Esthetic and functional result of crooked nose treatment; internal microperforating osteotomy and subtotal septal reconstruction
The objective of this study is to evaluate the esthetical and the functional outcomes following correction procedures of the bone pyramid through internal microperforating technique and the cartilaginous part through subtotal septal reconstruction. The medical records of 158 patients who have undergone through primary septorhinoplasty for crooked nose treatment during the period of 21 June 2016 and 31 July 2017 have been reviewed. Functional results have been evaluated using the Nasal Obstruction Symptom Evaluation (NOSE) scores and the esthetical results through Rhinoplasty Outcome Evaluation (ROE) scores. The observation...
Source: European Journal of Plastic Surgery - October 20, 2018 Category: Cosmetic Surgery Source Type: research

Pretarsal roll augmentation with dermal hyaluronic acid filler injection
This study aimed to introduce a method of pretarsal roll augmentation with dermal hyaluronic acid filler injection and establish the level of difficulty, safety, and effectiveness of this method. Eighty female patients were enrolled in this study. Hyaluronic acid filler was used to perform pretarsal roll augmentation. Physician and patient satisfaction at 1  month and 4 months after surgery was investigated. The level of satisfaction was graded from points 1 to 5. The patient satisfaction and physician scores were 4.7 ± 1.1 (mean ± standard deviation) points at 1 month and 4.8&thi...
Source: European Journal of Plastic Surgery - October 15, 2018 Category: Cosmetic Surgery Source Type: research

Congenital absence of the deep inferior epigastric system: a case report
We present the case of a congenital absence of the system identified from routine preoperative CTA. A 61-year-old female presented for immediate unilateral breast reconstruction following mastectomy for ductal carcinoma in situ. She previously had a right-sided Kocher ’s incision performed for an open cholecystectomy and a gridiron incision. Coincidentally, preoperative CTA demonstrated congenital absence of the left DIEP system, and marked atrophy of the upper right rectus abdominis (RA). As a result, the superior gluteal artery perforator (SGAP) flap was plan ned. Intraoperatively, a 1.318-kg SGAP was raised on thr...
Source: European Journal of Plastic Surgery - October 5, 2018 Category: Cosmetic Surgery Source Type: research

A rare case of finger ischemia following bypass procedure with autologous vein graft for thumb revascularization: a case report and brief review of the literature
AbstractThis case report aims to point out the importance of having in mind anatomical variation in the blood supply to the hand even in emergency settings. A 39-year-old patient presented at our emergency department with a wound on the distal anterolateral third of the left forearm with skin loss, degloving injury of the thumb starting from the 1st metacarpal, exposure of the proximal two thirds of the 1st metacarpal bone, and both radial and ulnar digital arteries of the thumb damaged. A 10-cm-long vein graft was anastomosed in termino-later fashion between the dorsal branch of the radial artery and the uninjured distal ...
Source: European Journal of Plastic Surgery - October 3, 2018 Category: Cosmetic Surgery Source Type: research

Contributing effect of lymphatic disruption in trapdoor deformity in nasolabial flaps —superiorly based vs. inferiorly based flap: A case report
AbstractThe nasolabial flap is well suited for reconstruction of the lower third of the nose. In one-stage reconstruction used as transposition flap, complications can be caused by blunting of the normal concavity of the nasofacial sulcus, but also by trapdoor formation. Various theories have attempted to explain this phenomenon of bulging tissue occurring in transposition flaps. The contributing effect of lymphatic dysfunction is not clear. In our case performed after excision of basal cell carcinoma, both lower thirds of the nose of a 77-year-old patient were reconstructed with a nasolabial transposition flap using an in...
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Prominent nose, its modalities and their treatment
ConclusionsProminent nose has several modalities and each of them requires different techniques applied during the surgical intervention. Both aesthetic and functional topics are frequently present, and multiple nasal structures, both external and internal, are commonly involved. In the aesthetically pleasing Caucasian nose, Goode ’s ratio should equal 0.55 to 0.60. If there is before operation unrecognised deviation from this norm, which is also persistent after the rhinoplasty, the final result will be substandard.Level of Evidence IV, risk / prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Extensive intraneural fascicular dissection of a lipofibromatous hamartoma of the ulnar digital nerve of the thumb
AbstractLipofibromatous hamartoma (LFH) is a rare, benign fibrofatty tumor of the peripheral nerves. Only a handful of cases have been reported in the literature, together with cases of LFH of the digital branches of the median nerve. The median nerve is the most commonly affected site. Different treatment approaches to LFH have been described according to the clinical presentation. A case of LFH of the ulnar digital nerve of the left thumb that underwent extensive intraneural fascicular dissection and mass excision is described in this paper. Good results were obtained, i.e., pain relief and good cosmesis. Extensive intra...
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Reconstruction with artificial dermis of oncological surgical defects in the craniofacial district —Matriderm® versus Integra®: a non-randomized, unblinded single-operator case series
ConclusionsWe observed that Integra ® has a better integration on poorly vascularized surfaces, such as the skull bones; however, the thickness of the dermis obtained is lower than the one obtained with Matriderm®. The latter, when used with the two-step technique, allows complete restoration of the thickness gap obtaining a better cosmetic result.Level of Evidence: Level III, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Contributing effect of lymphatic disruption in trapdoor deformity in nasolabial flaps —superiorly based vs. inferiorly based flap: A case report
AbstractThe nasolabial flap is well suited for reconstruction of the lower third of the nose. In one-stage reconstruction used as transposition flap, complications can be caused by blunting of the normal concavity of the nasofacial sulcus, but also by trapdoor formation. Various theories have attempted to explain this phenomenon of bulging tissue occurring in transposition flaps. The contributing effect of lymphatic dysfunction is not clear. In our case performed after excision of basal cell carcinoma, both lower thirds of the nose of a 77-year-old patient were reconstructed with a nasolabial transposition flap using an in...
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Transcutaneous oximetry and laser Doppler flowmetry values in patients with chronic skin ulcers treated with platelet rich plasma and stromal vascular fraction cells: a pilot study
ConclusionsThese results may reflect improved subcapillary circulation of the treated areas at 3  months postinjection, without a significant improvement in capillary perfusion.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Color Doppler ultrasonography targeted reconstruction using pedicled perforator flaps —a systematic review and meta-analysis
ConclusionsThe reconstructive success rate following pedicled perforator flap reconstruction targeted by CDU appears to be high and the procedure provides a wide scope of applications and margin of safety. It is evident that the risk of venous congestion is 11 times greater in the lower extremities than the truncus, a finding that needs further attention in future studies.Level of Evidence: Level IV, risk/prognostic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

A new otoplasty procedure: combination of perichondrio-adipo-dermal flap, posterior auricular muscle transpositioning and cartilage suturing to decrease the post-operative complication rates
ConclusionsThe combination of these three techniques not only decreases post-operative complication rates but also provides a primary otoplasty technique. All three techniques are well-documented and reliable protruding ear correction methods. It was aimed to benefit from specific advantages of each technique while decreasing the complication rates. The primary drawback of our study is the amount of patients in our sample. Complication rates of this technique remain debatable in the 14 cases. The need for further prospective comparative studies about this subject remains.Level of Evidence: Level  IV, therapeutic study...
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Applications and limitations of using patient-specific 3D printed molds in autologous breast reconstruction
ConclusionsPatient-specific breast templates are inexpensive and relatively easy to design, while being practical and convenient to obtain insight in the dimensions of the desired breast during reconstruction, according to the operating surgeons. Patient selection is however critical, as patients must have sufficient donor volume and/or satisfying breast shape to be able to use the template to its full potential.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

The first step of patient-specific design calvarial implant: A quantitative analysis of fresh parietal bones
ConclusionsPolylactic acid-based three-dimensional implants can be considered as acceptable candidates for temporary replacement of parietal defects in terms of mechanical properties.Level of Evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Correction of eyelid retraction using a half-thickness tarsal flap for lengthening of the eyelid following ptosis surgery
AbstractVarious surgical procedures for correction of upper eyelid retraction have been reported, many of which have had favorable results. However, most of these reports are concerned with the correction of upper eyelid retraction in patients with thyroid ophthalmopathy, and few have focused on upper eyelid retraction caused by overcorrection during ptosis surgery. Corrective surgery for upper eyelid retraction resulting from ptosis surgery is often difficult because of the extensive irregular contracture caused by scar tissue. However, as this is a repeat surgery following ptosis surgery, it is important to ensure good p...
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

How to avoid common errors in writing scientific manuscripts
This article aims to contribute with the existing information on how to recognize and avoid common errors for a successful scientific writing and consequently being published.Level of Evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Outcomes of the use of Ligamentotaxor ® for proximal interphalangeal fractures of the hand: North Bristol hand centre experience
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

A case of important weight loss after a prepectoral breast reconstruction
We present the case of a 42-year-old woman who underwent left nipple-sparing mastectomy with prepectoral acellular dermal matrix (ADM) assisted direct-to-implant (DTI) breast reconstruction and contralateral mastopexy. The implant was completely wrapped around by Braxon ®, a preshaped porcine ADM. A few months after surgery, she experienced a severe weight loss resulting in the aesthetic deterioration of both breasts. The patient showed a migration of the left implant inferiorly and laterally, and deflation of the contralateral breast. In order to improve the left breast, a lateral capsulectomy was performed to reduce ...
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Reconstruction of abdominal wall defects using extended trilobed rectus abdominis musculocutaneous flap
AbstractReconstruction of extensive abdominal wall defects is difficult in many cases. We performed peritoneal reconstruction by free fascia lata transplantation and abdominal wall reconstruction with an extended trilobed rectus abdominis musculocutaneous flap. Firstly, the peritoneum is closed by free fascia lata transplantation. Then, the rectus abdominis musculocutaneous flap is prepared adjacent to the abdominal wall defect and centering on the rectus abdominis muscle body on the contralateral side. The rectus abdominis musculocutaneous flap is elevated with the first flap toward the xiphoid process on the cranial side...
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Surgical management of giant congenital melanocytic nevus of face in the adult —outcomes and experience
ConclusionsSize and location of the lesion, and compliance of the patient are the primary determinants of the choice of procedure. However, potential for malignant transformation and optimal esthetic results have to be also borne in mind. Treatment should be prompt, reconstruction should be individualized and follow-up should be prolonged.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

A skin stretch system for the immediately closing of the large skin defects of the anterior chest wall following large keloid excision
AbstractLarge anterior chest wall skin defects following keloid resection, which are not suitable for primary closure, represent a substantial reconstructive challenge, partly due to the expected high tension closure and the considerable rate of recurrence. The TopClosure® Tension Relief System (TRS) is a novel skin stretching and wound closure-secure system which has been shown as a substitute for skin grafts, tissue expanders, and flaps. A 36-year-old man presented with a large keloid with ulcerations on the anterior chest wall. The patient underwent surgical resection of the keloid with immediate primary closure of ...
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

A systematic review of the risk of postoperative bleeding with perioperative non-steroidal anti-inflammatory drugs (NSAIDs) in plastic surgery
ConclusionsBased on the assembled data, the authors conclude that the use of perioperative NSAIDs in plastic surgical procedures increases the risk of postoperative bleeding complications. Despite this, the rate of bleeding complications remains low.Level of Evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Poly Implant Proth èse silicone breast implants: implant dynamics and capsular contracture
ConclusionsWe managed to illustrate that PIP implant shells were too permeable and that there is a correlation between gel bleeding and the increase of the post-operative implant volume. Implant rupture led to a higher risk for developing capsular contracture.Level of evidence: Level III, risk / prognostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Comments on “Applications and limitations of using patient-specific 3D printed molds in autologous breast reconstruction” by S. Hummelink et al.
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 1, 2018 Category: Cosmetic Surgery Source Type: research

Glabella impending skin necrosis: a case report
AbstractA 47-year-old female patient undergoing hyaluronic acid injection in the glabella region suffered intravascular injection leading to marked discoloration (whitening) of the whole angiosome of the supratrochlear artery, extending to the areas of the anastomoses to the left upper eyelid, the dorsum of the nose, and the left sidewall of the nose. The syringe was immediately withdrawn while aspirating and prompt salvage counter-measures were taken, including application of warm compresses, vigorous massaging, oral administration of aspirin, repeated injections of hyaluronidase, and application of nitroglycerine paste o...
Source: European Journal of Plastic Surgery - September 18, 2018 Category: Cosmetic Surgery Source Type: research

Dermal subcision of Nemoto ’s ligaments as a long-lasting treatment for forehead and glabellar wrinkles
ConclusionsThe cutting (dermal subcision) of fasciocutaneous ligaments of the forehead described by Nemoto et al. is a safe, economical and effective technique for forehead and glabella rejuvenation with long-lasting results.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 12, 2018 Category: Cosmetic Surgery Source Type: research

Mycobacterium Ulcerans soft tissue defects: reconstructive challenges
ConclusionsThis review has identified the necessity of defining optimal reconstructive pathways inM. ulcerans soft tissue defects. Our cases demonstrate the successful use of fasciocutaneous flaps in refractory cases needing complex reconstruction. This paper presents the first review and case series on microvascular flap reconstruction ofM. ulcerans defects.  Level of Evidence Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 7, 2018 Category: Cosmetic Surgery Source Type: research

Prepectoral breast reconstruction using the Braxon ® porcine acellular dermal matrix: a retrospective study
ConclusionsGood results were obtained with a high degree of esthetic and functional satisfaction for the majority of patients. A low rate of early complications compared to that reported in the international literature data was observed.Level of Evidence: Level IV, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 7, 2018 Category: Cosmetic Surgery Source Type: research

Inverted nipples correction with glandular retropapillar flap: demonstration of a technique
This study demonstrates an easily reproduced technique that spares local tissue, using a small incision and mobilizes sufficient volume to project the papilla, without deforming the areola.Level of Evidence: Level IV, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 4, 2018 Category: Cosmetic Surgery Source Type: research

Pre-operative grip force as clinical predictor for weakness after transversal carpal ligament release
AbstractBackgroundTemporary or long-lasting loss of grip force after open carpal tunnel release (CTR) in carpal tunnel syndrome (CTS) patients is well known and caused by changes in biomechanical conditions through sectioning of the transverse carpal ligament. We hypothesize to find predicting factors for loss of grip strength.MethodsWe performed dynamometer testing of overall hand grip, tip pinch, and key pinch grip prior, 3 and 6  months after open CTR in 42 CTS subjects. Changes in these three main variables related to pre-operative grip, tip pinch and key pinch forces as well as gender and age were analyzed for si...
Source: European Journal of Plastic Surgery - August 28, 2018 Category: Cosmetic Surgery Source Type: research

Decision between contralateral and ipsilateral DIEP flap harvesting for unilateral breast reconstruction
ConclusionsThermographic assessment of the abdominal skin after hypothermia is easy to conduct and gives reproducible information about different areas of skin perfusion quality. The difference in rewarming speed from left to right is thought to be due to a larger diameter deep inferior epigastric artery, which translates into a superior perfusion, but does not necessarily correlate with the size of the perforators itself. The presented technique offers the potential to improve outcome, especially by lowering perfusion-related complications and reducing operation time by fast dissection of the non-dominant side while caref...
Source: European Journal of Plastic Surgery - August 27, 2018 Category: Cosmetic Surgery Source Type: research

Adverse drug reaction with silodosin: a case report of an unusual skin rash
This article reports a case of unusual silodosin-related skin rash, Naranjo score 5, which regressed after applying combined intense pulsed light (IPL)/fractional CO2 laser/chemical treatments and drug interruption.Level of evidence: Level V, risk/prognostic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 20, 2018 Category: Cosmetic Surgery Source Type: research

Proximal carpal crease incision for carpal tunnel release: a pilot study
ConclusionsPilot study suggests that CI is a safe alternative treatment method of the carpal tunnel syndrome resulting in faster patient recovery after carpal tunnel release.Level of Evidence: Level I, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 19, 2018 Category: Cosmetic Surgery Source Type: research

Discussing sexuality in the field of plastic and reconstructive surgery: a national survey of current practice in the Netherlands
ConclusionsIn plastic surgery practice, sexuality appears to be a rarely discussed subject, with the gender and genital surgery subspecialties as the exception. Although professionals and patients emphasize the importance of sexuality, plastic surgeons express limited urge to be trained and prefer written patient information and referring patients to other healthcare professionals. The authors stimulate more education on sexuality during (continued) plastic surgery training.Level of Evidence: Not ratable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 18, 2018 Category: Cosmetic Surgery Source Type: research

The current UK perspective of breast surgeons on breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)
ConclusionsBIA-ALCL is likely to be caused by a complex interplay of factors, allowing for the variation in clinical presentation and disease progression. Our survey has already shown a growing knowledge amongst breast surgeons in the UK and Ireland as well as a switch in practice in less than a third of consultants already.Level of Evidence: not ratable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 18, 2018 Category: Cosmetic Surgery Source Type: research

Comments on “Applications and limitations of using patient-specific 3D printed molds in autologous breast reconstruction” by S. Hummelink et al.
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 17, 2018 Category: Cosmetic Surgery Source Type: research

Complications, long-term outcome and quality of life following Surgisis ® and muscle-covered implants in immediate breast reconstruction: a case-control study with a 6-year follow-up
ConclusionsThe use of Surgisis® in implant-based reconstruction seems to result in an acceptable total early complication rate. The rate might be higher in tissue expander-based reconstruction. Risk factors are mainly patient characteristics. The capsular contracture rate and need for corrections, as well as patient satisfaction and quality of life, are similar in the Surgisis® patients and muscle-covered controls.Level of evidence: III (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 16, 2018 Category: Cosmetic Surgery Source Type: research

Facial reconstruction in Italy during the First World War
ConclusionsWhilst there has been interest in, and publication on developments in Great Britain, France and Germany, no significant review of the Italian experience has been undertaken. This article examines the clinical material described by Emerin Keene and the contributions of other Italian contributors to wartime facial surgery, setting these in the context of developments elsewhere in Europe, but further research on what appears to be extensive Italian work in the First World War seems merited.Level of Evidence: not ratable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 15, 2018 Category: Cosmetic Surgery Source Type: research

Translation and cultural adaptation of the CLEFT-Q into Arabic, Dutch, Hindi, Swedish, and Turkish
ConclusionsSemantic, idiomatic, experiential, and conceptual equivalence of the CLEFT-Q was achieved for all language versions, thus providing evidence of the CLEFT-Q ’s transferability to other languages and cultures.Level of Evidence: Not ratable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 15, 2018 Category: Cosmetic Surgery Source Type: research

Versatility of dermal regeneration templates in the treatment of burn sequelae
ConclusionsOur results suggest that Integra is a very versatile tool for the treatment of burn sequelae. It yields good cosmetic and functional results in most cases with very little donor site morbidity. We believe that Integra should be viewed as one of the best current options for reconstructive procedures in burn patients.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 14, 2018 Category: Cosmetic Surgery Source Type: research

Adverse effect of tocilizumab treatment on split thickness skin graft —a case report
We present a case of a 61-year-old man, treated with tocilizumab for severe poly-articular, erosive psoriasis arthritis. He was diagnosed with BCC on the scalp and underwent excision followed by STSG with no complications. The patient experienced graft loss after commencing tocilizumab treatment days to weeks post grafting on numerous occasions. We find this possible adverse effect of tocilizumab on skin grafts to be of great importance to report as it is not previously mentioned in any literature. We hope that this case report will increase the awareness of this possible adverse effect on STSG in patients treated with toc...
Source: European Journal of Plastic Surgery - August 13, 2018 Category: Cosmetic Surgery Source Type: research

Bilateral breast reconstruction and pectus excavatum correction: a case and review of the literature
In this study, we discuss indications and surgical options for bilateral breast reconstruction, pectus excavatum, and breast augmentation.Level of Evidence: Level V, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - August 13, 2018 Category: Cosmetic Surgery Source Type: research

Ear lobe rotation flap for the reconstruction of full-thickness defects of the middle third of the auricle
AbstractThe authors propose a novel surgical technique for reconstruction of full-thickness defects of the middle portion of the auricle including the helix and the antihelix up to the neighboring portion of the concha and sparing the whole of the ear lobe. It is a single-stage procedure that is indicated when a large, redundant, and pendulous earlobe exists as typically occurs in the elderly patient. The earlobe is rotated into the full-thickness ear defect and fits as an inlay between two cartilaginous stumps. The ear lobe presents two anatomical patterns: the pendulous or free one, with the ear lobe lying free from the ...
Source: European Journal of Plastic Surgery - August 1, 2018 Category: Cosmetic Surgery Source Type: research

An unusual case of giant rhinophyma
AbstractRosacea is a rather common and frequently diagnosed condition of the skin and may in some cases progress to rhinophyma. This is a case report of a patient with a giant rhinophyma of 358  g. He claimed his first symptoms 5 years prior to our first clinical assessment. We performed an excision of the tumor mass by scalpel and a CO2 laser treatment of the remaining skin surface. Post-surgical therapy only included topical treatment with an ointment containing bacitracin zinc and neomycin sulphate to prevent infections. After stable wound closure, we had the chance to examine the patient after a period of 7.5...
Source: European Journal of Plastic Surgery - August 1, 2018 Category: Cosmetic Surgery Source Type: research

Novel decision algorithm for the diagnosis of silicone gel breast implant ruptures
ConclusionsUltrasound evaluation may be the first level exam in case of suspicious symptomatic breast implant rupture. Importantly, our results demonstrate that magnetic resonance imaging could be avoided in all those cases where an extracapsular rupture has been diagnosed using ultrasound.Level of Evidence: Level IV, diagnostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 21, 2018 Category: Cosmetic Surgery Source Type: research

Surgical treatment of periocular basal cell carcinomas with whole specimen intraoperative frozen section analysis: experiences and review of literature
ConclusionsThis study indicates that WIFSA is an effective method for histological examination of the margins of surgically removed periocular BCCs, with high specificity and sensitivity. Recurrence rates are low.Level of Evidence: Level II, diagnostic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 13, 2018 Category: Cosmetic Surgery Source Type: research

The ubiquitous hospital polyethylene pinny: an ideal temporary wound cover
ConclusionsPolyethylene aprons are widely available in all clinical areas. We found no evidence that they are colonised with or harbour bacteria at the point when taken from the roll. They are inexpensive, easy to handle, waterproof and in our experience, do not adhere to wounds. In addition, no specialty specific knowledge or training is required for their use. We believe these qualities make the polyethylene apron an ideal temporary dressing.Level of Evidence: Level IV, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 11, 2018 Category: Cosmetic Surgery Source Type: research

Ricardo Baroudi: an icon of plastic surgery and a dear friend
(Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 7, 2018 Category: Cosmetic Surgery Source Type: research

New software and breast boundary landmarks to calculate breast volumes from 3D surface images
ConclusionThe newly introduced landmarks showed to be robust and our new chest wall simulation algorithm showed accurate results.Level of Evidence: Level IV, diagnostic  study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - July 6, 2018 Category: Cosmetic Surgery Source Type: research