection necessitating explantation, one hematoma, and one seroma. Conclusion Based on this experience in 77 breasts, acellular dermal matrix has shown promise in treating and preventing Capsular Contracture, rippling, implant malposition, and soft-tissue thinning.
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classification of Capsular Contracture after prosthetic breast reconstruction
Plastic and Reconstructive Surgery, 1995Co-Authors: Scott L Spear, James L BakerAbstract:The Baker classification of Capsular Contracture remains the most popular and practical method of assessing clinical firmness of the breast after augmentation mammaplasty. This classification system was never intended to describe prosthetic breast reconstruction. A modification of the Baker classification to include classes IA, IB, II, III, and IV has been developed to describe breast reconstruction more accurately. For this modified system, a soft but visible implant (class IB), an implant with mild firmness (class II), and an implant with moderate firmness (class III) could still be considered good or excellent outcomes. Only a class IV classification with an excessively firm and symptomatic breast resulting in a poor aesthetic result would necessarily be considered a poor outcome.
Lynn L C Jeffers - One of the best experts on this subject based on the ideXlab platform.
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the role of acellular dermal matrices in Capsular Contracture a review of the evidence
Plastic and Reconstructive Surgery, 2012Co-Authors: Bob C Basu, Lynn L C JeffersAbstract:Despite advances in breast implant surgery, Capsular Contracture remains a challenging sequela of reconstructive and cosmetic breast implant surgery. Although there are established modalities for treatment, most recently, acellular dermal matrix products have been suggested to have a role in preventing or diminishing the pathologic process of Capsular Contracture. In this article, the author presents a review of the literature to highlight the level of evidence on the role of acellular dermal matrices in the treatment of Capsular Contracture.