Cosmetic Surgery Research Today is a free monthly online journal that collates and summarizes the latest research about Cosmetic Surgery, including details on microsurgery, reconstruction, techniques, risks.

Beauty and the beast: management of breast cancer after plastic surgery.

Bleicher RJ, Topham NS, Morrow M

Department of Surgical Oncology, Fox Chase Cancer Center, Philadelphia, Pennsylvania 19111, USA. richard.bleicher@fccc.edu

OBJECTIVES: Cosmetic surgery procedures increase in incidence annually, with 11 million performed in 2006. Because breast cancer is the most frequently occurring malignancy in women, a personal history of cosmetic surgery in those undergoing treatment for breast cancer is becoming more common. METHODS: This review identified key studies from the PubMed database, to consolidate existing data related to treatment of breast cancer after plastic surgery. Data were reviewed for factors affecting breast cancer treatment after breast augmentation, breast reduction, abdominoplasty, and suction lipectomy. RESULTS: There are little comprehensive data on the management of breast cancer after plastic surgical procedures. Plastic surgery may affect diagnostic imaging, surgical options, and radiotherapy management. Breast augmentation and reduction are two of the most common cosmetic procedures performed and knowledge of their influence on the incidence, diagnosis, and treatment of breast cancer is important for proper management. CONCLUSIONS: Plastic surgery does not significantly affect breast cancer outcomes but does present management challenges that must be anticipated when deciding various treatment options. Knowledge of the existing literature may be helpful in discussing those options with patients and planning the multidisciplinary approach to this malignancy.

Published 24 April 2008 in Ann Surg, 247(4): 680-6.
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Articles on Cosmetic Surgery published 23 April 2008:

A Double-Blind, Comparative Study of Nonanimal-Stabilized Hyaluronic Acid versus Human Collagen for Tissue Augmentation of the Dorsal Hands.   Dermatol Surg.

BACKGROUND AND OBJECTIVE Cosmetic surgery to counteract the aging process is an evolving field. Most procedures have concentrated on the face; however, the hands are an often-neglected area. Current methods of hand rejuvenation include autologous fat injection, sclerotherapy, intense pulsed light, chemical peel, and microdermabrasion. Only autologous fat injection restores dermal thinning. We compare the use of hyaluronic acid (Restylane, Medicis Aesthetics Inc.) versus collagen (Cosmoplast, ... [Abstract] [Full-text]

Articles on Cosmetic Surgery published 18 April 2008:

Efficacy of recombinant adenovirus-mediated double suicide gene therapy in human keloid fibroblasts.   Clin Exp Dermatol, 33(3): 322-8.

Background. The recombinant adenovirus-mediated double suicide gene CDglyTK has been widely used for gene therapy of cancer. The biological behaviour of keloids is similar to that of cancer, in that they may extend beyond the site of injury, and do not subside. There are no effective strategies available for keloid therapy. Gene therapy is gaining greater importance in the field of plastic surgery, and the CDglyTK double suicide gene/prodrug system has been receiving greater attention. Aim. To ... [Abstract] [Full-text]

Articles on Cosmetic Surgery published 16 April 2008:

Breast carcinoma-associated fibroblasts and their counterparts display neoplastic-specific changes.   Cancer Res, 68(8): 2717-25.

It has become clear that the initiation and progression of carcinomas depend not only on alterations in epithelial cells, but also on changes in their microenvironment. To identify these changes, we have undertaken cellular and molecular characterization of carcinoma-associated fibroblasts (CAF) and their tumor counterpart fibroblasts (TCF) isolated from 12 breast cancer patients. Normal breast fibroblasts (NBF) from plastic surgery were used as normal control. We present evidence that both ... [Abstract] [Full-text]

Articles on Cosmetic Surgery published 2 April 2008:

Root Coverage Outcome May Be Affected by Heavy Smoking: A 2-Year Follow-Up Study.   J Periodontol, 79(4): 647-653.

Background: Although subepithelial connective tissue graft (CTG) has been reported to be a predictable procedure for root coverage, the impact of smoking on the long-term outcome of periodontal plastic surgery is unclear. Hence, the aim of this study was to evaluate the effect of smoking, on a long-term basis, on the stability of gingival tissue following CTG treatment of gingival recession. Methods: Twenty-two defects were treated by CTG in canine and premolar Miller Class I and II gingival ... [Abstract] [Full-text]

Articles on Cosmetic Surgery published 1 April 2008:

MOC-PS(SM) CME article: late cleft lip nasal deformity.   Plast Reconstr Surg, 121(4): 1-11.

LEARNING OBJECTIVES: After reading this article, the participant should be able to: 1. Understand the components of unilateral and bilateral secondary or delayed cleft lip nasal deformity. 2. Design and execute the surgical correction more logically. 3. Minimize the risks and better manage complications and suboptimal outcomes. SUMMARY: Rhinoplasty remains one of the most challenging plastic surgery procedures, and patients with a cleft lip nose deformity pose an even greater challenge. The ... [Abstract] [Full-text]

Articles on Cosmetic Surgery published 31 March 2008:

Taking a history in aesthetic surgery: SAGA - the surgeon's tool for patient selection.   J Plast Reconstr Aesthet Surg.

Most patient dissatisfaction in Aesthetic surgery is based on failures of communication and patient selection criteria, and not on technical faults [Ward CM. Consenting and consulting for cosmetic surgery. Br J Plast Surg 1998;51:547-50; Gorney M. (2004) Essentials of malpractice claims prevention for the plastic surgeon. eMedicine; Jan 5, 2004]. Litigation leaves the surgeon perplexed when the operation has been performed to his or her satisfaction. Taking a history of Aesthetic Distress is ... [Abstract] [Full-text]

Articles on Cosmetic Surgery published 28 March 2008:

On-call specialists and higher level of care transfers in California emergency departments.   Acad Emerg Med, 15(4): 329-36.

OBJECTIVES: To survey California emergency department (ED) medical directors' impressions of on-call specialist availability and higher level of care (HLOC) transfer needs and difficulties and changes since the passage of the Emergency Medicine Treatment and Active Labor Act (EMTALA) final rule in 2003. METHODS: The authors conducted a survey of all California ED medical directors from February to June 2006 with regard to the composition of the ED on-call panel and need for HLOC transfer. ED ... [Abstract] [Full-text]

Articles on Cosmetic Surgery published 25 March 2008:

Primary cutaneous zygomycosis in an immunodeficient infant: a case report and review of the literature.   Ann Plast Surg, 60(4): 433-6.

We report a case of primary cutaneous zygomycosis caused by Rhizopus species in an infant with a hematological malignancy. Multiple surgical debridements, skin grafting, and intravenous antifungal therapy were necessary to ultimately eradicate the infection. Zygomycotic infections are an emerging concern in immunocompromised patients because of their increased incidence as well as their potential to cause substantial morbidity through both emotional distress and impaired functionality. Because ... [Abstract] [Full-text]

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