Maximizing Safety and Optimizing Outcomes of Labiaplasty: A Systematic Review and Meta-Analysis
Background:
The considerable increase in labiaplasty requires plastic surgeons to be acquainted with the surgical techniques, their respective complications, and satisfaction rates. The authors conducted a systematic review of the available evidence on labia minoraplasty, looking at surgical techniques, clinical outcomes, and patient satisfaction.
Methods:
A comprehensive search across PubMed, Web of Science, SCOPUS, and Cochrane
CENTRAL was performed through October of 2020. A random-effects model meta-analysis was performed to assess satisfaction and complication rates.
Results:
Forty-six studies inc...
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
Impact of Panniculectomy and/or Abdominoplasty on Quality of Life: A Retrospective Cohort Analysis of Patient-Reported Outcomes
Conclusion:
Quality of life is significantly lower at baseline in older, Black, publicly insured patients, and multimorbid patients, but improves dramatically after panniculectomy and abdominoplasty regardless of incidence of complications or degree of obesity.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
Postbariatric Abdominal Contouring: Technical Approach and Quality of Life
Conclusion:
Abdominal contouring surgery improves quality of life after bariatric surgery irrespective of the procedure type.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
Zones for Fat Grafting in Hybrid Breast Augmentation: Standardization for Planning of Fat Grafting Based on Breast Cleavage Units
Background:
Autologous fat grafting is a procedure indicated for breast augmentation to improve coverage of silicone implants and redesign breast shape. Different techniques are based on parameters that have not been systematically standardized. The authors present a method using breast zone standardization based on breast anatomy to achieve an anatomical composite breast.
Methods:
The authors performed this zone standardization in 76 breasts (38 patients) undergoing primary/secondary augmentation. The area between the implant and the clavicle and parasternal area was marked to receive fat grafting and divided i...
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
Dorsal Augmentation Using a Glued Diced Cartilage Graft Fashioned with a Newly Developed Mold in Asian Rhinoplasty
This report describes their experience with GDCG using a novel mold for dorsal augmentation.
Methods:
The study involved 80 patients who underwent dorsal augmentation with the molded GDCG. Facial photographs and medical records were reviewed to assess patient satisfaction and postoperative complications. For the 23 patients who had three-dimensional scanned imaging, dorsal widths and dorsal heights at the radix and rhinion levels were measured to investigate changes in the implants over time. Resorption of the graft was assessed comparing the 3-month postoperative photograph with the latest photograph taken at the l...
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
Minimally Invasive Approach to Skin Tightening of the Face and Body: Systematic Review of Monopolar and Bipolar Radiofrequency Devices
Conclusion:
There is clinical evidence that monopolar and bipolar radiofrequency devices produce measurable improvement in skin laxity of the face and body with an acceptable complication profile. The majority of reported complications are minor and transient in nature; major complication rates are higher with the use of monopolar devices than with the use of bipolar devices. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Cosmetic: Original Articles Source Type: research
Effect of Breast Reconstruction on Kinematics and Performance during Upper Limb–Focused Functional Tasks
Background:
Breast reconstruction after curative breast cancer surgery is becoming increasingly common. There is evidence to suggest that these surgeries have negative effects on shoulder function, but to date there have been no investigations of shoulder biomechanics during functional tasks in this group. The purpose of this study was to define and compare upper limb motion of patients with breast cancer who underwent mastectomy only or mastectomy with reconstruction with a control group without cancer during a range of work-related functional tasks.
Methods:
Ninety-five women participated: 25 controls, 25 pati...
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
Breast Implant–Associated Anaplastic Large-Cell Lymphoma: Updated Systematic Review and Analysis of Treatment Strategies
Background:
Although guidelines have been published on treatment of breast implant–associated anaplastic large-cell lymphoma (BIA-ALCL), there has been no comprehensive analysis of BIA-ALCL treatment variation based on the available literature. The authors sought to assess current treatment strategies of BIA-ALCL relative to current guidelines.
Methods:
Database searches were conducted in June of 2020. Included articles were case reports and case series with patient-level data. Collected variables included clinicopathologic features, implant characteristics, diagnostic tests, ALCL characteristics, treatment, a...
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
The Thoracodorsal Artery Perforator Flap: A Powerful Tool in Breast Reconstruction
Conclusions:
This study is the largest series in the literature that highlights the utility of the TDAP flap in breast reconstruction. This flap is a powerful tool that should be considered in patients for whom other reconstructive options have been exhausted or unavailable.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
Picking the Right Plane: A Comparison of Total Submuscular, Dual-Plane, and Prepectoral Implant–Based Breast Reconstruction
Conclusions:
Overall reconstructive complication rates were comparable among the cohorts. Compared with those undergoing total submuscular reconstruction, the dual-plane cohort was more likely to develop a major infection or require explantation, whereas the prepectoral group had significantly higher rates of isolated dehiscence, seroma formation, and explantation. This suggests that the absence of overlying vascularized muscle may lead to an inherent inability to tolerate wound-healing complications, although further research is needed to clarify these observations.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Thera...
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
The Superficial Vein–Only DIEP Flap
Conclusions:
The authors believe the superficial vein–only DIEP flap is an excellent option for the appropriate patient. It is an added tool to make abdominally based breast reconstruction more reliable and successful. The use of the SIEV in a superficial vein–only flap should be considered as part of any routine DIEP flap reconstruction.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Therapeutic, IV. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
Effects of Comorbidities on the Inferior Pedicle Reduction Mammaplasty: A Statistical Analysis
Conclusions:
Patients with increased body mass index are at greater risk for fat necrosis and wound healing complications. However, these usually can be managed conservatively in patients undergoing inferior pedicle breast reduction. Patients do not require free nipple grafting. The use of nicotine or the presence of diabetes or hypertension does not impact outcome.
CLINICAL QUESTION/LEVEL OF EVIDENCE:
Risk, III. (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
Breast Resection Weight Prediction and Insurance Reimbursement in Reduction Mammaplasty: Which Scale Is Reliable?
Background:
Many insurance companies in the United States rely on the Schnur sliding scale to predict resection weights to determine medical necessity for breast reduction surgery. Accurate methods to predict resection weights are needed to avoid insurance denials. The authors compared the accuracy of formulas such as the Schnur, Appel, Descamps, and Galveston scales in predicting resection weights, and assessed whether they influence insurance coverage decision.
Methods:
A retrospective review of bilateral reduction mammaplasty procedures from June of 2017 to June of 2019 was performed at the Mayo Clinic, Roche...
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
Discussion: The Impact of Combined Oral Contraceptives on Adolescents with Macromastia
No abstract available (Source: Plastic and Reconstructive Surgery)
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
The Impact of Combined Oral Contraceptives on Adolescents with Macromastia
Background:
The combined oral contraceptive pill, containing both estrogen and progestin, is commonly prescribed to adolescents for numerous health benefits. However, there is concern among patients and providers that its use may exacerbate breast growth. This retrospective, case-control study examined the association between combined oral contraceptive pill use and macromastia-related breast hypertrophy and symptoms in adolescents.
Methods:
A total of 378 patients undergoing reduction mammaplasty between the ages of 12 and 21 years were assessed for baseline and postoperative breast symptoms and combined oral c...
Source: Plastic and Reconstructive Surgery - October 1, 2022 Category: Cosmetic Surgery Tags: Breast: Original Articles Source Type: research
