D. Ralph Millard, Jr.: Strong, Stronger, Strongest

MILLARD, RALPH D.

doi:10.1097/00006534-199608000-00042

Cited by 3 publications

(4 citation statements)

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“…The modern aesthetic surgeon utilizes careful preoperative planning and visualization to create the finished product. Millard even argues that after all measurements are complete, the trained human eye is the ultimate test of an aesthetic result 4 …”

Section: Aesthetic Plastic Surgeons: Where Artistry Enhances Practicementioning

confidence: 99%

The Value of Drawing Practice in Plastic Surgery Training

Xing,

James,

Nemani

et al. 2024

Ann Plast Surg

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No specialty has such close relationship with art as plastic surgery among medicine. Both are intensely creative processes that combine technology with utmost dexterity and now are undervalued in the medical education. Art is a reservoir that provides a surgeon with creativity and improved dexterity. It is beneficial for the surgeons to practice drawing, for it can bring passion and inspiration, enhance observation and imagination, improve dexterity and accuracy, and help keep a good relation with patients. In some way, plastic surgery is art and plastic surgeon is artist.

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Section: Aesthetic Plastic Surgeons: Where Artistry Enhances Practicementioning

confidence: 99%

The Value of Drawing Practice in Plastic Surgery Training

Xing,

James,

Nemani

et al. 2024

Ann Plast Surg

View full text Add to dashboard Cite

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“…Applying the old, but still valid Gillie's plastic surgical principle of replacing lost tissue by similar tissue whenever possible, 17 abdominal skin and fat tissue constitute an ideal donor site to achieve the reconstructive goal of a breast with natural appearance and texture. 18 This is supported by a study of Calvo-Gallego et al 19 comparing the viscoelastic properties of breast and abdominal adipose tissue specimens.…”

mentioning

confidence: 99%

The Role of Density in Achieving Volume and Weight Symmetry in Breast Reconstruction

Mayr-Riedler,

Topka,

Schneider

et al. 2024

J Reconstr Microsurg

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Background: Knowledge of tissue and implant density is crucial in obtaining both volume and weight symmetry in unilateral breast reconstruction. Therefore, the aim of this study was to determine and compare the density of abdominal and breast tissue specimens as well as of 5th generation breast implants. Methods: 31 breast tissue- and 30 abdominal tissue specimens from 61 patients undergoing either mammaplasty or abdominoplasty as well as five different 5th generation breast implants were examined. Density (g/ml) was calculated by applying the water displacement method. Results: The mean specimen density was 0.942 ± 0.022 g/ml for breast tissue and 0.935 ± 0.021 g/ml for abdominal tissue, showing no significant difference (p = 0.230). Breast tissue density significantly (p= 0.04) decreased with age, while abdominal tissue did not. A regression equation to calculate the density of breast tissue corrected for age [breast density (g/ml) = 0.975 - 0.0007 * age] is provided. Breast tissue density was not related to BMI, past pregnancy or a history of breastfeeding. The breast implants had a density ranging from 0.755 g/ml to 1.031 g/m which differed significantly from breast tissue density (-0.186 g/ml (-19.8%) to +0.090 g/ml (+9.58%); p= <0.001) Conclusion: Our results support the suitability of abdominal based perforator flaps in achieving both volume and weight symmetry in unilateral autologous breast reconstruction. Abdominal flap volume can be derived one-to-one from mastectomy weight. Further, given significant brand-dependent density differences, the potential to impose weight disbalances when performing unilateral implant-based reconstructions of large breasts should be considered.

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“…Frenchman Ambroise Paré was, to our knowledge, the first to define a set of reconstructive surgical principles, outlining five central tenets in 1564. 1 Building on these, Millard reported on his mentor Sir Harold Gillies' "ten commandments of plastic surgery" in 1950, 2 codifying a set of principles encompassing practical, technical, and ethical axioms to guide the reconstructive efforts of plastic surgeons (Table 1). Millard later expanded on these commandments to define 33 fundamental principles of plastic surgery in his report Principlization of Plastic Surgery, categorizing each as either a preoperational, executional, innovational, contributional, or inspirational principle.…”

mentioning

confidence: 99%

“…Millard later expanded on these commandments to define 33 fundamental principles of plastic surgery in his report Principlization of Plastic Surgery, categorizing each as either a preoperational, executional, innovational, contributional, or inspirational principle. 1,3 As with any principles, Gillies' ten commandments merit a revisit. Most ring true today, each contributing to a cohesive narrative: plan ahead, but remain flexible; focus on the task at hand, but always be thinking about what's down the road; restore normal anatomy, while respecting that you will often create abnormal anatomy in the process.…”

mentioning

confidence: 99%