ESPRAS Survey on Continuing Education in Plastic, Reconstructive and Aesthetic Surgery in Europe.

Background: Specialty training in plastic, reconstructive and aesthetic surgery is a prerequisite for safe and effective provision of care. The aim of this study was to assess and portray similarities and differences in the continuing education and specialization in plastic surgery in Europe.

Material And Methods: A detailed questionnaire was designed and distributed utilizing an online survey administration software.

[Tuberous breast reshaping mammoplasty without augmentation or reduction].

Tuberous breasts are defined by a shape anomaly, in certain relatively rare situations, patients are satisfied with the volume and only ask for a shape correction without increase or decrease. They may also be very young girls in whom the indication for implantation of a prosthesis could be premature or who do not have sufficient fat reserves for fat transfer. We discuss the different possible techniques and we propose a simple technique, relatively fast, easily reproducible whatever the experience of the surgeon, without vascular complications in our experience due to the absence of skin detachment, with a satisfactory and stable result in the time.

[Mammoplasty for hypotrophic tuberous breast augmentation using implants. One-stage surgical strategy without cutaneous-glandular dissociation].

Among congenital breast malformations, the incidence of tuberous breasts is large, the shape abnormality is often accompanied by hypoplasia of the mammary gland and asymmetry. The psychological impact of this malformation is particularly important in these young girls at the end of puberty, in transit between adolescence and adulthood. The indication for augmentation by implants must be systematically associated with breast remodeling in order to obtain a good fit between the breast and the prosthesis.

[Reconstructive surgery for congenital malformations of breast and thorax"Changing the life"].

The life of young girls and boys with congenital breast and thoracic malformations is more a matter of survival than of living, burdened by severe body image damage. Positively changing their lives is what these girls or young men are calling us to do. Our duty is certainly to understand their malformation, but also to understand its repercussions and thus to draw the most appropriate treatment.

Three-Year Intermediate Results of a Prospective Multicenter Study Investigating the use of Smooth, Semi-Smooth, Microtextured and Macrotextured Implants from a Single Manufacturer in Breast Augmentation and Reconstruction Procedures.

Silicone gel-filled implants exist in a wide range of shapes and textures, and yet there are relatively few long-term large-scale studies, particularly on recently developed "semi-smooth" implants. The present study fills this gap by presenting the 3-year findings from an ongoing 10-year multicenter prospective study on breast implants with four different surface types: smooth, semi-smooth, microtextured, and macrotextured. A total of 908 patients were recruited in 15 investigational sites across Europe and divided into three groups: 653 primary augmentations in Group 1, 144 revision augmentations in Group 2, and 111 reconstructions in Group 3.