Thursday 8 May 2014

Three-dimensional nipple-areola tattooing

Three-dimensional nipple-areola tattooing: A new technique with superior results. Plastic and Reconstructive Surgery, May 2014, Vol. 133(5), p.1073-75.

Halvorson, E.G., et al.

http://journals.lww.com/plasreconsurg/Fulltext/2014/05000/Three_Dimensional_Nipple_Areola_Tattooing___A_New.4.aspx

Traditional coloring techniques for nipple-areola tattooing ignore the artistic principles of light and shadow to create depth on a two-dimensional surface. The method presented in this article is essentially the inverse of traditional technique and results in a more realistic and three-dimensional reconstruction that can appear better than surgical methods. The application of three-dimensional techniques or “realism” in tattoo artistry has significant potential to improve the aesthetic outcomes of reconstructive surgery.

Quality-of-life outcomes between mastectomy alone and breast reconstruction

Quality-of-life outcomes between mastectomy alone and breast reconstruction: Comparison of patient-reported BREAST-Q and other health-related quality-of-life measures. Plastic and Reconstructive Surgery, April 2014, Vol. 133(4), p.594(e)-595(e).

Cagli, B.M.D., et al.

file://mscl-users/Users/ecnt/L&D%20Services/CKeeling/Downloads/Quality_of_Life_Outcomes_between_Mastectomy_Alone.42%20(1).pdf

For women, breast cancer remains a common and dreaded experience; it is normal for a diagnosis of breast cancer to evoke grief, anger, and intense fear. The options of breast conservation and reconstruction give women a new sense of control over their treatment and are quite successful in helping women feel comfortable with their bodies again.

Understanding the effect of breast augmentation on quality of life

Understanding the effect of breast augmentation on quality of life: Prospective analysis using the BREAST-Q.
Plastic and Reconstructive Surgery, April 2014, Vol. 133(4), p.787-95.

Alderman, A.K., et al.

http://journals.lww.com/plasreconsurg/Fulltext/2014/04000/Understanding_the_Effect_of_Breast_Augmentation_on.6.aspx


The aim of this study was to prospectively evaluate patient satisfaction and quality of life with elective breast augmentation. Patients with bilateral submuscular breast augmentations prospectively completed the BREAST-Q preoperatively and 6 weeks and 6 months postoperatively; t tests compared preoperative and postoperative scores at 6 weeks and 6 months, and standard indicators of effect sizes were calculated. Logistic regression was used to evaluate the association between patient and surgical factors on satisfaction outcomes.

Breast cancer screening pamphlets mislead women

Breast cancer screening pamphlets mislead women. BMJ 2014; 348

Gigerenzer, G.

http://www.bmj.com/content/348/bmj.g2636?rss=1

Why should I have mammography? That question is regularly asked in pamphlets for screening. The answer is also regularly misleading. Women are told what they should do, but without being given the facts necessary to make informed decisions. This form of paternalism has a long tradition. In a campaign poster in the 1980s, the American Cancer Society declared: “If you haven’t had a mammogram, you need more than your breasts examined.”

Management of women at high risk of breast cancer

Management of women at high risk of breast cancer. BMJ 2014, 348:g2756

Armstrong, A.C. and Evans, G.D.

http://www.bmj.com/highwire/filestream/696134/field_highwire_article_pdf/0/bmj.g2756

Breast cancer is the commonest malignancy diagnosed in women worldwide and accounts for over 30% of all cancers diagnosed in women in the United Kingdom.1 The average lifetime risk of developing breast cancer for women in the United Kingdom and United States is estimated to be 12%, although this may
be an overestimate, as it is not clear what age this assumes a woman lives to and whether full adjustment has been made for those who die young from other causes. It is also unclear whether multiple breast cancers in a single woman are counted as several women with breast cancer.