Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix
Background:. The inverted T (Wise pattern) mastectomy for patients with macromastia or significant breast ptosis has evolved along with generalized techniques for breast reconstruction. We present a review of Wise pattern breast reconstruction along with our technique for direct to implant reconstru...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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Wolters Kluwer
2019-10-01
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Series: | Plastic and Reconstructive Surgery, Global Open |
Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002439 |
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author | Harold I. Friedman, MD, PhD Sarah Talebagha, MD Jarom Gilstrap, MD Mirsad Mujadzic, MD Elliott Chen, MD |
author_facet | Harold I. Friedman, MD, PhD Sarah Talebagha, MD Jarom Gilstrap, MD Mirsad Mujadzic, MD Elliott Chen, MD |
author_sort | Harold I. Friedman, MD, PhD |
collection | DOAJ |
description | Background:. The inverted T (Wise pattern) mastectomy for patients with macromastia or significant breast ptosis has evolved along with generalized techniques for breast reconstruction. We present a review of Wise pattern breast reconstruction along with our technique for direct to implant reconstruction using dermal matrix.
Methods:. The literature was reviewed and an analysis of techniques and complications was performed. We present our series of patients incorporating dermal matrix and relatively large implants in direct to implant reconstruction.
Results:. Of 18 breasts reconstructed only 2 failed. One caused by flap necrosis secondary to smoking and one as a result of preoperative radiation.
Conclusion:. Wise pattern breast reconstruction using relatively large implants and dermal matrix in direct to implant reconstruction is a safe technique in selected patients with macromastia. |
first_indexed | 2024-12-20T04:24:23Z |
format | Article |
id | doaj.art-b0313fa0a8e7498b877624e577e568b7 |
institution | Directory Open Access Journal |
issn | 2169-7574 |
language | English |
last_indexed | 2024-12-20T04:24:23Z |
publishDate | 2019-10-01 |
publisher | Wolters Kluwer |
record_format | Article |
series | Plastic and Reconstructive Surgery, Global Open |
spelling | doaj.art-b0313fa0a8e7498b877624e577e568b72022-12-21T19:53:34ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-10-01710e243910.1097/GOX.0000000000002439201910000-00010Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal MatrixHarold I. Friedman, MD, PhD0Sarah Talebagha, MD1Jarom Gilstrap, MD2Mirsad Mujadzic, MD3Elliott Chen, MD4From the *The Division of Plastic and Reconstructive Surgery, University of South Carolina School of Medicine, Columbia, S.C.†Prisma Health Midlands/University of South Carolina School of Medicine, Columbia, S.C.From the *The Division of Plastic and Reconstructive Surgery, University of South Carolina School of Medicine, Columbia, S.C.From the *The Division of Plastic and Reconstructive Surgery, University of South Carolina School of Medicine, Columbia, S.C.From the *The Division of Plastic and Reconstructive Surgery, University of South Carolina School of Medicine, Columbia, S.C.Background:. The inverted T (Wise pattern) mastectomy for patients with macromastia or significant breast ptosis has evolved along with generalized techniques for breast reconstruction. We present a review of Wise pattern breast reconstruction along with our technique for direct to implant reconstruction using dermal matrix. Methods:. The literature was reviewed and an analysis of techniques and complications was performed. We present our series of patients incorporating dermal matrix and relatively large implants in direct to implant reconstruction. Results:. Of 18 breasts reconstructed only 2 failed. One caused by flap necrosis secondary to smoking and one as a result of preoperative radiation. Conclusion:. Wise pattern breast reconstruction using relatively large implants and dermal matrix in direct to implant reconstruction is a safe technique in selected patients with macromastia.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002439 |
spellingShingle | Harold I. Friedman, MD, PhD Sarah Talebagha, MD Jarom Gilstrap, MD Mirsad Mujadzic, MD Elliott Chen, MD Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix Plastic and Reconstructive Surgery, Global Open |
title | Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix |
title_full | Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix |
title_fullStr | Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix |
title_full_unstemmed | Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix |
title_short | Wise Pattern Direct Implant Breast Reconstruction: A Review and Improved Outcomes Using Dermal Matrix |
title_sort | wise pattern direct implant breast reconstruction a review and improved outcomes using dermal matrix |
url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002439 |
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