Electronic Cigarettes Are as Toxic to Skin Flap Survival as Tobacco Cigarettes
Purpose: Electronic cigarettes (e-cigarettes) have become increasingly popular. However, information about the health risks associated with e-cigarette use is sparse. Currently, no published studies examine the effects of chronic e-cigarette exposure on microcirculation or perfusion. Using a rat skin flap model, we examined the toxic microcirculatory effects e-cigarettes may have in comparison with tobacco cigarettes. Methods: Fifty-eight rats were randomized to either exposure to room air, tobacco cigarette smoke, medium-nicotine content (1.2%) e-cigarette vapor, or a high-nicotine content (2.4%) e-cigarette vapor. After...
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

Microcirculatory Effects of Botulinum Toxin A in the Rat: Acute and Chronic Vasodilation
Conclusions: Pretreatment with BTX may induce the arteriolar resting diameter to be closer to their maximum potential diameter. Additionally, BTX does not display a synergistic effect with topical vasodilators on vasodilation. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

Estimating Implant Volume and Mastectomy-Specimen Volume by Measuring Breast Volume With a 3-Dimensional Scanner
Conclusions: A strong correlation existed between preoperative breast volume, mastectomy-specimen volume, and implant volume. The following formulae were calculated: Mastectomy-specimen volume (mL) = 1.01 × preoperative breast volume (mL) + 9.91 Implant volume (mL) = 0.90 × preoperative breast volume (mL) + 65.42 Implant volume (mL) = 0.68 × mastectomy-specimen volume (mL) + 68.26 This study shows that preoperative breast volume, as measured by a 3D Kinect scanner, can provide useful assistance in the preoperative choice of implant size. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

Distally Based Medial Hemisoleus Muscle Flap: Anatomic and Angiographic Study of 18 Lower Limbs
Conclusions: The distally based MHS muscle flap has constant blood supply, so it could be a useful flap to repair soft-tissue defects of the lower third of the leg. Moreover, knowledge of the average location of the main distal pedicle can help in increasing the use of the distally based MHS flap. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

Can We Preserve the Urethral Plate in Proximal Hypospadias Repair?
Conclusions: The essential factor responsible of curvature associated with proximal hypopsadias is the fibrosis tissue present on the ventral side of the penis. However, in the severe forms, a short urethral plate must be transected to obtain a complete correction of the chordee. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Applying the Keystone Design Perforator Island Flap Concept in a Variety of Anatomic Locations: A Review of 60 Consecutive Cases by a Single Surgeon
Conclusions: This series demonstrates the versatility of the keystone flap in a wide variety of anatomic locations, with similar complication rates to those previously reported and no reoperations. Flap design was frequently modified based on the anatomical topography and adjacent subunits. To our knowledge, this is the largest and most diverse North American series of keystone flap reconstructions to date. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

A Prospective Assessment of Surgical Risk Factors in 114 Gluteal Fold Flap Reconstructions After Oncological Vulvoperineal Resection
Conclusions: We identified surgical risk factors for gluteal fold flap use after oncological vulvoperineal resection. These observations may potentially allow for more favorable future surgical outcomes by adaption of selection of patients or procedure. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Nerve Regeneration and Functional Recovery With Neurorrhaphy Performed at the Early Distraction Osteogenesis: An Experimental Study
This study evaluated the feasibility of early distraction lengthening after neurorrhaphy. Thirty-six rats were evenly distributed into 3 groups (12 rats in each group); neurorrhaphy and distraction (group I), neurorrhaphy and osteotomy without distraction (group II), and only distraction without neurorrhaphy (group III), respectively. After osteotomy on the right tibia, distraction started after 1 week and was continued for 40 days with 0.25 mm per day. Histological evaluation was carried out to identify nerve regeneration at 4, 8, and 12 weeks after surgery. Walking tract analysis was performed to assess the functional re...
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Evaluating the Use of Tissue Oximetry to Decrease Intensive Unit Monitoring for Free Flap Breast Reconstruction
Conclusions: The postoperative paradigm for microsurgical flaps has historically required intensive unit monitoring. Using tissue oximetry, a fast-track pathway can reduce time spent in an intensive monitoring setting from 24 to 15 hours with significant cost savings and minimal risk of missing a failing free flap. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Predictors for Frey Syndrome Development After Parotidectomy
Conclusions: Frey syndrome is common after parotidectomy. Tumor size is the only statistically significant predictor of its development. Routine preventive interventions, for example, use of acellular dermal matrix, dermofat graft or muscle flaps to prevent Frey syndrome, should be considered for high risk patients. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Aesthetic Reconstruction of the Frontotemporal Region: The Extended A-T Plasty, A Workhorse Revisited
Conclusions: The basic principles of the A-T plasty were applied to design large advancement-rotation flaps incorporating frontotemporal and preauricular cervicofacial skin. The resulting extended A-T plasty proved to be a simple, reliable, and reproducible technique to resurface, in a “like with like” fashion, moderate to large defects located in the frontotemporal, preauricular and zygomatic facial subunits. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Lateral Crural Reinforcement in Secondary Cleft Lip Nasal Deformity Through a Combined Lateral Crural Turn-over Flap and Strut Graft
Conclusions: The lateral crural turnover flap with sandwiched strut graft is a useful technique for reinforcing, repositioning, and reshaping the lower lateral cartilage in cleft lip patients with hyperconcave lateral crus and hypoplastic pyriform margin. Combined with other techniques, the nostril is increased in height, decreased in width, and thus satisfactory symmetry is obtained. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

De Novo Upper Extremity Lymphedema After Elective Hand Surgery in Breast Cancer Survivors
Conclusions: Lymphedema is uncommon after elective hand surgery among survivors and was not associated with tourniquet use. The combination of adjuvant therapies and axillary procedures and a short temporal relationship of these to hand surgery may increase lymphedema risk. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Long-Term Follow-Up of Flap Prefabrication in Facial Reconstruction
Conclusions: Because flap prefabrication is practical, and long-term follow-ups have proved its preferable characters and stability, it is a fine method for large area facial reconstructions. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

Complications After Reduction Mammaplasty: A Comparison of Wise Pattern/Inferior Pedicle and Vertical Scar/Superomedial Pedicle
Abstract: Reduction mammaplasty is a commonly-performed procedure among plastic surgeons. Although several methods exist, the Wise pattern/inferior pedicle (IP) technique is the most widely used. The vertical scar/superomedial pedicle (SP) technique has gained acceptance for its shorter scar and more durable projection results, but some hesitation remains with its use in larger volume reductions. The incidence of complications in 124 consecutively performed breast reductions (246 breasts) at a single institution using either the Wise pattern/IP technique or vertical scar/SP technique, as well as risk factors associated wi...
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

A Systematized Strategy in Corrective Rhinoplasty for the Asian Deviated Nose
Background: A deviated nose is a common deformity encountered in rhinoplasty. Over the past several decades, a variety of rhinoplasty techniques have been described focusing on the classification of bony and cartilaginous deviation. Nevertheless, corrective rhinoplasty is still a challenging procedure even for experienced surgeons because of the high recurrence rate of deviation. In attempt to reduce the recurrence rate, the author systematized the complex procedures by using a single technique regardless of the classification of a deviation. Materials and Methods: Forty patients who underwent corrective rhinoplasty betwe...
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Book Review: Flaps and Reconstructive Surgery Second Edition
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

The Impact of Medical Students on Bilateral Reduction Mammoplasty Procedure Time
Background: Exposure to the plastic surgery department is an important experience for medical students interested in the field. However, the impact of medical students in the plastic surgery operating room has not been previously examined. The aim of this study is to understand whether the presence of medical students impacted overall procedure time and postoperative complications for bilateral reduction mammoplasties. Materials and Methods: A retrospective review was performed on all patients who underwent bilateral reduction mammoplasty from January 2010 to December 2015. Procedures were divided into operations with med...
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

Pgy∞
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - June 15, 2017 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Hair Transplantation on a Free Microvascular Latissimus Dorsi Flap. Case Report: Erratum
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Erratum Source Type: research

Closure of Meningomyelocele Defects With Sensate Medial Dorsal Intercostal Artery Perforator Flaps
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Letters and Invited Commentary Source Type: research

A Systematic Review of the Use of Telemedicine in Plastic and Reconstructive Surgery and Dermatology
Conclusions: Telemedicine holds special promise in increasing the efficiency of postoperative care for microsurgical procedures, improving care coordination and management of burn wounds, facilitating interprofessional collaboration across time and space, eliminating a significant number of unnecessary referrals, and connecting patients located far from major medical centers with professional expertise without impinging on—and in some cases improving—the quality or accuracy of care provided. Teledermatology consultation was found to be safe and has a comparable or superior efficacy to the traditional in-patient...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Review Article Source Type: research

Histone Deacetylase Inhibitors Enhance Cytotoxicity Towards Breast Tumors While Preserving the Wound-Healing Function of Adipose-Derived Stem Cells
Conclusions: Combining HDACi with low-dose paclitaxel improved cytotoxicity towards breast cancer cells and preserved hASC viability. Furthermore, enhanced wound healing was observed by improved migration in a fibroblast scratch assay. These results suggest that the addition of HDACi to taxane chemotherapy regimens may improve oncologic results and wound-healing outcomes after reconstructive surgery. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Transplantation Surgery and Research Source Type: research

The Effect of Omeprazole Usage on the Viability of Random Pattern Skin Flaps in Rats
In this study, we used omeprazole, which is a potent inhibitor of gastric acidity to increase flap viability. Methods: In this study, 35 Wistar-Albino type rats which were divided into 5 equal groups were used. Random-pattern dorsal skin flaps were raised in all groups at seventh day of the study. Group 1 was accepted as control group, and the rats in this group was only given distilled water intraperitoneally for 14 days. Group 2 and group 3 received 10 and 40 mg/kg omeprazole daily for 14 days, respectively. Group 4 and group 5 were given distilled water for the first 7 days and then after the operations they received 1...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

Vascular Nature and Existence of Anastomoses of Extrinsic Postauricular Fascia: Application for Staged Auricular Reconstruction
Abstract: A staged auricular reconstruction in microtia patients was developed by using superficial mastoid fascia (as part of extrinsic postauricular fascia) to cover the cartilagenous framework due to its highly vascularized nature. Three branches of external carotid artery (superficial temporal artery, posterior auricular artery and occipital artery) were found to supply this fascia, this study was therefore aimed to investigate the dimension of blood supply from each vessel and also to demonstrate the existence of anastomoses among these arteries. Thirty-eight pinnas and postauricular fascias from Thai fresh adult cada...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

National and Regional Differences in 32,248 Postmastectomy Autologous Breast Reconstruction Using the Updated National Inpatient Survey
Background: The incidence of breast cancer (BC) cases has increased significantly. The number of breast reconstruction (BR) procedures performed has mirrored this trend. Although implant-only procedures remain the most commonly used type of immediate BR, autologous techniques involving donor sites account for approximately 20%. The aim of this study was to assess national and regional trends in different types of autologous BR. Methods: Using the Nationwide Inpatient Sample database (2008 to 2012), data on BC and mastectomy rates, type of autologous BR, and sociodemographics were obtained and analyzed. Furthermore, nation...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Research Source Type: research

Pedicled Flap Closure as an Adjunct for Infected Ventricular Assist Devices
Conclusions: Left ventricular assist devices are lifesaving interventions for patients with severe cardiac disease but are associated with a high rate of infectious complications over time. Although device coverage carries a high rate of complications, no devices required exchange due to infection or failed attempts at salvage. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Reconstructive Surgery Source Type: research

Molecular Mechanism of the “Babysitter” Procedure for Nerve Regeneration and Muscle Preservation in Peripheral Nerve Repair in a Rat Model
Conclusions: End-to-side nerve “babysitter” in peripheral nerve could promote fiber regeneration and muscle preservation by regulating expression of IGF-1 and TWEAK-Fn14. End-to-side “babysitter” with partial donor neurectomy could achieve comparable effects with end-to-end repair. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Nipple-Sparing Mastectomy Improves Long-Term Nipple But Not Skin Sensation After Breast Reconstruction: Quantification of Long-Term Sensation in Nipple Sparing Versus Non-nipple Sparing Mastectomy
Background: Changes in breast sensation after reconstruction are expected. Return of breast sensation after reconstruction and whether nipple-sparing mastectomy offers a substantial benefit in terms of sensation has been inconsistently documented in the literature. We conducted the current study using the pressure-specified sensory device to quantify postoperative breast sensation in patients undergoing nipple-sparing versus non–nipple-sparing mastectomy. Methods: Consecutive adult women who underwent nipple-sparing (NSM) and non-NSM (NNSM) and were at least 18 months postreconstruction were included. Breast measure...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Peripheral Nerve Surgery and Research Source Type: research

Fingertip Replantation With Palmar Venous Anastomoses in Children
Conclusions: Successful palmar venous anastomosis appears to promote the survival of replanted fingertips in children. Given that the procedure may simplify postoperative care, minimize complications, and achieve a high survival rate, it should be attempted if the technical expertise is available. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Microsurgery Source Type: research

Individualized Plastic Reconstruction Strategy for Patients With Ectodermal Dysplasia Syndrome
In this study, plastic rehabilitation was developed to correct the special features of patients with ectodermal dysplasia. Four men and 1 woman with ectodermal dysplasia syndrome were treated. Four patients showed dysostosis of the midface, and rhinoplasty with costal bone was performed, whereas cosmetic operation aiming to repair soft tissue defects was adopted for the last patient. After plastic corrections, all 5 patients were satisfied with the results and had no social embarrassment. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Investigation of Microsurgical Technique Combined With Skin Flap Expansion for Ear Reconstruction in Treating Hunter Type III Congenital Microtia
Conclusions: The combination of microsurgical technique, Zhuang's skin soft tissue expander, and autogenous rib cartilage graft could achieve satisfactory results in treating Hunter type III congenital microtia, and the complications were less, so it was worthy of clinical applications. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Reconstruction for Skull Base Defect Using Fat-Containing Perifascial Areolar Tissue
Abstract: Skull base reconstruction is a challenging task. The method depends on the anatomical complexity and size of the defect. We obtained tissue by harvesting fat-containing perifascial areolar tissue (PAT) for reconstruction of limited skull base defects and volume augmentation. We demonstrated the effective option for reconstruction of limited skull base defects and volume augmentation. From October 2013 to November 2015, 5 patients underwent operations using fat-containing PAT to fill the defect in skull base and/or perform volume replacement in the forehead. Perifascial areolar tissue with 5- to 10-mm fat thicknes...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Base of Skull Blocks for Open Reduction and Internal Fixation of Faciomaxillary Fractures
Conclusion: Base of skull maxillary-mandibular and distal trigeminal blocks are an effective and efficient alternative to general anesthesia for the open reduction and internal fixation of FMF. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

Treatment of Head and Neck Melanoma In Situ With Staged Contoured Marginal Excisions
Abstract: Staged marginal evaluation of melanoma in situ (MIS) is performed to avoid reconstruction on positive margins. Contoured marginal excision (CME) is an excision of a 2-mm wide strip of normal-appearing skin taken approximately 5 mm from the visible tumor periphery. If positive, a new CME is excised; the tumor is resected once negative margins are confirmed. The purpose of this study is to report our experience using this technique for the treatment of head/neck MIS. Clinicopathological data were abstracted for all patients who underwent staged CME followed by central tumor resection for head/neck MIS; patients wit...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Head and Neck Surgery Source Type: research

An Algorithmic Approach to the Suspected Septic Wrist
Abstract: An acutely painful, erythematous wrist can be due to a variety of pathologic processes, including crystalline arthropathy, infection, trauma, osteoarthritis, and systemic disease. The broad differential diagnosis of the inflamed wrist and nonspecific clinical findings make accurate diagnosis challenging. There is no published clinical or laboratory criterion that reliably differentiates septic wrist arthritis from a sterile inflammatory arthropathy. For septic joint patients, long-term results are notably poorer in patients with a delay in treatment, therefore establishing evidenced-based guidelines deserves atte...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Hand Surgery Source Type: research

Cultured Human Epidermis Combined With Meshed Skin Autografts Accelerates Epithelialization and Granulation Tissue Formation in a Rat Model
Conclusions: The application of hCE with meshed grafts promoted wound closure, possibly via secretion of growth factors critical for cell proliferation and migration, suggesting that hCE can enhance the healing effect of widely expanded skin autografts. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Burn Surgery and Research Source Type: research

The Necessity of the Nipple: Redefining Completeness in Breast Reconstruction
Introduction: Satisfaction with breast reconstruction is thought to be greatest among patients who complete nipple and areolar complex (NAC) reconstruction. Anecdotally, many patients are known to decline NAC reconstruction. The authors aimed to characterize the epidemiology of and factors associated with incomplete breast reconstruction. Methods: Breast reconstruction patients with follow-up in a single institution's electronic medical record system were reviewed. Chi-squared and independent t-tests were used to identify variables associated with lack of NAC reconstruction; associated variables (P (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Outcomes After Elevation of Serratus Anterior Fascia During Prosthetic Breast Reconstruction
This study evaluates complication rates after mastectomy and immediate tissue expander (TE) coverage using SF, relative to other existing methods of reconstruction. Methods: Retrospective review of consecutive patients undergoing mastectomy with immediate TE reconstruction over 10 years at 1 institution was performed. Patients with serratus muscle (SM) or SF elevation were analyzed. ADM reconstructions were used for comparative analysis only. Relevant demographic and clinical data were recorded. Complications were categorized by type and end outcome, including nonoperative (no further surgery), operative (surgery except e...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Considering the Optimal Timing of Breast Reconstruction With Abdominal Flaps With Adjuvant Irradiation in 370 Consecutive Pedicled Transverse Rectus Abdominis Myocutaneous Flap and Free Deep Inferior Epigastric Perforator Flap Performed in a Chinese Oncology Center: Is There a Significant Difference Between Immediate and Delayed?
Purpose: There is an ongoing debate on the optimal sequence of radiation and breast reconstruction. The purpose of this article was to (a) assess the impact of radiation on autologous breast reconstruction and (b) analyze the best timing for autologous breast reconstruction in the setting of radiation in a Chinese population. Methods: A retrospective review of patients undergoing breast reconstruction with autologous lower abdominal flaps between 2001 and 2014 in the Tianjin Medical University and Cancer Hospital was performed. Patients were grouped by their irradiation status (irradiated vs nonirradiated). The irradiated...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

Antimicrobial Prophylaxis Practice Patterns in Breast Augmentation: A National Survey of Current Practice
Conclusions: Although there is heterogeneity in specific aspects of antimicrobial prophylaxis during breast augmentation, there is a clear trend toward practice modification geared towards preventing bacterial contamination in breast augmentation. Surgeons may benefit from high-level studies designed to create standardized evidence-based practice guidelines. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Breast Augmentation Combining Fat Injection and Breast Implants in Patients With Atrophied Breasts
Abstract: Breast augmentation is a challenging issue in atrophied breasts related to breastfeeding. Here, we describe a modification combining breast implants and fat grafting to obtain a successful outcome without implant edge visibility and palpability. Thirty-four women with atrophied breasts underwent breast augmentation over a 6-year period. The breast implants were placed in the subglandular plane to obtain optimal filling and expansion of atrophied breast tissue. Autologous fat grafting was performed above the inframammary sulcus to prevent implant visibility and palpability due to insufficient soft tissue coverage...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

“Stamp Perforation” Technique for Correction of Prominent Mandibular Angle: 10 Years of Experience in Mandibular Reshaping in Asians
Abstract: Resection of a prominent mandibular angle is commonly used in Eastern society to improve the lower one third facial proportion. Historically, this procedure had a high complication rate, such as severe bleeding, asymmetry of the angle reduction, and “second mandibular angle.” A safer and more effective way of performing such procedures is needed. The aim of this study is to introduce 3 instruments, a tunable guide handpiece, milling cutter, and flywheel, which were invented by the author, as well as a related ostectomy technique for correcting prominent mandibular angles using a modified full-thicknes...
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Restoration of Complicated Epicanthus: Modified Reverse Skin Redraping With Mini-epicanthoplasty for Rescue in Unsatisfied Epicanthoplasty Patients
Conclusions: Our modified method involving reverse skin redraping and mini-epicanthoplasty is simple and reproducible and is useful for resolution of unsatisfactory results to obtain a naturally shaped epicanthus. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Aesthetic Surgery Source Type: research

Course Review: Cadaveric Hand Trauma Course
Abstract: The St Thomas' Cadaveric Hand Trauma course is described and evaluated. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

The Impact of Cervical Musculoskeletal Disorders on UK Consultant Plastic Surgeons: Can We Reduce Morbidity With Applied Ergonomics?
Conclusions: Cervical morbidity is a prevalent problem among plastic surgeons. Long procedures, static postures and neck flexion result in the “head forward” posture. This posture exaggerates when operating with loupe magnification. Early-middle-aged consultants are more prone to cervical morbidity hence afflicted when at the top of their game. The work force is diminished for a potentially avoidable morbidity. Rather than accept this morbidity, co-operation between plastic surgeons and ergonomist may help to reduce injury. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Circumspectus Medicinae: Text and Context Source Type: research

Burn Care and Reconstructive Surgery
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - May 15, 2017 Category: Cosmetic Surgery Tags: Editorial Source Type: research

Lateral Intercostal Perforator Flap Letter Response
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 13, 2017 Category: Cosmetic Surgery Tags: Letters and Invited Commentary Source Type: research

Lateral Thoracodorsal Flap or Lateral Intercostal Artery Perforator Flap: What Is in the Name?
No abstract available (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 13, 2017 Category: Cosmetic Surgery Tags: Letters and Invited Commentary Source Type: research

Variation in Classification of Infection: A Systematic Review of Recent Plastic Surgery Literature
Conclusions: Criteria used to define infection differs across studies in the plastic surgery literature. Comparison of reported infection rates on the basis of criteria for infection suggests an effect upon infection rate. Many studies do not report criteria used to identify infection and should consider reporting strict criteria for infection. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - April 13, 2017 Category: Cosmetic Surgery Tags: Review Articles Source Type: research