Simulation of Soft-Tissue Deformations for Breast Augmentation Planning

Author(s):  
Liesbet Roose ◽  
Wim De Maerteleire ◽  
Wouter Mollemans ◽  
Frederik Maes ◽  
Paul Suetens
2018 ◽  
Vol 42 (6) ◽  
pp. 1447-1456
Author(s):  
Hyun Ho Han ◽  
Kenneth K. Kim ◽  
Kee Hoon Lee ◽  
In-Beom Kim ◽  
Paik Kwon Lee

2017 ◽  
Vol 17 (07) ◽  
pp. 1740016
Author(s):  
MONAN WANG ◽  
ZHIYONG MAO ◽  
XIANJUN AN

This study used biomechanical models of soft tissues based on combined exponential and polynomial models. Finite element methods were used to solve material nonlinear and geometrically nonlinear problems of soft tissue models. This involved assigning a screening coefficient in the model-accelerated computing process to filter the units involved in the calculation. The screening coefficient controlled both the accuracy of the results of simulation and the computing speed through setting up a subset of finite elements. The fast computer method based on the screening coefficient was applied to the rectus femoris simulation.


2020 ◽  
Vol 40 (9) ◽  
pp. 981-986 ◽  
Author(s):  
Eric Auclair ◽  
Alexandre Marchac ◽  
Nathalie Kerfant

Abstract Background Secondary procedures following breast augmentation are often more difficult than primary cases because the soft-tissue envelope changes over time. Objectives This study was conducted to confirm the utility of a composite technique in breast revisional surgery. Methods This was a 9-year retrospective chart and photographic data study of one surgeon’s experience with the combined use of fat and implants in revisional cases. The 148 patients had a follow-up at least 1 year after surgery. Our approach consists of a detailed analysis of the different layers covering the implant and yields a treatment plan addressing all issues involving the secondary breast. Results On average, revisional surgery was performed 8.66 years after the first augmentation. The mean age of the patients at revision surgery was 42 years (range, 22.2-70.7 years). The mean fat harvest was 600 mL (range, 100-3000 mL) and the mean volume of fat reinjected was 153 mL (range, 60-400 mL). The mean volume before and after revision was the same (288 mL vs 289 mL). At the original surgery, the breast implants were located in a subpectoral pocket in 78.7% of the patients and, at the revision surgery, in a subglandular pocket in 74.8% of the patients. Within the first 2 years, 13 patients (8.7%) underwent reoperation for additional fat grafting. Among 45 preoperative breast capsular contractures, there were 8 recurrences in the first 3 years resulting in 4 reoperations. Conclusions Secondary breast augmentation cannot rely solely on implant exchange. Because the soft-tissue envelope also ages over time, fat grafting is mandatory in the vast majority of secondary cases. A rigorous preoperative analysis enables breast defects to be treated appropriately. Level of Evidence: 4


2017 ◽  
Vol 56 (6) ◽  
pp. e122-e124 ◽  
Author(s):  
Jesus A. Torres-Coy ◽  
Carolina Carrera ◽  
Bárbara A. Rodríguez-Castillo ◽  
Rosalicia Ramírez-Murga ◽  
William Ortiz-Cáceres ◽  
...  

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