Dupuytren's Disease: An Outcomes-Focused Update
Semin Plast Surg DOI: 10.1055/s-0041-1731631Dupuytren's disease (DD) remains a common fibroproliferative condition with significant sequelae and impact on patient's lives. The etiology of DD is poorly understood, and genetic predisposition is thought to be a strongly associated factor. Despite remarkable strides in improving our molecular understanding of DD, clinical treatment options have not yet overcome the frequently encountered challenge of recurrence. Recurrence rates continue to shape the prognosis of this fibrotic condition. In this outcomes-focused article, the various treatment modalities are reviewed. This furt...
Source: Seminars in Plastic Surgery - July 6, 2021 Category: Cosmetic Surgery Authors: Almadani, Yasser H. Vorstenbosch, Joshua Efanov, Johnny Ionut Xu, Liqin Tags: Review Article Source Type: research

Scar Revisions
Semin Plast Surg 2021; 35: 130-138 DOI: 10.1055/s-0041-1727291Scars pose a complex challenge to the reconstructive surgeon in the variability of their presentation and their effect on cosmesis and function. Numerous surgical and nonsurgical options exist for scar management, each with their respective advantages and disadvantages. Each treatment modality should be tailored to the patient to ensure enhanced outcomes. In this review, we discuss different scar presentations, scar management options, and the benefits and risks with undergoing these various treatment modalities. [...] Thieme Medical Publishers, Inc. 333 Seventh...
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Skochdopole, Anna Dibbs, Rami P. Sarrami, Shayan M. Dempsey, Robert F. Tags: Review Article Source Type: research

Revision Peripheral Nerve Surgery of the Upper Extremity
Semin Plast Surg 2021; 35: 119-129 DOI: 10.1055/s-0041-1727290Peripheral nerve injuries of the upper extremity can result from a wide array of etiologies, with the two most common being compression neuropathy and traumatic injuries. These types of injuries are common and can be psychologically, functionally, and financially devastating to the patient. A detailed preoperative evaluation is imperative for appropriate management. Traumatic injuries can typically be treated with local burial techniques, targeted muscle reinnervation, and regenerative peripheral nerve interfaces. Median nerve compression is frequently managed w...
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Dibbs, Rami P. Ali, Kausar Sarrami, Shayan M. Koshy, John C. Tags: Review Article Source Type: research

Avoidance and Correction of Deformities in Body Contouring
Semin Plast Surg 2021; 35: 110-118 DOI: 10.1055/s-0041-1727207Body contouring procedures are highly impactful because of their potential to improve a patient's quality of life. These procedures, particularly when performed on patients following massive weight loss, may require secondary intervention to treat residual contour abnormalities. Presently, there is a paucity of information in the literature detailing the avoidance and correction of body contouring deformities. Herein, we will discuss the management of patients seeking revisional body contouring procedures. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue...
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Ferry, Andrew M. Chamata, Edward Dibbs, Rami P. Rappaport, Norman H. Tags: Review Article Source Type: research

Revision Breast Augmentation
This article utilizes the most up-to-date literature to review the appropriate clinical evaluation and surgical management of these complex cases. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Denney, Brad D. Cohn, Alvin B. Bosworth, Jeremy W. Kumbla, Pallavi A. Tags: Review Article Source Type: research

Revision Facelift and Neck Lift
Semin Plast Surg 2021; 35: 088-097 DOI: 10.1055/s-0041-1727208Facial rejuvenation procedures have become more commonly performed due to an increasing elderly population and greater general public acceptance. As a result, patients are now increasingly undergoing secondary and tertiary rhytidectomies to treat natural aging and/or to correct complications from prior procedures. Revision face and neck lifts are more complex by nature of the procedure and require a comprehensive preoperative assessment for enhanced outcomes. In this review, we discuss the preoperative evaluation, surgical challenges encountered, primary face an...
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Dibbs, Rami P. Chamata, Edward Ferry, Andrew M. Friedman, Jeffrey D. Tags: Review Article Source Type: research

Revision Rhinoplasty: With Introduction of a Novel Preoperative Assessment Classification System
Semin Plast Surg 2021; 35: 078-087 DOI: 10.1055/s-0041-1727271Revision rhinoplasty presents several complex surgical challenges. Proper patient selection for revision rhinoplasty, along with thorough preoperative examination and surgical planning, is key to achieving ideal outcomes. Along with achieving a high level of understanding of primary rhinoplasty techniques, surgeons performing revision rhinoplasty must understand and diagnose deformities created by the primary surgery. A systematic approach to diagnosing rhinoplasty deformities assists in forming a suitable surgical plan. A classification system based on nasal an...
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Jiang, Austin Chamata, Edward S. Bressler, Fred J. Tags: Review Article Source Type: research

Eyelid Malposition after Blepharoplasty: An Ounce of Prevention
Semin Plast Surg 2021; 35: 072-077 DOI: 10.1055/s-0041-1727281Upper and lower eyelid blepharoplasty are common procedures performed to provide a more youthful and rejuvenated appearance. However, this seemingly straightforward procedure may result in lid malpositions, frustrating the patient and surgeon alike, which ultimately require further treatment. We review preoperative assessment pearls to avoid these lid malpositions, as well as options for treating any postoperative complications related to lid position. Many of the techniques discussed in this article, in addition to many other oculoplastic procedures, are availa...
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Williams, Katherine J. Allen, Richard C. Tags: Review Article Source Type: research

Revisional Techniques for Secondary Cleft Lip Deformities
Semin Plast Surg 2021; 35: 065-071 DOI: 10.1055/s-0041-1728673Secondary deformities of repaired cleft lips are an unfortunate complication despite the meticulous approach of modern primary procedures. Most of these surgeries take place in the patient's early life and must be strategically planned to provide optimal cosmesis with minimal interventions. Depending on the level of severity, treatment of the secondary deformities ranges from noninvasive or minimally invasive techniques to complete revision cheiloplasty. Many novel topical, injectable, and laser therapies have allotted physicians more technical flexibility in tr...
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Sarrami, Shayan M. Skochdopole, Anna J. Ferry, Andrew M. Buchanan, Edward P. Hollier, Larry H. Dempsey, Robert F. Tags: Review Article Source Type: research

Revision Plastic Surgery
Semin Plast Surg 2021; 35: 064-064 DOI: 10.1055/s-0041-1728695 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Dempsey, Robert F. Tags: Preface Source Type: research

Robert F. Dempsey, MD, FACS, FAAP
Semin Plast Surg 2021; 35: 063-063 DOI: 10.1055/s-0041-1728696 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Seminars in Plastic Surgery)
Source: Seminars in Plastic Surgery - June 8, 2021 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Introduction to the Guest Editor Source Type: research

Failure in Lumbar Spinal Fusion and Current Management Modalities
Semin Plast Surg 2021; 35: 054-062 DOI: 10.1055/s-0041-1726102Lumbar spinal fusion is a commonly performed procedure to stabilize the spine, and the frequency with which this operation is performed is increasing. Multiple factors are involved in achieving successful arthrodesis. Systemic factors include patient medical comorbidities—such as rheumatoid arthritis and osteoporosis—and smoking status. Surgical site factors include choice of bone graft material, number of fusion levels, location of fusion bed, adequate preparation of fusion site, and biomechanical properties of the fusion construct. Rates of successful fusi...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Cruz, Alex Ropper, Alexander E. Xu, David S. Bohl, Michael Reece, Edward M. Winocour, Sebastian J. Buchanan, Edward Kaung, Geoffrey Tags: Review Article Source Type: research

Vascularized Bone Grafts in Spinal Reconstruction: An Overview of Nomenclature and Indications
Semin Plast Surg 2021; 35: 050-053 DOI: 10.1055/s-0041-1726101Several vascularized bone grafts (VBGs) have been introduced for reconstruction and augmenting fusion of the spine. The expanding use of VBGs in the field of spinoplastic reconstruction, however, has highlighted the need to clarify the nomenclature for bony reconstruction as well as establish the position of VBGs on the bony reconstructive algorithm. In the current literature, the terms “flap” and “graft” are often applied inconsistently when describing vascularized bone transfer. Such inconsistency creates barriers in communication between physicians, c...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Skochdopole, Anna J. Wagner, Ryan D. Davis, Matthew J. Raj, Sarth Winocour, Sebastian J. Ropper, Alexander E. Xu, David S. Bohl, Michael A. Reece, Edward M. Tags: Review Article Source Type: research

The Advent of Spinoplastics: Easing the Growing Global Disease Burden of Spinal Injury
Semin Plast Surg 2021; 35: 041-049 DOI: 10.1055/s-0041-1725987Epidemiologic studies have demonstrated a growing global disease burden of pathologies affecting the vertebral column. Allograft or implant-based reconstruction and fusion surgeries have been the mainstay of treatment. The efficacy of various surgical methods and the reliability of instrumentation or implants to execute these surgeries continue to be debated in the literature. Advances such as the free-tissue transfer have improved postoperative measures; however, they add high operative risk. The advent of spinoplastics introduces a practical surgical model to ...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Delancy, Matthew M. Perdanasari, Aurelia Davis, Matthew J. Abu-Ghname, Amjed Kaplan, Jordan Winocour, Sebastian J. Reece, Edward M. Sim, Alfred Sutrisno Tags: Review Article Source Type: research

Vascularized Posterior Iliac Crest Bone Grafting: Indications, Techniques, Clinical Outcomes, and Alternatives
Semin Plast Surg 2021; 35: 037-040 DOI: 10.1055/s-0041-1725986Pseudarthrosis is a feared complication of spinal fusion procedures. Currently, the gold standard in prevention or treatment of pseudarthrosis is placement of nonvascularized iliac crest bone autograft. While rates of fusion are significantly higher in patients with use of nonvascularized bone autografts than with allografts, patients who have previously failed lumbar arthrodesis or those at a high risk for pseudarthrosis may benefit from a more robust, vascularized bone graft with enhanced osteogenicity. In this article, we discuss the use of iliac crest vascul...
Source: Seminars in Plastic Surgery - May 10, 2021 Category: Cosmetic Surgery Authors: Winocour, Sebastian J. Schultz, Kelly P. Davis, Matthew J. Abu-Ghname, Amjed Bohl, Michael Ropper, Alexander E. Maricevich, Marco Reece, Edward M. Tags: Review Article Source Type: research