International Meetings and Symposia
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Announcements Source Type: research

ASPS/PSF Sponsored Symposia and Workshops
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Announcements Source Type: research

A Standardized, More Thorough Reporting of Disclosures in Plastic Surgery Literature
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

The Myth of Sisyphus and Physician Burnout
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Cognitive Independence in Plastic Surgery Training: The Value of Professional Development
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

The Spare Parts Anastomosis: Branch Point Spatulation Technique to Alleviate SIEA Mismatch
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Intergender Tonal Variations of the Nipple-Areola Complex
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Viewpoints Source Type: research

Nonvisualization of Sentinel Lymph Nodes by Lymphoscintigraphy in Primary Cutaneous Melanoma: Incidence, Risk Factors, and a Review of Management Options
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Defining the Aesthetic Units of the Male Chest and How They Relate to Gynecomastia Based on 635 Patients
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Defining the Aesthetic Units of the Male Chest and How They Relate to Gynecomastia Based on 635 Patients
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Subcutaneous Mastectomy Improves Satisfaction with Body and Psychosocial Function in Trans Men: Findings of a Cross-Sectional Study Using the BODY-Q Chest Module
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Subcutaneous Mastectomy Improves Satisfaction with Body and Psychosocial Function in Trans Men: Findings of a Cross-Sectional Study Using the BODY-Q Chest Module
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: The Functional Influence of Breast Implant Outer Shell Morphology on Bacterial Attachment and Growth
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

The Functional Influence of Breast Implant Outer Shell Morphology on Bacterial Attachment and Growth
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Optimizing Perforator Selection: A Multivariable Analysis of Predictors for Fat Necrosis and Abdominal Morbidity in DIEP Flap Breast Reconstruction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Analysis of Predictors of Perforator Selection in DIEP Flap Breast Reconstruction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Reply: Novel Approach for Risk-Reducing Mastectomy: First-Stage Implant Placement and Subsequent Second-Stage Mastectomy
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Novel Approach for Risk-Reducing Mastectomy: First-Stage Implant Placement and Subsequent Second-Stage Mastectomy
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Letters Source Type: research

Nanofat Needling: A Novel Method for Uniform Delivery of Adipose-Derived Stromal Vascular Fraction into the Skin: Correction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Corrections Source Type: research

Injectable Allograft Adipose Matrix Supports Adipogenic Tissue Remodeling in the Nude Mouse and Human: Correction
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Corrections Source Type: research

Spotlight in Plastic Surgery: July 2019
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Book and Media Reviews Source Type: research

Mistreated
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Book and Media Reviews Source Type: research

Manual of Peripheral Nerve Surgery: From the Basics to Complex Procedures
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Book and Media Reviews Source Type: research

Discussion: The Questionable Role of Antibiotic Irrigation in Breast Augmentation
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Editorial Source Type: research

The Questionable Role of Antibiotic Irrigation in Breast Augmentation
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Editorial Source Type: research

The Importance of Reproducibility in Plastic Surgery Research
Summary: With the advent of big data and database-driven research, the need for reproducible methods has become especially relevant. Given the rise of evidence-based practice, it is crucial to ensure that findings making use of big data can be consistently replicated by other physician-scientists. A call for transparency and reproducibility must occur at the individual, institutional, and national levels. Given the rising popularity of national and large databases in research, the responsibility of authors to ensure reproducibility of clinical research merits renewed discussion. In this article, the authors offer strateg...
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Deconstructing a Leader: An In-Depth Analysis of the Commonalities between Plastic Surgery Chiefs and Chairmen
Background: The authors sought to identify factors associated with current chiefs and chairpersons in academic plastic surgery to encourage and shape future leaders of tomorrow. Methods: Academic chairpersons in plastic surgery (n = 94) were identified through an Internet-based search of all Accreditation Council for Graduate Medical Education–accredited residency training programs during the year 2015. Sex, ethnicity, academic rank, board certification, time since certification, medical school attended, residency program attended, fellowships training, advanced degrees, obtaining leadership roles at trainee&rsq...
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Discussion: Differences in Opioid Prescribing Practices among Plastic Surgery Trainees in the United States and Canada
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Differences in Opioid Prescribing Practices among Plastic Surgery Trainees in the United States and Canada
Background: Overprescribing following surgery is a known contributor to the opioid epidemic, increasing the risk of opioid abuse and diversion. Trainees are the primary prescribers of these medications at academic institutions, and little is known about the factors that influence their prescribing. The authors hypothesized that differences in health care funding and delivery would lead to disparities in opioid prescribing. Therefore, the authors sought to compare the prescribing practices of plastic surgery trainees in the United States and Canada. Methods: A survey was administered to trainees at a sample of U.S. and...
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Framework for the Creation of Ethical and Professional Social Media Content
Conclusions: Social media are powerful tools that will continue to transform the practice of plastic surgery and medicine at large. Plastic surgeons must uphold values of professionalism and ethics when using social media to protect patients and maintain the high professional standards of the specialty. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Plastic Surgery Focus: Special Topics Source Type: research

Primary Open Rhinoplasty
This article focuses on the open approach, and the principles and techniques necessary to achieve consistent and gratifying results. As with all plastic surgery procedures, successful rhinoplasty begins with a thorough clinical analysis, definition of the goals, meticulous preoperative planning, precise operative execution, vigilant postoperative management, and a critical analysis of one’s results. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: CME Source Type: research

Discussion: Supersonic Transporter Deformity in Transgender Men following Phalloplasty
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Ideas and Innovations Source Type: research

Supersonic Transporter Deformity in Transgender Men following Phalloplasty
Summary: Phalloplasty is often the final stage of gender-affirmation surgery for transgender men. Obtaining penile rigidity is important for sexual function, but may also bring complications, including supersonic transporter deformity, in which the glans becomes ventrally displaced and flaccid. Two cases of supersonic transporter deformity are presented here, one with a hydraulic penile implant and one with an autologous bone transplant. Attempt at surgical correction was performed in both. Careful attention must be paid to the unique anatomy of the neophallus and type of penile prosthesis to prevent or correct supersoni...
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Reconstructive: Trunk: Ideas and Innovations Source Type: research

Ethicists’ Opinions Regarding the Permissibility of Face Transplant
Conclusions: This study provides insight into clinical ethicists’ views regarding face transplantation. Most ethicists support the ethical permissibility of face transplantation, and did not have concerns about age, sex, and ethnicity mismatches. These findings highlight emerging areas of consensus regarding the ethical permissibility of face transplantation. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Special Topic Source Type: research

Direct Lateral Canthal Approach to the Zygomaticotemporal Branch of the Trigeminal Nerve for Surgical Treatment of Migraines
Summary: Surgical treatment of migraine headaches involves avulsion or decompression of the affected peripheral nerves. One of the sites targeted is site II, the zygomaticotemporal branch of the trigeminal nerve. Although traditionally the procedure involved either an endoscopic or transpalpebral approach to access the nerve, both methods involve general anesthesia in an operating room. The senior authors developed a new technique to directly access the nerve by means of a transverse lateral canthal extension incision that can be performed under local anesthesia in an office setting. A cadaver dissection to assess safety...
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Ideas and Innovations Source Type: research

Microvascular Reconstruction of the Nose with the Radial Forearm Flap: A 17-Year Experience in 47 Patients
Conclusion: The radial forearm flap infolding technique is the authors’ method of choice for microvascular reconstruction of the nose because it allows placement of a primary dorsal cartilage graft for optimal vascularization, and uses the excess dorsal skin during forehead resurfacing to modify the lining inset and shape the nostrils. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Reconstructive: Head and Neck: Original Articles Source Type: research

A Cultured Autologous Dermo-epidermal Skin Substitute for Full-Thickness Skin Defects: A Phase I, Open, Prospective Clinical Trial in Children
Conclusions: In the first clinical application of this novel skin substitute, safe coverage of skin defects was achieved. Safety and efficacy phase II trials comparing the novel skin substitute to split-thickness skin grafts are ongoing. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Conformity of the Actual to the Planned Result in Orthognathic Surgery
Background: Virtual surgical planning has facilitated preoperative planning, splint accuracy, and intraoperative efficiency in orthognathic surgery. The translation of the virtual surgical plan to the actual result has not been adequately examined. The authors examined the conformity of the virtual surgical plan to the postoperative result. They hypothesize that the greatest conformity exists in the anteroposterior dimensions. Methods: The authors examined patients who underwent Le Fort I maxillary advancement, bilateral sagittal split osteotomy, and genioplasty. The preoperative virtual surgical planning file and pos...
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

The Influence of Four Different Treatment Protocols on Maxillofacial Growth in Patients with Unilateral Complete Cleft Lip, Palate, and Alveolus
Background: The purpose of this study was to evaluate the effect of four different treatment protocols on maxillofacial growth in patients aged 7 to 8 years with unilateral complete cleft lip, palate, and alveolus. Methods: Sixty-one patients with nonsyndromic unilateral complete cleft lip, palate, and alveolus were entered into this study and grouped as follows: group 1 patients had a repaired lip and an unrepaired palate; group 2 patients underwent one-stage palatoplasty; group 3 patients underwent two-stage palatoplasty; and group 4 patients underwent lip adhesion and two-stage palatoplasty. The control group was c...
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

CLEFT-Q: Detecting Differences in Outcomes among 2434 Patients with Varying Cleft Types
Conclusions: Patient-reported outcomes measured with the CLEFT-Q vary significantly with cleft type. Visualizing multiple outcomes simultaneously with radar charts allows for an understanding of a patient’s overall status in a single graph. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Variation in the Desire for Cleft Revision Surgery among Children, Caregivers, and Surgeons
Background: Although revision surgery is part of the reconstructive process for children with cleft lip and/or cleft palate, the indications for revision vary, and the extent to which surgeons and families agree on appearance is unclear. The authors sought to understand the extent to which children with cleft lip and/or cleft palate, surgeons, caregivers, and control observers agree on satisfaction with appearance and the desire for revision. Methods: Children with cleft lip and/or cleft palate (n = 100) and their caregivers (n = 100) were surveyed regarding satisfaction with appearance using the Cleft Evaluation Prof...
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Pediatric/Craniofacial: Original Articles Source Type: research

Discussion: Outcomes of Single versus Double Fascicular Nerve Transfers for Restoration of Elbow Flexion in Patients with Brachial Plexus Injuries: A Systematic Review and Meta-Analysis
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research

Outcomes of Single versus Double Fascicular Nerve Transfers for Restoration of Elbow Flexion in Patients with Brachial Plexus Injuries: A Systematic Review and Meta-Analysis
Conclusions: Additional reinnervation of the brachialis muscle did not result in significantly more patients reaching Medical Research Council grade 3 or higher for elbow flexion. Double fascicular nerve transfer may result in more patients reaching grade 4 or higher in patients with a preoperative delay less than 6 months. The median nerve may be preserved or used for another nerve transfer without substantially impairing elbow flexion restoration. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research

Is Epinephrine Safe for Infant Digit Excision? A Retrospective Review of 402 Polydactyly Excisions in Patients Younger than 6 Months
Conclusions: In 402 procedures of surgical excision of polydactyly in infants, there were few short-term complications, none of which were necrosis or any vascular complication related to the use of epinephrine. The authors believe that, with the use of a low-dose epinephrine injection (1:200,000), the risk for digital infarction is low in this population. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Hand/Peripheral Nerve: Original Articles Source Type: research

Sumatriptan Increases Skin Flap Survival through Activation of 5-Hydroxytryptamine 1b/1d Receptors in Rats: The Mediating Role of the Nitric Oxide Pathway
Conclusions: Sumatriptan in lower concentration increases skin flap survival by means of activation of 5-hydroxytryptamine 1b/1d receptors. This effect is mediated through the nitric oxide synthase pathway. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Experimental Source Type: research

Discussion: The Interplay of Mechanical Stress, Strain, and Stiffness at the Keloid Periphery Correlates with Increased Caveolin-1/ROCK Signaling and Scar Progression
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Experimental Source Type: research

The Interplay of Mechanical Stress, Strain, and Stiffness at the Keloid Periphery Correlates with Increased Caveolin-1/ROCK Signaling and Scar Progression
Conclusions: The authors conclude that changes in human position are strongly correlated with mechanical loading of the predilection sites, which leads to increased mechanical strain in the peripheral tissue surrounding keloids. Furthermore, increased mechanical strain in the peripheral tissue, which is the site of keloid progression, was correlated with aberrant expression of caveolin-1/ROCK signaling pathway. These findings suggest a novel mechanism for keloid progression. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Experimental Source Type: research

Discussion: Effectiveness of Retrobulbar Hyaluronidase Injection in an Iatrogenic Blindness Rabbit Model Using Hyaluronic Acid Filler Injection
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Experimental Source Type: research

Effectiveness of Retrobulbar Hyaluronidase Injection in an Iatrogenic Blindness Rabbit Model Using Hyaluronic Acid Filler Injection
Conclusions: Retrobulbar hyaluronidase may be an effective evidence-based treatment option for humans. Hyaluronidase concentration and injection time are the important factors for faster recovery, but additional studies are still required. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Experimental Source Type: research

Poly(ε-Caprolactone) Nanofiber Wrap Improves Nerve Regeneration and Functional Outcomes after Delayed Nerve Repair
Background: The purpose of this study was to assess the efficacy of biodegradable, electrospun poly(ε-caprolactone) nanofiber nerve conduits in improving nerve regeneration. Methods: The authors used a rat forelimb chronic denervation model to assess the effects of poly(ε-caprolactone) conduits on improving nerve regeneration and upper extremity function. Three groups of rats were examined: (1) negative-control animals (n = 5), which underwent 8 weeks of median nerve chronic denervation injury followed by repair with no conduit; (2) experimental animals (n = 5), which underwent 8 weeks of median nerve ...
Source: Plastic and Reconstructive Surgery - July 1, 2019 Category: Cosmetic Surgery Tags: Experimental Source Type: research