HighlightsWhile parathyroid adenomas account for approximately 80% of PHPT cases, they rarely present as giant parathyroid adenomas.Preoperative workup diagnosed the patient with PHPT and helped in accurate localization of the hyperactive parathyroid gland.Despite the size of the adenoma, it was successfully removed through minimal invasive parathyroidectomy, through a 2 cm incision.Post-surgical recovery was uneventful with normalization of parathormone levels and the patient relieved of her symptoms.
Acellular dermal matrices (ADMs) have ushered in a paradigm shift in prosthetic breast reconstruction; however, there has hitherto been no reported use of Braxon® ADM in aesthetic breast surgery. Here, we describe the case of a 42-year-old woman who presented for revision of her bilateral aesthetic augmentation-mastopexy following multiple revision surgeries. The predominant concerns were persistent pain, implant malposition and a wide intermammary distance. Her predicament was worsened by inability to tolerate monopolar diathermy owing to a spinal stimulator—the least invasive operation was sought and Braxon® ADM met this criterion. The procedure was a success, and she remains symptom-free, with soft breasts and stable implant positions. Braxon® ADM, with its preformed shape, total implant-wrapping design and easy suture fixation, lends itself to easy use in cosmetic breast surgery. Its role in cosmetic breast surgery has yet to be established, but this case marks the beginning of this endeavor.
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