Single Center and Surgeon's Long-Term (15-19 Years) Patient Satisfaction and Revision Rate of Round Textured Eurosilicone Breast Implants

BACKGROUND: Breast augmentation is one of the most commonly performed aesthetic plastic surgical procedures, with over 250 thousand procedures in the United States in 2020 alone. However, the safety of breast implants should be closely researched and monitored, especially on the long-term. OBJECTIVES: This study was undertaken to evaluate the long-term results of round micro-textured Eurosilicone (Eurosilicone S.A.S, Apt Cedex, France) Cristalline Paragel breast implants from a single centre, single surgeon experience, regarding both patient-reported outcome measures as well as revisions. METHODS: A retrospective cohort study was undertaken of 84 patients who underwent primary breast augmentation with round micro-textured Eurosilicone Cristalline Paragel breast implants, either submuscular (dual-plane) or subglandular placed, in the period between 2001 and 2004. All patients were contacted for informed consent and after approval, the validated BREAST-Q questionnaire was sent and used to analyze patient satisfaction. In addition, objective data regarding revisions, including capsular contracture, rupture rate, pain and/or aesthetic causes needing revision surgery, were analyzed. RESULTS: High BREAST-Q scores (67-100% for 0-100 scale variables and 66.0-77.3% of the patients scored "very satisfied" on categorical variables) were found without clinically significant differences between patients with dual-plane placed implants and subglandular placed implants. The overall revision rate was 29.8%, also with no significant differences between both groups (p=0.317). CONCLUSIONS: This study showed high patient satisfaction and relatively low revision rates after 15-19 years follow-up of round micro-textured Eurosilicone Cristalline Paragel breast implants. No clinically relevant significant differences were found between dual-plane and subglandular placement of the implants

An overview of surgical techniques and non-surgical treatments in lifting the eyebrow including current treatments available

The eyebrow is a complex structure of the human face, which has both functional (communication) and aesthetic aspects and contributes to a persons' individual appearance. Ptosis of the eyebrow is a common condition, especially among the elderly and smokers. Facial appearance is disrupted by eyebrow ptosis, and in many cases, correction and treatment are needed. No specific type of browlift has been shown to be superior to another, and since there is a wide variation in treatment preference between patients, it requires an individual approach to each specific patient. This review provides an overview of the history of the browlift, non-surgical treatment and current surgical techniques available. Level of evidence: Not ratable

Enhancing Participation in Disadvantaged Urban Neighbourhoods

Participation in neighbourhoods is a highly valued phenomenon. Participation is the basis of a shared social life, but it also makes everyday life, and the lived experience of people participating in it, political. From a public administration perspective, governance and formal policy-making are increasingly reaching out to citizens, instead of drawing solely on representative mechanisms of local government. This paper investigates how practitioners working in disadvantaged neighbourhoods in Dutch cities enhance participation. Using empirical data from research in disadvantaged neighbourhoods in The Netherlands, the paper shows that these practitioners either start projects that connect people in their own life world or connect policy-makers and policy to initiatives on the ground. As a result, they create the opportunity for many to develop their citizenship and become a more active participant in their local communities