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Biomedical subjects

B Teimourian

Publications and source records attributed to B Teimourian.

27 records · Page 2Linked to original sources

Surgery for gynecomastia.

The surgical treatment for gynecomastia has had variations since 1538, when the first description of the surgical treatment was attributed to Paulus Aegineta. Since then, various incisions on and under the breast have been used. It has also been thought that when gynecomastia is severe, the excess skin should be removed along with the gland and fat. The technique for the correction of gynecomastia presented leaves minimal scar, allows access to the tumoral mass, and requires no skin excision.

Adolescent↗

Surgical correction of the tuberous breast.

Tuberous breasts have been attributed to hypoplasia of the breast with herniation of breast tissue into the nipple and areola. Several procedures have been used to correct the condition. A new method has been designed that reduces breast tissue herniation and areolar size. The surgery is done after subpectoral augmentation, by deepithelialization of a doughnut-shaped piece of skin around the periphery of the areola and excision of four wedges of breast tissue from underneath the new areola. Closure of the gaps results in reduction of both the herniated breast tissue and areola size.

Breast↗

Suction lipectomy--a review of 200 patients over a six-year period and a study of the technique in cadavers.

Suction lipectomy is designed to reduce subcutaneous fat. It is strictly a procedure for the removal of localized fat and body contouring in selected patients and is not a substitute for weight reduction. The technique and the complications associated with the procedure were reviewed in more than 200 patients. Suction lipectomy was performed on fresh cadavers to study the nature of the fibrous tissue and to better understand why the procedure has proved safe.

Adipose Tissue↗

Face and neck suction-assisted lipectomy associated with rhytidectomy.

A technique is described in which suction-assisted lipectomy is used for excessive fat removal in association with the standard rhytidectomy. It is safe, reliable, and can be performed through a small horizontal submental incision. A more natural appearing neck is produced by adjusting the amount of fat removed. Areas previously considered dangerous for excision because of possible damage to branches of the facial nerves, such as the cheek areas, jowls, parotid, and nasolabial folds, can now be approached.

Adipose Tissue↗

Louis Ombredanne and the origin of muscle flap use for immediate breast mound reconstruction.

The myocutaneous flaps that are being used for breast reconstruction have a long history, although the techniques of today are more sophisticated than those of the past. Louis Ombredanne was the first to describe the pectoralis muscle flap for immediate breast mound reconstruction in 1906. Mastectomy, as performed by Halstead, is described with some insight into the reasons why breast reconstruction was not encouraged in this country in the early part of this century. Lately, the advances in the myocutaneous flap have made breast reconstruction without a prosthesis possible. The tissue that was transferred to reconstruct a breast using a tubed pedicle flap in multiple stages can now be transferred in a single stage with a better result.

Breast↗

Anterior periosteal dermal suspension with suction curettage for lateral thigh lipectomy.

The standard excisional approach to lipectomy has now been expanded by the use of suction curettage either as an adjunct or a primary procedure. In severe cases of steatomeria (a term used to designate trochanteric obesity and eliminate the misuse of the term lipodystrophy), curettage serves to prepare and shape the flaps, while excision and "periosteal dermal suspension" are sometimes necessary to achieve adequate contour and lift. Periosteal anchoring ensures adequate permanent suspension and a tension-free closure. Achievement of lateral thigh contouring by an anterior approach is facilitated by the use of the suction curette. Undermining of the superior flap and contouring with suction, as well as overlapping the closure with buried dermal-fat suspension flaps, eliminates bulging above or below the incision. Periosteal dermal suspension decreases the possibility of scar widening and eventual ptosis, provides a fixation technique that permits more lift, and eliminates scarring from the lateral thigh. Lateral thigh suction lipectomy with periosteal dermal suspension has been done alone or in conjunction with buttock reduction or with medial thigh or abdominal lipectomy in 14 patients. The operating time was short, and the results were good with minimal morbidity.

Adipose Tissue↗

Survey of patients' responses to breast reconstruction.

Patients' responses to single-stage breast reconstruction were evaluated in 100 cases using a questionnaire. The availability of breast reconstruction did not influence the decision to have a mastectomy in 63% of patients but did serve as an incentive in 24%. The reconstruction was acceptable for 92% of patients; increased sexual expressiveness in 45% of patients was another benefit of reconstruction. Multiple-stage reconstruction was acceptable for 65% of patients; however, 56% favored the one-stage operation. Given the same opportunity, 91% of the patients would consider undergoing breast reconstruction.

Attitude↗

Suction curettage to remove excess fat for body contouring.

We have significantly expanded the use of a lipectomy procedure which heretofore had been restricted to the removal of strictly localized excess fat deposits by curettage through a small incision. By modifying the suction curette and utilizing it for extensive body contouring, we have been successful in correcting relatively major fat deformities without causing any postoperative surgical deformities. All our results to date have been satisfactory. This procedure may be helpful to those surgeons who have been seeking a simplified method for removing excessive fat without extensive scarring. The improvement in body contour is often beyond the preoperative expectations of both the surgeon and the patient.

Adipose Tissue↗

Simple technique for correction of inverted nipple.

The described method for correction of the inverted nipple adds both bulk and structural stability to the nipple. This is done by means of a dermal sling and creation of a narrow base to prevent inversion of the nipple.

Breast↗