The Septo-Capsulopalpebral fascial Recession Flap technique in Lower Blepharoplasty; An experience of 453 consecutive cases and a review of the literature
Lower blepharoplasty is one of the most common cosmetic rejuvenation procedures. Occasionally, adverse effects of the operation, ranging from operated and somewhat flattened unnatural look of the lower eyelid region to more severe cases of ectropion, retraction leading to functional disabilities, further compound the problem. The author has developed a technique focused on two aspects, in terms of the outcome of operation in developing a technique that ensures a uniformly consistent and esthetically perceptible result. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 21, 2019 Category: Cosmetic Surgery Authors: Bok Ki Jung, Young Seok Kim, Woong Ki Jung, Ji Myung Kim, Yeon Ho Jung, Tai Suk Roh Source Type: research

Erratum to “‘Operating is the easy part’: Surgeons’ decision-making processes and responses to parental requests for elective paediatric appearance-altering facial surgery” [J Plast Reconstr Aesthet Surg 72 (2019) 1379–1387]
The publisher regrets that the following text in the abstract of the article, ``Individual semi-structured interviews were conducted by 22 plastic surgeons …'' was incorrect and should have been printed as, ``Individual semi-structured interviews were conducted with 22 plastic surgeons…''. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 16, 2019 Category: Cosmetic Surgery Authors: Lauren Notini, Lynn Gillam, Merle Spriggs, Anthony Penington Tags: Erratum Source Type: research

Distraction as a simple and effective method to reduce pain during local anaesthesia; a randomized controlled trial
We present a randomized controlled trial of the effect of distraction on pain during local anaesthesia in adults. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 15, 2019 Category: Cosmetic Surgery Authors: Jeroen Molleman, Jarl F. Tielemans, Marjorie J.I. Braam, Berber Weitenberg, Richard Koch Source Type: research

Letter responds to comments on: Head bandage after otoplasty: How long should it be worn?
We read with a lot of interest the comment provided by Sepehripour and Dheansa1 to our paper “Head bandage after otoplasty: How long should it be worn?” (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 14, 2019 Category: Cosmetic Surgery Authors: Raffaele Rauso, Fabrizio Chirico, Luigi Rugge, Gianpaolo Tartaro Tags: Correspondence and Communications Source Type: research

Exploration of the Axillary Nerve through an Open Posterior Endoscopic Assisted (OPEA) Approach: first clinical experience
We present the first two cases using an endoscopic assisted approach to explore the AN through a posterior approach. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 14, 2019 Category: Cosmetic Surgery Authors: Andr és A. Maldonado, Robert J. Spinner, Johannes Frank, Michael Sauerbier Source Type: research

Does non-activated platelet-rich plasma (PRP) enhance fat graft outcome? An assessment with 3D CT-scan in mice. Letter to editor
We carefully read the last article of Atashi et al. recently published in JPRAS entitled “Does non-activated platelet-rich plasma (PRP) enhance fat graft outcome? An assessment with 3D CT-scan in mice”.1 We would like to congratulate the authors for this exhaustively documented experimental study. Indeed, the idea to increase fat graft retention using PRP and growth factors it conta ins is a popular topic in aesthetic and reconstructive field. More than a dozen pre-clinical studies since 2013, trying to investigate this point have been identified without any consensus. (Source: Journal of Plastic, Reconstructiv...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 14, 2019 Category: Cosmetic Surgery Authors: Maxime Abellan Lopez, Baptiste Bertrand, Aur élie Daumas, Dominique Casanova, Jérémy Magalon, Florence Sabatier Tags: Correspondence and Communications Source Type: research

Outcome reporting in breast reconstruction
We read with great interest the systematic review published by Wagner and colleagues on evaluating the complication profiles in pre-pectoral breast reconstruction alone versus pre-pectoral with acellular dermal matrix (ADM) or mesh.1 We would like to raise some important issues compromising the interpretation of the data. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 14, 2019 Category: Cosmetic Surgery Authors: Mr Ankur Khajuria, Professor Afshin Mosahebi Tags: Correspondence and Communications Source Type: research

Response to: “Letter responds to comments on: Head bandage after otoplasty: How long should it be worn?”
We read with a lot of interest the comment provided by Sepehripour and Dheansa1 to our paper “Head bandage after otoplasty: How long should it be worn?” (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 14, 2019 Category: Cosmetic Surgery Authors: Raffaele Rauso, Fabrizio Chirico, Luigi Rugge, Gianpaolo Tartaro Tags: Correspondence and Communications Source Type: research

Letter comments on: Head bandage after otoplasty: How long should it be worn?
We read with interest the article on “Head bandage after otoplasty: How long should it be worn? “.1 The authors discuss there is lack of consensus as to the appropriate duration of bandaging following pinnaplasty. They suggest that based on their results of 62 patients head bandage is not required for more than 48 hours.1 (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 14, 2019 Category: Cosmetic Surgery Authors: S. Sepehripour, B.S. Dheansa Tags: Correspondence and Communications Source Type: research

Letter to the editor —Zygomatico-orbital artery: The largest artery in the temporal area
We read with great interest the article entitled “Zygomatico-orbital artery: The largest artery in the temporal area” by Choi et al.1 The paper found that zygomatico-orbital artery bifurcates from the external carotid artery, rises and crosses the zygomatic arch anterior to the porion. The zygomatico-orbital artery mean diameter was 2.52 mm. Figure 1(A) described by the author showed the detailed course of the zygomatico-orbital artery.1 (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 13, 2019 Category: Cosmetic Surgery Authors: Shuo Liu, Lingjun Liu, Hang Wang Tags: Correspondence and Communications Source Type: research

Letter to the Editor-Zygomatico-orbital artery: The largest artery in the temporal area
We read with great interest the article entitled “Zygomatico-orbital artery: The largest artery in the temporal area” by Dr. Choi et al.1 The paper found that zygomatico-orbital artery bifurcates from the external carotid artery, rises and crosses the zygomatic arch anterior to the porion. The zygomatico-orbital artery mean diameter was 2.52 m m. Figure 1A described by the author showed the detailed course of the zygomatico-orbital artery.1 (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 13, 2019 Category: Cosmetic Surgery Authors: Liu Shuo, Liu Lingjun, Wang Hang Tags: Correspondence and Communications Source Type: research

Efficacy of an external volume expansion device and autologous fat grafting for breast reconstruction following breast conserving surgery & total mastectomy: small improvements in quality of life found in a prospective cohort study.
This study aimed to assess the efficacy of fat grafting using an external expansion device for complete breast reconstruction post breast cancer surgery hypothesising it would improve quality of life. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 9, 2019 Category: Cosmetic Surgery Authors: Benjamin H.L. Howes, David I. Watson, Beverley Fosh, Nicola R. Dean Source Type: research

Evaluation of trainee performance in microsurgical procedures
Acquisition of microsurgical expertise is integral to plastic surgical training. The United Kingdom Certificate of Completion of Training requires surgeons to perform 27 free tissue transfers and 35 microvascular anastomoses during their training; a goal challenging to trainees and trainers alike given reduced training hours, complexity of cases, and consequences of flap failure. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 9, 2019 Category: Cosmetic Surgery Authors: J. Smith, R.G. Wade, R. Clancy, D. Wilks Tags: Correspondence and Communications Source Type: research

Reossification of the skull base after fronto-orbital advancement for craniosynostosis
Fronto-orbital advancement (FOA) is one of the accepted first-line surgical procedure for craniosynostosis. The aims of FOA are to expand the anterior cranial fossa, provide protection for the globe, and to contour the forehead. However, one of the disadvantages of FOA is the development of a bony gap behind the advanced segments, especially when FOA is performed in older patients.1 In the absence of re-ossification, this may lead to functional issues. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Yoshiaki Sakamoto, Tomoru Miwa, Kazunari Yoshida, Kazuo Kishi Tags: Correspondence and Communications Source Type: research

Combination of Mesenchymal Stem Cell-Conditioned Medium and Botulinum Toxin Type A for Treating Human Hypertrophic Scars
Both mesenchymal stem cell-conditioned medium (MSCs CM) and Botox have demonstrated therapeutic effects for hypertrophic scar (HS). It is unclear if a synergistic effect occurs when these treatments are used in combination. We aimed to investigate therapeutic effects of MSCs CM and Botox alone compared with a combined regimen on HS. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Ching-Hsuan Hu, YI-Wen Tseng, Chien-Wei Lee, Chih-Yung Chiou, Shiow-Shuh Chuang, Jui-Yung Yang, Oscar K. Lee Source Type: research

TOXIC EPIDERMAL NECROLYSIS (TEN); acute complications and long-term sequelae management in a multidisciplinary follow-up
This study aimed to identify acute complications and long-term sequelae of TEN and to highlight the importance of a multidisciplinary management follow-up. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Laura M. Caba ñas Weisz, Iker Miguel Escuredo, Juan Bautista Ayestarán Soto, Juan José García Gutiérrez Source Type: research

An internal distraction device for midface distraction osteogenesis: The NAVID system type Z'gok
Midface advancement with distraction osteogenesis is more routinely used for faciocraniosynostosis. Distraction devices are generally classified into external and internal types. Compared with external distractors, internal distractors are smaller and better tolerated, but their removal is complicated. Here, we introduce a refined internal distraction device and describe its applicability. Unlike the previous anterior fixation plate that utilises screws, the refined internal distraction (type Z'gok) has 3 claws. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Yoshiaki Sakamoto, Teruo Sakamoto, Takenobu Ishii, Kazuo Kishi Source Type: research

Brow height asymmetry before and after eyelid ptosis surgery
In this study, the authors aim to elucidate the prevalence and predictors of brow height asymmetry in the setting of ptosis, and to determine the effect of eyelid surgery on brow height asymmetry, in order to guide preoperative evaluation and informed consent. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Justin N. Karlin, Daniel B. Rootman Source Type: research

Achieving Balance between Resident Autonomy and Patient Safety: Analysis of Resident-led Microvascular Reconstruction Outcomes at a Microsurgical Training Center with an Established Microsurgical Training Pathway
In this study, we retrospectively reviewed the outcomes of 156 consecutive microsurgical cases to determine the efficacy and safety of resident-led reconstructions at the county hospital. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Min-Jeong Cho, Sameer H. Halani, Justin Davis, Andrew Y. Zhang Source Type: research

Minimally invasive salvage of infected breast tissue expanders: A continuous closed irrigation technique based on surface biofilm disruption
Removal of the infected device has been the general treatment for device-associated infection in antibiotic failure. There have been anecdotal attempts to salvage infected medical devices by introducing a continuous closed irrigation system. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Ara Kim, Jae Hoon Jung, Young Jae Lee, Jin-Woo Park, Jai-Kyong Pyon Source Type: research

Dermal regenerative matrix use in burn patients: A systematic review
The objective of this study was to perform a systematic review of the literature to assess the clinical outcomes and safety profile of DRMs in full-thickness burn injury. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Katie E. Hicks, Minh N.Q. Huynh, Marc Jeschke, Claudia Malic Tags: Review Source Type: research

Starting an autologous breast reconstruction program after plastic surgical training. Is it as good as it gets?
Today, the deep inferior epigastric perforator (DIEP) flap is considered to be the gold standard in microvascular breast reconstruction. Although this procedure is known as technically demanding, novice plastic surgeons must be able to perform these procedures to meet the rising demand. The purpose of this study was to evaluate if the young junior professional is trained adequate enough to set up and safely perform microsurgical breast reconstructions. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Nikki Beudeker, Inge Smits, Renske Spierings, Thomas Rijntalder, Pieter S. Verduijn, Thijs de Wit, Marc A. Mureau, Hinne A. Rakhorst Source Type: research

Anterior lateral thigh free flaps for the reconstruction for scalp angiosarcoma – 18-year experience in Chang Gung Memorial Hospital
Scalp angiosarcoma is a rare and highly aggressive cutaneous malignancy with poor prognosis and high recurrence rate. Multimodality approach is currently the treatment protocol for resectable angiosarcoma, including wide local excision and post-operative radiation. This single-institution study reviews the 18-year experience of the surgical treatment of scalp angiosarcomas. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Pang-Yun Chou, Dennis Kao, Rafael Denadai, Chu-Yen Huang, Cheng-Hung Lin, Chih-Hung Lin Source Type: research

Does 3D printing really guide surgeons in having a more satisfying rhinoplasty result?
Aesthetic surgeries may help people to increase their self-esteem. Due to complexity of procedure, sometimes surgeons cannot persuade them about the outcomes and ultimate shape of the nose and face after surgery. Having an assessment of facial landmarks, or applying scales to demonstrate the expected outcome, such as Rhino Scale1 would be remarkable. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Javad Rahmati, Nafiseh Malekmohammadi, Hojjat Molaei Tags: Correspondence and Communications Source Type: research

Shoulder-Related Donor Site Morbidity After Delayed Breast Reconstruction with Pedicled Flaps From the Back: An Open Label Randomized Controlled Clinical Trial
: This randomized controlled trial (RCT) investigates differences in shoulder-related morbidity after delayed breast reconstruction by either a latissimus dorsi (LD) flap or a thoracodorsal artery perforater (TAP) flap. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Mikkel B ørsen Rindom, Gudjon L. Gunnarsson, Marianne D. Lautrup, René D. Christensen, Tina Tos, Lisbet R. Hölmich, Professor Jens A. Sørensen, Jørn B. Thomsen Tags: Original Article by Source Type: research

Transversus abdominis release in the treatment of subcostal incisional hernias
Subcostal incisions are used primarily in hepato-pancreato-biliary procedures due to their excellent exposure of upper abdominal structures, ease of closure of the abdominal wall layers and their reduced incidence of incisional hernias compared to midline incisions. Nonetheless, subcostal hernias – when they occur - pose a substantial clinical problem, and are considered as “complex defects”.1 In 2009, Stumpf et al. performed dissections on cadavers and stated that, in the treatment of subcostal hernias “…the layer between the external oblique muscle and the internal oblique muscle is the ide...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Antonio Espinosa-de-los-Monteros, Stephanie Hernandez-Camacho, Alberto Saldivar-Luna, Mariam Rela Tags: Correspondence and Communications Source Type: research

Further construct validation of the CLEFT-Q: ability to detect differences in outcome for four cleft-specific surgeries
This study compares relevant sub-scale scores of the CLEFT-Q for patients requiring four specific surgical treatments against those who either have had surgery, or never needed surgery. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Conrad Harrison, Charlene Rae, Elena Tsangaris, Karen W.Y. Wong Riff, Marc C. Swan, Tim E.E. Goodacre, Stefan Cano, Anne F. Klassen Source Type: research

Effect of Aging in Periocular Appearances by Comparison of Anthropometry Between Early and Middle Adulthoods in Chinese Han Population
This study sought to investigate significant differences in periocular anthropometry between young and middle-aged adults of Chinese Han ethnic group. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Huan Ma, Ying Chen, Xianxian Cai, Zhixin Tang, Cong Nie, Rong Lu Tags: ORIGINAL ARTICLE Source Type: research

Can philosophical aesthetics be useful for plastic surgery? The subjective, objective and relational view of beauty as purpose from the Complexity Theory
Evidence-based medicine is grounded on a strong philosophical assumption, i.e. that reality is objective. However, in everyday clinical practice, aesthetic and plastic surgeons have to manage the combination of objective and subjective factors, with the risk of weakening the realist assumption. In this letter, we present a theoretical framework that could provide the basis for an evidence-based approach to aesthetic surgery. The framework is based on the general idea that complex reality, as medical diagnosis, emerges from isolated components that independently produce global effects on the whole. (Source: Journal of Plast...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Paolo Persichetti, Mauro Barone, Annalisa Cogliandro, N. Di Stefano, V. Tambone Tags: Correspondence and Communications Source Type: research

Donation to the University of Bologna of the original Gaspare Tagliacozzi, “De Curtorum Chirurgia per Insitionem”
Gaspare Tagliacozzi, universally considered a pioneer in reconstructive plastic surgery (the registered trademark logo of the American Board of Plastic Surgery depicts a portrait of Tagliacozzi), became a Professor of anatomy and surgery at Alma Mater Studiorum – University of Bologna from 1570. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 8, 2019 Category: Cosmetic Surgery Authors: Ottavio Piccin, Rossella Sgarzani, Paolo G. Morselli Tags: Correspondence and Communications Source Type: research

Extended Thenar Flap for Two Adjacent Fingertip Amputations
This study aimed to introduce a surgical technique of using an extended thenar flap for two adjacent fingertip amputations and to evaluate the clinical outcomes and related complications. From October 2013 to October 2016, 12 patients (24 fingers) underwent soft tissue reconstruction of two adjacent fingers with an extended thenar flap. At the last follow-up, the patients were assessed for cold intolerance in the reconstructed fingers; two-point discrimination (2PD); range of motion; functional outcomes using the quick disabilities of the arm, shoulder, and hand (DASH) score; functional and appearance outcomes using the Mi...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: Ho-Jung Kang, Seung-Yong Sung, Jong-ick Whang, Jung-Jun Hong, Hyun-Sik Park, Ji-Sup Kim Source Type: research

The accuracy of virtual surgical planning assisted management for maxillary hypoplasia in adult patients with cleft lip and palate
The objective of this retrospective study is to evaluate the accuracy of virtual surgical planning (VSP) with different maxillary advancement techniques. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: Yu Wang, Jingtao Li, Yinglin Xu, Ning Huang, Bing Shi, Jihua Li Source Type: research

Morphological analysis of ischemia-reperfusion injury in a cold ischemia model of jejunal free flap for hypopharyngeal reconstruction
: Jejunal free flap (JFF) reconstruction is a popular treatment option for advanced hypopharyngeal cancer. Several factors, including ischemia-reperfusion injury, can cause mucosal damage and progressive flap necrosis. We investigated the development and time-related progression of morphological and cellular changes in patients with JFF reconstruction including cold preservation of the graft. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: Simone Mauramati, Patrizia Morbini, Giuseppina Ferrario, Mohamed Alnemr, Elona Luka, Antonio Occhini, Giulia Bertino, Catherine Klersy, Mario Alessiani, Marco Benazzo Source Type: research

A systematic review on surgical and non-surgical debridement techniques of burn wounds
to provide a complete overview of all burn debridement techniques studied in recent literature and to find the best evidence with regard to efficiency and safety. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: K.A.A. Kwa, H. Goei, R.S. Breederveld, E. Middelkoop, C.H. van der Vlies, M.E. van Baar Tags: Review Source Type: research

Multi-Segment Bioimpedance Can Assess Patients with Bilateral Lymphedema
Bioimpedance spectroscopy (BIS) is used to assess lymphedema by measuring limb fluid content as an electric current passes through cell membranes and tissues. There are two primary device modalities through which BIS is used clinically: single-segmental bioimpedance (SSB) and multi-segment bioimpedance (MSB), which differ in their mechanisms of gathering measurements. In this cross-sectional study, we study the difference between SSB and MSB in evaluating lymphedema by referencing the results with indocyanine Green (ICG) lymphography. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: Evelyn S. Qin, Mindy J. Bowen, Sheridan L. James, Wei F. Chen Source Type: research

Validation of two handheld devices against a non-portable three-dimensional surface scanner and assessment of potential use for intraoperative facial imaging
The aim of this study was to compare accuracy and timing of two handheld, mobile three-dimensional surface imaging (3DSI) devices against an established non-portable medical imaging system, and to evaluate future intraoperative use for facial surgery. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: Konstantin Christoph Koban, Philipp Perko, Lucas Etzel, Zhouxiao Li, Thilo Ludwig Schenck, Riccardo Enzo Giunta Source Type: research

A case series of breast reconstruction for amastia in a family with ectodermic dysplasia
We described in this article a series of three female patients issue from the same family. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: J LALOZE, B CHAPUT, J USSEGLIO-GROSSO, JL GROLLEAU, C PIENKOWSKI, T MERESSE Tags: Correspondence and Communications Source Type: research

A complete lower lip and chin unit resurfacing with expanded cheek flaps: a modified approach with minimal influence on facial cosmetic units
Lower lip and chin reconstruction is challenging for plastic surgeons. Small to medium skin defects on lower face can be removed by staged serial excision or be reconstructed with local flaps1 or submental artery perforator island flaps.2 Large skin defects are usually needed by full thickness sheet grafts, tissue expansions or free flaps.3 However, both skin grafts and free flaps are hindered by the poor skin colour and texture match. To achieve the ideal reconstruction of lower lip and chin, expanded cheek flap may be the best choice. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: Yajing Qiu, Wei Gao, Hui Chen, Gang Ma, Yunbo Jin, Xiaoxi Lin Tags: Correspondence and Communications Source Type: research

Reconstruction of Medial Epicanthal Fold using V-Y Advancement and Turnover flap
Since the 1900s, many methods have been developed to correct the epicanthal fold. Increased use of epicanthoplasty has yielded unsatisfactory results. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: Tae-Yul Lee, Yong Ho Shin, Dong-il Choi Source Type: research

Orbital Floor Symmetry after Maxillectomy and Orbital Floor Reconstruction with Individual Titanium Mesh Using Computer-Assisted Navigation
The present study aimed to evaluate symmetry of the orbital floor after maxillectomy and orbital floor reconstruction with individual titanium mesh by using computer-assisted navigation system (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - August 7, 2019 Category: Cosmetic Surgery Authors: Yi-Fan Kang, Jie Liang, Zheng He, Lei Zhang, Xiao-Feng Shan, Zhi-Gang Cai Source Type: research

Poorly Differentiated Cutaneous Squamous Cell Carcinomas Have High Incomplete Excision Rates With UK Minimum Recommended Pre-determined Surgical Margins
In the UK, the British Association of Dermatology-British Association of Plastic, Reconstructive& Aesthetic Surgery (BAD-BAPRAS) guidelines recommend excision of high-risk cutaneous squamous cell carcinomas (cSCCs), including poorly differentiated cSCCs, with a minimum peripheral margin of 6mm1. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 29, 2019 Category: Cosmetic Surgery Authors: J Kiely, M Kostusiak, O. Bloom, A. Roshan Source Type: research

Treatment Strategy for Severe Blepharoptosis
To establish a treatment protocol for severe blepharoptosis. This protocol helps to achieve improved accuracy and more stable correction outcome. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 29, 2019 Category: Cosmetic Surgery Authors: Xiaobo Zhou, Ming Zhu, Lin Lu, Rui Jin, Jun Yang, Fei Liu Source Type: research

Are fasciocutaneous flaps adequate in the reconstruction of grade 3 and 4 sacral sores? - A retrospective volumetric study using Artec 3D scanner
Pressure ulcers are amongst the commonest challenges faced by reconstructive surgeons on a daily basis. Grade III and IV presacral pressure sores require reconstruction by fasciocutaneous,1 musculocutaneous,2 perforator flaps3 and sometimes free tissue transfer. Very few options will remain if major flaps like musculocutaneous flaps are already utilized, in case the patient develops a recurrence Numerous studies have debated the choice of fasciocutaneous versus musculocutaneous flaps but none have used any relevant objective methods to logically show the advantage of one method over another. (Source: Journal of Plastic, Re...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 18, 2019 Category: Cosmetic Surgery Authors: Dr Madhubari Vathulya, Dr Pankaj Kandwal, Praveen Tags: Correspondence and Communications Source Type: research

Chest Wall Reconstruction Following Iatrogenic Eloesser-type Wounds: The Rush Algorithm
Iatrogenic Eloesser-type wounds are often debilitating, complex, chronically draining, and require a careful reconstructive approach to successfully close. There has not been described a standardized approach to chest wall reconstruction for these wounds. The Rush Algorithm for chest wall reconstruction provides a simple and systematic guide for cumulative soft tissue reconstruction in these cases, utilizing latissimus dorsi, serratus anterior, and pectoralis major flaps in sequence. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 17, 2019 Category: Cosmetic Surgery Authors: Aaron Lee Wiegmann, David A Hill, Thomas Q Xu, Anuja K Antony, Keith C Hood Tags: Correspondence and Communications Source Type: research

Ambulatory Latissimus Dorsi Flap Breast Reconstruction: A Prospective Cohort Study of an Enhanced Recovery After Surgery (ERAS) Protocol
Enhanced recovery after surgery(ERAS) protocols improve quality-of-recovery and decrease length-of-stay for patients undergoing both alloplastic and autologous breast reconstruction. Their use in latissimus dorsi (LD) flap reconstruction has not been well established. The purpose of this study was to compare postoperative outcomes, length-of-stay and total costs between prospectively enrolled patients in an ERAS protocol to a retrospective cohort of patients with a traditional recovery after surgery protocol(TRAS). (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 17, 2019 Category: Cosmetic Surgery Authors: Michael J. Stein, Simon G. Frank, Anne Lui, Tinghua Zhang, Jing Zhang Source Type: research

Targeted Breast Re-innervation (TBR) for Post-Mastectomy Pain
Chronic pain following mastectomy, a recognized entity with a reported incidence up to 60%, has a documented detrimental impact on quality of life.1 The treatments for chronic neuropathic pain have varied efficacy and typically require long-term pharmacologic therapy with their associated risks and costs.2 Recently, there has been an increased interest in the surgical treatment of certain pain conditions, most notably chronic phantom limb pain following amputation. The proposed surgical treatment, targeted muscle re-innervation (TMR), identifies cut sensory nerves and connects them to non-functional muscle motor nerves. (S...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 17, 2019 Category: Cosmetic Surgery Authors: James Gatherwright, Rebecca Knackstedt Tags: Correspondence and Communications Source Type: research

Super Microsurgical Reconstruction of Nasal Tip Defects using the Preauricular Reversed Superficial Temporal Artery Flap
In this study, we describe our experience using the alar artery and angular vein as recipient vessels for direct super microsurgical anastomosis. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 16, 2019 Category: Cosmetic Surgery Authors: Jiao Jiao Wei, Qinghua Chen, Tanja Herrler, Hua Xu, Qingfeng Li, Jinguang He, Chuanchang Dai Source Type: research

Wasted research time and its impact on training in Plastic Surgery
Consultants and trainees are required to provide a portfolio of their contribution to scientific journals for appraisal and for the recruitment process. In the quest for  publishable papers many projects are started which never reach the end goal of publication. Furthermore there is evidence of increasing numbers of poor quality research being added to the growing body of scientific literature1. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 16, 2019 Category: Cosmetic Surgery Authors: S. Sepehripour, B.S. Dheansa Tags: Correspondence and Communications Source Type: research

Surgical Cost Implications of the AJCC v8 staging system for melanoma and the melanoma in focus consensus statement
The introduction of the new American Joint Committee on Cancer (AJCC) guidelines for cutaneous melanoma in January 2018 (AJCC version 8) has redefined stage 1b melanoma. The Breslow thickness has dropped to 0.75mm because this is now reported rounded to the nearest 0.1mm, with mitotic rate no longer a criterion for upstaging to 1b from 1a.1,2 Furthermore, the recent UK Melanoma Focus consensus statement has made recommendations that all patients with a pT1b primary melanoma in the UK should be considered for SLNB, especially where the primary tumour has ≥2 mitoses or lymphovascular invasion. (Source: Journal of Plastic,...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 16, 2019 Category: Cosmetic Surgery Authors: D.R. Thomson, I.C.C. King, L. Cooper, J. Odili, B.W.E.M. Powell Tags: Correspondence and Communications Source Type: research

Design and fabrication of a generic 3D-printed silicone unilateral cleft lip and palate model
The complexity of plastic surgery procedures often requires visualization of the anatomy in three dimensions and therefore demands the development of new and innovative teaching methods. This work describes the development and manufacture of a 3D silicone cleft lip and palate (CLP) model evaluated by surgical residents on its similarity to the biological model.Thirty unilateral CLP models were created and distributed to residents at two different institutions. The model was based on an adult CT scan that was manipulated to resemble an infant with a complete unilateral CLP. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - July 15, 2019 Category: Cosmetic Surgery Authors: Hannah Riedle, Andrea E. Burkhardt, Vera Seitz, Bernd Pachaly, Russell R. Reid, Justine C. Lee, J örg E. Franke Source Type: research