An Unusual Infection of Breast Tissue.

A female patient initially diagnosed with right breast mastitis subsequently developed infection.

The Importance of an Antimicrobial Stewardship Program.

Developing a program to properly use antimicrobials is essential for inpatient facilities to decrease the incidence of resistance, reduce the development of multidrug-resistant organisms, and improve patient care.

Running circular suture technique for reduction mammaplasty and mastopexy.

Background: Many reports have described various technical aspects of reduction mammaplasty and mastopexy procedures. The authors present their technique, which combines a number of techniques already described in the literature regarding repositioning of the nipple-areola complex, reduction of the diameter of the base of the breast, and long-term retention of mammary cone projection. This study evaluated the results for patients of various ages and phenotypes in terms of scar dimensions, breast positioning, and patient satisfaction in the short, medium, and long terms.

Seroma: how to avoid it and how to treat it.

Abdominoplasty is one of the more common procedures after which seroma may occur. Reported incidences range from 5% to 50%. For more than 5 years, we have used the quilting suture technique in 130 patients without the occurrence of seroma after abdominoplasty.

Counting method of live fat cells used in lipoinjection procedures.

It has been possible to determine the number of live fat cells available in samples of aspirated fat which are going to be used in lipoinjection procedures. It has been possible to develop a technical procedure that quantifies the number of live fat cells in 1 mm of injection. Without taking into account different methods for fat injection, there is a 95% correct conclusion that it is immaterial whether the syringe or a cannula with a pump is used.

Orphanin FQ/nociceptin in the ventromedial nucleus facilitates lordosis in female rats.

The localization of opioid receptor-like (ORL-1) orphan receptor in the ventromedial nucleus of the hypothalamus (VMH) suggested a role for this opioid system in the regulation of lordosis behavior. Recently, the ligand for ORL-1, orphanin FQ/nociceptin (OFQ/N), has been characterized and also demonstrated to be present in the VMH. The present experiments examined whether OFQ/N in the VMH facilitates lordosis behavior in estrogen-primed, sexually unreceptive female rats, and whether estrogen regulates ORL-1 levels in the VMH.

Contouring the hip and the abdomen.

This article describes the surgical procedures used for the aesthetic improvements of the flanks and abdomen. A clinical classification for patient selection regarding when to use liposuction, surgery, or both, is included. Isolated flankplasty, isolated abdominoplasty, and combined flanks with abdominoplasty performed in the same stage are reviewed.

A "bicycle-handlebar" type of incision for primary and secondary abdominoplasty.

The authors register a revision of the literature regarding the types of low transversal pubic incisions used in abdominoplasty. Since 1987, the traditional open W-type incision changed to a new type called the bicycle handlebar. In this procedure, the pubic segment remains in a lower line at the level of the pubic hair, while the lateral limbs are in a high position.

Flankplasty: a specific treatment to improve body contouring.

A complete study of the flank region's unaesthetic distortions is reported. Comments regarding and illustrations of the different clinical appearances of local skin turgor and fat deposits are also noted. A classification of the different types of flank distortions, whether or not combined with similar problems of the surrounding regions, complete the study for the indication of correct treatment.

Philosophy, technical principles, selection, and indication in body contouring surgery.

The experiences of almost three decades of performing various types of body contouring surgery, in both pre- and postlipoplasty periods, using many different techniques are described. Contouring surgery for such body areas as the abdomen, flanks, inner and outer thighs, and buttocks is discussed in detail.

Body sculpturing.

Body contouring surgery is a routine procedure used to improve the aesthetic aspect of the trunk and may be performed in one or more surgical stages. It may involve the abdomen, breasts, flanks, lumbar area, buttocks, trochanter, upper arms, and upper-inner thigh. The author discusses suction lipectomy, augmentation mammoplasty, breast reduction and mastopexy, abdominoplasty, surgery of the trochanter and buttocks, surgery of the thigh, brachioplasty, and combined procedures.

Two consecutive abdominoplasties to solve a problem of striae.

Two consecutive abdominoplasties can be performed on a patient after a 2-year interval between the first and second procedure by using the same technique. This procedure has been used for specific cases of flaccid abdominal wall skin and excess striae located throughout the abdominal region, mostly above the umbilical line. Applying the conventional low horizontal incision, the amount of striae to be resected with the excess skin is not sufficient to dislocate the highest striae to a lower position.

Correction of lower limb lipodystrophy.

The authors study various types of thigh lipodystrophy. To each type is applied a special technique. The complications are studied and the limitations given.

The square chin and the pointed chin: Another refinement in facial aesthetics.

The authors present a simple surgical procedure for changing a pointed chin into a square one, through the resectioning of a horizontal bone fragment of the free edge of the mentum. An amount of soft tissue of this region can be resected during surgery as a secondary reshaping maneuver. A third technical detail can be added to improve the final result, using a small bone resection wedge in the middle of the mentum edge.

Mammary reduction combined with reverse abdominoplasty.

We present the surgical technique of reverse abdominoplasty combined with mammary reduction in a single stage. The technical details are described, with special reference to patient selection and postoperative care. Comments about the midsternal scar line are also included.