Sebastian J. Winocour, MD, MSc, FACS
Seminars in Plastic Surgery 2020; 34: 002-002 DOI: 10.1055/s-0039-3402786 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 - February 14, 2020 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Introduction to the Guest Editor Source Type: research
Changing of the Guard
Seminars in Plastic Surgery 2020; 34: 001-001 DOI: 10.1055/s-0039-3402785 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 - February 14, 2020 Category: Cosmetic Surgery Authors: Buchanan, Edward P. Tags: Editorial Source Type: research
Finding Consensus After Two Decades of Breast Implant-Associated Anaplastic Large Cell Lymphoma
Seminars in Plastic Surgery 2019; 33: 270-278 DOI: 10.1055/s-0039-1696998Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an emerging and indolent, but potentially fatal cancer of the immune system that can develop around textured-surface breast implants. The World Health Organization first recognized BIA-ALCL as a unique clinical entity in 2016. To date, over 600 confirmed cases have been reported worldwide. BIA-ALCL most commonly presents with disease confined to the capsule, as a seroma or a mass adjacent to the implant. While BIA-ALCL has a fairly indolent clinical course, with an excellent progno...
Source: Seminars in Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Authors: Clemens, Mark W. DeCoster, Ryan C. Fairchild, Berry Bessonov, Alexander A. Santanelli di Pompeo, Fabio Tags: Review Article Source Type: research
Update in Direct-to-Implant Breast Reconstruction
Seminars in Plastic Surgery 2019; 33: 264-269 DOI: 10.1055/s-0039-1697028Implant-based reconstruction (IBR) remains the most commonly utilized breast reconstruction option for post-mastectomy patients. IBR can be approached as either a one-stage reconstruction or a two-stage reconstruction. Facilitated by improvements in surgical technology and advanced techniques, one-stage reconstruction, also known as direct-to-implant (DTI) reconstruction, involves the insertion of an implant at the time of mastectomy. The decision to pursue either a DTI or a two-stage reconstruction is based on several factors, including the patient's...
Source: Seminars in Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Authors: Perdanasari, Aurelia Trisliana Abu-Ghname, Amjed Raj, Sarth Winocour, Sebastian J. Largo, Rene D. Tags: Review Article Source Type: research
Use of New Technologies in Implant-Based Breast Reconstruction
Seminars in Plastic Surgery 2019; 33: 258-263 DOI: 10.1055/s-0039-1696987Outcomes after mastectomy and prosthetic-based breast reconstruction have improved immensely since the development of the first tissue expander and breast implant in the 1960s. One major factor contributing to our improved outcomes over the past two decades is the increasing availability and improvement of perfusion assessment technology. Instrumental methods now exist which allow surgeons to assess tissue viability intraoperatively, and provide actionable, objective data that augments clinical assessment. In this article, the authors detail two comme...
Source: Seminars in Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Authors: Jones, Glyn E. King, Victor A. Yoo, Aran Abu-Ghname, Amjed Rammos, Charalambos K. Tags: Review Article Source Type: research
Implant Reconstruction in Nipple Sparing Mastectomy
Seminars in Plastic Surgery 2019; 33: 247-257 DOI: 10.1055/s-0039-1696988Nipple sparing mastectomy has been popularized in the modern era of breast cancer treatment due to its touted advantages with regard to resultant body image and reconstructive outcome. Implant-based techniques remain the most prevalent means of breast reconstruction. Special considerations regarding patient selection and technique are reviewed for implant reconstruction in the setting of mastectomy with nipple preservation. Applications for prepectoral and direct-to-implant reconstruction are discussed and published outcomes are summarized. [...] Thie...
Source: Seminars in Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Authors: Chu, Carrie K. Davis, Matthew J. Abu-Ghname, Amjed Winocour, Sebastian J. Losken, Albert Carlson, Grant W. Tags: Review Article Source Type: research
Breast Implants and Radiation
Seminars in Plastic Surgery 2019; 33: 240-246 DOI: 10.1055/s-0039-1696963One of the most influential factors in the success of breast reconstruction is whether or not radiation therapy has or will be performed. While traditional teaching is that all breasts treated with radiation therapy must be reconstructed with an autologous component, many reconstructive surgeons perform implant-based breast reconstruction without an autologous component and have success doing so. The purpose of this article is to explore the risks, benefits, and nuances of performing implant-based breast reconstruction in the setting of radiation ther...
Source: Seminars in Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Authors: Mericli, Alexander F. Sharabi, Safa E. Tags: Review Article Source Type: research
Prepectoral Breast Reconstruction
Seminars in Plastic Surgery 2019; 33: 236-239 DOI: 10.1055/s-0039-1696966Prepectoral breast reconstruction was first done in the early 1960s; however, while initial results were promising, high complication rates led surgeons to move toward submuscular implant placement. We soon came to find that submuscular implant placement was not without its own set of drawbacks. Surgeons have since revisited the efficacy of prepectoral breast reconstruction in light of new surgical and technological advances. Following these advancements, complication profiles for prepectoral breast reconstruction have drastically improved. Despite th...
Source: Seminars in Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Authors: Kaplan, Jordan Wagner, Ryan D. Braun, Tara L. Chu, Carrie Winocour, Sebastian J. Tags: Review Article Source Type: research
Evidence for the Use of Acellular Dermal Matrix in Implant-Based Breast Reconstruction
Seminars in Plastic Surgery 2019; 33: 229-235 DOI: 10.1055/s-0039-1696986Acellular dermal matrices (ADMs) are tissue grafts that have been specially processed to remove all cellular components. These machined biological scaffolds have become popular in a variety of surgical settings due to their rapid incorporation into living tissue. As ADMs are highly malleable and cause minimal inflammation, they have come to serve as a useful tool in implant-based breast reconstruction procedures. The major benefits of using an ADM in this setting include superior initial breast contouring, decreased risk of capsular contracture after ...
Source: Seminars in Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Authors: Gravina, Paula R. Pettit, Rowland W. Davis, Matthew J. Winocour, Sebastian J. Selber, Jesse C. Tags: Review Article Source Type: research
Latest Trends in Subpectoral Breast Reconstruction
Seminars in Plastic Surgery 2019; 33: 224-228 DOI: 10.1055/s-0039-1696964There has been a shift in recent years toward a growing popularity of implant-based breast reconstruction, especially in the setting of increased frequency of concurrent contralateral prophylactic mastectomy. Advancements in implant safety and technology have also allowed for an expanding implant reconstruction practice across the country. The traditional approach is immediate two-stage implant reconstruction with placement of a tissue expander within a subpectoral pocket. The introduction of acellular dermal matrix has revolutionized implant-based br...
Source: Seminars in Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Authors: Oh, Christine Winocour, Sebastian J. Lemaine, Valerie Tags: Review Article Source Type: research
The Evolution of Breast Implants
This article discusses the history of breast implants since their invention in 1962. Particular emphasis is given to the evolution of silicone implants with its many challenges, which has resulted in the development of the currently used fourth- and fifth-generation devices. Knowledge of these advances will allow physicians to more critically evaluate their results, and also will encourage them to provide more up-to-date scientific data on these devices to further improve the clinical outcomes of their patients. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table o...
Source: Seminars in Plastic Surgery - October 16, 2019 Category: Cosmetic Surgery Authors: Kaoutzanis, Christodoulos Winocour, Julian Unger, Jacob Gabriel, Allen Maxwell, G. Patrick Tags: Review Article Source Type: research
Update in Implant-Based Breast Reconstruction
Seminars in Plastic Surgery 2019; 33: 215-216 DOI: 10.1055/s-0039-1697948 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 16, 2019 Category: Cosmetic Surgery Authors: Winocour, Sebastian J. Tags: Preface Source Type: research
Sebastian J. Winocour, MD, MSc, FACS
Seminars in Plastic Surgery 2019; 33: 213-214 DOI: 10.1055/s-0039-1697678 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 16, 2019 Category: Cosmetic Surgery Authors: Hollier, Larry H. Tags: Introduction to the Guest Editor Source Type: research
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 1, 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 1, 2019 Category: Cosmetic Surgery Authors: Agrawal, Nikhil Yari, Shawn Engles, Drew Reece, Edward M. Tags: Review Article Source Type: research
