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Rosen et al.                                                                                                                                                      Barbed vs. smooth suture for periareolar closure

           suture for circumareolar closure was found to be effective   2007;119:804-9.
           in limiting post op areolar widening and was without   6.   Franco J, Kelly E, Kelly M. Periareolar augmentation mastopexy with
           complications. We present our data as a comparative    interlocking Gore-Tex suture, retrospective review of 50 consecutive
           photometric and clinical analysis for surgeons considering   7.   patients. Arch Plast Surg 2014;41:728-33.
                                                                  Rosen  AD. Periareolar closure with barbed sutures.  Aesthet Surg J
           making  the “leap of  faith” and performing periareolar   2016;36:372-5.
           closure with absorbable barbed suture alone.       8.   Ruff G. Technique and uses for absorbable barbed sutures. Aesthet Surg J
                                                                  2006;26:620-8.
           The tension reducing benefits of the interlocking purse-  9.   Paul MD, Budd M. Evaluating the Quill self-retaining system. Available
           string technique combined with absorbable barbed suture   from:  http://www.plasticsurgerypractice.com/2009/03/evaluating-
           technology yields predictable areolar size outcomes and   the-quill-self-retaining-system/. [Published on 24 March 2009; Last
                                                                  Accessed on 08 September 2016].
           minimizes suture related complications in mastopexy.   10.  Rosen AD. Use of absorbable running barbed suture and progressive
           As plastic surgeons continue to evolve and explore     tension technique in abdominoplasty: a novel approach. Plast Reconstr
           new suture technologies and techniques, this study will   Surg 2010;125:1024-7.
           support the safety and efficacy of doing so exclusively   11.  Rosen  A, Hartman  T. Repair of the midline fascial defect in
           with absorbable barbed suture.                         abdominoplasty with long-acting barbed and smooth absorbable sutures.
                                                                  Aesthet Surg J 2011;31:668-73.
           Financial support and sponsorship                  12.  Swanson E.  A retrospective  photometric  study of 82 published
           None.                                                  reports of mastopexy  and breast reduction.  Plast  Reconstr Surg
                                                                  2011;128:1282-301.
           Conflicts of interest                              13.  Quill™ self-retaining system (SRS) comprised of Monoderm™ (PGA-
                                                                  PCL) synthetic absorbable surgical suture material. Instructions for use.
           There are no conflicts of interest.                    Angiotech, Reading, PA.
                                                              14.  Quill™ self-retaining system (SRS) comprised of dyed PDO
           Patient consent                                        (polydioxanone) synthetic absorbable surgical suture material.
           Not applicable.                                        Instructions for use. Angiotech, Reading, PA.
                                                              15.  Van Breukelen GJ.  ANOVA versus change from baseline had more
           Ethics approval                                        power in randomized studies and more bias in nonrandomized studies. J
           Not applicable.                                        Clin Epidemiol 2006;59:920-5.
                                                              16.  Shiffman MA. Mastopexy complications. In: Shiffman MA, Di Giuseppe
                                                                  A, editors. Body Contouring. Berlin: Springer; 2010. p.145-7.
           REFERENCES                                         17.  Hidalgo  DA,  Spector  JA.  Mastopexy.  Plast  Reconstr  Surg
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               Report. Available from: www.plasticsurgery.org. [Last Accessed on 24   Mastopexy revisited: a review of 150 consecutive cases for complication
               June 2014].                                        and revision rates. Aesthet Surg J 2007;27:150-4.
           2.   Benelli L. A new periareolar mammoplasty: the “round block” technique.   19.  Stevens WG, Spring M, Stoker DA, Freeman ME, Cohen R, Quardt
               Aesthet Plast Surg 1990;14:93-100.                 SM, Hirsch EM. A review of 100 consecutive secondary augmentation/
           3.   Lejour M. Vertical mammoplasty and liposuction of the breast. Plast   mastopexies. Aesthet Surg J 2007;27:485-92.
               Reconstr Surg 1994;94:100-14.                  20.  Spear SL. Augmentation/mastopexy: “surgeon, beware”. Plast Reconstr
           4.   Hall-Findlay  EJ.  A  simplified  vertical  reduction  mammoplasty:   Surg 2006;118:S133-4.
               shortening of the learning curve. Plast Reconstr Surg 1999;104:748-59.  21.  Spear SL, Boehmler JH 4th, Clemens MW. Augmentation/mastopexy:
           5.   Hammond DC, Khuthaila  DK, Kim J.  The interlocking Gore-Tex   a 3-year review of a single surgeon’s practice.  Plast Reconstr Surg
               suture for control of areolar diameter and shape. Plast Reconstr Surg   2006;118:S136-47.
























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