Revising Prepectoral Breast Reconstruction

Adam M. Goodreau, M.D.; Cassandra R. Driscoll, M.D.,  M.P.H.; Anthony Nye, M.D.; Lauren C. Nigro, M.D.; Nadia P. Blanchet, M.D. Summary: Prepectoral prosthetic breast reconstruction continues to gain popularity, largely due to its decreased postoperative pain, animation deformity, and operative time as compared to subpectoral reconstruction. Widespread use has  led to opportunities for surgical revisions. While some […]

Should We Detach From Matisol

Lauren C. Nigro, M.D.; Nadia Blanchet, M.D. Medical adhesives and glues are commonly used over or around surgical incisions for a variety of reasons, including to reduce infection, improve scar appearance, increase incision strength, decrease operative time, negate the need for suture removal, and prolong the adherence of surgical dressings such as occlusive films and […]

Resolution of Thumb Pain following Adoption of Mathieu Needle Holder: An Ergonomic Analysis

Schuth, Olga MD; Powers, Jeremy MD; Merritt, Wyndell MD; Blanchet, Nadia MD Plastic and Reconstructive Surgery: April 2020 – Volume 8 – Issue 4 – p e2768 Abstract Background:  As surveys reveal the prevalence of musculoskeletal pain among surgeons, it is important to have an appreciation and understanding of surgical ergonomics to protect against long-term […]

Should We Stick With Surgical Glues? The Incidence of Dermatitis after 2-Octyl Cyanoacrylate Exposure in 102 Consecutive Breast Cases

Lauren C. Nigro, M.D.; Jamie Parkerson, B.F.A., M.S.; Julia Nunley, M.D.; Nadia Blanchet, M.D. Plastic and Reconstructive Surgery 2020;145(1):32-37 Summary: Skin adhesives have become standard in wound closure as alternatives to traditional sutures or as sterile occlusive dressings after surgery of all types. The literature is replete with case reports of contact dermatitis following exposure to cyanoacrylate-based […]

Accurate Nipple Areolar Positioning in Nipple-sparing Mastectomy Reconstruction

Mayer, Alexander P. MD; Goodreau, Adam M. MD; Blanchet, Nadia P. MD Plastic and Reconstructive Surgery – Global Open: January 2019 – Volume 7 – Issue 1 – p e2064 Summary: Nipple-sparing mastectomy continues to grow in popularity as oncologic indications for preserving the nipple areolar complex have become less stringent and more patients with genetic predispositions […]

Burn in an Irradiated Prepectoral Breast Reconstruction: A Cautionary Tale

Nigro, Lauren C. MD; Feldman, Michael J. MD; Blanchet, Nadia P. MD Plastic and Reconstructive Surgery – Global Open: August 2018 – Volume 6 – Issue 8 – p e1874 Summary: Burns to breast reconstructions, both autologous and implant-based, are well described in the plastic surgery literature. The mechanism has often been contact; however, burns secondary […]

BFACE: A Framework for Evaluating Breast Aesthetics

Maryann E. Martinovic, M.D. Nadia P. Blanchet, M.D Plastic Reconstructive Surgery 140: 287e, 2017 Summary: Although much has been written about breast aesthetics, the literature lacks a simple yet systematic and comprehensive approach for pre-operative breast assessment. With use of the mnemonic BFACE, the breast surgeon will analyze the bony skeleton and the breast footprint, […]

Reelevating the Mastectomy Flap: A Safe Technique for Improving Nipple-Areolar Complex Malposition after Nipple-Sparing Mastectomy

Shuhao Zhang, MD; Nadia P. Blanchet, MD Plastic Reconstructive Surgery Global Open 2017;5:e1426; Summary: Nipple-areolar complex (NAC) malposition is one of the most common complications following nipple-sparing mastectomy with implant-based reconstruction. To maximize perfusion to the NAC, traditional methods of correcting NAC malposition limit undermining below the NAC. We demonstrate a series of cases in […]

Animation Deformity in Postmastectomy Implant-Based Reconstruction

Lauren C. Nigro, MD; Nadia P. Blanchet, MD Plastic Reconstr Surgery Global Open 2017;5:e1407; Animation deformity (AD), including its prevalence and effect on patients, has been studied in the context of subpectoral augmentation mammaplasty.1 However, to our knowledge, only 1 other study has defined the prevalence and effect of AD in the subpectoral implant-based breast […]