High definition laser liposuction

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Zoran Zgaljardic

Assist. Professor, Dubai

: J Regen Med

Abstract

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Background: Direct to implant breast reconstruction is a predictable, reliable and cost effective reconstruction. Most units performing Direct to implant reconstructions recommend the use of an ADM or a mesh to reinforce the lower pole of the breast reconstruction. Methods: 272 consecutive patients with 488 immediate direct to implant breast reconstructions from performed in a 34 month period are included in this group. Mean follow up of this group is 35 months. Results: 408 reconstructions were done through a lazy S mastectomy, 80 through a wise pattern mastectomy. 2 local recurrences occurred. Minor complications accounted for 5.5%(27); seromas 3.4% (17), wound healing problems 0,6% (3), grade 2 capsular contracture 1,4% (7); Major complications 4.3% (21); infection 0.8%(4); prosthetic loss 0,4% (2), hematoma 0,4% (2), wounds requiring debridement 2% (10). Additional cost of an ADM is dependent on manufacturer and size, but increase the cost of the procedure by 35.5-47.7%. Conclusion: This reconstruction method compares very favorably with published data from other units as far as early and late complications are concerned as well as cosmetic outcome. It has a similar complication rate as reconstructions using an ADM and is more cost effective.

Biography

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Zoran Zgaljardic is a Assist. Professor Dubai, United Arab Emirates. He also runs a Private Clinic for Aesthetic Surgery in Croatia. zoran@zgaljardic.suregry