![]() ![]() Tissue injury resulting in irreversible cell death and connective tissue disruption initiates the repair process. The recovery from trauma is a function of life and survival of the organicism. At the imaging depths of 10 μm, intense fluorescent lining (possibly from detached uveal tissue) along the wound edge was found (Figure 1I). In addition, the collagen fibers outside of the wound tended to align parallel to the wound edges. At imaging depths of 400 μm and beyond, regions lacking in SHG collagen were observed. The corneal epithelial cellular autofluorescence was most likely due to nicotinamide adenine dinucleotide phosphate.⁴,5 At 200 μm, the collagen pattern at the wound is irregularly arranged, which is in sharp contrast to the orthogonal packing of adjacent lamella found in normal stroma (Figure 1H). At this depth, one can easily visualize the fluorescent epithelial cells with less fluorescent nuclei. image at 0 μm (Figure 1G) shows a disruption of the Bowman membrane with protruding SHG stromal collagen. ![]() A number of physiological and pathological features can be identified. In addition, selected regions of interests are shown (Figure 1G-I). Three-dimensional projections of large-area fluorescence (green) and second-harmonic-generation (SHG) (blue) images from the depths of 0 to 1200 μm are shown (Figure 1A-F). The multiphoton images of the corneal scar specimen are shown in Figure 1. This technique is safe and demonstrates ease of pedicle shaping and breast remodeling in patients undergoing reduction mammaplasty. One patient required a revision.īased on a well-vascularized and constant anatomical septum, a septum-based pedicle is safe, even in large breasts. A secondary scar revision was needed in 10 patients (9 percent). Limited wound dehiscence occurred in 15 breasts (7.7 percent). Total areola necrosis occurred in one breast (0.5 percent) as a result of an infection in a diabetic patient. A retroareolar hematoma occurred in three breasts. Nipple elevation was 9 cm on average (range, 3 to 17 cm). Mean resection was 658 g (range, 160 to 1980 g). Mean nipple-to-sternal notch distance was 33 cm (range, 22 to 45 cm). carries the main nerve supply to the nipple in addition to intercostal perforators. This technique uses a lateral or medial pedicle based on Würinger's horizontal septum, which. The aim of this article is to report the safety and ease of breast shaping by using this technique.Ī series of 110 consecutive patients underwent septum-based breast reduction performed by a single surgeon. During the past 7 years, the senior author (M.H.) has been performing septum-based mammaplasty. ![]()
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