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Acknowledgment to reviewers —2017
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - January 13, 2018 Category: Cosmetic Surgery Source Type: research

Complete resorption of Veritas ® in acellular dermal matrix (ADM)-assisted implant-based breast reconstructions—is there a need for tighter regulation of new products developed for use in breast reconstruction?
ConclusionsVeritas ® collagen matrix has a comparable immediate postoperative complication rate when compared to other acellular dermal matrix. However, the long-term resorption rate in this series is high resulting in frequent correctional surgery.Level of Evidence:  Level III, risk/prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - January 11, 2018 Category: Cosmetic Surgery Source Type: research

Lacrimoplasty: a new bone fixation technique for recurrent lacrimal gland prolapse
We report the incidence of lacrimal gland prolapse purely based on the external deformity and also report a case of recurrence following surgical lacrimal gland periosteal hitching, in a patient with blepharochalasis syndrome 4  years post the original correction. A new technique of true bony fixation of the recurrent prolapsed lacrimal gland to the lacrimal fossa is described. We call the new technique ‘lacrimoplasty’. An operative video is also included to demonstrate the technique step by step.Level of Evidence: level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - January 4, 2018 Category: Cosmetic Surgery Source Type: research

Rhinoplasty in elderly patients: analysis of outcomes and patient ’s satisfaction following 20 years experiences
ConclusionsThe tip of the nose is the focus of attention for older patients who want to undergo this surgery and require surgical procedures for increased projection and support. Augmentation rhinoplasty plays a fundamental role in the remodeling of the nose in patients over 65  years old.Level of Evidence: Level III,  risk/prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - December 30, 2017 Category: Cosmetic Surgery Source Type: research

Effect of fresh human amniotic membrane on radiation-induced wounds in a  murine experimental model
ConclusionsAfter biomechanical and histopathological evaluation, amniotic membrane, with its antimicrobial, anti-inflammatory, angiogenic, and epithelial-inductive effects, was found to be affective in post-radiation wound treatment. Due to the features of amniotic membrane mentioned above, it can be an option in treatment of patients which received neoadjuvant radiotherapy to prevent future wounds. It can also be used for the care and treatment of post-radiation wounds.Level of Evidence: Not ratable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - December 30, 2017 Category: Cosmetic Surgery Source Type: research

Progress in surgical strategies for treatment of simple congenital syndactyly: A systematic review
ConclusionsWith the development of biomaterials and surgeon ’s experiences, more and more modified techniques have been conceived. However, no specific technique can be announced to be superior to others. Furthermore, more sensitive outcome measures should be established, and relationship between operative procedures and postoperative complications should be further defined.Level of evidence: not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - December 22, 2017 Category: Cosmetic Surgery Source Type: research

Fibula osteomyocutaneous free flap in mandibular reconstruction: clinical experience in a community-based hospital
ConclusionsOur FFF outcomes were non-inferior to those reported in specialized university hospitals and are evidence that successful results can be obtained outside of high-volume academic centers. FFF represents a reliable surgical approach for mandible reconstruction in university and community hospitals.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - December 12, 2017 Category: Cosmetic Surgery Source Type: research

Minimally invasive dorsal sympathicotomies for the treatment of hyperhidrosis: palmar microcirculatory assessment as an intraoperative-aid
ConclusionsAccording to our data, LDF allowed to obtain reliable and fast intraoperative evidence of a correct section of T3 ganglia. As such, we recommend LDF as a useful intraoperative tool when dealing with dorsal sympathicotomies for the treatment of palmar hyperhidrosis, both for the unexperienced surgeon and when the sympathetic chain is not clearly visualized.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - December 6, 2017 Category: Cosmetic Surgery Source Type: research

The role of body image concern, sexual body image, and sexual self-esteem in the happiness of women seeking rhinoplasty surgery
This study aims to investigate the role of body image concern, sexual body image, and sexual self-esteem in the happiness of women seeking rhinoplasty surgery.MethodsThis study had a descriptive correlational design. Cases were defined as subjects who presented to beauty centers in Tehran. A convenience sample of 65 women participated. Each woman completed Oxford Happiness Inventory (OHI), Body Image Concern Inventory (BICI), Body Exposure during Sexual Activities Questionnaire (BESAQ), and Sexual Self-Esteem Index for Woman-Short Form (SSEI-W-SF). The data were analyzed with Pearson correlation coefficient and stepwise re...
Source: European Journal of Plastic Surgery - December 5, 2017 Category: Cosmetic Surgery Source Type: research

Development and validation of a new assessment tool for suturing skills in medical students
ConclusionsFurther studies are needed on implementation of the instrument. Moreover, how the instrument can be used to give formative feedback, evaluate if a required standard is met and for curriculum development needs further investigation.Level of Evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - December 4, 2017 Category: Cosmetic Surgery Source Type: research

Adipose-derived stem cells for treatment of chronic cutaneous ulcers in patients with critical limb ischemia: a pilot study
ConclusionsAccording to the values of LDF and TcpO2, the multidisciplinary treatment of severe ulcers with ACSs+PRP associated or not with revascularization therapy allowed a perilesional improvement of oxygenation and perfusion such to avoid limb amputation, with complete wound healing. Early treatment with ASCs associated or not with reperfusion therapy is an effective treatment even in severe ulcers in advanced stage once treated with amputation of limb.Level of evidence: Level V, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - December 2, 2017 Category: Cosmetic Surgery Source Type: research

Repositioning the inframammary fold after DIEP flap reconstruction: using biologic mesh to provide a more stable result
AbstractTraditional techniques for elevating the inframammary fold (IMF) position have relied mainly on isolated sutures to maintain the repositioned fold. Furthermore, most published reports focus on implant-based reconstructions, rather than the unique challenges of revising autologous reconstruction. Therefore, to improve the durability of the IMF repair in the autologous reconstructed breast, we have developed a method which utilizes biologic mesh to distribute the forces over a greater area of the chest wall. In our initial experience using this technique to elevate the IMF during revisions of autologous tissue breast...
Source: European Journal of Plastic Surgery - December 1, 2017 Category: Cosmetic Surgery Source Type: research

Effect of burn rehabilitation program on improving quality of life (QoL) for hand burns patients: a randomized controlled study
This study aims to investigate the effect of our designated burn rehabilitation program on improving quality of life of hand burns patients.MethodsA randomized controlled study was conducted for 12  months at Mansoura University Burn Center. It included 60 adult patients with hand burns who were randomly divided and assigned to a study and control groups. Both groups underwent basic rehabilitation. A newly designed program was implemented for the study group. Data were collected using three t ools; bio-socio demographic characteristics, the Burn Health Knowledge Questionnaire, and the Burn Specific Health Scale-Brief ...
Source: European Journal of Plastic Surgery - November 28, 2017 Category: Cosmetic Surgery Source Type: research

Reconstruction of acquired ischiatic and perineal defects: an anatomical and clinical comparison between gluteal thigh and inferior gluteal perforator flaps
ConclusionsBoth flaps are suitable for coverage ischiatic and perineal sores. Due to its anatomical features, the IGAP flap should be considered the first choice of treatment for ischiatic ulcers. The gluteal thigh flap should be used in the recurrent sores.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 25, 2017 Category: Cosmetic Surgery Source Type: research

Analysis of outcomes and patient ’s satisfaction following monolateral and bilateral mastectomy using BREAST-Q
AbstractBackgroundBreast reconstruction plays an important role in improving the quality of life of patients with breast cancer. The aim of this study is to verify if there is a difference in patient ’s satisfaction and in body perception following monolateral and bilateral mastectomy with breast reconstruction.MethodsThe study population were 144 women who had undergone mastectomy and breast reconstruction at our hospital between 2005 and 2016. They filled out BREAST-Q post-operative module after almost 1  year from breast reconstruction. We administered the questionnaire electronically almost 1 year after...
Source: European Journal of Plastic Surgery - November 22, 2017 Category: Cosmetic Surgery Source Type: research

Three-dimensional printing modeling: application in maxillofacial and hand fractures and resident training
ConclusionsWe have created low-cost, good quality, reliable, and accurate 3D printed models for the preoperative planning of reconstructive surgeries of maxillofacial and hand fractures, reducing the operative times and providing a new academic teaching tool in the training of residents of plastic surgery.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 21, 2017 Category: Cosmetic Surgery Source Type: research

Patient-reported outcome measures following gynecomastia correction: a systematic review
ConclusionsThe rate of patient satisfaction was high, although most studies did not use validated or quantifiable evaluation methods for assessment of satisfaction. A new self-assessment tool, which should include functional, psycho-relational, and cosmetic components, is needed to measure satisfaction and quality of life in patients who have undergone gynecomastia correction.Level of Evidence:  Level III, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 17, 2017 Category: Cosmetic Surgery Source Type: research

Transversalis fascia scoring: a new adjunct to anterior  component separation technique
ConclusionsAdding transversalis fascia scoring in a controlled standard fashion to ACS may help surgeons achieve closure of abdominal wall defects when ACS alone is not sufficient.Level of Evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 11, 2017 Category: Cosmetic Surgery Source Type: research

Correction to: Apocynin and dimethyl sulfoxide synergistically protect against ischemia-reperfusion injury in a rat hind limb ischemia-reperfusion model
AbstractDr. Ozer Sehirli ’s affiliation needs to be updated as he was transferred from Marmara University Faculty of Pharmacy to Near East University Faculty of Dentistry two years ago. The updated information is provided in the affiliation section below. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - November 9, 2017 Category: Cosmetic Surgery Source Type: research

A novel technique for clinical examination of buried head and neck free flaps
AbstractMonitoring buried flaps within the head and neck presents a unique challenge to the microsurgeon. We conducted an independent review of the literature using Medline, PubMed and Q Read performed up to February 2017. This showed that head and neck free flaps have contemporary success rates of between 92 and 98%, which is similar to rates reported for all types of flaps (90 –98%). Studies looking specifically at buried free flaps were scarce, with success rates (90–98%) precisely mirroring those of studies looking at all flaps. In studies in which both buried and non-buried flaps were stratified, buried fl...
Source: European Journal of Plastic Surgery - October 30, 2017 Category: Cosmetic Surgery Source Type: research

Single-stage reconstruction of combined hypopharyngeal and anterior neck skin defects with the dual-paddle anterolateral thigh flap
ConclusionsWe report a high success rate with the dpALT flap for extensive hypopharyngeal defects that include an anterior neck skin component. The dpALT adds further to the armamentarium available to the reconstructive surgeon for complicated defects within the head and neck.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 24, 2017 Category: Cosmetic Surgery Source Type: research

Nipple shields and antibiotic prophylaxis in skin and nipple sparing risk reducing mastectomies —a multi-centre study
ConclusionsNipple shields are essential to reduce the risk of infection. Povidone-iodine is satisfactory for preparation in our cohort. Prophylactic antibiotics are indicated on induction.Level of Evidence: Level III, risk/prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 14, 2017 Category: Cosmetic Surgery Source Type: research

Comment on:  The over-Wise mammoplasty: a modified Wise pattern for large superficial breast tumors
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 11, 2017 Category: Cosmetic Surgery Source Type: research

Expanded version pedicled free-style perforator flaps in clinical practice: a need for a more comprehensive classification system
ConclusionsIt is feasible to perform the many variations of perforator flaps provided; the microsurgical anatomy of the area is well defined, aided by imaging studies as necessary. Risk stratification also needs to be taken into account when planning these flaps. Based on our results and observations, an alternative pedicled perforator flap classification is put forward.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 10, 2017 Category: Cosmetic Surgery Source Type: research

Late breast implant infections: a delayed MRSA infection from hematogenous spread in an intravenous drug user
We present the case of a methicillin-resistantStaphylococcus aureus bilateral breast implant infection in a 42-year-old female, 19  years after submuscular saline breast augmentation. Her history was significant for intravenous drug abuse and concomitant osteomyelitis of the sternum and manubrium. She underwent washout and debridement, with explantation of the breast implants, and long-term intravenous vancomycin. This represe nts the longest reported occurrence of late infection in breast augmentation and the only report of a breast implant infection due to hematogenous spread/seeding from intravenous drug abuse.Leve...
Source: European Journal of Plastic Surgery - October 9, 2017 Category: Cosmetic Surgery Source Type: research

Assessment of facial harmony among Caucasian Spaniards 18 to 60  years of age and its relationship with the golden ratio
ConclusionsWe conclude that a standard perception of “facial normality” and facial beauty does exist. We also observed a general correlation between specific facial proportions and the golden ratio.Level of Evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 4, 2017 Category: Cosmetic Surgery Source Type: research

Do melanoma patients with melanoma of unknown primary have better survival than patients with melanoma of known primary?
ConclusionsThis study included patients from two major university hospitals in Denmark and showed no difference in overall survival between MUP and MKP patients with stage III or IV disease.Level of Evidence: Level IV, risk/prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 30, 2017 Category: Cosmetic Surgery Source Type: research

Compendium of scalp arteriovenous malformation (AVM) cases —a retrospective study and review
ConclusionsSurgical excision of AVMs, which includes ligation of all arterial feeders near the nidus and excision of nidus, is a safe option with lesser complications and gives good results. Preoperative embolization reduces vascularity and helps in easy identification of AVMs during surgery thus achieving complete excision and improving the prognosis of treatment especially in the large AVM.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 25, 2017 Category: Cosmetic Surgery Source Type: research

Flap repair of complex pilonidal sinus: a single institution experience
ConclusionsFlap repairs for complex pilonidal cysts have high rates of recurrence, reoperation, and wound dehiscence. However, flap patients represent a more challenging repair with long operative times, blood loss, and large sinus size. Absence of the perfect approach to managing a complex sinus necessitates a thorough description of the problem and a discussion between the surgeon and the patient about the merits of each approach before a decision is made.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 16, 2017 Category: Cosmetic Surgery Source Type: research

Intralesional excision combined with intralesional cryosurgery for the treatment of oversized and therapy-resistant keloids of the neck and ears
AbstractThis prospective case study presents a new method for the treatment of oversized and therapy-resistant keloids of the neck and ears employing intralesional excision combined with intralesional cryosurgery. The keloids were excised in an intralesional approach, and the remaining base and lateral margins of the scar tissue were frozen using intralesional cryoneedles. After complete thawing of the frozen tissues, the margins of the scar were approximated and sutured. The follow-up period extended over 18 –24 months. Over a period of 12 months, the scars gradually flattened with no hypopigmentation. No ...
Source: European Journal of Plastic Surgery - September 11, 2017 Category: Cosmetic Surgery Source Type: research

Forehead and brow rejuvenation: definition of a surgical algorithm
ConclusionsAccording to our experience, each technique is more applicable for certain patients. In this sense, our updated algorithm should be extremely helpful to young surgeons who are willing (and technically able) to handle forehead rejuvenation cases.Level of Evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 9, 2017 Category: Cosmetic Surgery Source Type: research

Secondary Linburg-Comstock syndrome: a case report
AbstractLinburg-Comstock syndrome is characterized by an inability to flex the interphalangeal joint of the thumb without simultaneous flexion of the distal interphalangeal joint of the index finger due to hereditary interconnections between the flexor pollicis longus (FPL) and the index flexor digitorum profundus (iFDP) resulting in discomfort and symptoms of flexor tenosynovitis. In addition to this anatomic anomaly, our clinical findings suggest that the interconnection can also result secondarily as a consequence of tenosynovial hyperplasia producing adhesions from any cause including previous surgery or trauma using t...
Source: European Journal of Plastic Surgery - September 8, 2017 Category: Cosmetic Surgery Source Type: research

Non-uraemic calciphylaxis: a diagnostic and management challenge for the burns team
We report this case to alert others to this rare condition as a possible diagnosis in patients presenting with extensive panniculitis. We discuss associations, diagnostic difficulties, novel therapies and the importance of multidisciplinary care in managing these complex cases.Level of evidence: Level V, diagnostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 6, 2017 Category: Cosmetic Surgery Source Type: research

The double-pedicled dorsal-metacarpal-artery (dpDMCA) flap of the hand: a novel DMCA-derived flap
AbstractThe dorsal-metacarpal-artery (DMCA) flap in its standard or extended version is considered as the working horse to cover dorsal soft tissue finger defects with exposed extensor tendon or bone. We hereby present a clinical case of an 80-year-old male patient who is right-handed and sustained a soft tissue defect of the proximal dorsal aspect of his left 5th finger and the postoperative outcome employing a modified transposition flap. The double-pedicled DMCA flap (dpDMCA flap) of the hand poses in adequate clinical scenarios a comparably fast and safe solution to cover dorsal finger defects extending just distal to ...
Source: European Journal of Plastic Surgery - September 4, 2017 Category: Cosmetic Surgery Source Type: research

A novel technique for correcting the over-corrected gynaecomastia using stacked acellular dermal matrix
We present a case of unilateral gynaecomastia over-res ection where disks of acellular dermal matrix (ADM) were interwoven in the subdermal, intrapectoral, and interpectoral planes to correct the areolar cavity. A routine review at 17 months showed maintained projection of the areola, and the patient was delighted with the natural contour.Level of Evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 4, 2017 Category: Cosmetic Surgery Source Type: research

Technical tip for direct closure of donor site of anterolateral thigh rectangular flaps wider than 9  cm used for pharyngo-esophageal reconstruction
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 23, 2017 Category: Cosmetic Surgery Source Type: research

Anatomy of superficial inferior epigastric vessels: revival of superficial inferior epigastric (SIEA) flap
ConclusionsThe high prevalence of both SIEA presence and appropriate diameter for anastomosis, and thus flap success, makes the SIEA perforator flap an appropriate option for reconstructive treatment.Level of Evidence: not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 22, 2017 Category: Cosmetic Surgery Source Type: research

Clinical description of skin lesions in pathology requisition forms completed by plastic surgeons is lacking: a retrospective study of 499 lesions
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 22, 2017 Category: Cosmetic Surgery Source Type: research

Reconstruction of full-thickness cheek defect with a folded cervico-pectoral cutaneous flap following ablation of advanced oral cancer in elderly patient
ConclusionsIn conclusion, folded cervico-pectoral fasciocutaneous flap is a fast and practical technique for reconstructing full-thickness cheek defects after tumor excision. The flap was straightforward to perform and reliable in both blood supply and cosmetic outcome, and it provides a good alternative to free flaps for cheek and upper neck reconstruction of elderly patients.Level of Evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 22, 2017 Category: Cosmetic Surgery Source Type: research

Exploring Furnas-McGregor paradox: describing normal distribution in central limb stereometric gain in 60 ° Z-plasty
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 22, 2017 Category: Cosmetic Surgery Source Type: research

Ablation of facial  adenoma sebaceum using the Versajet™ Hydrosurgery System
AbstractSebaceous adenomas, histologically facial angiofibromas, are closely associated with the tuberous sclerosis complex. The dermatologic disorder constitutes one of the main characteristics for that disease. The lesions commonly involve the central part of the face, including the cheeks, perioral region and nose with predominance in the nasolabial folds, causing a major cosmetic disfigurement. Aesthetic surgery of the face comprises different forms of ablative treatments using mechanical dermabrasion, shave excision, radiofrequency ablation, cryosurgery, laser therapy, and electrocoagulation. The use of Versajet &trad...
Source: European Journal of Plastic Surgery - August 19, 2017 Category: Cosmetic Surgery Source Type: research

Peristomal leakage of enteroatmospheric fistulas treated with lipotransfer combined to minimal-invasive scar release technique
AbstractLipografting is emerging as a “rescue” treatment for postoperative sequelae, soft tissue volume defects and refractory fistulas. After complicated laparotomies or colostomies, also peristomal soft tissue volume deficiencies and scarring can occur and lead to severe care problems. Currently, no satisfactory treatment is avail able for these sequelae resulting in general surgery. In this case report, we applied the operative approach by means of a minimal-invasive scar release combined to waterjet-assisted lipotransfer and sculpturing on the abdominal wall as a treatment of peristomal irregularities. We a...
Source: European Journal of Plastic Surgery - August 18, 2017 Category: Cosmetic Surgery Source Type: research

Erratum to: Lipofilling effects after breast cancer surgery in post-radiation patients: an analysis of results and algorithm proposal
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 5, 2017 Category: Cosmetic Surgery Source Type: research

A comparison of the tongue-in-groove and columellar strut in creating and maintaining tip projection and rotation: a randomized single blind trial
ConclusionsIt seems that both columellar strut and tongue in groove methods are effective techniques in maintaining tip projection and/or rotation in rhinoplasty. Using the tongue in groove technique in qualified hands may give significantly better esthetic satisfaction to patients than the columellar strut technique.Level of evidence: Level I, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 2, 2017 Category: Cosmetic Surgery Source Type: research

Is there still a place for skin graft in giant congenital melanocytic nevus?
ConclusionsSurgical and nonsurgical modalities are variable tools for management of giant congenital nevus. No doubt, skin graft is a good option for management of giant nevus.Level of Evidence: IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 25, 2017 Category: Cosmetic Surgery Source Type: research

Difference in nasolabial features between awake and asleep infants with bilateral cleft lip: Anthropometric measurements using three-dimensional stereophotogrammetry
AbstractBackgroundFacial soft tissue anthropometric values change according to a patient ’s body position. We compared the facial soft tissue shape between the upright and the supine operative positions in infants with bilateral cleft lip.MethodsTwenty-five infants with bilateral cleft lip were photographed in two different positions. Twenty-three anthropometric landmarks were selected and used for the analysis. Wilcoxon signed rank test was used for comparing the obtained values.ResultsLip width was significantly broader (3.0  mm in average,p 
Source: European Journal of Plastic Surgery - July 24, 2017 Category: Cosmetic Surgery Source Type: research

Large-volume breast fat transfer: technical evolutions and safety aspects based on over 800 cases and 26 years of follow-up
AbstractCurrent techniques for augmentation mammoplasty involve the use of alloplastic materials and an open approach. The former may not be well tolerated and often can be the origin of undesirable effects such as capsule contracture. The latter implies residual scars, which can sometimes be less than satisfactory from an esthetic point of view. Considering all the problems mentioned above and seeking to find safe and reliable alternatives to implants, we focused our attention on the possibility of using fat tissue as filling material for breast augmentation. Autologous adipose tissue has been used to correct soft tissue ...
Source: European Journal of Plastic Surgery - July 22, 2017 Category: Cosmetic Surgery Source Type: research

The buried dermal pennant stitch for the correction of symmastia following breast reduction
In this study, we present a novel approach to correct symmastia in a patient who developed the deformity following reduction mammoplasty. The technique described uses a buried dermal pennant suture, local advancement flaps, and liposuction to correct the symmastia and improve medial breast contour. We believe this technique provides adequate and long-term correction of symmastia in the breast reduction patient and avoids the shortcomings of previously described approaches.Level of Evidence: Level V, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 21, 2017 Category: Cosmetic Surgery Source Type: research

Versatile distally based neurocutaneous saphenous flap in the era of microsurgery
ConclusionsThe reverse saphenous neurocutaneous flap proved to be a reliable and efficient method for reconstructing soft tissue defects in the distal third of the leg and ankle joint.Level of Evidence: Level IV, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 20, 2017 Category: Cosmetic Surgery Source Type: research

Hand rejuvenation with fat grafting: A 12-year single-surgeon experience
ConclusionsThis study covers over a decade of practical experience in applying fat grafts to hands. The procedure is effective in reshaping and rejuvenating the hand as it shows long-lasting results after 1-year follow-up. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 18, 2017 Category: Cosmetic Surgery Source Type: research