Neuromuscular reinnervation efficacy using a YFP model
The gold standard reconstruction for facial reanimation is the functional muscle transfer. The reinnervation of a muscle is never complete and clinical results are variable with 20% not achieving a satisfactory outcome. We hypothesise that this may be due to a mismatch between the characteristics of the donor nerve and transferred muscle. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 21, 2020 Category: Cosmetic Surgery Authors: ACS Woollard, JW Lichtman, K Rolfe, AO Grobbelaar Source Type: research

Strategic management of the minor-form and microform cleft lip: A long-term outcome assessment
The treatment of the lesser form cleft lip deformity (i.e., minor-form, microform, and mini-microform) is challenging to achieve patient satisfaction. There are no studies investigating how treatment outcomes balance patients ’ expectations and satisfaction with surgical or non-surgical care relative to the initial nasolabial findings. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 21, 2020 Category: Cosmetic Surgery Authors: Kyung Hoon Chung, Lun-Jou Lo Source Type: research

Local immunosuppression in vascularized composite allotransplantation (VCA): A systematic review
Local immunosuppression in vascularized composite allotransplantation (VCA) aims to minimize immunosuppressant-related toxic and malignant side effects. Promising allograft survival data has been published by multiple workgroups. In this systematic review, we examine preclinical animal studies that investigated local immunosuppression in VCA. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 21, 2020 Category: Cosmetic Surgery Authors: Ali-Farid Safi, Martin Kauke, Laurel Nelms, William Jackson Palmer, Bianief Tchiloemba, Branislav Kollar, Valentin Haug, Bohdan Pomaha č Tags: Review Source Type: research

Development of an Evidence-Based Approach to the Use of Acellular Dermal Matrix in Immediate Expander-Implant-based Breast Reconstruction
This study aims to develop a more selective, evidence-based approach to the use of ADM in expander-implant-based breast reconstruction by identifying patient subgroups in which ADM improved clinical and patient-reported outcomes. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 21, 2020 Category: Cosmetic Surgery Authors: Nishant Ganesh Kumar, Nicholas L. Berlin, Hyungjin M. Kim, Jennifer B. Hamill, Jeffrey H. Kozlow, Edwin G. Wilkins Source Type: research

“The Safety and Efficacy of Autologous Fat Grafting During Second Stage Breast Reconstruction”
Patients often pursue revisions following implant-based breast reconstruction (IBR) to achieve their desired result. Fat grafting is a popular choice for patients and can be performed at second stage reconstruction or at a future date as a revisionary surgery. We explore the best time to fat graft in IBR by comparing the outcomes of patients who received fat grafting during implant placement with those who pursued fat grafting during a tertiary procedure. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 21, 2020 Category: Cosmetic Surgery Authors: Ashraf A. Patel, Shanique A. Martin, Jennifer E. Cheesborough, Gordon K. Lee, Rahim S. Nazerali Source Type: research

Optimizing Remote Ischemic Conditioning (RIC) of cutaneous microcirculation in humans: number of cycles and duration of acute effects
Non-invasive Remote Ischemic Conditioning (RIC) offers an approach to reduce tissue damage in various organs/tissues. Besides attenuation of Ischemia-Reperfusion injury (I/R), beneficial effects on cutaneous microcirculation of free microsurgical flaps have been reported. Given the recency of this technique, there are considerable gaps in the current understanding of its mechanism of action. As a result, clinical transfer of RIC is prolongated in several fields. We aimed to optimize the RIC-protocol by examination of different RIC-cycle numbers and its effect on changes of cutaneous microcirculation and duration. (Source: ...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 21, 2020 Category: Cosmetic Surgery Authors: A. SOGORSKI, S. SPINDLER, C. WALLNER, M. DADRAS, J.M. WAGNER, B. BEHR, M. LEHNHARDT, J. KOLBENSCHLAG Source Type: research

Moving breast implant registries forward: are they FAIR and Functional?
Several national breast implant registries, designed as Clinical Quality Registries (CQRs), have been founded over the past decade, including Australia, Netherlands, Denmark, Sweden, the United States, the United Kingdom and Italy (Table 1). This occurred in response to worldwide breast implant controversies,1-3 and is supported by the European New regulation on Medical devices.4 More recently, questions about breast implant safety have been raised in mainstream and social media related to Breast Implant-Associated Anaplastic Large-Cell Lymphoma (BIA-ALCL), Breast Implant Illness (BII) and the limitations of pre- and post-...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 17, 2020 Category: Cosmetic Surgery Authors: C.A. Bargon, B.E. Becherer, D.A. Young-Afat, A.C.M. van Bommel, J. Hommes, M.J. Hoornweg, X.H.A. Keuter, S. de Fazio, D. Melnikov, J. Monton Echeverria, G.A.B. Perks, D.B. Lumenta, B. Couturaud, U. von Fritschen, B. Stark, L.R. H ölmich, A. Crosbie, L. L Tags: Editorial Source Type: research

Erratum to “Capsular contracture around silicone mini implants following bacterial contamination: an in vivo comparative experimental study between textured and polyurethane implants” [Journal of Plastic, Reconstructive & Aesthetic Surgery 73(9) (2020) 1747 –1757]
The publisher regrets that the following corrections were missed during the proofing stage; (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 12, 2020 Category: Cosmetic Surgery Authors: Safa Manav, M. S ühan Ayhan, Erkan Deniz, Esra Özkoçer, Çiğdem Elmas, Meltem Yalinay, Erdem Şahin Tags: Erratum Source Type: research

The Patient Reported Outcome Measures In Skin Cancer Reconstruction (PROMISCR) study – anglicisation and initial validation of the FACE-Q Skin Cancer module in a UK cohort
In this study we Anglicise and validate the novel FACE-Q Skin Cancer module for the UK population.Anglicisation of the FACE-Q Skin Cancer module followed international guidance for cross-cultural adaptation. Cognitive interviews were performed, producing a reconciled and harmonised version for validation. Patients undergoing facial skin cancer excision were prospectively recruited and asked to complete the anglicised FACE-Q Skin Cancer module, along with the Skin Cancer Index (SCI) and European Quality of Life Five Dimensions (ED-5D) questionnaire, pre-operatively and 6-8 weeks post-operatively. (Source: Journal of Plastic...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - October 9, 2020 Category: Cosmetic Surgery Authors: Mr Thomas D Dobbs, Dr Maarten Ottenhof, Mr John AG Gibson, Professor Iain S Whitaker, Professor Hayley A Hutchings Source Type: research

Editorial – In memory of Ian Jackson
This year has witnessed many sorrows, amidst unthinkable change. Amongst these is the recent passing of Ian T. Jackson, whose Obituary in this Issue is kindly penned by David Soutar, his spiritual heir within the Canniesburn Unit. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 30, 2020 Category: Cosmetic Surgery Source Type: research

Obituary for Ian T. Jackson MBChB, FRCS, FACS, DSc(Hon) 1934-2020
Ian Jackson was born on Christmas Eve 1934. His formative education was in Scotland, graduating in Medicine from the University of Glasgow in 1959.His postgraduate education continued in Glasgow and included 2 years in Pathology, 3 years in General Surgery and 4 years training in Plastic Surgery. His time in Pathology instilled in him a questioning mind which was to remain throughout his career. He was trained by some of the most respected senior plastic surgeons of that time (Jack Tough, Tom Gibson, Jack Mustarde, Ian Macgregor) but was well aware of the necessity to explore outwith Scotland. (Source: Journal of Plastic, ...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 30, 2020 Category: Cosmetic Surgery Authors: David S. Soutar Source Type: research

Impact of opioid-free anesthesia on complications after deep inferior epigastric perforator flap surgery: A retrospective cohort study
This study measured the number of complications after deep inferior epigastric perforator (DIEP) flap reconstruction performed under opioid-free anesthesia combined with goal-directed fluid therapy (OFA) or opioid anesthesia with liberal fluid therapy(OA). This retrospective cohort study consisted of 204 patients who underwent DIEP flap reconstruction at AZSint Jan Brugge between April 2014 and March 2019. Primary outcomes were complications, according to the Clavien-Dindo classification, and length of hospital stay (LOS). (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 29, 2020 Category: Cosmetic Surgery Authors: Harold Mulier, Bob De Frene, Lara Benmeridja, Florian Vanhoorebeeck, Bruno Denis, Bob Casaer, Fabrice Jacques Rogge, Kris Leleu, Jan Mulier Source Type: research

Anatomical location of the primary tumour and its relationship to regional lymph node metastasis in cutaneous head and neck melanoma: Is selective neck dissection appropriate?
We read with interest the article by Dale et  al. and it provides a valuable addition to the literature.1 The evidence regarding optimal neck dissection for regional control of head and neck cutaneous malignant melanoma is limited, and precise management of the neck has frequently been omitted from the major sentinel lymph node biopsy (SLNB) trials, even when queried for subsequent study design by us. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 25, 2020 Category: Cosmetic Surgery Authors: Sophia Opel, Shima Jamshidi, Daniel Butler, Paolo Matteucci, Paul  R W Stanley, Jonathan Dunne, Daniel Saleh Tags: Correspondence and Communications Source Type: research

Re: Anatomical Location of the primary tumour and its relationship to regional lymph node metastasis in cutaneous head and neck melanoma: Is selective neck dissection appropriate?
We read with interest the article by Dale et al and it provides a valuable addition to the literature.1 The evidence regarding optimal neck dissection for regional control of head and neck cutaneous malignant melanoma is limited, and precise management of the neck has frequently been omitted from the major sentinel lymph node biopsy (SLNB) trials, even when queried for subsequent study design by us. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 25, 2020 Category: Cosmetic Surgery Authors: Sophia Opel, Shima Jamshidi, Daniel Butler, Paolo Matteucci, PRW Stanley, Jonathan Dunne, Daniel Saleh Tags: Correspondence and Communications Source Type: research

Looking ahead to a trauma service with COVID-19
We read with interest about the implementation of a one-stop hand trauma clinic at the Royal Free Hospital 1 and the correspondence from Leeds Teaching Hospitals regarding patterns of hand trauma during the COVID-19 lockdown 2. Over recent years North Bristol Trust (NBT) Plastic Surgery department has moved away from the one-stop clinic model as we have evolved our hand trauma service. However, during the COVID-19 pandemic we note that single contact care is the gold standard in order to avoid repeated trips to hospital and to minimise the risk to both patients and staff members of contracting COVID-19 3. (Source: Journal ...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 25, 2020 Category: Cosmetic Surgery Authors: Miss Jennifer Mason, Miss Emily West, Miss Phillipa Jackson Tags: Correspondence and Communications Source Type: research

Breast Reconstruction and Coronavirus Pandemic
For breast cancer, partial and total breast reconstruction reduce patient's sensation of mutilation, improving their quality of life. On the other hand, the pandemic of the COVID-19 resulted in the implementation of social distancing measures, with a negative effect on the management of different diseases. We read the article of Di Pace et al entitled “Breast reconstruction and the COVID-19 pandemic: A viewpoint1”. We agree that risk-reducing surgeries, contralateral operation and revisional procedures should be postponed. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 25, 2020 Category: Cosmetic Surgery Authors: Francisco Pimentel Cavalcante, Guilherme Garcia Novita, Eduardo Camargo Millen, Felipe Pereira Zerwes, Ruffo Freitas Junior Tags: Correspondence and Communications Source Type: research

Breast Reconstruction and the Covid-19 Pandemic: Adapting Practice
We thank Dr Cavalcante and colleagues for their constructive comments in response to our viewpoint on breast reconstruction during the COVID-19 pandemic.1 We welcome discussion of this time-sensitive issue within the context of a different healthcare system which they base on an electronic survey of Brazilian surgeons over a two-month period. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 25, 2020 Category: Cosmetic Surgery Authors: Bruno Di Pace, John R. Benson, Charles M. Malata Tags: Correspondence and Communications Source Type: research

Response to: “A survey of current burns knowledge in UK undergraduate medical students”
As medical students in the United Kingdom with a keen interest in burns management, it is with great interest that we read the article by Moorby et al.1 “A survey of current burns knowledge in UK undergraduate medical students”. We commend the authors’ efforts to highlight the lack of knowledge of medical students in burns management: a topic which remains important in the role of a junior doctor. However we have some concerns with the methodo logy of the survey and the conclusions drawn thereof. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 25, 2020 Category: Cosmetic Surgery Authors: Shahid Iqbal, Usman Raja, Awais Alam Tags: Correspondence and Communications Source Type: research

Response to “Re “Impact of MSLT-II on lymph node clearance surgery in a tertiary plastic surgery centre””
Dear Sir, (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 25, 2020 Category: Cosmetic Surgery Authors: Adam T Misky, Amir H Sadr, Dariush Nikkhah Source Type: research

Contemporary evidence of art's relevance to the modern plastic surgeon
I read with enthusiasm the article by Baldwin on “The historical relationship between art and plastic surgery: Is this relationship still relevant to the modern plastic surgeon?”. This highlighted the role artists have played in the development of plastic surgery, and touched upon contemporary evidence of plastic surgeons continuing to engage with the creative arts.1 Correspondence by Sepehripour and Henderson contributed to this latter point by describing their interesting research auditing the drawings of 30 plastic surgery trainees before and after drawing tips were provided by the authors. (Source: Journal ...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 24, 2020 Category: Cosmetic Surgery Authors: Cil éin Kearns Tags: Correspondence Source Type: research

Two-person screening of mental well-being before primary breast augmentation: Can we do more?
Patients choosing aesthetic surgery are asymptomatic individuals opting for surgery. Psychologists and surgeons have been interested in identifying characteristics of these individuals ’ preoperative as well as postoperative psychological changes. It was identified that a small number of patients have a primary issue with self-body image, which resulted in altered perceptions and attitudes such that the preoccupation with perceived deficiencies continued even after surgery. The recommended course is to attempt to screen for the patients’ mental well-being, as surgery alone does not improve the patients’ s...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 24, 2020 Category: Cosmetic Surgery Authors: Paolo Montemurro, Mubashir Cheema, Ben Khoda, Tommaso Pellegatta, Per Hed én Source Type: research

Two-person screening of mental well being before primary breast augmentation: can we do any more?
Patients choosing aesthetic surgery are asymptomatic individuals opting for surgery. Psychologists and surgeons have been interested in identifying characteristics of these individuals ’ pre-operative as well as post-operative changes. It was identified that a small number of patients have a primary issue with self-body image, which resulted in altered perceptions and attitudes such that the preoccupation with perceived deficiencies continued even after surgery. The recommended course is to attempt to screen for the mental well being, as surgery alone does not improve the patient symptoms. (Source: Journal of Plastic...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 23, 2020 Category: Cosmetic Surgery Authors: Paolo Montemurro, Mubashir Cheema, Ben Khoda, Tommaso Pellegatta, Per Hed én Source Type: research

Combination treatment algorithm for pigmentary disorders of the face: A prospective observational study in Asian patients
Most patients with facial pigmentary disorders have multiple disorders. However, there is no definitive treatment algorithm improving various pigmentary disorders simultaneously. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: Chikara Takekawa, Takeshi Fukumoto, Goichi Haraoka, Hiroto Terashi Tags: Original research article Source Type: research

Vascular-controlled indocyanine green fluorescence angiography for evaluating locoregional flap perfusion prior to pedicle division
Although free-tissue transfer is widely used, locoregional flaps remain useful in reconstruction; however, they may require a secondary division procedure, and determining flap perfusion and deciding the timing of pedicle division can be challenging. Fluorescence test has been used to acquire real-time tissue perfusion images to help decide the timing of pedicle flap division.(1, 2) Technically, pedicle blood flow is temporarily obstructed using rubber bands, custom-made Orthoplast sheets, long-nose locking pliers, intestinal clamps, or a pneumatic tourniquet device to clarify whether the recipient site provides sufficient...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: Kuan-Chih Wang, Yao-Chou Lee Source Type: research

Oncological safety and complication risks of mastectomy with or without breast reconstruction: A Bayesian analysis
: Currently, breast cancer patients undergoing mastectomy (MA) have three surgical options: mastectomy only and reconstruction at the time of mastectomy ( “immediate”, IBR) or at a later time (“delayed”, DBR). To assess the oncological safety and complication risks associated with different surgical choices, a systematic review with Bayesian network analysis was conducted. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: Zeren Shen, Jiaqi Sun, Yijia Yu, Chiaoyun Chiu, Zhe Zhang, Yuanfeng Zhang, Jinghong Xu Source Type: research

Cosmetic Tourism Amidst the Covid-19 Global Pandemic
Amidst the current global pandemic, when healthcare resources worldwide have been restructured to save the lives of the critically ill and all non-essential surgery has ceased, we want to highlight a case of cosmetic tourism complications putting an increased burden on these already overstretched resources.The patient in question is a 43-year-old female who travelled from the United Kingdom (UK) to Poland for a circumferential abdominoplasty with ‘fleur-de-lis’ extension. On returning home, she required admission to an NHS hospital 3 weeks post-operatively due to wound necrosis, dehiscence and cellulitis. (Sour...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: RL Rebekah Long, SM Serena Martin, CH Chris Hill Source Type: research

From chaos to a new norm: The Birmingham experience of restructuring the largest plastics department in the UK in response to the COVID-19 pandemic.
The COVID-19 pandemic presented unprecedented challenges for healthcare systems worldwide. The Queen Elizabeth Hospital, Birmingham, has one of the largest burns, hands and plastics department in the UK, totalling 83 doctors. Our response to the COVID-19 response was uniquely far reaching, with our department being given responsibility of an entire 36 bed medical COVID-19 ward in addition to our commitment to specialty specific work, and saw half of our work force re-deployed toITU. Our aim was to exploit the high calibre of doctors found in plastic surgery, and to demonstrate we were able to support the COVID-19 effort be...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: C Leng, T Challoner, O Hausien, G Filobbos, J Baden Source Type: research

Plastic Physicians: The surgical salamanders of the COVID-19 pandemic
We describe the structures and pathways implemented together with complex decision making which has allowed us to respond early and effectively. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: B.A. Hughes, S. Hassan, J. Stallard, S. Louette, J. Smith, S.L. Knight, C. Fenn, H. Peach, D.J. Thornton, C. Hernon, J. Goodenough, W. Bhat, C.C. West, R.D. Bains, G. Bourke, I.M. Smith, M.I. Liddington Source Type: research

Retrospective Multicenter Cohort Analysis of 621 Cases of BellaGel Silicone Breast Implants with Study of Physicochemical Properties and Surface Topography
This study aimed to assess the effectiveness and safety of BellaGel implants after implantation in Asian women and inform surgeons of another option for use in breast augmentation and reconstruction. This study was conducted in eight hospitals from November 27, 2015 to April 30, 2018. All patients underwent augmentation mammoplasty or implant-based breast reconstruction with BellaGel implants. Complication rates were compared between groups, and the cumulative hazard function was compared using Kaplan-Meier survival analysis. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: Shin Hyuk Kang, Joon Seok Oh, Ung Sik Jin, Sa Ik Bang, Ara Kim, Sang Gue Kang, Joung Ki Kim, Won June Yoon, Jae Hoon Chang, Moon Seop Choi, Chul Hwan Seul, Chan Yeong Heo Source Type: research

Type of maxillary segment mobilization affects three-dimensional nasal morphology
This study assessed the impact of the type of maxillary mobilization on the three-dimensional (3D) nasal morphometry. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: Rafael Denadai, Pang-Yun Chou, Yi-Yu Lin, Chuan-Fong Yao, Ying-An Chen, Chiung-Shing Huang, Lun-Jou Lo, Yu-Ray Chen Source Type: research

Surgical treatment of symmastia: a systematic review of techniques, outcomes and complications
The term “symmastia” defines a confluence across the mid-sternal line of the breast mounds and subsequent loss of adhesion between sternum and pre-sternal skin. This condition can be congenital or, more frequently, iatrogenic. Despite the number of different treatments published in literature, no systema tic review or surgical techniques classification has been attempted in literature. There is therefore a concrete need to elucidate surgical options and propose a treatment algorithm, improving surgical practice and patient's care. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: D. Guillier, G. Sapino, W. Watfa, W. Raffoul, PG di Summa Tags: Review Source Type: research

Bilateral immediate two-stage breast reconstruction in patients with unilateral breast cancer: Outcomes analysis and risk assessment
Contralateral prophylactic mastectomy has the potential to decrease the occurrence of cancer and reduce psychological burden. However, it is known that complications after bilateral mastectomy are higher compared with unilateral mastectomy. Our goal was to evaluate outcomes of immediate breast reconstruction in patients undergoing bilateral mastectomy and to compare complication rates between therapeutic and prophylactic sides. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: Cemile Nurdan Ozturk, Can Ozturk, Allison Soucise, Nabiha Ahsan, Joseph Kuhn, Mary Platek, Robert Lohman, Wong Moon, Raffi Gurunian Source Type: research

Overview of tools for the measurement of the orbital volume and their applications to orbital surgery
There are numerous applications in craniofacial surgery with orbital volume (OV) modification. The careful management of the OV is fundamental to obtain good esthetic and functional results in orbital surgery. With the growth of computer-aided design – computer-aided manufacturing (CAD-CAM) technologies, patient-specific implants and custom-made reconstruction are being used increasingly. The precise measurement of the OV before surgery is becoming a necessity for craniofacial surgeons. There is no consensus on orbital volume measurements (OVM s). (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 19, 2020 Category: Cosmetic Surgery Authors: Camille Sentucq, Matthias Schlund, Benjamin Bouet, Martin Garms, Joel Ferri, Thibaut Jacques, Romain Nicot Tags: Review Source Type: research

Comparison of patients satisfaction with aesthetic outcomes following lower extremity reconstruction: Muscle vs. fasciocutaneous free flaps
The microsurgical reconstruction of complex lower limb defects has become a routine procedure with high success rates. The emphasis has changed from ensuring flap ‘success’ to providing a reconstruction, which is also aesthetically pleasing. The aim of this study was to compare patients’ satisfaction with aesthetic outcomes, following muscle or fasciocutaneous free flap reconstruction to the lower limb. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Nargiz Seyidova, Keith Anderson, Ahid Abood Tags: Review Source Type: research

Predicting risk factors that lead to free flap failure and vascular compromise: A single unit experience with 565 free tissue transfers
Even though the benefit of free tissue transfer is uncontested in complex reconstructive cases, vascular compromise and/or flap failure remain a challenge for the surgeon and identification of possible risk factors can aid in the preoperative planning. The aim of this study was to identify the individual risk factors leading to flap failure and/or vascular compromise in free tissue transfers in a single institution over a period of 10 years and to create an index predicting these problems, as well as finding predictors of other postoperative complications. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Ioana Lese, Raphael Biedermann, Mihai Constantinescu, Adriaan O. Grobbelaar, Radu Olariu Source Type: research

A new instrument for septorhinoplasty “The modified Heidemann spatula”
Rhinoplasty and rhinoseptoplasty are very commonand complex surgical procedures whereas the nose plays an important functional role in breathing and an aesthetic role in the mid face.1,2 Nasal septum deviations are the most common ones amongst nasal diseases and they are the main cause of nasal obstruction.1 Surgical treatment is used to fix the anatomical deformities and to improve the declined nasal functions by preserving the mucosa, bone and cartilage structures as much as possible.3 A preoperative diagnosis and planning the surgical steps are very important. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Enzo Facciuto, Vincenzo Filomena, Elvis Kallaverja, Chiara Spuntarelli, Ciro Emiliano Boschetti Tags: Correspondence and Communications Source Type: research

Peripheral nerve regeneration: The resolution revolution
Peripheral nerve injury is common and results in great cost to the individual and society.1 Despite the innate potential for regeneration, healing following nerve injury is slow and often incomplete, resulting in life altering functional deficit.   Advances seen in tissue engineering approaches have to date failed to translate from preclinical models at a meaningful rate for patients, the bioengineered repair guides currently available do not adequately recreate the nerve repair cell niche.2 There is a need to further understand nerve repai r at the molecular and cellular level in order to improve outcomes for patient...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: G.C. Higgins, S.E. Thomson Tags: Correspondence and Communications Source Type: research

Challenges in lower face soft tissue reconstruction: The value of the historical bipedicled scalp flap procedure
Lower lip and chin reconstructions are challenging, since satisfactory aesthetic and function outcomes in the mouth region are difficult to achieve1. Although various techniques for lower lip and chin reconstruction have been described, some cannot be applied in patients with disease recurrence, the failure of previous procedures, or a history of radiotherapy. These particularly unfavorable conditions rule out the use of an additional free flap, due to the lack of donor sites or recipient vessels. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: M. Olivetto, J. Bettoni, J. Duisit, S. Dakp é, S. Testelin, J. Bouaoud, B. Devauchelle Tags: Correspondence and Communications Source Type: research

Defining clinical decision making in the provision of audio-visual outpatient care for acute upper limb trauma services: A review of practice
The Covid-19 pandemic has accelerated the widespread adoption of technology-enabled care in the NHS.1 Moving into phase two of the response, the continuing use of audio-visual technology is expected, where appropriate, to be integral in the provision of safe, quality patient care.2 A clinical need therefore exists to identify when care can be safely delivered remotely using audio-visual technology and when there is a need for in-person contact.   At Salisbury Foundation Trust (SFT), during phase one of the NHS response to Covid-19, the decision to treat upper limb trauma patients in-person or remotely was made using c...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: E.J. McMullen, M. Robson, P. Valand, L. Sayed, J. Steele Tags: Correspondence and Communications Source Type: research

“Challenges in lower face soft tissue reconstruction: the value of the historical bipedicled scalp flap procedure”.
Lower lip and chin reconstructions are challenging, since satisfactory aesthetic and function outcomes in the mouth region are difficult to achieve1. Although various techniques for lower lip and chin reconstruction have been described, some cannot be applied in patients with disease recurrence, the failure of previous procedures, or a history of radiotherapy. These particularly unfavorable conditions rule out the use of an additional free flap, due to the lack of donor sites or recipient vessels. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: M. Olivetto, J. Bettoni, J. Duisit, S. Dakp é, S. Testelin, J. Bouaoud, B. Devauchelle Source Type: research

Impact of COVID-19 Pandemic on Microsurgery Fellowships
The COVID-19 pandemic, has had an unprecedented effect on the NHS, but also across global healthcare systems. This level of disruption and redesigning of plastic surgery services has only been compared to major historical events, such as world wars and other disasters.1 Microsurgery services have had to carry on being available for lower limb injuries and head and neck cancers, even during the peak of the disease.2 At the same time, outpatient clinics and elective operating lists were reduced dramatically, due to hospital staff reassignments and to minimise the risk of patient exposure to the virus. (Source: Journal of Pla...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Nikolaos Lymperopoulos, Jonathan Dunne, Mary Morgan, Simon Mackey, Paul Roblin, Kelvin Ramsey, Theodore Nanidis Tags: Correspondence and Communications Source Type: research

COVID-19: A unique opportunity to upgrade medical conferences
Technology represents an invaluable tool with the potential to transform the delivery and dissemination of scientific and educational content. During the COVID-19 worldwide pandemic there has been profound disruption to delivery of care, education, and training. Leveraging technology to host and deliver conferences may provide value in terms of cost, engagement and convenience. Virtual conferences provide further value in reducing carbon emission arising from long-distance travel. Whilst certain benefits from face-to-face interactions are difficult to replicate during virtual conferences, in the future there may be an inva...
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: David Zargaran, Alexander Zargaran, Georgina Phillips, Arkoumanis Panagiotis Theofanis, Joanna Atkins Source Type: research

Non-surgical correction of cryptotia
Cryptotia is characterized by an absence of the upper part of the temporoauricular sulcus with the superior third of the auricle buried under the temporal skin. The principle of correction of cryptotia is to achieve both a functional and aesthetic ear. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Dr. Hui-Ling Chia, Nadia Sim Source Type: research

Overview of tools for measurement of the orbital volume and their applications to orbital surgery
There are numerous applications in craniofacial surgery with orbital volume (OV) modification. Careful management of the OV is fundamental to obtain good aesthetic and functional results in orbital surgery. With the growth of Computer-Aided Design – Computer-Aided Manufacturing (CAD-CAM) technologies, patient-specific implants and custom-made reconstruction are being used increasingly. Precise measurement of the OV before surgery is becoming a necessity for craniofacial surgeons. There is no consensus on orbital volume measurements (OVMs). (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Camille Sentucq, Matthias Schlund, Benjamin Bouet, Martin Garms, Joel Ferri, Thibaut Jacques, Romain Nicot Tags: Review Article Source Type: research

Breast reconstruction with the extended profunda artery perforator flap
The profunda artery perforator (PAP) flap is a reliable flap for breast reconstruction. By extending the traditional flap it is possible to include more tissue, thereby enhancing flap volume. The aim of this study is to demonstrate the technique for extended profundal artery perforator flap harvest and to demonstrate results in a population otherwise not suited for autologous breast reconstruction. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Hanneke JP Tielemans, Phoebe IP van Kuppenveld, Harm Winters, Pieter Hupkens, Dietmar JO Ulrich, Stefan Hummelink Source Type: research

“Comparison of Patients Satisfaction with Aesthetic Outcomes following Lower Extremity Reconstruction: Muscle vs. Fasciocutaneous free flaps”
Microsurgical reconstruction of complex lower limb defects has become a routine procedure with high success rates. The emphasis has changed from ensuring flap ‘success’ to providing a reconstruction which is also aesthetically pleasing. The aim of this study was to compare patient's satisfaction with aesthetic outcomes following muscle or fasciocutaneous free flap reconstruction to the lower limb. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Nargiz Seyidova, Keith Anderson, Ahid Abood Tags: Review Source Type: research

COVID-19 and the Tsunami of Information
COVID-19 is the infectious disease caused by the recently discovered coronavirus, SARS-CoV2. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019. The number of publications COVID-19 related is exponentially increasing but there are also some retracted papers appearing on PubMed including those retracted from The Lancet Global Health and the New England Journal of Medicine. In a PubMed search for ‘COVID’ there were 1595 articles by the 1st April 2020. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Rebecca Rollett, Michelle Collins, M Sarmad Tamimy, A Graeme B Perks, Mark Henley, Robert U. Ashford Source Type: research

Bilateral Immediate Two Stage Breast Reconstruction In Patients With Unilateral Breast Cancer: Outcomes Analysis And Risk Assessment
Contralateral prophylactic mastectomy has the potential to decrease the occurrence of cancer and reduce psychological burden. However, it is known that complications after bilateral mastectomy are higher compared to unilateral mastectomy. Our goal was to evaluate outcomes of immediate breast reconstruction in patients undergoing bilateral mastectomy and to compare complication rates between therapeutic and prophylactic sides. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Cemile Nurdan Ozturk, Can Ozturk, Allison Soucise, Nabiha Ahsan, Joseph Kuhn, Mary Platek, Robert Lohman, Wong Moon, Raffi Gurunian Source Type: research

Inferior Pedicle Breast Reduction and Long Nipple-To-Inframammary Fold Distance: How Long is Safe?
Free nipple grafting indications in breast reduction surgery are outdated. Safety of inferior pedicle technique for large resections and long pedicles has not been clearly defined. We evaluated patients who underwent inferior pedicle reduction mammoplasty to define the safety constraints of the inferior pedicle. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Samyd S. Bustos, Vanessa Molinar, Doga Kuruoglu, Omar Cespedes-Gomez, Basel A. Sharaf, Jorys Martinez-Jorge, Oscar J. Manrique, Nho V. Tran, Minh-Doan T. Nguyen Source Type: research

A Customized 3D printed N95 Respirator Analogue To Face Crisis Capacity Scenarios in Pandemics such as the COVID-19 and to Support Surgical Personnel During PPE Shortages.
Dear editor, (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - September 18, 2020 Category: Cosmetic Surgery Authors: Theodora Papavasiliou, Stelios Chatzimichail Source Type: research