Thin-ALT and SCIP flaps versus standard ALT for lower extremity reconstruction: how thick is the evidence?
ConclusionsThin-ALT and SCIP flaps demonstrate low rates of flap failure and secondary complications that are comparable to standard ALT flaps. Thin-ALT and SCIP flaps are viable options for complex lower extremity reconstruction.Level of evidence: Not gradable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 19, 2023 Category: Cosmetic Surgery Source Type: research

The use of gluteus maximus to restore the function of the pelvic diaphragm in the reconstruction of the pelvic outlet after abdomino-perineal resection: a case series
ConclusionsThe pedicled gluteus muscle flap provides an option for local reconstruction of large perineal defects, as it creates an innervated muscle sling to restore the support function of the pelvic diaphragm, reducing the risk of long-term hernia formation.Level of evidenceLevel V, Therapeutic (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 18, 2023 Category: Cosmetic Surgery Source Type: research

Analysis of complications following implant-based breast reconstruction in breast cancer patients
ConclusionsAge, post-mastectomy radiotherapy, and use of the latissimus dorsi flap have a significant prognostic value in complications following implant-based breast reconstruction. Our findings are useful in counseling patients to make informed decisions and also in optimizing post-operative care.Level of evidence: Risk, III, risk/prognostic (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 4, 2023 Category: Cosmetic Surgery Source Type: research

A retrospective cohort study comparing donor site morbidity between the L-shaped upper gracilis and transverse upper gracilis flap in breast reconstruction
ConclusionsIn our study, the LUG flap presented reduced donor site morbidity with less need for secondary procedures. Further studies are needed to validate these results on a larger scale and understand the psychosocial impact of a more conspicuous scar.Level of evidence: Level III, therapeutic (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 4, 2023 Category: Cosmetic Surgery Source Type: research

Analysis of complications following implant-based breast reconstruction in breast cancer patients
ConclusionsAge, post-mastectomy radiotherapy, and use of the latissimus dorsi flap have a significant prognostic value in complications following implant-based breast reconstruction. Our findings are useful in counseling patients to make informed decisions and also in optimizing post-operative care.Level of evidence: Risk, III, risk/prognostic (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 4, 2023 Category: Cosmetic Surgery Source Type: research

A retrospective cohort study comparing donor site morbidity between the L-shaped upper gracilis and transverse upper gracilis flap in breast reconstruction
ConclusionsIn our study, the LUG flap presented reduced donor site morbidity with less need for secondary procedures. Further studies are needed to validate these results on a larger scale and understand the psychosocial impact of a more conspicuous scar.Level of evidence: Level III, therapeutic (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - October 4, 2023 Category: Cosmetic Surgery Source Type: research

Effect of platelet-rich plasma versus triamcinolone acetonide as adjuvant therapy to surgical excision of keloid
ConclusionsInjection Triamcinolone acetonide as an adjuvant following surgical excision of keloids gives better scar quality as compared to the injection PRP with lesser recurrence.Level of evidence: Level II, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 24, 2023 Category: Cosmetic Surgery Source Type: research

A defensive approach to muscle flaps of the leg
ConclusionsDefensive approach skin incision is a safe and easy way to raise muscle flaps in the leg which preserves the option for a fasciocutaneous flap as lifeboat if needed.Level of evidence:Level IV, therapeutic. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 24, 2023 Category: Cosmetic Surgery Source Type: research

A comparative study on the influences of platelet-rich plasma vs its derived cytokines on skin rejuvenation
ConclusionsBoth therapies improved skin texture and elasticity. The efficacy rate was greater than the improvement for wrinkles. The effectiveness of nasolabial lines and facial lift was not significant. PRP-C therapy can be used as cell-free therapy.Level of evidence: level III, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 24, 2023 Category: Cosmetic Surgery Source Type: research

A systematic review of the finger bank technique: what are its limits?
ConclusionsOverall, this systematic review highlighted the great prognosis that the FB can offer to traumatic multidigit patients and emphasized the lack of research in this area.Level of evidence: Not gradable (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 24, 2023 Category: Cosmetic Surgery Source Type: research

Verifying the reliability of septum-enhanced inferior pedicle technique for patients with high-grade breast ptosis undergoing reduction mammaplasty
ConclusionsThe septum-enhanced inferior pedicle technique is safe with reliable results and minimal complications in patients with high-grade breast ptosis and gigantomastia even with a nipple to supra-sternal notch distance more than 40  cm.Level of evidence: Level III, therapeutic  study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 24, 2023 Category: Cosmetic Surgery Source Type: research

Microsurgical reconstruction of the mandible part II: new classification system and algorithm
ConclusionsOptimizing mandibular defect classification with better integration of data-driven information along with clinicopathological evidences and related experience allows for better clinical judgment and choices. We believe that our new classification system and algorithm for reconstruction can be a valuable guiding tool for dealing with complex mandibular reconstruction.Level of evidence:Level III, therapeutic study (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 24, 2023 Category: Cosmetic Surgery Source Type: research

One-stage mastopexy-augmentation: a comparative study
ConclusionsWe believe that in single-session mastopexyaugmentation  operations, the tailor tack method may be safer than previously described conventional vertical applications in terms of complication and revision operation rates and the possibility of using larger volume implants.Level of Evidence: Level II, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - September 24, 2023 Category: Cosmetic Surgery Source Type: research