Cephalic vein transposition in autologous breast reconstruction salvage: a review of outcomes and implications for patient care
ConclusionsThe cephalic vein is an excellent local option for free flap salvage in breast reconstruction. Lymphedema, however, developed or worsened in one third of our patients. All patients undergoing microsurgical breast reconstruction are now counseled about the potential need for CVT and the risk of lymphedema.Level of Evidence: Level  IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 25, 2018 Category: Cosmetic Surgery Source Type: research

Complications after superficial parotidectomy for pleomorphic adenoma.
CONCLUSIONS: Despite the high incidence of postoperative facial paresis at 1 week, its magnitude was low and the recovery time was short. Tumor location in the parotid superficial lobe upper area, size and prolonged operative time are risk factors that can worsen facial paresis at different study timepoints. The knowledge of these complications is relevant for patient's counseling and to achieve better long-term outcomes. PMID: 29924764 [PubMed - as supplied by publisher] (Source: Medicina Oral, Patologia Oral y Cirugia Bucal)
Source: Medicina Oral, Patologia Oral y Cirugia Bucal - June 23, 2018 Category: ENT & OMF Tags: Med Oral Patol Oral Cir Bucal Source Type: research

Topical Application of Photofrin ® for Photodynamic Diagnosis of Malignant Cutaneous Neoplasms
The prognosis of patients suffering from malignant cutaneous neoplasms can be improved by early diagnosis. Exact demarcation of tumor margins could contribute to optimum results in surgical excision and reconstruction. The purpose of our study is to evaluate Photofrin ® with a new diagnostic procedure, photodynamic diagnosis (PDD), for the detection of Bowen's disease (squamous cell carcinoma in situ), squamous cell carcinoma (SCC), and basal cell carcinoma (BCC). (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 23, 2018 Category: Cosmetic Surgery Authors: Yu-Te Lin, Yen-Chang Hsiao, Yu-Fan Chiang, Cheng-Jen Chang Source Type: research

A systematic review on the quality of measurement techniques for the assessment of burn wound depth or healing potential
Burn wounds are heterogeneous and continuously subject to change, which makes it difficult to determine the severity [1 –3]. Nevertheless, reliable and valid assessment of burn wound severity is fundamental to clinical decision-making. For example considering timing of surgery and choosing the right treatment protocol. In addition, adequate diagnosis may shorten the time to appropriate treatment, which is obviously beneficial for patients. A superficial burn wound will heal spontaneously whereas severe or deep wounds require surgery in the form of skin grafting. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 22, 2018 Category: Cosmetic Surgery Authors: Mari ëlle E.H. Jaspers, Ludo van Haasterecht, Paul P.M. van Zuijlen, Lidwine B. Mokkink Tags: Review Source Type: research

Letter to the editor: Evaluation of anatomical and round breast implant aesthetics and preferences in Dutch young lay and plastic surgeon cohort
We had the great pleasure of reading the interesting article entitled “Evaluation of anatomical and round breast implant aesthetics and preferences in Dutch young lay and plastic surgeon cohort” by van der Lei et al.1 We would like to congratulate the authors on their thorough work investigating the aesthetic results and preferences of anatomical and round breast implant. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 22, 2018 Category: Cosmetic Surgery Authors: Fengrui Cheng, Ying Cen Tags: Correspondence and Communications Source Type: research

Efficacy of Botulinum Toxin A in Preventing Recurrence Keloids: Double Blinded Randomized Controlled Trial Study: Intraindividual Subject.
Conclusion: BTXA is not significantly better in preventing recurrence keloids when compared to corticotherapy after one and three months. However, Corticotherapy provides a significantly better outcome than BTXA at 6-month follow-up. PMID: 29911784 [PubMed - in process] (Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet)
Source: Journal of the Medical Association of Thailand = Chotmaihet thangphaet - June 21, 2018 Category: General Medicine Tags: J Med Assoc Thai Source Type: research

Autologous Costal Cartilage Harvesting Technique and Donor-Site Pain in Patients Undergoing Rhinoplasty
To the Editor We read with great interest the article by Özücer et al. The authors did well to compare the postoperative donor-site pain in patients who underwent costal cartilage harvest, and the separated evaluation of resting pain and movement pain is thoughtful and exquisitely considered and worthy of praise. In this communication, we would like to propose some discussions with the authors. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 21, 2018 Category: Cosmetic Surgery Source Type: research

Autologous Costal Cartilage Harvesting and Donor-Site Pain in Patients Undergoing Rhinoplasty —Reply
In Reply We read the letter by Lu and Fan regarding our recently published article. We are happy with the authors ’ interest, praise, and the discussions they’ve contributed. Although the technique has been widely used and reported by many influential authors, we agree with the opinion of Lu and Fan that monopolar electrocautery (ME) causes tissue damage and prolongs wound healing. Nevertheless, we don’t think it is an interference factor for this study because the major aim of what we are investigating is thedownside of ME in that aspect. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 21, 2018 Category: Cosmetic Surgery Source Type: research

Use of Objective Metrics in Dynamic Facial Reanimation
This systematic review examines whether objective instruments of midface movement are reported to be used in outcome measurements for patients treated with dynamic methods for facial paralysis. (Source: JAMA Facial Plastic Surgery)
Source: JAMA Facial Plastic Surgery - June 21, 2018 Category: Cosmetic Surgery Source Type: research

Minimally invasive neck rejuvenation of moderate cervicomental laxity with polytetrafuoroethylene (PTFE) bands
ConclusionsIn young patients with moderate platysma and skin laxity, minimally invasive NAL avoids deep modifications of the superficial musculoaponeurotic system and platysma. Despite the relative short follow-up of this study, the low rate of complications, short recovery time, and acceptable patient and clinician satisfaction seem promising.Level of Evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 20, 2018 Category: Cosmetic Surgery Source Type: research

What do plastic surgeons expect from anatomy in 2018? Clinical anatomy and applied research in plastic surgery
(Source: Surgical and Radiologic Anatomy)
Source: Surgical and Radiologic Anatomy - June 20, 2018 Category: Anatomy Source Type: research

Reverse-Muscle Sling Reduces Complications in Revisional Mastopexy –Augmentation
ConclusionSimultaneous augmentation –mastopexy using an inverted dual-plane technique acting as a muscular sling is a reliable and safe procedure. Review of this series of patients revealed low rates of morbidity and reoperation need.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authorswww.springer.com/00266. (Source: Aesthetic Plastic Surgery)
Source: Aesthetic Plastic Surgery - June 20, 2018 Category: Cosmetic Surgery Source Type: research

Long-term Patient-Reported Outcomes in Postmastectomy Breast Reconstruction
This multicenter cohort study compares satisfaction and breast-related quality of life reported by patients undergoing breast implant reconstruction or autologous tissue reconstruction 2 years after surgery. (Source: JAMA Surgery)
Source: JAMA Surgery - June 20, 2018 Category: Sports Medicine Source Type: research

Best of Reviewers for 2017
(Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 19, 2018 Category: Cosmetic Surgery Source Type: research

Editorial Board
(Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 19, 2018 Category: Cosmetic Surgery Source Type: research

Utility of ultrasound of the lymph nodes in patients with high-risk cutaneous squamous cell carcinoma
ConclusionsUltrasound is found to have equal sensitivity, specificity and NPV as CT and PET CT. Further, US is proven significant better than clinical examination. Patients with one or two high-risk factors for metastases could very well benefit from US of neck. However, more studies on US are necessary and further, specific studies on cSCC should be performed in order to see if US of the neck in HNSCC patients is transferable to cSCC.Level of evidence: Not ratable. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 19, 2018 Category: Cosmetic Surgery Source Type: research

Formation of a sensate forearm stump through neurovascular tissue transplantation
We describe the case of a 19-year-old patient who underwent an innovative reconstructive approach aimed at preserving viable limb length with sensory regeneration by using innervated tissue transfer after traumatic upper extremity amputation below the elbow. The forearm length was maximized by means of two neurovascular free flaps that formed a robust, functional, and versatile stump. The mechanism of this reconstruction originated from the practice of placing a double-innervated anterolateral thigh flap over a myocutaneous flap for covering protruding forearm bone shafts. This form of vascularized tissue transplantation h...
Source: European Journal of Plastic Surgery - June 19, 2018 Category: Cosmetic Surgery Source Type: research

Staged surgical treatment for infection of total disc arthroplasty: three cases and a narrative review of the literature
We report three cases of postoperative TDA infections, two developed cutaneous fistulas. To eradicate the infectious site, a staged removal of the device, resolute debridement, and stabilization plus fusion is proposed. Surgeons are challenged by (1) major retroperitoneal vessels adherent to the device, (2) surrounding scar tissue, (3) accompanying retroperitoneal abscess, and (4) technical issues when removing and replacing the implant. A staged multidisciplinary team approach involving vascular and plastic surgery as well as spine specialists is mandatory to achieve good results. (Source: European Spine Journal)
Source: European Spine Journal - June 19, 2018 Category: Orthopaedics Source Type: research

A Prospective Observational Study of the Effectiveness and Safety of Botulinum Toxin in the Horizontal Neck Lines
ConclusionsThe overall results of applying BTX A are excellent, and the satisfaction level of treated patients is high to a certain extent. Moreover, smoothening of the neck skin was observed due to the intradermal effect. It is also a safe and effective therapeutic modality for any patient desiring rejuvenation of his or her neck, but who at the same time does not desire any recuperation time or is unwilling to undertake the potential risks associated with surgical procedures.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Me...
Source: Aesthetic Plastic Surgery - June 19, 2018 Category: Cosmetic Surgery Source Type: research

Upper Arch Flap Combined with Extended Incision of Lower Eyelid: A Modified Epicanthoplasty in Correcting Epicanthus
ConclusionsThe upper arch flap combined with extended incision of the lower eyelid surgical method, a simple and effective surgical correction method, obtained a good cosmetic result with more secluded scar and high satisfaction for patients with epiblepharon.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authorswww.springer.com/00266. (Source: Aesthetic Plastic Surgery)
Source: Aesthetic Plastic Surgery - June 19, 2018 Category: Cosmetic Surgery Source Type: research

The Role of Appearance: Definition of Appearance-Pain (App-Pain) and Systematic Review of Patient-Reported Outcome Measures Used in Literature
ConclusionsThis is the first systematic review to identify and critically appraise patient-reported outcome measures for appearance and body image using internationally accepted criteria. DAS59 was deemed to have adequate levels of methodological and psychometric evidence. We also introduced the concept of Appearance-Pain which consists of the recomposed systematic view of the experimental indicators of suffering, linked to one of the dimensions of appearance.Level of Evidence IIIThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, p...
Source: Aesthetic Plastic Surgery - June 19, 2018 Category: Cosmetic Surgery Source Type: research

Assessment of MRI Safety Issues for Stainless Steel Sutures used for Microtia Reconstruction
Potential magnetic resonance imaging issues for stainless steel sutures used for microtia reconstruction could be clinically significant from safety and diagnostic yield considerations. Therefore, the purpose of this investigation was to assess magnetic resonance issues (magnetic field interactions, heating, and artifacts) for different types of stainless steel sutures used for microtia reconstruction. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 19, 2018 Category: Cosmetic Surgery Authors: TL Kraai, RB Loch, FG Shellock Source Type: research

Cosmetic and structural outcomes of two different techniques of medial epicanthoplasty according to epicanthal fold classification and severity: a cohort study
This study aimed to compare the cosmetic and structural outcomes of two techniques for medial epicanthoplasty of the epicanthal fold, which varied in classification and severity. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 19, 2018 Category: Cosmetic Surgery Authors: Guanhuier Wang, Song Zhang, Jianxun Ma, Dong Li, Hongyu Xue Source Type: research

Auricular Reconstruction of Congenital Microtia Using Modified Nagata Method: Personal 10-Year Experience with 1350 Cases
Total auricular reconstruction is currently one of the most challenging plastic procedures. Herein, we present our 10-year experience with 1350 cases of ear reconstruction using Nagata method with necessary improvement. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 19, 2018 Category: Cosmetic Surgery Authors: Qiang Li, Xu Zhou, Yue Wang, Jin Qian, Qingguo Zhang Source Type: research

Oncoplastic Breast Conserving Surgery Is Associated With a Lower Rate of Surgical Site Complications Compared to Standard Breast Conserving Surgery
Oncoplastic breast conserving surgery (OBCS) integrates plastic surgery techniques in the resection of breast cancer and lowers the rate of re-excision while improving breast cosmesis. The goal of this study is to compare the surgical site complication rate of OBCS with that of standard BCS. (Source: American Journal of Surgery)
Source: American Journal of Surgery - June 19, 2018 Category: Surgery Authors: Angelena Crown, Lauren G. Scovel, Flavio G. Rocha, Elliot J. Scott, Debra G. Wechter, Janie W. Grumley Source Type: research

A New Method for Mild Blepharoptosis Correction using Orbital Septum
Blepharoptosis greatly affects the eyelid appearance. Moderate to severe ptosis is easily distinguished. However, mild ptosis is often overlooked or easily missed. The normal upper eyelid is located in the middle horizontal line between the upper edge of the pupil and the upper edge of the cornea while the patient looks straight ahead; that is, the upper eyelid covers 1.5 to 2.0 mm of the cornea. Mild blepharoptosis is diagnosed when the upper eyelid covers the cornea over the normal level to the upper edge of the pupil; the upper eyelid falls about 1 to 2 mm. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 18, 2018 Category: Cosmetic Surgery Authors: Gaofeng Li, Wei Ding, Jun Tan, Bo Zhang, Xin Chen, Bin He Tags: Correspondence and Communications Source Type: research

Anatomical Variability of the Infra-mammary Fold and its Dynamics in Relation to Lejour Mammoplasty
The IMF is a defining element in the shape and structure of the female breast. 1 The anatomy and tissue components of the IMF have been a matter of controversy among plastic surgeons and anatomists. Some have attributed formation of the fold to a distinct ligament, 2,3 while others described a superficial fascial system. 4,5 Despite this controversy; most of the plastic surgeons settled on a thought that the preservation of the integrity of the IMF is an important goal in enhancing the aesthetic result in all breast surgeries. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 18, 2018 Category: Cosmetic Surgery Authors: Hesham A. Helal, Nada A. Mahmoud Source Type: research

BAPRAS and BAAPS Scientific Meetings: Are we sticking our noses up at rhinoplasty?
Dear Sir, (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 18, 2018 Category: Cosmetic Surgery Authors: Zeeshaan Arshad, Tasneem Pope, Raina Zarb-Adami, Charles M Malata Tags: Correspondence and Communications Source Type: research

Use of a bladder syringe to evacuate ruptured breast implants: a neat approach.
PMID: 29909682 [PubMed - as supplied by publisher] (Source: Annals of the Royal College of Surgeons of England)
Source: Annals of the Royal College of Surgeons of England - June 18, 2018 Category: Surgery Authors: Naseem S, Devalia H Tags: Ann R Coll Surg Engl Source Type: research

Applications and limitations of using patient-specific 3D printed molds in autologous breast reconstruction
ConclusionsPatient-specific breast templates are inexpensive and relatively easy to design, while being practical and convenient to obtain insight in the dimensions of the desired breast during reconstruction, according to the operating surgeons. Patient selection is however critical, as patients must have sufficient donor volume and/or satisfying breast shape to be able to use the template to its full potential.Level of evidence: Level IV, therapeutic study. (Source: European Journal of Plastic Surgery)
Source: European Journal of Plastic Surgery - June 16, 2018 Category: Cosmetic Surgery Source Type: research

MRI compatibility of silver based wound dressings
The use of dressings containing long-acting silver has become routine in the care of burns and wounds. Used in dressings to cover burns, donor sites, and skin grafts, this class of dressings offers a simplification of in- and out-patient care regimens with decreased frequency of wound care and potential cost savings [1,2]. Use of silver-containing dressings has expanded beyond burn care with increasing utilization for the management of dermal ulcers, surgical wounds, and wounds within skin folds [3 –5]. (Source: Burns : Journal of the International Society for Burn Injuries)
Source: Burns : Journal of the International Society for Burn Injuries - June 16, 2018 Category: Cosmetic Surgery Authors: J. Kevin Bailey, Steffen Sammet, Jason Overocker, Beretta Craft-Coffman, Cristina M. Acevedo, Martin E. Cowan, Heather M. Powell Source Type: research

Why are men interested in cosmetic surgery procedures? Examining the role of different forms of peer influence, social comparison, internalization, and body dissatisfaction.
Abstract The present research examined the roles of different forms of peer influence, internalization, social comparison, and body dissatisfaction in men's interest in cosmetic surgery. Participants were 204 Italian men (Mage = 34.02, SD = 11.21). Regression analyses showed that appearance conversations with friends and peer attribution were associated with consideration of cosmetic surgery for social reasons, while teasing on muscularity (but not teasing on general body and shape) was linked to interest in cosmetic surgery for intrapersonal motives. Social comparison was significantly and positively asso...
Source: Body Image - June 16, 2018 Category: Psychiatry & Psychology Authors: Matera C, Nerini A, Stefanile C Tags: Body Image Source Type: research

Measuring gastric residual volumes in critically ill burn patients — A systematic review
The provision of robust nutritional support to severely burned patients is a tenet of modern burn care. Patients with extensive partial-thickness and full-thickness burns develop a hyperinflammatory response to injury that drastically elevates basal metabolic rates [1] (BMR) with subsequent protein catabolism, lipolysis, and glycogenolysis. Early, sustained enteral nutrition (EN) with calorically dense and protein rich formulations is proven to facilitate improved wound healing, strengthen the immune system, provide the requisite energy for supporting the catecholamine-derived stress response, and is entero-protective. (So...
Source: Burns : Journal of the International Society for Burn Injuries - June 15, 2018 Category: Cosmetic Surgery Authors: C.H. Pham, Z.J. Collier, W.L. Garner, C.M. Kuza, T.J. Gillenwater Tags: Review Source Type: research

Ultrasonography for classifying lymphatic sclerosis types and deciding optimal sites of lymphatic-venous anastomosis in lymphoedema patients
We have previously categorised the degree of degeneration of the collecting lymphatic vessels into four types: normal, ectasis, contraction and sclerosis type (NECST classification). Here, we evaluated the collective lymphatic vessels in lymphoedema-affected limbs using ultrasonography. In step 1, we investigated 110 lymphatic vessels from 25 patients with lymphoedema, who underwent lymphatic-venous anastomosis (LVA) following preoperative ultrasonography. We classified the lymphatic vessels using the NECST classification via intraoperative microscopic observation. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)
Source: Journal of Plastic, Reconstructive and Aesthetic Surgery - June 15, 2018 Category: Cosmetic Surgery Authors: Makoto Mihara, Hisako Hara, Yoshihisa Kawakami Source Type: research

Post-Implantation Erythema Associated to a Breast Implant Treated With Pulsed-Dye Laser
Publication date: Available online 15 June 2018 Source:Actas Dermo-Sifiliográficas (English Edition) Author(s): A. Alegre-Sánchez, D. Buendía-Castaño, P. Fernández-González, B. Pérez-García (Source: Actas Dermo-Sifiliograficas)
Source: Actas Dermo-Sifiliograficas - June 15, 2018 Category: Dermatology Source Type: research

Validation of the breast evaluation questionnaire for breast hypertrophy and breast reduction.
CONCLUSION: The modified BEQ may be reliable, valid and responsive instrument for assessing women who undergo breast reduction. PMID: 29897268 [PubMed - as supplied by publisher] (Source: Journal of Plastic Surgery and Hand Surgery)
Source: Journal of Plastic Surgery and Hand Surgery - June 14, 2018 Category: Surgery Tags: J Plast Surg Hand Surg Source Type: research

Side effect experiences of South Korean women in their twenties and thirties after facial plastic surgery
(Source: International Journal of Womens Health)
Source: International Journal of Womens Health - June 14, 2018 Category: OBGYN Tags: International Journal of Women's Health Source Type: research

Forthcoming Issues
Lower Facial Rejuvenation: A Multispecialty Approach (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Source Type: research

Contents
Loren S. Schechter and Bauback Safa (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Source Type: research

Contributors
LOREN S. SCHECHTER, MD (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Source Type: research

Copyright
ELSEVIER (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Source Type: research

Gender Confirmation Surgery
CLINICS IN PLASTIC SURGERY (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Authors: Loren S. Schechter, Bauback Safa Source Type: research

Gender Surgery: A Truly Multidisciplinary Field
Recent years have seen significant advances in the care of transgender and gender-diverse individuals. These advances have been timely as broadened insurance coverage has generated greatly increased demand for gender-affirming care, thereby exposing an inadequate supply of qualified practitioners. In order to help correct this discrepancy, much emphasis has been placed on practitioner education, spanning both surgical and nonsurgical specialties. For example, the World Professional Authority for Transgender Health initiated a Global Education Initiative, developing expert practitioners globally to better care for transgend...
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Authors: Loren S. Schechter, Bauback Safa Tags: Preface Source Type: research

Sexual Function After Shallow and Full-Depth Vaginoplasty: Challenges, Clinical Findings, and Treatment Strategies — Urologic Perspectives
This article presents an ordered review of the role of sexual function in discussion and planning before genital gender-affirming surgery and through recovery to initiation of sexual activity after surgery. Strategies are proposed to optimize sexual function postoperatively. Clinical observations are reviewed and genital and surgical anatomy is reviewed to explain the rationale for the treatment strategies proposed. The importance of offering shallow-depth vaginoplasty to all patients is discussed. Lastly, specific strategies to maximize and enhance recovery of erogenous sensation after surgery are focused on. (Source: Cli...
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Authors: Maurice M. Garcia Source Type: research

Gender-Affirming Penile Inversion Vaginoplasty
This article provides a brief historical perspective, defines the goals of surgical treatment within a multidisciplinary approach adhering to World Professional Association for Transgender Health standards, and focuses on issues related to what is currently the most common approach to primary neovaginal reconstruction, the penile inversion vaginoplasty. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Authors: Ali Salim, Melissa Poh Source Type: research

Phalloplasty Flap-Related Complication
This article focuses on flap-related complications after creation of a neophallus for transgender individuals. It outlines the most frequently used flaps for this procedure and how flap-related complications can affect the overall outcome of the phalloplasty. With surgeons staging the procedure in different stages, it is important to understand the different strategies and the implication a flap-related complication can have on the end result and how it may be prevented. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Authors: Nick Esmonde, Rachel Bluebond-Langner, Jens U. Berli Source Type: research

Multidisciplinary Care and the Standards of Care for Transgender and Gender Nonconforming Individuals
In providing care to transgender patients, surgeons interact with health care providers of other disciplines, including medical and mental health providers. Mental health or medical providers often see a patient first, when hormones are initiated. The Standards of Care recommend that mental health professionals assess patients for surgery according to set criteria and send surgeons their evaluations prior to surgery. Open communication is essential between surgical, medical, and mental health providers as well as with patients, who must give informed consent. A patient ’s multidisciplinary team can continue to provid...
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Authors: Dan H. Karasic, Lin Fraser Source Type: research

Breast and Body Contouring for Transgender and Gender Nonconforming Individuals
Even after long-term hormone therapy, many transwomen still have challenges in the size and shape of their breasts and also of the contour of their trunk areas. Though distinct anthropomorphic differences in skeletal structure exist and pose limitations to an ideal result, considerable improvements can be obtained through breast augmentation and trunk feminization. There are challenges that are unique to the transfeminine chest and trunk, and important considerations for the priority of fat grafting to the buttocks and hips when grafted fat is in short supply. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Authors: Shane D. Morrison, Stelios C. Wilson, Scott W. Mosser Source Type: research

Urologic Complications After Phalloplasty or Metoidioplasty
In the past decade, issues facing transgender individuals have come to the forefront of popular culture, political discourse, and medical study. The evaluating physician should have knowledge of the reconstructed anatomy, as well as potential postoperative complications. This knowledge will aid in providing appropriate care and recognizing issues that may require specialized urologic care. Transgender anatomic definitions and a synopsis of common urologic complications specific to transmen, including urethrocutaneous fistulae, neourethral strictures, and persistent vaginal cavities are discussed. (Source: Clinics in Plastic Surgery)
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Authors: Dmitriy Nikolavsky, Michael Hughes, Lee C. Zhao Source Type: research

Chest Surgery for Transgender and Gender Nonconforming Individuals
Chest surgery can greatly facilitate the experience of living in a gender role. For transfeminine chest surgery, most surgeons recommend a 12-month period of feminizing hormone therapy prior to breast augmentation. For those who already have some breast volume due to hormone treatment, lipofilling can be a good option. Transmasculine chest surgery includes mastectomy and creation of a male chest. Preoperative parameters to be evaluated include breast volume, degree of excess skin, nipple-areola complex size and position, and skin elasticity. The algorithm the authors developed and modified can help choose from 5 techniques...
Source: Clinics in Plastic Surgery - June 14, 2018 Category: Cosmetic Surgery Authors: Karel E.Y. Claes, Salvatore D ’Arpa, Stan J. Monstrey Source Type: research