Tim Neavin | University of Pittsburgh Medical Center (original) (raw)

Papers by Tim Neavin

Massive weight loss patients suffer severe arm deformity, extending through the axilla and onto t... more Massive weight loss patients suffer severe arm deformity, extending through the axilla and onto the chest. We found current operations inad- equate, often with conspicuous scars. The L bra- chioplasty was evolved to treat the entire de- formity through the excision of two right angle unequal ellipses, leaving natural contours and an unobtrusive L-shaped scar. The upper body de- formity consists of loose upper arm skin, over- sized axilla, descent of the posterior axillary fold, flattening and elongation of the anterior axillary fold, and lateral chest rolls of skin. By tissue gath- ering and pinching, a hemi-ellipse is drawn over the lower half of the inner arm, sweeping up to the deltopectoral groove. Then a shorter ellipse is extended through the axilla onto the chest. These ellipses are connected by an inverted V-re- section through the axilla. After skin resection the wound margins are closed with a triangular flap advancement of the posterior axillary fold. The result is a prop...

Brain research, Jan 29, 2001

This study examined the effect of pramipexole (PPX), a selective dopamine (DA) D(3)/D(2) agonist,... more This study examined the effect of pramipexole (PPX), a selective dopamine (DA) D(3)/D(2) agonist, on 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP)-induced damage to the nigrostriatal dopamine system in young (8-week-old) and aged (12-month-old) mice. Co-administration of PPX and MPTP to young or aged mice, followed by 2 or 14 days of additional PPX treatment, significantly attenuated MPTP-induced striatal DA loss. Pramipexole treatment also significantly attenuated the loss of tyrosine hydroxylase immunoreactive neurons (TH-IR) within the substantia nigra pars compacta (SNc) in both young and aged animals. Effects of PPX administration on dopaminergic cell survival were confirmed in Nissl-stained sections and by quantitation of retrogradely labeled Fluorogold-positive SNc neurons. Protective effects of PPX on striatal DA levels and SNc DA neuron survival were similar in young and aged animals, although the magnitude of these effects was significantly less in aged animals. Thes...

Aesthetic Surgery Journal, 2006

Background: The positive effects of aesthetic plastic surgery with respect to body image and self... more Background: The positive effects of aesthetic plastic surgery with respect to body image and self-esteem have been reported in the literature. However, the possible effects of aesthetic surgery on the sexual practices and characteristics of patients have been largely unexplored. Objective: This paper seeks to examine the degree to which a major aesthetic procedure affects the patient's postoperative psychosexual life. Methods: An anonymous questionnaire regarding preoperative versus postoperative psychosexual health and sexual behaviors was mailed to 330 male and female patients who had undergone a major aesthetic procedure by the senior author (G.M.S). Major procedures were defined as breast augmentation and/or mastopexy; facial aesthetic surgery, including face lift, brow lift, and rhinoplasty; and body contouring procedures, including abdominoplasty with or without lipoplasty, or lipoplasty alone. Results: Of the 330 surveys mailed out, 54 were returned as undeliverable. Seventy completed surveys were returned. All the respondents were women, with a mean age of 38 years. More than 95% of respondents reported improvements in body image. Eighty percent of breast augmentation respondents and 50% of body surgery respondents declared improvements in sexual satisfaction. Fifty percent of breast and 60% of body respondents had changed to more provocative attire. Approximately 70% of the breast and body group testified that their partner's sex life had been enhanced. More than 30% of breast patients and 50% of body patients reported an enhanced ability to achieve orgasm. When body and breast respondents were compared with face surgery respondents, statistical significance (P < .01) was found among most psychosexual variables investigated. Conclusions: The results of this study affirm that cosmetic surgery patients overwhelmingly tend to feel better about their body after surgery. The sex lives of both patients and their sexual partners can be strikingly enhanced after elective cosmetic surgery, particularly if the surgery is focused on the breasts, abdomen, and thighs.

Clinics in plastic surgery, 2008

Following massive weight loss, patients evolve severe arm deformity, extending through the axilla... more Following massive weight loss, patients evolve severe arm deformity, extending through the axilla and on to the chest. The L brachioplasty was developed to treat the entire deformity through the excision of two unequal ellipses at right angles in the form of an "L." More than 50 patients have been treated since 2002 with esthetic reshaping of the upper arm, leaving inconspicuous scars and only minor complications. There have been eight scar revisions, including two Z-plasties for contracture. The rationale and results compare favorably with contemporary techniques. L brachioplasty is our procedure of choice for the patient who has had massive weight loss, and it can be applied selectively to the aging arm.

Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen, 2007

Massive weight loss patients suffer severe arm deformity, extending through the axilla and onto t... more Massive weight loss patients suffer severe arm deformity, extending through the axilla and onto the chest. We found current operations inadequate, often with conspicuous scars. The L-brachioplasty was evolved to treat the entire deformity through the excision of two right angle unequal ellipses, leaving natural contours and an unobtrusive L-shaped scar. The upper body deformity consists of loose upper arm skin, oversized axilla, descent of the posterior axillary fold, flattening and elongation of the anterior axillary fold, and lateral chest rolls of skin. By tissue gathering and pinching, a hemi-ellipse is drawn over the lower half of the inner arm, sweeping up to the deltopectoral groove. Then a shorter ellipse is extended through the axilla onto the chest. These ellipses are connected by an inverted V-resection through the axilla. After skin resection the wound margins are closed with a triangular flap advancement of the posterior axillary fold. The result is a properly contoured...

Clinics in plastic surgery, 2008

Brain research, Jan 29, 2001

Aesthetic Surgery Journal, 2006

Clinics in plastic surgery, 2008

Massive weight loss patients suffer severe arm deformity, extending through the axilla and onto t... more Massive weight loss patients suffer severe arm deformity, extending through the axilla and onto the chest. We found current operations inadequate, often with conspicuous scars. The L-brachioplasty was evolved to treat the entire deformity through the excision of two right angle unequal ellipses, leaving natural contours and an unobtrusive L-shaped scar. The upper body deformity consists of loose upper arm skin, oversized axilla, descent of the posterior axillary fold, flattening and elongation of the anterior axillary fold, and lateral chest rolls of skin. By tissue gathering and pinching, a hemi-ellipse is drawn over the lower half of the inner arm, sweeping up to the deltopectoral groove. Then a shorter ellipse is extended through the axilla onto the chest. These ellipses are connected by an inverted V-resection through the axilla. After skin resection the wound margins are closed with a triangular flap advancement of the posterior axillary fold. The result is a properly contoured...

Clinics in plastic surgery, 2008