1.Predicting the Degree of Breast Size in Augmentation with Cohesive Gel Implant.
Jung Ho LEE ; Je Won SEO ; Paik Kwon LEE ; Deuk Young OH ; Jong Won RHIE ; Sang Tae AHN
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2010;37(3):256-258
PURPOSE: Predicting the change in breast size for a specific patient's need is a challenging problem in breast augmentation. We intended to investigate the post-augmentation degree of breast size according to the size of cohesive silicone gel implant. METHODS: To predict post-augmentation breast size, we measured 100 patients' pre-and postoperative 3 month's bust circumference. All patients were performed by total subfascial breast augmentation with moderate profile cohesive silicone gel implant through areolar omega (transareolar-perinipple) incision. RESULTS: According to this study, each additional one pair of 100mL in implant size yielded an approximate 1.5cm increase in bust circumference(p=0.006). CONCLUSION: From this result, we conclude that each additional one pair of 100mL in implant volume yielded about 1.5cm increase in bust circumference. Although this result may not be applied to every patient, we believe that it yields a practical chart that can help to predict the amount of increase in breast size with the use of cohesive silicone gel implant of a specific size preoperatively.
Breast
;
Humans
;
Silicone Gels
2.Use of a Silicone Gel Sheet Vaginal Mold in McIndoe Vaginoplasty.
Sang Wha KIM ; Dong Yeon KIM ; Deuk Young OH ; Jung Ho LEE ; Jong Won RHIE ; Sang Tae AHN ; Joo Hee YOON
Archives of Plastic Surgery 2013;40(5):652-655
No abstract available.
Fungi
;
Silicone Gels
3.Rupture of silicone gel prosthesis after augmentation mammoplasty.
Jung Yup LEE ; In Pyo HONG ; Young Ki SHIM ; Se Il LEE
Journal of the Korean Society of Plastic and Reconstructive Surgeons 1991;18(1):141-145
No abstract available.
Female
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Mammaplasty*
;
Prostheses and Implants*
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Rupture*
;
Silicone Gels*
4.Postoperative Irradiation in the Prevention of Keloids.
You Chan KIM ; Hong Sik KIM ; Hyang Joon PARK ; Yong Woo CINN ; Hyong Guen YUN ; Sung Hoon JUNG
Korean Journal of Dermatology 1997;35(5):1009-1012
Keloids are benign fibrcus growths which extend beyond the original wound and rarely regress. Available methods of treatment include surgical excision, radiotherapy, intralesional steroid injection, cryotherapy, systemie. chemotherapy, zinc tape strapping, pressure, silicon gel and combined therapy. Postoperative irradiation is a useful and effective method of eradication or prevent.ion of keloid. We describe two cases of the prevention of keloids associated with postoperative irradiation.
Cryotherapy
;
Drug Therapy
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Keloid*
;
Radiotherapy
;
Silicone Gels
;
Wounds and Injuries
;
Zinc
5.Migration of a Ruptured, Silicone Gel-Filled Breast Implant into Sternal and Abdominal Areas.
Heon YOO ; Seung Jun SHIN ; Myong Chul PARK
Archives of Aesthetic Plastic Surgery 2014;20(3):178-181
A 50-year-old woman visited our hospital for two palpable masses on her sternal and left upper abdominal areas. She had augmentation mammoplasty 12 years prior. Based on the physical examination, the mass in the sternal area was firm, movable, and round. The size of the mass was approximately 3.0x3.0x1.0 cm3. The mass in the upper-left abdomen showed similar characteristics, with a size of approximately 10.0x15.0x1.5 cm3. Ultrasonography revealed a 3.9x1.0x3.4 cm3 hypoechoic lesion in the sternal area. On enhanced-mode computed tomography, a rupture of the left breast implant was noted. Both masses had similar densities as the implant. After rupture of the breast implant, surgery was performed under general anesthesia. Using an inframammary approach, both breast implants and masses were removed using the site of the previous mammoplasty incision. Intraoperative findings revealed that the left breast implant was ruptured and the masses consisted of implant gel components. After surgery, the patient's recovery was uneventful. The patient was discharged without any problem on hospital day 9.
Abdomen
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Anesthesia, General
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Breast Implants*
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Female
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Humans
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Mammaplasty
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Middle Aged
;
Physical Examination
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Rupture
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Silicone Gels*
;
Ultrasonography
6.Effect of intracapsular triamcinolone injection in treatment of capsular contracture after augmentation mammoplasty.
Journal of Breast Cancer 2005;8(3):118-122
PURPOSE: The main problem for reoperation after augmentation mammoplasty is contraction of the capsule surrounding a breast implant and it tends to be recur after second surgery. The author studied that intracapsular injection of triamcinolone could reduce the recurrence of capsular contracture. METHODS: Twenty-six cases of capsular contracture, undertaken at the M.D. Clinic between July 2002 and August 2004, were reviewed. Age, types of previous implant, reoperation methods including triamcinolone injection, and recurrence rates were retrospectively evaluated. RESULTS: Two cases (7.7%) were in their twenties, 14 (53.9%) in their thirties, 7 (26.9%) in their forties and 3 (11.5%) in their fifties. The types of previous implant were as followed: 24 (92.3%) saline, 2 (7.7%) silicone gel, 14 (53.9%) textured type and 12 (46.1%) smooth type. The reoperation methods were as followed: capsulectomy in 4 (15.4%), subpectoral conversion in 1 (3.9%), subpectoral conversion with an intracapsule injection of triamcinolone in 2 (7.7%), capsulotomy in 7 (26.9%) and capsulotomy with an intracapsule injection of triamcinolone in 12 (46.2%). Recurrence occurred in 1 capsulectomy (25%), 1 subpectoral conversion (100%), 0 subpectoral conversion with injection (0%), 4 capsulotomy (57%) and 1 capsulotomy with injection (8.3%). CONCLUSION: The injection of triamcinolone into the capsule following an implant replacement was effective in patients with a capsular contracture after augmentation mammoplasty. It seems to be an effective rational therapy for primary high risk cases with more advanced technique.
Breast Implants
;
Contracture*
;
Female
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Humans
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Mammaplasty*
;
Recurrence
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Reoperation
;
Retrospective Studies
;
Silicone Gels
;
Triamcinolone*
7.Adhesive Silicone Gel Sheet for Treatment of Nailbed Injury.
Eui Sik KIM ; Jae Ha HWANG ; Kwang Seog KIM
Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(1):107-112
If autogenous nail is lost in nail bed injuries, alternative effective nail bed protection material is questionable in postoperative follow up period. The conventional modality with autogenous nail coverage have several disadvantages such as drawback of maintenance, higher chance of loss and complex dressing step (eg. ointment apply for humidification and nail fixation using tape or bandage). So, we have studied the usefulness of adhesive silicone gel sheet for alternative nail bed protection material until the end of nail regeneration. From March 2003 to July 2004, we have experienced 215 traumatic nail bed injuries except fingertip loss. Among these patient, we classified two groups, 30 cases with autogenous nail protection(Group I) and 30 cases with adhesive silicone gel sheet protection(Group II). Mean full nail growth time was 3.6 months in group I and 3.8 months in group II. Mean final nail appearance score(0: poor, 4: excellent) was 3.0 in group I and 3.5 in group II. Adhesive silicone gel sheet protection(Group II) was slightly superior to the autogenous nail protection in final appearance, especially sterile matrix laceration. In conclusion, we believe that adhesive silicone gel sheet application is a simple, acceptable, alternative method for protecting nail bed with loss of autogenou nail. It has a number of advantages compared with autogenous nail such as better humidification, controllable hygiene, less pain, less hospitalization, less frequent visit, less chance of loss, avoiding complex dressing step and more even pressure with adhesiveness, flexibility and durability.
Adhesiveness
;
Adhesives*
;
Bandages
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Follow-Up Studies
;
Hospitalization
;
Humans
;
Hygiene
;
Lacerations
;
Pliability
;
Regeneration
;
Silicone Gels*
8.Foreign Body Granulomas after the Use of Dermal Fillers: Pathophysiology, Clinical Appearance, Histologic Features, and Treatment.
Archives of Plastic Surgery 2015;42(2):232-239
A foreign body granuloma is a non-allergic chronic inflammatory reaction that is mainly composed of multinucleated giant cells. Foreign body granulomas may occur after the administration of any dermal filler. Factors such as the volume of the injection, impurities present in the fillers, and the physical properties of fillers affect granuloma formation. The formation of granulomas involves five phases: protein adsorption, macrophage adhesion, macrophage fusion, and crosstalk. The clinical and pathologic features of granulomas vary depending on the type of filler that causes them. Foreign body granulomas can be treated effectively with intralesional corticosteroid injections. Surgical excisions of granulomas tend to be incomplete because granulomas have ill-defined borders and moreover, surgical excisions may leave scars and deformities.
Adsorption
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Cicatrix
;
Collagen
;
Congenital Abnormalities
;
Giant Cells
;
Granuloma
;
Granuloma, Foreign-Body*
;
Hyaluronic Acid
;
Macrophages
;
Silicone Gels
9.A Study on Intra-lesional Excision of Keloids.
Jae Hui NAM ; Young Jun CHOI ; Tae Hwan KIM ; Ga Young LEE ; Soo Hong PARK ; Won Serk KIM ; Kea Jeung KIM
Korean Journal of Dermatology 2009;47(6):641-648
BACKGROUND: Keloid is one of the most frustrating clinical problems in wound healing. There are numerous treatments for keloids such as surgical excision, steroid injection, radiation therapy, laser, silicone gel application and so on. Surgical excision of a keloid is generally not accepted as a first treatment of choice. However, there have been many reports of successful cosmetic results from specialized surgical treatments such as intra-lesional/intra- marginal excision with or without post surgical adjuvant treatments. OBJECTIVE: The aims of this study areto evaluate the effectiveness of intralesional excision of keloids, the optimal surgical conditions and the proper adjuvant therapy after surgery. METHODS: We analyzed the medical records and clinical photographs of 20 patients who underwent intra-lesional excision of their keloids and who had regular follow-ups for at least for 3 months. The clinical outcomes were assessed by three independent physicians based on their interpretation of the photographs before and after surgery with using a global assessment 5 point scale that ranged from bad, poor, fair and good to excellent. RESULTS: General surgical outcomes after intra-lesional excision: the average improvement score was 4.05 after intra-lesional excision and adjuvant therapy. The average improvement score after intra-lesional excision was 4.71 for ear keloids and 2.83 for keloids in other areas (p=0.000). The average improvement score after intra-lesional excision was 5 for earlobe keloids and 4.42 for ear-helix keloids (p=0.014). The average improvement score was 3.92 for the steroid intra-lesional injection and topical silicone gel combination treatment group after intra-lesional excision and the average improvement score was 4.29 for the single topical silicone gel treatment group (p=0.858). CONCLUSION: Although surgery is not a first treatment of choice for the management of keloids, large recalcitrant keloids need massive surgical removal for faster clinical results. In this study, we found that surgery, and especially intra-lesional excision, is not an absolute contraindication for treating keloids and this is sometimes considered as the first treatment of choice, and especially for ear keloids. However, a more careful surgical approach is necessary for the case of keloids that develop in other areas. Further studies about the optimal surgical indications for keloids and the recommended adjuvant therapy after surgery are necessary.
Cosmetics
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Ear
;
Follow-Up Studies
;
Humans
;
Keloid
;
Laser Therapy
;
Medical Records
;
Silicone Gels
;
Wound Healing
10.Earlobe Keloid Treated by Autograft after Excision and Immediate Corticosteroid Intrawound Injection.
Han Gyu CHOI ; Seong Jun SEO ; Chang Kwun HONG
Korean Journal of Dermatology 1999;37(11):1694-1696
Keloids are benign fibrous tumors which extend beyond the original wound. Methods of treatment include surgical excision, radiotherapy, intralesional steroid injection, cryotherapy, silicon gel and combined therapy. Postoperative irradiation or steroid injection could be an effective method for prevention of recurrence after surgical treatment. We report a case of earlobe keloid which occurred after ear piercing. It was treated by excision and saved autograft using the overlying skin of the keloid and then immediate corticosteroid intrawound injection after excision.
Autografts*
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Body Piercing
;
Cryotherapy
;
Keloid*
;
Radiotherapy
;
Recurrence
;
Silicone Gels
;
Skin
;
Wounds and Injuries