Advances in Fetal Surgery: Current and Future Relevance in Plastic Surgery
Seminars in Plastic Surgery 2019; 33: 204-212 DOI: 10.1055/s-0039-1693431Scarless healing has long been the holy grail for plastic surgery. While historically fetal surgery has tempted plastic surgeons with the allure of scarless correction of congenital abnormalities, the risks far outweighed the benefits and these interventions never materialized. Current advances in fetal surgery with minimally invasive fetoscopic surgery have made these early fetal interventions safer, leading to expanding applications. While the plastic surgeon's role is limited as of yet, this article provides a review of the history of fetal surgery...
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Gimenez, Alejandro Kopkin, Rachel Chang, Daniel K. Belfort, Michael Reece, Edward M. Tags: Review Article Source Type: research

Cartilage Grafting
Seminars in Plastic Surgery 2019; 33: 200-203 DOI: 10.1055/s-0039-1693432Arthritis remains a widespread and yet unsolved therapeutic dilemma. Cartilage grafting has proven to be difficult and satisfactory results are often elusive. There are several inherent difficulties. These include both chondrocyte migration and the lack of sufficient uptake of nutrients to allow for graft survival. With autografts, there is also the paucity of symptom-free donor sites. Accordingly, multiple alternative therapies for cartilage regeneration and/or substitution have been developed over time. In this article, the authors shall discuss the...
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Agrawal, Nikhil Yari, Shawn Engles, Drew Reece, Edward M. Tags: Review Article Source Type: research

Bone Grafts, Bone Substitutes, and Orthobiologics: Applications in Plastic Surgery
Seminars in Plastic Surgery 2019; 33: 190-199 DOI: 10.1055/s-0039-1693020As reconstructive needs often extend past the soft tissue alone, a plastic surgeon must also be well versed in the methods of bony reconstruction. Understanding of the basic science of fracture healing and the biochemical mechanisms of the different bone grafts, bone substitutes, and orthobiologics is essential to selecting among the many different options available to the modern plastic surgeon. This review provides a broad overview of these different options and the specific applications for plastic surgeons based on anatomic location. [...] Thieme ...
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Raghuram, Anjali Singh, Aspinder Chang, Daniel K. Nunez, Mervin Reece, Edward M. Tags: Review Article Source Type: research

The Basics of Integra Dermal Regeneration Template and its Expanding Clinical Applications
This article reviews the basic science of Integra and provides an overview of the many expanding applications based on anatomic location. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Chang, Daniel K. Louis, Matthew R. Gimenez, Alejandro Reece, Edward M. Tags: Review Article Source Type: research

Acellular Dermal Matrices: Applications in Plastic Surgery
Seminars in Plastic Surgery 2019; 33: 173-184 DOI: 10.1055/s-0039-1693019Modern advances in tissue engineering have transformed the plastic surgeon's management strategies across a wide variety of applications. Comprehension of the fundamentals of biologic constructs is critical to navigating the available armamentarium. It is essential that plastic surgeons become familiar with some of the existing methods for utilizing biologics as well as the advantages and limitations to their use. In this article, the authors describe the basic science of biologics with a focus on acellular dermal matrices (ADMs), and review the recen...
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Tork, Shahryar Jefferson, Ryan C. Janis, Jeffrey E. Tags: Review Article Source Type: research

The Evolving Landscape of Gene Therapy in Plastic Surgery
This article aims to provide an overview of the fundamentals of gene therapy and discuss future potential interventions relevant to plastic surgeons. These interventions include enhancing tissue regeneration and healing, as well as modifying disease processes in congenital anomalies. Though clinical applications are still on the horizon, a deeper understanding of these new advances will help plastic surgeons understand the current landscape of gene therapy and stay abreast of future opportunities. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents ...
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Raghuram, Anjali Singh, Aspinder Chang, Daniel K. Nunez, Mervin Reece, Edward M. Schultz, Brent E. Tags: Review Article Source Type: research

Stem Cells and Plastic Surgery
Seminars in Plastic Surgery 2019; 33: 162-166 DOI: 10.1055/s-0039-1693018Pluripotent stem cells can help recreate a variety of different tissues. Stem cells are already in use in a variety of ways in the medical field but plastic surgeons have particular interest because of the constant need to produce additional tissue or mold existing tissue. More and more commercial products are being marketed with far-reaching goals and some with proven and promising results. In this article, the authors discuss the basic science behind stem cells and the theories on how they work. They then discuss some active uses of stem cells that ...
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Agrawal, Nikhil A. Zavlin, Dmitry Louis, Matthew R. Reece, Edward M. Tags: Review Article Source Type: research

Platelet-Rich Plasma: Principles and Applications in Plastic Surgery
Seminars in Plastic Surgery 2019; 33: 155-161 DOI: 10.1055/s-0039-1693400Platelet-rich plasma (PRP) is an autogenously harvested liquid platelet concentrate extracted from a patient's peripheral blood that contains higher than baseline concentrations of growth factors and cytokines. This innovative new technology has demonstrated great promise in the field of plastic surgery, and its use has been evaluated in several clinical settings including wound healing, hair restoration, and skin rejuvenation. The goal of this article is to explain the biology behind PRP and to review the basic principles involved in its preparation....
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Abu-Ghname, Amjed Perdanasari, Aurelia Trisliana Davis, Matthew J. Reece, Edward M. Tags: Review Article Source Type: research

Principles and Applications of Fat Grafting in Plastic Surgery
Seminars in Plastic Surgery 2019; 33: 147-154 DOI: 10.1055/s-0039-1693438Autologous fat transplantation has become increasingly popular in recent years. Its biocompatable properties and availability made it a widely used treatment modality for soft tissue augmentation and volume replacement in both reconstructive and aesthetic plastic surgery. Multiple protocols and clinical applications have been described in the literature, with wide variations in the harvesting, processing, and injection techniques. In this review, the authors will discuss the basic principles and clinical applications of fat grafting in plastic and rec...
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Abu-Ghname, Amjed Perdanasari, Aurelia Trisliana Reece, Edward M. Tags: Review Article Source Type: research

Biologics in Plastic Surgery
Seminars in Plastic Surgery 2019; 33: 145-146 DOI: 10.1055/s-0039-1693434 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Reece, Edward M. Tags: Preface Source Type: research

Edward M. Reece, MD, MBA
Seminars in Plastic Surgery 2019; 33: 143-144 DOI: 10.1055/s-0039-1693433 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - August 2, 2019 Category: Cosmetic Surgery Authors: Hollier, Larry H. Tags: Introduction to the Guest Editor Source Type: research

Complications and Treatment of Delayed or Inadequately Treated Nasoorbitoethmoid Fractures
Seminars in Plastic Surgery 2019; 33: 138-142 DOI: 10.1055/s-0039-1685474Delayed or improper repair of nasoorbitoethmoid (NOE) fractures can lead to debilitating outcomes including diplopia, epiphora, nasal obstruction, facial asymmetry, and poor cosmesis. As such, NOE fractures should be repaired promptly and properly to prevent these unwanted sequelae. Treating patients with delayed, untreated, or inadequately reduced NOE fractures is challenging due to scarring and contracture. Saddle nose deformity, telecanthus, enophthalmos, nasolacrimal duct obstruction, and soft-tissue scarring are often encountered in the secondary...
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Han, Peter S. Kim, Yohanan Herford, Alan S. Inman, Jared C. Tags: Review Article Source Type: research

Prosthetic Reconstruction of Orbital Defects
Seminars in Plastic Surgery 2019; 33: 132-137 DOI: 10.1055/s-0039-1685479Orbital and craniomaxillofacial defects, in general, are best approached preoperatively by a multidisciplinary team with a clear reconstructive plan in place. Orbital defects result from a myriad of underlying diseases and injuries, and reconstruction after orbital evisceration, enucleation, or exenteration can pose a challenge to the reconstructive team. Reconstruction of orbital injuries with orbital implants and prostheses can lead to acceptable aesthetic outcomes, and the reconstructive surgeon should be familiar with current orbital implants and ...
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Vincent, Aurora Kohlert, Scott Kadakia, Sameep Sawhney, Raja Ducic, Yadranko Tags: Review Article Source Type: research

Soft Tissue Microvascular Reconstruction of Orbital Exenteration Defects
Seminars in Plastic Surgery 2019; 33: 125-131 DOI: 10.1055/s-0039-1685480The main goal of head and neck reconstruction is the restoration of form and function. Oncologic surgery makes this process more complex, as the preplanned defect can be very different from its intraoperative counterpart. This emphasizes the role of preoperative planning and a diverse reconstructive “tool box” that can accommodate a variety of complicated defects. The other reconstructive goals are determined by the patient with the aid of an interdisciplinary team. While multiple local and regional reconstructive options are available, fr...
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Badhey, Arvind Haidar, Yarah Genden, Eric Tags: Review Article Source Type: research

Regional Reconstruction of Orbital Exenteration Defects
Seminars in Plastic Surgery 2019; 33: 120-124 DOI: 10.1055/s-0039-1685475Aggressive disease such as invasive fungal infections or malignancies may necessitate orbital exenteration. The defects of orbital exenteration are often complex involving adjacent structures. Rehabilitation of the orbital exenteration defect poses unique challenges to the reconstructive surgeon. Various options have been described ranging from secondary intention to microvascular free tissue reconstruction. Here the authors review local/regional options for reconstruction of orbital exenteration defects. [...] Thieme Medical Publishers 333 Seventh Av...
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Jategaonkar, Ameya A. Vernon, Dominic Byrne, Patrick J. Tags: Review Article Source Type: research

Orbitocranial Approaches to the Skull Base
Seminars in Plastic Surgery 2019; 33: 114-119 DOI: 10.1055/s-0039-1685478There are a myriad of approaches and surgical options for removal and treatment of skull base diseases. While, historically, large open approaches have been preferred, several endoscopic and minimally invasive techniques are now available that preserve intraoperative visualization and surgical success while minimizing morbidity and recovery times. Herein, the authors review common open, minimally invasive, and endoscopic approaches to the anterior skull base. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme...
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Vincent, Aurora Wang, Weitao Sokoya, Mofiyinfolu Kadakia, Sameep Chan, David Ducic, Yadranko Tags: Review Article Source Type: research

Orbital Trauma
Seminars in Plastic Surgery 2019; 33: 106-113 DOI: 10.1055/s-0039-1685477The orbit is contained within a complex bony architecture with overlying soft tissue that involves many important anatomical structures. Orbital trauma is a frequent cause of damage to these structures. The authors review the literature on reconstructive techniques focusing on fractures of the orbital rim, orbital roof, orbital floor, medial orbital wall, and naso-orbito-ethmoid complex. A thorough literature review was conducted using PubMed analyzing articles relevant to the subject matter. Various search terms were used to identify articles regardi...
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Lozada, Kirkland N. Cleveland, Patrick W. Smith, Jesse E. Tags: Review Article Source Type: research

Considerations in Orbital Exenteration
Seminars in Plastic Surgery 2019; 33: 103-105 DOI: 10.1055/s-0039-1685209Orbital exenteration (OE) is a radical operation associated with significant psychosocial disability and functional impairment. Indications for OE include primary tumors of the eye, oral cavity, paranasal sinuses, skin, and brain. Careful consideration regarding the likelihood of local control and cure is needed before proceeding with this operation. Multidisciplinary work-up should be performed before proceeding with surgery. The method of reconstruction after OE should be tailored to the defect and the postoperative needs of the patient. Appropriate...
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Sokoya, Mofiyinfolu Cohn, Jason E. Kohlert, Scott Lee, Thomas Kadakia, Sameep Ducic, Yadranko Tags: Review Article Source Type: research

Eyelid Malposition Repair: A Review of the Literature and Current Techniques
This article is a review of commonly encountered forms of eyelid malposition. Relevant reconstructive techniques and current evidence-based methods of reconstruction are discussed in detail. Anatomical considerations, the nature of specific defects, pearls of preoperative evaluation, and the reconstructive options available to the facial plastic and oculoplastic surgeon are outlined. Topics discussed include ectropion, entropion, eyelid retraction, and blepharoptosis. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract&n...
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Guthrie, Ashley J. Kadakia, Pooja Rosenberg, Joshua Tags: Review Article Source Type: research

Surgical Orbital Anatomy
Seminars in Plastic Surgery 2019; 33: 085-091 DOI: 10.1055/s-0039-1685476In this article, the anatomy of the orbit is reviewed, with a specific emphasis on surgical anatomy. A brief discussion of the ocular globe is also included. The orbits are pyramidal structures separating the upper and middle facial skeletons. The walls, apex, and base harbor several foramina and fissures as well as bony irregularities where various ligaments, muscles, and capsules attach. There are a variety of surgical approaches to the orbit, including the traditional transcutaneous and neurosurgical techniques and, more recently, minimally invasiv...
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Hu, Shirley Colley, Patrick Tags: Review Article Source Type: research

Orbital Reconstruction
Seminars in Plastic Surgery 2019; 33: 083-084 DOI: 10.1055/s-0039-1685210 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Kadakia, Sameep Tags: Preface Source Type: research

Sameep Kadakia, MD
Seminars in Plastic Surgery 2019; 33: 081-082 DOI: 10.1055/s-0039-1685481 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - April 26, 2019 Category: Cosmetic Surgery Authors: Hollier, Larry H. Tags: Introduction to the Guest Editor Source Type: research

Pharyngeal Reconstruction with Microvascular Free Tissue Transfer
Seminars in Plastic Surgery 2019; 33: 078-080 DOI: 10.1055/s-0039-1677877Reconstruction of pharyngoesophageal defects after total laryngectomies and extirpation of hypopharyngeal and upper esophageal carcinomas presents a challenging task. Goals of reconstruction include adequate voice rehabilitation and restoration of normal swallowing. The reconstructive armamentarium contains many options for reconstruction and creation of a new upper digestive tract. This review article focuses on the most commonly used free tissue transfer options for the reconstruction of these defects, with an assessment of their advantages and disa...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Sokoya, Mofiyinfolu Bahrami, Arash Vincent, Aurora Inman, Jared Mourad, Moustafa Sawhney, Raja Ducic, Yadranko Tags: Review Article Source Type: research

Free-Flap Reconstruction of Skull Base and Orbital Defects
Seminars in Plastic Surgery 2019; 33: 072-077 DOI: 10.1055/s-0039-1677881Orbital and anterior skull base defects present a significant challenge for reconstruction due to the complexity of the anatomy and the need for separation of intracranial and extracranial contents in this area. While endoscopic techniques have revolutionized the treatment of many anterior skull base defects, microvascular free tissue transfer is a viable option for large volume defects not suitable for traditional open approaches or for cases where endoscopic techniques have failed. The various free tissue transfer techniques for anterior skull base ...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Wang, Weitao Vincent, Aurora Sokoya, Mofiyinfolu Kohlert, Scott Kadakia, Sameep Ducic, Yadranko Tags: Review Article Source Type: research

Free Tissue Reconstruction of the Scalp
Seminars in Plastic Surgery 2019; 33: 067-071 DOI: 10.1055/s-0039-1678470Reconstruction of scalp defects can be accomplished by many methods, but larger defects, especially those in which the periosteum is absent or calvarial defects are present, require free tissue transfer. Various methods of scalp reconstruction, as guided by the defect components and size, are presented herein, with a focus on free tissue transfer. Different free flaps for scalp reconstructed are described with a comparison of their advantages and disadvantages. Overall, free tissue transfer for scalp defects provides a reliable, durable, and cosmetica...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Sokoya, Mofiyinfolu Misch, Emily Vincent, Aurora Wang, Weitao Kadakia, Sameep Ducic, Yadranko Smith, Jesse Tags: Review Article Source Type: research

Free Tissue Breast Reconstruction
Seminars in Plastic Surgery 2019; 33: 059-066 DOI: 10.1055/s-0039-1677703Free tissue transfer serves as a modern workhorse for breast reconstruction. Advancements in microsurgical technique have allowed for the development of free flap procedures that produce an aesthetic breast while minimizing donor site morbidity. Here, the authors review the use of different free flap procedures for breast reconstruction with a focus on the preferred and most commonly used flap, the deep inferior epigastric perforator flap. Each flap has its advantages and drawbacks, and certain patient risk factors increase postoperative complications...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Dibbs, Rami Trost, Jeff DeGregorio, Valerie Izaddoost, Shayan Tags: Review Article Source Type: research

Microsurgical Reconstruction of the Lower Extremity
Seminars in Plastic Surgery 2019; 33: 054-058 DOI: 10.1055/s-0039-1677878Reconstruction of bony and soft tissue defects of the lower extremity has been revolutionized by the advent of microsurgical tissue transfer. There are numerous options for reconstruction. Possibilities include transfer of soft tissue, composite (bone and soft tissue) tissue, and functional muscle. Many lower extremity reconstructions require staged procedures. Planning is of paramount importance especially in regard to vascular access when multiple free flaps are required. Soft tissue reconstruction of the lower extremity may be accomplished with mus...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Pederson, William C. Grome, Luke Tags: Review Article Source Type: research

Free-Flap Reconstruction of the Mandible
This article discusses current vascularized techniques for mandible reconstruction. While each reconstructive method has advantages and disadvantages, a defect-based reconstruction focused on full rehabilitation allows surgeons to plan and counsel the patient for the best available reconstruction. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Kim, Roderick Y. Sokoya, Mofiyinfolu Ducic, Yadranko Williams, Fayette Tags: Review Article Source Type: research

Free-Flap Reconstruction of the Tongue
Seminars in Plastic Surgery 2019; 33: 038-045 DOI: 10.1055/s-0039-1677789The tongue is paramount to natural speech and swallowing, and good tongue function is important in the overall quality of life. Autologous free-flap reconstruction of the tongue after glossectomy allows for adequate speech, swallow, and quality-of-life outcomes in a majority of patients. Herein, the authors review autologous free-flap reconstruction of the tongue with a focus on different flap options, speech and swallow outcomes, quality-of-life outcomes, and factors that affect how patients perform after tongue reconstruction. [...] Thieme Medical P...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Vincent, Aurora Kohlert, Scott Lee, Thomas S. Inman, Jared Ducic, Yadranko Tags: Review Article Source Type: research

Free Flap Reconstruction of the Maxilla
Seminars in Plastic Surgery 2019; 33: 030-037 DOI: 10.1055/s-0039-1677701Tumors of the maxilla and midface are some of the most difficult to manage, not only in terms of treatment but also in terms of achieving acceptable orofacial reconstruction. Today, free flaps dominate the reconstructive field. Many patients can achieve successful reconstruction after free flap transfer with a return of intelligible speech, a regular diet, and acceptable cosmesis. Herein, the authors review free flap reconstruction of the maxilla, with a focus on the classifications of defects, when obturators are appropriate, types and sources of fre...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Vincent, Aurora Burkes, Jason Williams, Fayette Ducic, Yadranko Tags: Review Article Source Type: research

Free Tissue Transfer Penile Reconstruction
Seminars in Plastic Surgery 2019; 33: 024-029 DOI: 10.1055/s-0039-1677879Phalloplasty can be a challenging plastic surgery procedure associated with complications and unsatisfactory results. Phalloplasty has become an important procedure in the setting of trauma, partial or complete excision of the penis, and gender affirmation. Advances in microsurgery has expanded penile reconstruction through free tissue transfer techniques which include the radial forearm free flap, fibular osteocutaneous flap, anterolateral thigh flap, latissimus dorsi flap, scapular flap, and abdominal flaps. Each procedure has advantages and disadva...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Kropp, Bradley Cohn, Jason E. Wang, Weitao Sokoya, Mofiyinfolu Ducic, Yadranko Tags: Review Article Source Type: research

Free Tissue Transfer for Upper Extremity Reconstruction
Seminars in Plastic Surgery 2019; 33: 017-023 DOI: 10.1055/s-0039-1677702With the advent of the Industrial Revolution, traumatic injuries of the upper extremity increased exponentially. As a result, surgeons began to reevaluate amputation as the standard of care. Following the Second World War, local and regional pedicled flaps became common forms of traumatic upper extremity reconstruction. Today, microsurgery offers an alternative when options lower on the reconstructive ladder have been exhausted or will not produce a desirable result. In this article, the authors review the use of free tissue transfer for upper extremi...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Dibbs, Rami Grome, Luke Pederson, William C. Tags: Review Article Source Type: research

Postoperative Free-Flap Monitoring Techniques
Seminars in Plastic Surgery 2019; 33: 013-016 DOI: 10.1055/s-0039-1677880Free tissue transfer is commonly employed in the reconstruction of large or complicated defects. Postoperative flap failure from microvascular compromise is an uncommon but major potential complication of this procedure. As such, many postoperative monitoring techniques devices have been developed. This paper provides an overview of the wide variety of options available for surgeons today. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract &nb...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Kohlert, Scott Quimby, Alexandra E. Saman, Masoud Ducic, Yadranko Tags: Review Article Source Type: research

Perioperative Care of Free Flap Patients
Seminars in Plastic Surgery 2019; 33: 005-012 DOI: 10.1055/s-0038-1676824Microvascular free tissue transfer is an indispensable reconstructive option in head and neck reconstruction. Flap failure is relatively rare, but it is nonetheless very morbid and psychologically devastating to patients when it does occur. Further, complications after free tissue transfer to the head and neck remain common. There are numerous ongoing debates about various facets of preoperative, intraoperative, and postoperative care of patients undergoing free flap reconstruction of the head and neck, all ultimately searching for the optimal treatme...
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Vincent, Aurora Sawhney, Raja Ducic, Yadranko Tags: Review Article Source Type: research

Free Tissue Transfer Reconstruction
Seminars in Plastic Surgery 2019; 33: 003-004 DOI: 10.1055/s-0039-1678522 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Ducic, Yadranko Tags: Preface Source Type: research

Yadranko Ducic, MD
Seminars in Plastic Surgery 2019; 33: 001-002 DOI: 10.1055/s-0039-1678521 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - March 8, 2019 Category: Cosmetic Surgery Authors: Hollier, Larry H. Tags: Introduction to the Guest Editor Source Type: research

Addendum: Abdominal Wall Reconstruction: An Integrated Approach
Seminars in Plastic Surgery 2018; 32: 199-202 DOI: 10.1055/s-0038-1673696 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Boukovalas, Stefanos Sisk, Geoffrey Selber, Jesse C. Tags: Addendum Source Type: research

The Nonprofit Sector: Navigating its Waters from a Surgery Vantage
This article focuses on reviewing the structure of nonprofits and streamlining the establishment process. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Singh, Aspinder Jalalabadi, Faryan Hollier, Pierce Reece, Edward M. Hollier, Larry H. Tags: Review Article Source Type: research

Product Development: From Concept to Market
Seminars in Plastic Surgery 2018; 32: 191-195 DOI: 10.1055/s-0038-1673394Plastic surgery has origins that date back to 3,000 BC and although some devices and techniques have withstood the test of time, the field has made much advancement through the use of modern day technology and innovation. The combination of the two has led to an array of advanced products we use in our offices and operating rooms on a daily basis. These products may be used by the surgeon or the patient, may be small scale, or sold en masse. The surgeon stands in a position of power, able to guide the progress of the field as a whole, through new prod...
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Jalalabadi, Faryan Sameri, Aryan Reece, Edward M. Tags: Review Article Source Type: research

Creating Value in Plastic Surgery
This article will discuss elements of plastic surgery that hold value as to how it pertains to the key players in a medical transaction. It will also discuss strategies for identifying and generating value. Roles of the different members in a plastic surgery transaction were analyzed, specifically the patient, the surgeon, and the facility. Different factors that generated value for all parties were identified throughout the literature. Factors identified that created value included the following: the surgeon's knowledge, experience, and decision-making ability; and technical skill/speed, restoration of life, restoration o...
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Jalalabadi, Faryan Izaddoost, Shayan A. Reece, Edward M. Tags: Review Article Source Type: research

Activity-Based Costing
Seminars in Plastic Surgery 2018; 32: 182-186 DOI: 10.1055/s-0038-1672208Cost allocation for health care professionals can be an enigma within the health care system. Activity-based costing (ABC) is an accounting tool that allocates costs incurred through a company's practice of providing goods and services to the consumer. ABC can provide insight into inefficiencies across the supply chain and unlock excess capacity. This, in turn, can drive services provided toward generating more value for the hospital system. ABC can be tailored to focus upon a unit of measurement that holds value as it pertains to production. With tim...
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Jalalabadi, Faryan Milewicz, Allen L. Shah, Sohail R. Hollier, Larry H. Reece, Edward M. Tags: Review Article Source Type: research

Entrepreneurial Strategies to Seek Venture Capital Funding
Seminars in Plastic Surgery 2018; 32: 179-181 DOI: 10.1055/s-0038-1672168Innovation is vital for progress in any industry. Evolving technology, paired with human ingenuity, brings ideas for prototypes and business models. Many physicians conceptualize platforms to serve their patients; however, many struggle and ultimately fail to bring their product or service to market. Financing is often the limiting factor. Studies have proven venture capital (VC) funding to be a pivotal source for helping a business survive in its early stages. Plastic surgeons can benefit from learning how to seek out VC funding. In this presentation...
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Jalalabadi, Faryan Grome, Luke Shahrestani, Navid Izaddoost, Shayan A. Reece, Edward M. Tags: Review Article Source Type: research

Strategy Assessment for the Medical Professional
Seminars in Plastic Surgery 2018; 32: 176-178 DOI: 10.1055/s-0038-1672167While medical professionals are superbly trained in treating patients, they are not often trained in quality improvement principles. In this article, the authors present a framework for strategy assessment commonly used in the business sector to identify areas for improvement and measure the improvement of interventions. This framework can be adapted to the medical field and used to improve the delivery of health care at a systems level. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of c...
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Bhadkamkar, Mohin A. Ewing, Donald C. Jalalabadi, Faryan Clark, Matt Reece, Edward M. Tags: Review Article Source Type: research

Deploying Your Telehealth Platform
This article presents the authors' stepwise approach for arranging and conducting a teleconsultation between patient and physician along with pearls for risk management considerations to be aware of throughout the process. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Jalalabadi, Faryan Izaddoost, Shayan A. Guillen, Diana E. Fordis, C. Michael Reece, Edward M. Tags: Review Article Source Type: research

Practical Negotiation for Medical Professionals
Seminars in Plastic Surgery 2018; 32: 166-171 DOI: 10.1055/s-0038-1672149Despite incredible advances in medical innovation and education, many students finish medical school, and physicians finish residency, without sound business acumen regarding the financial realities of the modern profession. The curriculum in medical schools and residency programs too often neglects teaching the business of medicine. This overview addresses how physicians can utilize effective negotiation strategies to help develop a medical practice or add value to an existing practice or institution. The authors applied the six foundations of effect...
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Eisemann, Bradley S. Wagner, Ryan D. Reece, Edward M. Tags: Review Article Source Type: research

Bootstrapping Your Telehealth Program
This article outlines the necessary steps for starting a telehealth program at a medical center or practice. A review of the current literature and health care-related laws was undertaken to identify the necessary steps and considerations for starting a telehealth program. Bootstrapping a telehealth program starts with the creation of concept and identification of need. Generation of a hotbed of support, from providers and patients, is key in gaining executive interest and idea investment. Development of a defined plan of implementation with the utilization of already available technologic assets facilitates ease of execut...
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Grome, Luke Jalalabadi, Faryan Fordis, C. Michael Sussman, Norman Leslie Reece, Edward M. Tags: Review Article Source Type: research

Initiating Telehealth in a Complex Organization
This article serves as an introduction to a series regarding effective implementation of telemedicine into the hospital system. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Jalalabadi, Faryan Shultz, Kelly Page Sussman, Norman Leslie Fisher, William E. Reece, Edward M. Tags: Review Article Source Type: research

Business and Policy in Plastic Surgery
Seminars in Plastic Surgery 2018; 32: 157-158 DOI: 10.1055/s-0038-1673334 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Reece, Edward M. Tags: Preface Source Type: research

Edward M. Reece, MD, MBA
Seminars in Plastic Surgery 2018; 32: 155-156 DOI: 10.1055/s-0038-1673336 Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - October 22, 2018 Category: Cosmetic Surgery Authors: Hollier, Larry H. Tags: Introduction to the Guest Editor Source Type: research

Management Strategies for Diastasis Recti
Seminars in Plastic Surgery 2018; 32: 147-154 DOI: 10.1055/s-0038-1661380Diastasis recti is a relatively common condition in which there is a midline abdominal bulge that can affect a variety of individuals. The etiology and diagnosis is well understood and optimal management depends on the degree of severity. Patients at high risk for diastasis recti include multiparous women, obese patients, and those with multiple previous operations. Diagnosis includes clinical examination and assessment of symptoms. Physical characteristics include a midline abdominal bulge without a fascial defect. Classification systems are based on...
Source: Seminars in Plastic Surgery - July 24, 2018 Category: Cosmetic Surgery Authors: Nahabedian, Maurice Y. Tags: Review Article Source Type: research