Maximizing breast projection after free-nipple-graft reduction mammaplasty.
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Biomedical subjects
Publications and source records attributed to G P Gradinger.
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Most men develop visible redundant tissue in the anterior neck with aging. Some seek surgical improvement. If the patient does not wish to have a conventional face/neck lift, anterior cervicoplasty is a good option. The procedure accomplishes tightening in the horizontal direction by excising a midline vertical ellipse of skin and subcutaneous fat. The surgeon tightens and lengthens the platysma muscles by suturing the anterior borders of the muscle to each other and by performing one or more Z-plasties in the muscle. A Z-plasty in the skin and subcutaneous tissue predictably creates a mental/cervical crease or angle with precise planning of the location of the horizontal limb. It also provides added length to the vertical skill closure. Every patient has thought that the improved contour of his neck more than offset the presence of a visible scar. In fact, no patient has indicated that his scar has been noticed by others, nor has any patient requested scar revision.
Reduction mammoplasty using nipple-areola transplantation has proved to be a satisfactory procedure. It will probably be performed in an ever-increasing number of patients undergoing reduction mammoplasty as more surgeons realize that aesthetically pleasing results can be achieved.
The anatomy of the upper eyelid is complex; however, those structures that make it complex are not involved in routine cosmetic blepharoplasty. The most common reason for patients seeking cosmetic surgery of the upper eyelids is excess skin and its associated heaviness. Appropriate removal of skin, preseptal orbicularis oculi muscle, submuscular fat, and orbital fat will achieve consistently good results.
This uncommon case of a partial penis amputation is presented to call attention to human hair as a potential source of injury in children and to demonstrate a successful two-stage repair for this interesting deformity.
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We describe our experiences with a new silicone bag-gel chin implant, developed in two phases over a 4-year period. Fifty patients received the Phase I implant, and such complications as internal and external soft tissue erosion, indentation, slippage, asymmetry, infection, andd late bone resorption (two cases) were seen. Subsequently 28 patients received the Phase II implant, and have been followed up to one year. So far, the only complication has been asymmetry in one case.