Drains in Prepectoral Breast Reconstruction: Show Me the Evidence
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Use of Single Drain the Way Forward in Implant-Based Breast Reconstruction
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Merkel Cell Carcinoma of the Wrist: A Case Report
Conclusions Merkel cell carcinomas are rare but aggressive neuroendocrine skin cancers, which rarely occur in the upper extremity. Our treatment of nonamputative wide excision and sentinel lymph node dissection, followed by postoperative radiation therapy, showed no local or distant recurrence. Here, we review the current literature on Merkel cell carcinomas and describe our approach of treatment. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

A Modification of an Established Method of Intercalary Extremity Bone Defect Reconstruction: The “Hemi-Capanna” Technique
Conclusion The hemi-Capanna technique not only leaves more room for hypertrophy of the vascularized fibula, but also simplifies the technique of combining an allograft with vascularized bone transfer in reconstructions of segmental skeletal defects of the appendicular skeleton. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Three-dimensional Analysis of How Radiation Affects Deep Inferior Epigastric Perforator (DIEP) Flap Volume, Projection, and Position in Breast Cancer Reconstruction
Background The deep inferior epigastric perforator (DIEP) flap has gained popularity for autologous free flap breast reconstruction. Historically, patients receiving post mastectomy radiation therapy (PMRT) were not candidates for immediate autologous reconstruction due to concerns for flap volume depletion, fat necrosis, and flap failure. However, this literature is anecdotal and lacks case controls. We objectively analyzed the effects radiation imparts on immediate DIEP flap reconstruction using 3-dimensional software and inherent controls. Methods We performed a cohort study on breast cancer patients who underwent ...
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

The Effect of Postmastectomy Radiation Therapy on Breast Implants: Material Analysis on Silicone and Polyurethane Prosthesis
Conclusions Polyurethane implants seem to be more resistant to radiotherapy damage, whereas silicone prosthesis showed more structural, mechanical, and chemical modifications. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Breast Reconstruction Among Commercially Insured Women With Breast Cancer in the United States
Conclusions In this commercial payor setting, most women undergoing mastectomy had breast reconstruction. Among women undergoing immediate reconstruction, tissue expander use was common. Several factors were shown to be associated with the decision to have breast reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

An Evaluation of Reporting Guidelines and Clinical Trial Registry Requirements Among Plastic Surgery Journals
Conclusion and Relevance Our study found that few plastic surgery journals mention reporting guidelines or trial registration in their instructions for authors. Our study also found that journal policies regarding guideline adherence and trial registration seem to be effective mechanisms toward improvement, and plastic surgery journals should consider adopting such policies. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Gastrocnemius Myocutaneous Flaps for Knee Joint Coverage
Conclusions In addition to its reliability and very easy harvesting, the gastrocnemius MCF allows a robust joint coverage and good skin resurfacing that makes eventual revision easier and allows early radiotherapy. Furthermore, skin paddle also increases the effective area of the flap. This technique should always be considered with the other classic alternatives. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Relational Anatomy of the Mimetic Muscles and Its Implications on Free Functional Muscle Inset in Facial Reanimation
Conclusions The mimetic muscle vector is quite vertical in comparison to the angle obtained by traditional dynamic smile reconstruction surgeries. A more vertical vector, especially at the upper lip, should be considered in smile reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Comparing Processed Nerve Allografts and Assessing Their Capacity to Retain and Release Nerve Growth Factor
In this study, we explore 3 common methods for producing acellular allografts. Extracellular matrix content remaining after processing was investigated and was found to be highly dependent on the decellularization method. In addition, scanning electron micrographs were obtained to evaluate the structural effects of the decellularization methods. Though the content and structure of these processed allografts will contribute to their effectiveness as nerve gap repair candidates, we demonstrate that it also affects their capacity to be supplemented/preloaded with the prototypical neurotrophin, nerve growth factor (NGF), essen...
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Free-style Capillary Perforator–Based Island Flaps for Reconstruction of Skin Cancer Defects of the Face, Body, and Extremities
Conclusions Freestyle c-PBIF might represent a further method for local reconstruction of skin cancer defects of the face, body, and extremities, allowing a high tissue efficiency, reduced scarring, and expeditious reconstruction with pleasant outcomes. Further research is needed in order to explore the maximal perforasome potential of capillary perforators. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Pectoralis Major Musculocutaneous Flap With a Midline Sternal Skin Paddle for Head and Neck Reconstruction: A New Design
Conclusions With the advancement of free-flap techniques, the classic flaps have become less popular. Our new design supplements the PMMC flap by providing a thin pliable flap with a long pedicle and rotation arc, allowing a combination of different types of flaps to cover composite head and neck defects, especially in cases that lack a reliable recipient vessel due to radiation. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Three-dimensional Photogrammetric Analysis of Facial Soft-to-Hard Tissue Ratios After Bimaxillary Surgery in Facial Asymmetry Patients With and Without Sturge-Weber Syndrome
Sturge-Weber syndrome (SWS) is a rare neurocutaneous syndrome characterized by facial port-wine stains. Most patients with facial asymmetry due to SWS have soft and/or hard tissue hypertrophy and require both soft tissue correction and bone surgery. In our experience, because SWS patients are more likely than non-SWS patients to be dissatisfied after bone surgery because of limited soft tissue change, we compared soft tissue changes after bimaxillary surgery between facial asymmetry patients with and without SWS. All patients—5 with SWS and 5 without SWS—underwent bimaxillary surgery by a single surgeon. Soft-...
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Suture and Splint Compared With K-Wire Fixation for Open Zone 1 Extensor Tendon Injuries
Extensor tendon injuries are classified as per the zone of injury. Zone 1 injuries disrupt the lateral bands with resultant inability to extend the distal interphalangeal joint. Open Zone 1 injuries have many well-described treatment options. To date, none of these have been compared directly. Our aim was to compare the benefit of additional Kirschner-wire fixation with suture repair and splinting of open Zone 1 extensor tendon injuries. We performed a retrospective cohort analysis comparing 2 different surgical procedures, “Suture and Splint” versus “Suture, Splint, and Kirschner wire.” The 2 outco...
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Efficacy of Autologous Platelet Concentrates as Adjuvant Therapy to Surgical Excision in the Treatment of Keloid Scars Refractory to Conventional Treatments: A Pilot Prospective Study
Background After conventional treatments, keloid scars show varying degrees of recurrence. The aim of this study was to assess the efficacy and safety of platelet-rich plasma in the treatment of postoperative keloid scars refractory to conventional treatments. Methods This pilot prospective study was conducted in 17 patients with keloid scars who did not respond to 4 injections of cortisone or radiotherapy after extralesional resection of keloid. Platelet-rich plasma was injected intraoperatively and then 3 times with a 1-month interval. The primary end point was the complete remission of keloid scars 2 years posttrea...
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Calcimycin Suppresses S100A4 Expression and Inhibits the Stimulatory Effect of Transforming Growth Factor β1 on Keloid Fibroblasts
Recent researches have indicated that S100A4 participates in tissue fibrosis, whereas calcimycin inhibits this process as a novel S100A4 transcription inhibitor. However, the relationship and mechanisms between calcimycin and S100A4 in keloid fibroblasts (KFs) remain unknown. The present research was aimed to evaluate the effect of calcimycin on S100A4 expression and pathogenesis in KFs. Keloid fibroblasts were cultured and exposed to different concentrations of calcimycin in the absence or presence of transforming growth factor β1 (TGF-β1). The results showed that the expression of S100A4 was significantly incre...
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Evaluating the Impact of Resident Participation and the July Effect on Outcomes in Autologous Breast Reconstruction
Conclusions Our study reveals that resident involvement in autologous breast reconstruction is not associated with increased morbidity and offers no evidence for a July effect. Notably, our results suggest that resident cases performed earlier in the academic year, when surgical attendings may offer more surveillance and oversight, is associated with decreased morbidity. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Use of a Vertical Muscle-Sparing Latissimus Dorsi Flap in Implant-Based Breast Reconstruction Without Position Change
Conclusions Vertical ms-LD flaps can be harvested and utilized in direct-to-implant reconstructions when a skin paddle (or banking) is required, or when acellular dermal matrix use is precluded, or when additional soft tissue coverage is mandatory in high-risk patients not requiring intraoperative position changes. This technique can shorten the operation time and may reduce donor-site morbidity and associated complications. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Neoumbilicoplasty With a Pedicled Deep Inferior Epigastric Perforator Island Flap
Management of the umbilicus is a common dilemma at the time of abdominoplasty and abdominal wall reconstruction. It is not uncommon for underlying pathologies, such as hernias and surgical scars, to result in a disfigured or obliterated native umbilicus or make the blood supply to the umbilical stalk unreliable. In these scenarios, the umbilicus is often sacrificed. Staged neoumbilical reconstruction may be offered and typically utilizes a small skin flap and full-thickness skin graft (Ann Plast Surg 2009;63:358–360). Our technique, in contrast, permits reconstruction of the neoumbilicus in the immediate setting util...
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Severe Delayed Hemorrhage After Cosmetic Rhinoplasty in the Setting of Maxillary Vascular Malformation
Late epistaxis after rhinoplasty is a rare but potentially life-threatening occurrence. This case report concerns a 20-year-old woman who had severe epistaxis 5 and 10 days after a closed rhinoplasty with internal osteotomies and who ultimately required transcatheter arterial embolization for definitive control of the hemorrhagic source. Arterial hypervascularity, with signs of arteriovenous malformation, of the midface at the level of the piriform aperture and maxilla was seen on angiography. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Availability and Safety of Osteotomy in Esthetic Rhinoplasty of East Asian Patients
Objective East Asians usually have short and flat noses and broad nasal bones. Therefore, rhinoplasty with dorsal augmentation and nasal osteotomy is often required. However, many surgeons are wary of performing nasal osteotomy in conjunction with augmentation with silicone. The authors sought to evaluate the availability and safety of osteotomy in esthetic rhinoplasty of East Asian patients. Methods In a clinical study, a retrospective chart review was performed for 227 patients who had undergone nasal osteotomy (paramedian oblique osteotomy plus percutaneous lateral osteotomy) and dorsal augmentation with silicone. ...
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Book Review: Handbook of Otolaryngology
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

The International Fellowship Program in Microsurgery at Uppsala University Hospital: A Paragon Throughout Europe
Personal reports with valuable information on plastic surgery fellowships from all over the world are about to accumulate in recent years. Whereas some institutions have rightly become widely renowned for their excellent microsurgery fellow training in Taiwan, Canada, United States, and Australia, less is known about European fellowships focusing on reconstructive microsurgery. As former fellow at the Department of Plastic and Maxillofacial Surgery at Uppsala University Hospital, Sweden, the author hereby presents a survey on a unique and exemplary 6-month microsurgical fellowship offering hands-on training, academic educa...
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

Publication Rates and Author Characteristics From 3 Plastic Surgery Journals in 2006 and 2016
Conclusions A slight decrease in publication rates from plastic surgeons occurred in Annals of Plastic Surgery, Journal of Plastic, Reconstructive and Aesthetic Surgery, and Plastic and Reconstructive Surgery from 2006 to 2016. Publications rates and author characteristics in plastic surgery journals provide valuable insight on plastic surgeons' contribution to contemporary scientific literature. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Discussion: A Matter of a ConundrumEvaluating the Impact of Resident Participation and the July Effect on Outcomes in Autologous Breast Reconstruction
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 12, 2018 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Commentary Regarding “A Cyst Compressing the Ulnar Nerve Motor Branch. Ultrasonographic Diagnosis of a Tricking Neuropathy”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

A Cyst Compressing the Ulnar Nerve Motor Branch: Ultrasonographic Diagnosis of a Tricking Neuropathy
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

The Impact of Microbial Communities on Wound Healing: A Review
Chronic, nonhealing wounds place an enormous burden on both the health care system and patients, with no definitive treatments available. There has been increasing evidence that the microbial composition of wounds may play an important role in wound healing. Culture-independent methods for bacterial detection and analysis have revealed the wound microbiome to be much more diverse and complex than culture alone. Such methods primarily rely on targeted amplification and sequencing of various hypervariable regions of the bacterial 16S rRNA for phylogenetic analysis. To date, there have been several studies utilizing culture-i...
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Microvascular Replantation Following Facial Dog Bites in Children: Systematic Review and Management Algorithm
Conclusions Microvascular replantation following facial dog bite amputation injuries in the pediatric population is the ultimate step in the reconstructive ladder. Strong consideration should be given to microvascular exploration with involvement of large or whole segments of the lip, nose, or ear; however, parents should be counseled extensively regarding the known morbidity of replantation surgery. With meticulous surgical technique and careful postoperative care, replantation after facial dog bite amputation injuries may successfully achieve dramatic and lasting results for pediatric patients. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Improving Senescent Wound Healing With Local and Systemic Therapies
The population is aging, and the prevalence of chronic wounds is increasing. Because neovascularization is essential for tissue repair and both local and systemic factors affect new blood vessel formation, we hypothesize that altering either pathway would reciprocally enhance wound healing in the aged. To test this hypothesis, p53 was locally suppressed and endothelial progenitor cells (EPCs) were systemically mobilized in a murine model of senescent wound healing. Bilateral 6-mm full-thickness stented wounds were made on the dorsum of Zmpste24−/− mice. Animals received weekly topical p53 small interfering RNA...
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Computed Tomographic Angiography Used for Localization of the Cutaneous Perforators and Selection of Anterolateral Thigh Flap “Bail-Out” Branches
Conclusions A significant bail-out perforator routinely supplies the proximal anterolateral thigh and may be used as an alternative vascular pedicle for an anterolateral thigh flap if a tedious intramuscular course is encountered during elevation of a perforator identified within the conventional landmarks (3-cm radius circle at the midpoint of the anterior superior iliac spine and superolateral patella). (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Time to Procedure, Nuclear Imaging and Clinicopathological Characteristics as Predictive Factors for Sentinel Lymph Node Metastasis in Cutaneous Melanoma: A Single-Center Analysis
Objective Sentinel lymph node (SLN) biopsy is a widely accepted staging procedure for cutaneous melanoma patients who are at risk of clinically occult nodal metastases. Numerous predictive factors for regional lymph node metastases have been identified; however, few have been found to be reproducibly significant. Also, the role of blue dye in identification was questioned in recent trials. Time to procedure was also found to be predictive of SLN positivity, but this was not confirmed in other studies. In our study, predictive factors for metastatic involvement of SLN were analyzed, together with the role of addition blue...
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Research Source Type: research

Massive Localized Lymphedema: Analysis of Intraoperative Care
In conclusion, we recommend close communication between the surgery and anesthesia teams regarding the extent of the resection and potential for fluid resuscitation and transfusions. Preoperative laboratory tests are recommended, as well as type and cross-match prior to the operation to obtain a baseline for intraoperative and postoperative monitoring. Recommendations for intraoperative management include strict input and output monitoring and aggressive fluid resuscitation with appropriate arterial and venous access. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Prospective Analysis of the Greater Occipital Nerve Location in Patients Undergoing Occipital Nerve Decompression
Background Migraine surgery and onabotulinumtoxinA injections aim to deactivate neurovascular trigger points implicated in chronic headaches. The greater occipital nerve (GON) is a common trigger point. The depth of this nerve has not been previously described. The purpose of this study was to report the intraoperative location, including depth, of the GON in human subjects undergoing migraine surgery. Methods We reviewed records of patients who underwent GON decompression by a single surgeon. Intraoperative measurement of the GON location lateral to midline, inferior to the occipital protuberance, and deep to the ski...
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Skin Paddles Improve Muscle Flap Salvage Rates After Microvascular Compromise in Lower Extremity Reconstruction
Conclusions Muscle flaps with a cutaneous paddle were associated with earlier return to the operating room and more successful flap salvage after take-back compared with muscle-only flaps. These findings suggest that skin paddle presence may improve clinical flap monitoring and promote recognition and treatment of microvascular compromise in lower extremity reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Modified Design of Anterolateral Thigh Flap for Total Pharyngolaryngectomy Reconstruction: A Single-Center Experience
Conclusions Minimizing donor-site morbidity is an important goal in reconstructive surgery. Our modified ALT flap design is simple, enabling easy primary closure of the donor-site defect, with improved results for the patient and operators. Furthermore, this design is also suitable for ALT flaps with widths larger than 8 cm. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Functional Results of a Modified Extracorporeal Septoplasty With Open Access
Conclusions Based on the results obtained from our work, we can declare that open access is a functionally valid procedure. At 6 months after surgery, the 2 accesses have a comparable functional efficacy. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Clinical Outcomes of Explosion Injuries to the Hand
Conclusions Early reconstruction provides protective sensation and preserves some function after explosion injuries. Preoperative HISS correlates with the long-term functional outcome as measured by DASH scores. For this group of patients, postinjury AMA impairment ratings also correlate with functional outcomes for the upper extremity. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Postburn Neck Reconstruction With Preexpanded Upper Back Perforator Flaps: Free-Style Design and An Update of Treatment Strategies
Conclusion The free-style design has significantly increased the potential and versatility of the upper back flaps in reconstruction of severe neck scar contracture. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Reconstruction of Extensive Post–Electric Burn Scalp Defects With Exposed Bones: A Study of 12 Cases
In conclusion, the results obtained, in all the patients, were satisfactory without necessitating a bony reconstruction. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

A Risk-Stratified Comparison of High-Risk Findings in Reduction Mammoplasty
Background Reduction mammoplasty is indicated for symptomatic macromastia or breast asymmetry after contralateral cancer surgery. Previous studies compared the incidence of high-risk lesions in resection specimens between these 2 groups. However, no studies have compared incidental findings in breast reduction specimens based on relative risk of cancer. Our study stratifies lesions by relative risk of malignant progression and compares the frequency of these findings in bilateral versus unilateral reduction mammoplasties. Methods Charts were reviewed from 422 patients undergoing breast reductions by a single surgeon o...
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Aesthetic Unit Boundary Approach to Large Fibroadenoma Resection
Conclusions Concentric circumareolar approach can be used to resect large benign breast tumors while concealing the scar along the aesthetic unit boundary of the breast. The cosmetic outcome and recovery were promising. The approach is simple to execute, highly reproducible, and less dependent on intuition. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Combined Autologous and Prosthetic Breast Reconstruction: Defining the Upper Limits of Safe Expansion in Obesity
Background Combined latissimus dorsi and prosthetic reconstruction is a useful reconstructive option in patients with a history of breast radiation who are not good candidates for abdominally based autologous reconstruction. One difficulty, particularly in obese patients, is that the thickness of the flap can impair port localization, increasing the risk of inadvertent puncture during expansion. The authors sought to investigate the upper limits of tissue thickness at which tissue expansion can be reliably performed. Methods A cadaveric study was designed in which 2 blinded observers attempted to localize the port of ...
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Deepithelialized Skin Reduction Preserves Skin and Nipple Perfusion in Immediate Reconstruction of Large and Ptotic Breasts
Conclusions Skin reduction with deepithelialization and tissue infolding preserves dermal plexus perfusion and promotes nipple and skin flap survival in immediate implant-based and autologous breast reconstruction after SSM and NSM. This technique can be combined with NAC devascularization to further promote nipple perfusion. Overall, this method offers an acceptable complication rate and the potential to expand the reconstructive options available to women with large and/or ptotic breasts. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Periumbilical Perforator-Sparing Abdominoplasty in Patients With Abdominal Scars
Abdominoplasty is one of the most common cosmetic surgical procedures. Patients who undergo abdominoplasties with abdominal scars are at an increased risk for skin necrosis and wound breakdown. To prevent further disruption of vascularity, the dissection and mobilization is often limited resulting in a suboptimal esthetic result. The periumbilical perforator-sparing technique allows for vascular preservation and adequate mobilization to produce excellent esthetic results in patients with abdominal scars. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Three-Dimensional Analysis of Mandibular Angle Classification and Aesthetic Evaluation of the Lower Face in Chinese Female Adults
Background Reduction gonioplasty is very popular in East Asia. However, there has been little quantitative criteria for mandibular angle classification or aesthetics. The aim of this study was to investigate the quantitative differences of mandibular angle types and determine the morphologic features of mandibular angle in attractive women. Methods We created a database of skull computed tomography and standardized frontal and lateral photographs of 96 Chinese female adults. Mandibular angle was classified into 3 groups, namely, extraversion, introversion, and healthy group, based on the position of gonion. We used a ...
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

The Use of Expanded Polytetrafluoroethylene in Short Nose Elongation: Fourteen Years of Clinical Experience
Conclusions Nasal elongation using ePTFE implantation is a feasible therapeutic approach for patients with short noses. Reliable outcomes and the absence of donor site morbidity contribute to the high patient acceptance. Meticulous surgical technique and careful patient selection are prerequisites for successful results. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Correction of Tuberous Nipple Areolar Complex Deformity in Gynecomastia: The Deformity That Can Get Forgotten
This article concentrates on the tuberous deformity of the nipple areolar complex (NAC) that can present in gynecomastia and is sometimes overlooked at surgical correction. This deformity can be corrected at primary surgery if it is recognized preoperatively. If missed, or not adequately corrected, the postoperative result of primary reduction may be deemed incomplete by the patient and they will request revision. The deformity involves overprojection of the NAC in an anteroposterior direction, yet the base diameter may be close to normal. Correction involves reduction of the herniated breast bud, excision of excess areo...
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Abdominal Wall Reconstruction and Patient Comorbidities
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 13, 2018 Category: Cosmetic Surgery Tags: Editorial Source Type: research