Use of a biological scaffold in the cleavage area in complex revision breast augmentation: A surgical technique and case series.

Background: Bilateral breast augmentation has been the top surgical procedure performed worldwide by plastic surgeons for the past 5 years. Complex breast revision patients are challenging, with the cleavage area being one of the most difficult areas to navigate. We present a novel technique for using biological scaffolds in revision breast augmentation surgery.

Conical polyurethane implants: an uplifting augmentation.

Background: Polyurethane-coated conical implants were introduced by Silimed (US distributor: Sientra, Santa Barbara, California) in 2008 and offer an alternative to round or anatomically shaped implants. By their design and volume distribution, they naturally create central volume and give a reasonable fullness to the upper pole while lifting some ptotic breasts, thus avoiding the need for classical mastopexy.

Objectives: The authors discuss the advantages of conical implants as an alternative to conventional silicone implants for women with breast ptosis.

A method for protecting the anastomosis in deep inferior epigastric artery perforator flap breast reconstruction.

In cases of microvascular breast reconstruction with deep inferior epigastric artery perforator (DIEP) flaps, many authors often express concern about possible trauma to the microanastomosis from the suction drain routinely placed in the wound at the end of the case. The senior author has devised and practiced for many years a novel technique to protect the anastomosis from this potential trauma in breast reconstructions. This technique involves harvesting a "sleeve" of scarpa's fascia in the direction of the planned orientation and inset of the flap pedicle.