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A Modified Incision Closure for Breast Augmentation: Remote-Knot Technique

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Abstract

Closure techniques for breast augmentation incisions can affect wound healing with significant consequences if the incision does not heal properly. Suturing methods and materials include absorbable and nonabsorbable sutures and interrupted and continuous techniques. These choices can affect wound healing, wound strength, and wound integrity, and postoperative care. The goal of long-term incision support during wound healing, eliminating a suture knot within the incision, and decreased risk of compromise of wound healing are desired. A closure method called the “remote-knot” technique, which can be applied to other incision types, has been developed.

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References

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    Jankauskas S, Cohen IK, Grabb WC et al (1991) Basic technique of plastic surgery. In: Smith J, Aston S (eds) Grabb and Smith’s plastic surgery. Little, Brown, Boston, pp 13–20

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    Peacock EE Jr, Peacock EE Jr et al (1984) Wound healing and wound care. In: Schwartz S, Shires G, Spencer F, Storer E (eds) Principles of surgery. McGraw-Hill, New York, pp 300–301

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    Wiener TC (2008) Relationship of incision choice to capsular contracture. Aesthetic Plast Surg 32:303–306

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Author information

Correspondence to Thomas C. Wiener.

Electronic supplementary material

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MOESM1 [Remote-knot technique. Video showing the Remote-knot suturingtechnique] (MPEG 11174 kb)

Video 1

MOESM1 [Remote-knot technique. Video showing the Remote-knot suturingtechnique] (MPEG 11174 kb)

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Wiener, T.C. A Modified Incision Closure for Breast Augmentation: Remote-Knot Technique. Aesth Plast Surg 33, 110–112 (2009) doi:10.1007/s00266-008-9255-2

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Keywords

  • Remote knot
  • Suture technique
  • Incision healing
  • Breast augmentation
  • Incision breakdown
  • Wound tensile strength