Author's Response to Correspondence on Article “Unfiltered Nanofat Injections Rejuvenate Postburn Scars of Face”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Comment on “Unfiltered Nanofat Injections Rejuvenate Postburn Scars of Face”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Author's Response to Correspondence on Article “The Unfiltered Nanofat: a Great Source of Staminal Cells”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

The Unfiltered Nanofat: A Great Source of Staminal Cells
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Abdominal Contouring and Male Gender: Analysis of Complications Using the National Quality Improvement Program Database
Background Males represent a significant portion of patients undergoing abdominal contouring. Despite this, there are few studies examining the implication of gender on complications. Objective The aim of this study was to examine the association between gender and early postoperative outcomes in patients undergoing abdominal contouring procedures. Methods The American College of Surgeons National Surgical Quality Improvement Program database (2006–2016) was queried to identify subjects undergoing panniculectomy or abdominoplasty. Minor and major complications were identified. Operative time and length of hos...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Surgical Management of Diastasis Recti: A Systematic Review of Insurance Coverage in the United States
Conclusions Insurance company policies do not recognize the spectrum of patients with DR and the necessity of abdominoplasty to relieve symptoms of patients with severe debilitation. The current Common Procedural Terminology coding classifies abdominoplasty to repair DR solely as a cosmetic procedure. Policies for DR repair should be amended to include a functional procedure reimbursement for severe DR and include detailed guidelines for coverage requirements to simplify the reimbursement process. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Review Paper Source Type: research

Assessment of Somatosensory Reorganization by Functional Magnetic Resonance Imaging After Hand Replantation
Conclusions There seems to be a real reversible dynamic plasticity under the balance of inhibitory and excitatory influences exerted on the cortical neurons. Any disruption of this balance requires the brain to adapt to the new circumstances to reestablish the hand as a functioning part of the body. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Improved Adipocyte Viability in Autologous Fat Grafting With Ascorbic Acid–Supplemented Tumescent Solution
Conclusions Addition of AA successfully improved survival of adipocytes during liposuction without affecting SVF growth and differentiation. This study therefore identified a useful supplement to the tumescent solution which may lead to improving AFG success. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Which Fat Processing Can Achieve Optimal Transplantation in Patients With Insufficient Fat Resource?
Background Autologous fat transfer has been widely used in breast augment surgery. The breast fat graft is different form facial, it needs megavolume grafts. However, most Asian women are thin, who often encounter the fat resource insufficiency during breast augmentation. In fact, some processing methods do contribute to great loss of potential fat that could have been grafted. How to choose a best processing method to achieve optimal transfer in patients with insufficient fat resources is fairly important. Methods Lipoaspirate was obtained from 10 healthy female patients who underwent liposuction from abdomen. Accord...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

Number of Excised Lymph Nodes Has No Impact on Relapse and Survival in Patients With Stage III Melanoma
Conclusions Extension of lymph node excision has no impact on relapse and survival of stage III cutaneous melanomas. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Distally Based Posterior Tibial Artery Perforator Flaps for Reconstruction of the Defects in Achilles Region
Conclusions Using the posterior tibial artery perforator flaps to cover the Achilles region defects is a promising, feasible, first-line, safe option and should be extensively applied in clinical therapy. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Intercostal Nerve Transfer in Management of Biceps and Triceps Cocontraction in Spontaneously Recovered Obstetric Brachial Plexus Palsy
Conclusions Intercostal nerves transfer to MCN for management of biceps, and triceps cocontraction in spontaneously recovered obstetric brachial plexus injury is a good option with minimal morbidity and high success rate. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

A Design for the Dual Skin Paddle Circumflex Scapular Artery Perforator Flap for the Reconstruction of Complex Soft-Tissue Defects in Children: Anatomical Study and Clinical Applications
Conclusions The CSA system is an appropriate source for harvesting dual skin paddle CASP flap. Use of this flap for the reconstruction of complex soft-tissue defects in the extremities in children is an alternative approach that reduces morbidity and improves the cosmetic outcome at the donor site. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Toe-to-Hand Transfer in an Ulnar Hemimelia Patient: A Case Report
Ulnar hemimelia is a rare congenital deformity. The severity of the deformity increases with the number of fingers that are absent. Clearly, grip function is impossible with a mono-finger hand. Here, we present a case report of a patient with bilateral ulnar hemimelia that included the absence of radial fingers and also deformity in the toes of his left foot. A toe-to-hand transfer was performed successfully to help the patient gain grip function. Both the patient and the parents were very pleased with the result. To our knowledge, this is the first case report of a patient with ulnar hemimelia and absent radial fingers wh...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

An Analysis of Aesthetic Refinements in 120 Secondary Cleft Rhinoplasties
Conclusions A structured approach for secondary cleft rhinoplasty yields satisfying, reproducible, and stable results. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Incidence of Secondary Lip Correction for Children With Unilateral Cleft Lip: A Single-Center Retrospective Study
Conclusions The overall revision rate was 9.6%, which is relatively lower than that in other cleft centers. However, the repair technique and cleft care program should not be evaluated using the revision rate only. Various factors, including surgeons' preference, contribute to the indications for revision, and these factors can change with age. We plan to follow up the patients until our completion of the cleft care program and report the final revision rate. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

The Economic Impact of Flexor Tendon Lacerations of the Hand in the United States
Conclusions Flexor tendon lacerations represent an important economic burden to our health care system, even when compared with other common hand conditions. Specifically, indirect costs, such as missed workdays, are the major contributor toward the total cost these injuries incur on society, accounting for upward of 89% of the total cost. This suggests that we should focus our efforts to improve treatments and rehabilitation protocols which decrease these indirect costs. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Arthroscopic Suture Repair With Additional Pronator Quadratus Advancement for the Treatment of Acute Triangular Fibrocartilage Complex Tear With Distal Radioulnar Joint Instability
Treatment of acute triangular fibrocartilage complex (TFCC) tear using arthroscopic suture repair has been used as a general treatment method, but it is difficult to obtain perfect results in all cases. We evaluated clinical and radiologic outcomes of the acute TFCC tear with distal radioulnar joint instability using the arthroscopic suture repair with pronator quadratus (PQ) advancement. Altogether, 80 patients (48 male, 32 female; mean ± SD age, 37.3 ± 11.5 years; mean ± SD follow-up, 23.7 ± 11.4 months) were enrolled in the study. Follow-up was at least 12 months (range, 12–38 months). ...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Comparative Antimicrobial Activity of Commercial Wound Care Solutions on Bacterial and Fungal Biofilms
Conclusions Biofilms represent a major clinical challenge, with no clear consensus for treatment of chronic wounds or prosthetic devices. Our results suggest that hypochlorous acid–based wound solutions such as Vashe and PhaseOne are more efficacious than mafenide in eliminating bacterial and fungal biofilms. Further studies are necessary to investigate and compare the in vivo efficacy of these products in clinical care. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Breast Reduction Following Hormonal Therapy in a Transgender Female Patient
In male-to-female gender transition, individuals request a number of interventions, including hormonal therapy, to promote feminizing characteristics. Estrogen-based medication is prescribed to increase breast development, decrease facial hair, promote feminine adipose tissue deposition, and soften skin. Surgical breast augmentation to supplement unsatisfying breast growth after hormonal therapy is a common and well-studied course of management for such transgender patients. In a departure from convention, the authors present a case of symptomatic macromastia requiring surgical breast reduction in a transgender woman follo...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Surgical Outcomes of Implant-based Breast Reconstruction Using TiLoop Bra Mesh Combined With Pectoralis Major Disconnection
Conclusions Patients administered IMR have better breast symmetry and greater satisfaction with breast appearance compared with those treated by IR; however, IMR has unique complications, including pectoralis major disconnection syndrome. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Direct-To-Implant and 2-Stage Breast Reconstruction After Nipple Sparing Mastectomy: Results of a Retrospective Comparison
Breast reconstruction after nipple sparing mastectomy (NSM) plays, nowadays, a fundamental role in breast cancer management. There is no consensus on the best implant-based reconstruction technique, considering 2 stages (expander-prosthesis) or direct-to-implant (DTI). A retrospective review of consecutive adult female patients who underwent NSM with breast reconstruction over a 3-year period (January 2013 to December 2015) was performed. Patients were divided into 2 groups according to the type of reconstruction: expander/prosthesis (group A) and DTI (group B). Anamnestic data were collected. Number and type of procedures...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Implications of Demographics and Socioeconomic Factors in Breast Cancer Reconstruction
Background Not all women undergo breast reconstruction despite its vital role in the recovery process. Previous studies have reported that women who are ethnically diverse and of lower socioeconomic status are less likely to undergo breast reconstruction, but the reasons remain unclear. The purpose of this study is to evaluate the demographic characteristics of our patient population and their primary reason for not undergoing breast reconstruction. Methods An institutional review board-approved, single-institution study was designed to evaluate all female breast cancer patients of all stages who underwent mastectomy ...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Aesthetic Breast Surgery Under Cold Tumescent Anesthesia: Feasibility and Safety in Outpatient Clinic
Throughout the last decade, aesthetic breast surgery has enormously spread in the outpatient clinic setting where plastic surgeons perform the vast majority of procedures under local anesthesia as day-case operations. The “tumescent anesthesia” is defined as the injection of a dilute solution of local anesthetic combined with epinephrine and sodium bicarbonate into subcutaneous tissue until it becomes firm and tense, which is “tumescent.” The “cold tumescent anesthesia” (CTA) derives from Klein's solution with the introduction of a new concept, which is the low temperature (4°C) of t...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Comparing the Health Burden of Living With Nasal Deformity in Actual Patients and Healthy Individuals: A Utility Outcomes Score Assessment
Background Rhinoplasty is a one of the most commonly performed facial surgery aiming at restoring facial aesthetics and improving quality of life. Utility outcome scores are modern, and emerging tools are used to evaluate the burden of a health state on individuals. The study aims to evaluate the impact of living with nasal deformity among real patients and healthy individuals using utility outcome scores. Methods A cross-sectional study was conducted at Otolaryngology and Plastic Surgery clinics in a tertiary center. Healthy individuals were recruited from public facilities. A case scenario was developed to reflect a...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Book Review: Rhoton's Atlas of Head, Neck, and Brain: 2D and 3D Images By: Maria Peris-Celda, Francisco Martinez-Soriano, Albert L. Rhoton Jr, Published by Thieme Medical Publishers Inc, New York, NY, 2017 Hardcover, 648 pp
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

A History of the Frenchay Hospital Plastic Surgery Unit, Bristol, United Kingdom
Frenchay Hospital has long since been established as the center for plastic surgery in Bristol, providing care to the city and its surrounding catchment area. From humble origins in the Second World War when the site took on the role of a large military hospital providing reconstructive surgery for the victims of war to a busy modern-day National Health Service establishment, the plastic surgery unit at Frenchay Hospital has grown and developed through in parallel with the genesis and development of the specialty. Recent centralization of care in Bristol has seen a massive reorganization of services, and with it the closur...
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Texts and Contexts Source Type: research

Reply to: The Legacy of Gender-Affirming Surgical Care Is Complex
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Editorials Source Type: research

The Legacy of Gender-Affirming Surgical Care Is Complex
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - September 17, 2019 Category: Cosmetic Surgery Tags: Editorials Source Type: research

Comparison of Outcomes of Fasciocutaneous Free Flaps and Jejunal Free Flaps in Pharyngolaryngoesophageal Reconstruction: A Systematic Review and Meta-Analysis: Erratum
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Erratum Source Type: research

Author’s Response to Correspondence on Article: “Correction of Tuberous Nipple Areolar Complex Deformity in Gynaecomastia: The Deformity That Can Get Forgotten”
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Correction of Tuberous Nipple Areolar Complex Deformity in Gynecomastia: The Deformity That Can Get Forgotten
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Letters and Commentary Source Type: research

Accessory Palmaris Longus: A Concise Anatomic Review With a Relevant Case Study
Current medical literature has described many variations of the palmaris longus. One variation that is rarely seen is that of the accessory palmaris longus, which is better known in literature as the “palmaris profundus.” This brief review will describe the anatomy and the developmental origins of the palmaris longus, as well as the clinical relevance of an accessory palmaris longus. We will also present a case on the accessory palmaris longus and discuss whether the accessory palmaris longus, if encountered during a routine carpal tunnel surgery, should be resected intraoperatively. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Toxic Shock Syndrome Caused by Staphylococcal Infection After Breast Implant Surgery: A Case Report and Literature Review
We describe a 77-year-old woman who developed toxic shock syndrome caused by methicillin-resistant Staphylococcus aureus after breast implant reconstruction. Despite a high fever and markedly increased white blood cell count, suggesting severe infection, she initially had no symptoms of local findings, such as wound swelling and redness of the breast. Soon after diagnosis of toxic shock syndrome and removal of her breast implant, she was recovered from the shock state. To date, 16 cases of toxic shock syndrome have been reported, including this case, and they were related to breast implants or tissue expander surgery. The ...
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Donor Site Morbidities of Iliac Crest Bone Graft in Craniofacial Surgery: A Systematic Review
Conclusions Chronic morbidity was lower than previously documented. Rare chronic morbidity illustrates that the ICBG remains a viable surgical option. The authors hope this review will facilitate surgical planning and informed consent. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Review Papers Source Type: research

Concentration of Chondrogenic Soluble Factors in Freshly Harvested Lipoaspirate
Conclusions Naturally occurring differences in the concentrations of the investigated soluble factors will favor certain donor sites for autologous fat transfer in the field of cartilage repair. Thus, increasing knowledge will enable researchers and clinicians to make autologous fat transfer procedures more reliable and efficient for treatment of articular cartilage defects. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

Three-Dimensional Affordable Stone Models for Cleft Lip Markings: A Prospective Study of Learner Satisfaction
Introduction Knowledge of surgical markings for unilateral cleft lip (UCL) repair is critical for surgical competency. However, few appropriate models are accessible to residents and affordable and accurately reproduce this 3-dimensional (3D) deformity. We propose that cleft care units have the capability of creating affordable 3D stone models to teach UCL markings. Methods Polyvinyl siloxane and SnapStone were used to create UCL stone models. Thirteen plastic surgery residents were prospectively recruited, provided with a textbook chapter and online module for studying surgical markings for UCL repair, and then asked...
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Research Source Type: research

A Bibliometric Analysis of the Most Cited Articles in Global Reconstructive Surgery
Conclusions The number of research articles and citations related to global reconstructive surgery are limited. Despite having a lower incidence than burns or trauma, there is a preponderance of reports focusing on missions treating CLP. These findings suggest that more research funding could be invested in global reconstructive surgery for conditions other than CLP. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Penile Reinnervation Surgery: A Comprehensive Review of the Literature
Conclusions Postradical prostatectomy ED has been demonstrated to improve with microsurgical interventions. In the coming years, innovation will continue and collaboration between plastic surgeons and urologists will allow us to tackle this common and difficult problem. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Auto-Allo Graft Parallel Juxtaposition for Improved Neuroregeneration in Peripheral Nerve Reconstruction Based on Acellular Nerve Allografts
Conclusion The microsurgical combined model demonstrated a better neuroregeneration than did pure autografts and acellular nerve allografts. The decellularization method seemed effective also on human nerves. Deeper investigations are necessary to further validate and transfer this new encouraging protocol to the clinical arena. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Combined Surgical Treatment for Chronic Upper Extremity Lymphedema Patients: Simultaneous Lymph Node Transfer and Liposuction
Conclusions Liposuction can safely be performed with lymph node transfer in 1 operation to achieve optimal results in patients with chronic lymphedema. The combined technique provides immediate volume reduction and further regenerative effects on the lymphatic circulation. The significantly greater reduction in lymphoscintigraphy values and erysipelas infections suggests that the combined technique might be better for late-stage lymphedema patients than lymph node transfer alone. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Externalized Mesentery Monitoring of Vascularized Jejunum Transfers
Conclusions Using the externalized mesentery monitoring flaps, clinical monitoring by examining the exteriorized monitoring flap is possible, and only mesentery monitors were managed easily compared with jejunum monitoring flaps. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Revisiting Nasal Reconstruction After Mohs Surgery: A Simplified Approach Based on the Liberal Application of Local Flaps
Introduction Nasal reconstruction after oncologic resection often constitutes a technically demanding task. The aim of this study was to investigate our experience with nasal reconstruction after Mohs micrographic surgery using the following 3 well-established, versatile, and reliable techniques: the bilobed flap, nasolabial flap, and forehead flap. Methods A single-surgeon retrospective chart review of all patients undergone a bilobed, nasolabial, or forehead flap for nasal reconstruction after Mohs micrographic surgery from 2003 to 2017 was conducted. Data collected for analysis included demographics and defect char...
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Clinical and Molecular Study of ELMO-2–Related Massive Intraosseous Vascular Malformations: Lessons Learned From 25 Years of Follow-up
Massive intraosseous vascular malformations, a relatively rare entity in the vascular malformation spectrum, deserves attention as involving the membranous bones of the craniofacial skeleton and may lead to severe life-threatening hemorrhages and even death. The main aim of this study was to summarize the 25 years of clinical experience with these vascular malformation osseous patients, focus on the molecular and genetic aspect of the clinical entity, and to emphasize the certain challenging conditions in the treatment of these patients. All the patients appeared to be unaffected at birth, whereas initial symptoms occasion...
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

One-Piece Fronto-orbital Distraction With Midline Splitting But Without Bandeau for Metopic Craniosynostosis: Craniometric, Volumetric, and Morphologic Evaluation
Conclusions The technique of 1-piece fronto-orbital distraction with midline splitting osteotomy but without bandeau is an effective surgical option for the treatment of metopic craniosynostosis. The postdistraction outcomes demonstrated the correction of various forms of dysmorphology in metopic craniosynostosis. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Scope of Hand Surgery Using Surgeon Administered Local/Regional Anaesthesia
Conclusion This study shows the versatility of SALoRA in delivering hand surgery in a cost-effective manner. A wide spectrum of surgeries in the hand, wrist, forearm, and elbow can be performed using SALoRA safely. This has increased productivity, efficiency, and use of resources. SALoRA has the advantage of a guaranteed and reliable bloodless field, quick turnaround time without the need of extra personnel and resources needed for patient monitoring to abide by Joint Commission International requirements and the potential risk of systemic adrenaline effects. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Chyle Fat–Derived Stem Cells Conditioned Medium Inhibits Hypertrophic Scar Fibroblast Activity
Conclusions Our results suggest that CFSCs are associated with the inhibition of fibrosis in HSFs by a paracrine effect. The use of CFSC-CM may be a novel therapeutic strategy for HSs. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Factors Associated With Complications in Immediate Breast Reconstruction in 1 Stage With Completely Submuscular Implants
Conclusions Immediate breast reconstruction in 1 stage using permanent implants can be performed with acceptable complication rates and cosmetic outcomes. Our study demonstrated that high BMI is a risk factor for overall complications. With proper patient selection and surgical technique, implants could be completely covered under a submuscular pocket. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Anabolic-androgenic Steroid Use Among Gynecomastia Patients: Prevalence and Relevance to Surgical Management
This study aims to compare patient characteristics, surgical outcomes, and surgical management of gynecomastia correction in AAS users versus nonusers. Methods A retrospective cohort study was performed with patients who underwent bilateral gynecomastia reduction surgery between January 2005 and August 2015 by a single surgeon at an academic hospital. Demographic data, AAS usage details, operative documentation, and follow-up outcomes were reviewed. Results A total of 964 cases were reviewed. Eleven percent (n = 105) of the patients had a history of AAS use. Compared with non-AAS users, AAS users were older at time o...
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Autologous Fat Grafting in Young Patients: A Simple and Effective Way to Achieve Facial Balance
Conclusions The combination of rhinoplasty and autologous fat grafting offers very satisfactory esthetic outcomes and improvement of facial balance with minimal added time, cost, and risk. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - August 17, 2019 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research