Acellular Dermal Matrices for Breast Implant Reconstruction after Mastectomy The use of a tissue expander or a breast implant in post mastectomy breast reconstruction can be a daunting task. Most reconstructive surgeons prefer the use of autologous tissue. Despite the fact that implant based reconstruction may appear to be technically […]
Read MoreThe use of acellular dermal matrices in breast reconstruction is becoming more popular in part due to the better cosmetic and psychological outcomes associated with their use.8,9 Their benefits in primary prosthetic breast reconstruction which include a lower incidence of capsular contracture, improved implant coverage and support and better management of […]
Read MoreThe Lateral Paramedian: Revisiting a Forgotten Incision Introduction The objective of this review article is to revisit the lateral paramedian incision and examine its strengths and weaknesses as a portal of entry into the peritoneal cavity, and why it has, over the last 20 years, become so infrequently performed. The […]
Read MoreComplications of Breast Augmentation Complications of breast augmention surgery include hematoma, seroma, wound infection, and permanent alterations in nipple sensation. (In Dr. Hughes’s extensive experience, these represent less than 1% of cases). Implant complications include displacement, rippling, and rupture. Hematoma development after breast augmentation has both short-term effects (pain, disfigurement, […]
Read MoreCapsular Contracture in Breast Augmentation Capsular contracture results from an exaggerated scar response to a foreign prosthetic material. The amount of capsular contracture can be graded according to severity Grade I No palpable capsule The augmented breast feels as soft as a natural one. Grade II Minimal firmness The breast […]
Read MoreIncisions and Approaches to Breast Augmentation: Transaxillary and Transumbilical Transaxillary Breast Augmentation (implant through the armpit) The transaxillary approach involves making an incision in the armpit. The pocket for the implant can be dissected blindly and bluntly with special instruments. It can also be dissected with an endoscope and electrocautery […]
Read MoreDetermining Implant Size and Incisions in Breast Augmentation: Inframammary and Infraareolar Determining the Right Size Implant for the Patient The most important clinical factor in determining breast implant size is the base width or diameter of the patient’s native breast. If the patient would like more volume to obtain a […]
Read MoreDesmoids of the Shoulder and Bilateral Breasts in the absence of FAP or Gardner’s Syndrome: A Case Report and Review of the Literature Abstract Desmoid tumors constitute 0.02% to 0.03% of all tumors. Consequently, few case reports exist for breast desmoids, even fewer identifying bilateral disease. We present a case […]
Read MoreBreast Augmentation and particularly revision breast augmentation requires extremely specialized knowledge in the role of dermal matrices. Dr. Hughes was a leading author in a recent peer-reviewed article along with colleagues including other professors at Harvard Medical School. At Hughes Plastic Surgery in Los Angeles and Beverly Hills, Dr. Kenneth Hughes, MD has […]
Read MoreExamining the Utility of Performing Sentinel Node Biopsies for T1 melanomas with Breslow depths between 0.75 and 1.0 mm: A Review of a 20 Year Experience Kenneth B. Hughes, MD Aesthetic Surgery Fellow Division of Plastic and Reconstructive Surgery BethIsrael Deaconess Medical Center HarvardMedical School William Jewell, MD Professor of […]
Read MoreDr. Kenneth Hughes offers in-person and virtual consultations. During your consultation, Dr. Hughes will discuss your needs and provide recommendations on procedures that will work best for you to achieve your goals. Dr. Hughes will also respond to your emails or after-hour calls post surgery.
