The Functional Influence of Breast Implant Outer Shell Morphology on Bacterial Attachment and Growth
No abstract available
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: Social media are powerful tools that allow users to communicate directly with an online community. Plastic surgeons were early adopters of social media, recognizing their educational and marketing potential. With the use of social media comes ethical and legal concerns. The lack of professional society policies on social media use has led to calls for the American Society of Plastic Surgeons to establish guidelines regarding the use of social media in medical practice. The authors...
Mon Jul 01, 2019 03:00
Background: Pathogenic mutations have been identified in approximately 10 percent of patients who present with breast cancer. Notably, failure to identify deleterious genetic mutations has particular implications for patients undergoing abdominally based breast reconstruction, as the donor site can be used only once. The authors sought to determine: (1) how many patients underwent genetic testing before unilateral abdominally based free flap breast reconstruction; (2) how often deleterious mutations...
Mon Jul 01, 2019 03:00
Background: Virtual surgical planning has facilitated preoperative planning, splint accuracy, and intraoperative efficiency in orthognathic surgery. The translation of the virtual surgical plan to the actual result has not been adequately examined. The authors examined the conformity of the virtual surgical plan to the postoperative result. They hypothesize that the greatest conformity exists in the anteroposterior dimensions. Methods: The authors examined patients who underwent Le Fort I...
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: Microvascular breast reconstruction is a complex procedure that can be associated with high complication rates. Although a number of individual predictors of perioperative complications have been identified, few studies have explored interaction between risk factors. Understanding the synergistic effects of multiple risk factors is central to accurate and personalized preoperative risk prediction. Methods: The authors conducted a retrospective cohort study of patients who underwent...
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: Revision procedures address contour irregularities and aesthetic concerns following autologous breast reconstruction. Mental health diagnoses are known to influence patient satisfaction with reconstruction. The authors aimed to identify oncologic, reconstructive, and demographic factors, including mental health diagnoses, associated with the number of revisions after autologous breast reconstruction. Methods: The medical records of all adult women undergoing abdominal free flap–based...
Mon Jul 01, 2019 03:00
Background: Face transplantation can offer functional and aesthetic restoration to patients who have exhausted their reconstructive options, improving quality of life and psychosocial integration. Ethical issues in face transplantation abound, including questions of patient selection and evaluation before transplantation. To date, there has been no study of ethicists’ opinions regarding face transplantation. Methods: An online survey of attendees of the 2015 International Conference on Clinical...
Mon Jul 01, 2019 03:00
Background: A closed-suction drain is usually inserted during tissue expander–based breast reconstruction. Prolonged duration of drain retention can disturb patients’ daily lives and affect overall sociomedical costs. This study aimed to investigate factors that may influence the drainage and to identify predictors of unusually prolonged drain duration. Methods: Patients who underwent delayed-immediate, two-stage breast reconstruction using a tissue expander between January of 2013 and July...
Mon Jul 01, 2019 03:00
Summary: With the advent of big data and database-driven research, the need for reproducible methods has become especially relevant. Given the rise of evidence-based practice, it is crucial to ensure that findings making use of big data can be consistently replicated by other physician-scientists. A call for transparency and reproducibility must occur at the individual, institutional, and national levels. Given the rising popularity of national and large databases in research, the responsibility...
Mon Jul 01, 2019 03:00
Background: Postoperative pain control after abdominally based autologous microvascular breast reconstruction is critical to functional recovery, patient satisfaction, and early discharge. The transversus abdominis plane block using 0.25% bupivacaine hydrochloride has been shown to be effective, but it is limited by a short duration of effect. Liposomal bupivacaine is a recently U.S. Food and Drug Administration–approved preparation of bupivacaine that can provide up to 72 hours of pain relief....
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: Reduction mammaplasty is a highly effective procedure for treatment of symptomatic macromastia. Prediction of resection weight is important for the surgeon and the patient, but none of the current prediction models is widely accepted. Insurance carriers are arbitrarily using resection weight to determine medical necessity, despite published literature supporting that resection weight does not correlate with symptomatic relief. What is the most accurate method of predicting resection...
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: The increasing incidence and associated mortality of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) has become alarming. However, many patients remain unaware of their risk for BIA-ALCL and may overlook early warning signs of the cancer. The authors aim to contact all breast implant patients at a single institution to educate them on the disease and provide screening and treatment as indicated. Methods: All patients who had breast implants placed at Penn State...
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: Microvascular reconstruction of the nose was pioneered in China in the early 1970s using the radial forearm flap. Since then, different flaps, methods, and flap designs have been used to improve outcomes. Microvascular tissue transfer has become the first step of multistage reconstruction, which includes rebuilding the nasal framework, transferring a forehead flap for external skin coverage, and sculpting the nose for improved appearance and breathing. In this article, the authors...
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Where Do We Look? Assessing Gaze Patterns in Cosmetic Face-Lift Surgery with Eye Tracking Technology
Background: Aesthetics plays a central role in determining success in plastic surgery. Understanding perceptions of favorable aesthetics is critical to ensure patient satisfaction. Eye-tracking technology offers an objective way of evaluating attention and understanding how viewers direct their focus on patients who undergo cosmetic face-lift procedures. Methods: Thirty-six subjects ranging from layperson to attending plastic surgeon viewed 15 sets of photographs before and after patients...
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: Besides the devastating complication of blindness, paralysis of the eye muscles, namely ophthalmoplegia, may occur after cosmetic facial filler injection. However, little is known of the clinical characteristics and prognosis of such complications. This study was performed to investigate the natural course of ophthalmoplegia and development of sensory strabismus secondary to blindness after iatrogenic occlusion of the ophthalmic artery and its branches resulting from cosmetic facial...
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: Many techniques have been described to correct prominent ears, including cartilage-suturing, cartilage-scoring, and cartilage-breaking techniques. Understanding the topography and anatomy of the auricular cartilage is crucial for performing safe otoplasty with consistent results. Methods: Two hundred consecutive patients with prominent ears were operated on using a modified Mustardé and Furnas technique with some refinements and without performing any cartilage scoring or excision....
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
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Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: Problems with a variety of breast implants have emerged with consequences for patients’ health and safety. The authors’ goal was to follow up on their Poly Implant Prothèse patients after their implant exchange. Methods: This single-center, single-surgeon, prospective cohort study lasted from 2012 until 2017. Implant size, implantation interval, surgical details, and complications were registered. The Clavien-Dindo classification was used to grade postoperative complications....
Mon Jul 01, 2019 03:00
No abstract available
Mon Jul 01, 2019 03:00
Background: The deep intramuscular approach during buttock augmentation with fat grafting has been associated with a significantly increased risk for pulmonary fat embolism. This study was designed to provide guidance for injection into the subcutaneous fat. Methods: The authors investigated 150 Caucasian individuals with an equal distribution of men and women (n = 75 each) and a balanced distribution of age (n = 30 per decade: 20 to 29, 30 to 39, 40 to 49, 50 to 59, and 60 to 69 years) and...
Mon Jul 01, 2019 03:00
Summary: Established creases and wrinkles do not predictably respond to the fat injection technique. The authors describe a minimally invasive yet simple technique to address recalcitrant facial rhytides and minor depressed scars. This technique optimally requires a concomitant procedure whereby suitable fat or dermis graft could be available for grafting without having to make another incision. However, if needed, the graft can be harvested from an easily concealed area such as postauricular...
Mon Jul 01, 2019 03:00
Background: The increasing trend of women with unilateral breast cancer to electively undergo contralateral prophylactic mastectomy in addition to treatment of the index breast has been controversial. The authors set out to better frame the risks and benefits of contralateral prophylactic mastectomy in the treatment of unilateral breast cancer by evaluating outcomes of a large, consecutive cohort of patients. Methods: An institutional review board–approved review of a single-surgeon (N.T.)...
Mon Jul 01, 2019 03:00
Background: Blindness from ophthalmic or central retinal artery embolism is one of the most devastating complications of cosmetic filler facial injections. A proposed therapy to mitigate visual loss is prompt retrobulbar injection of hyaluronidase into the retrobulbar space. Despite Zhu et al. showing a lack of evidence and very limited published literature for reversing visual loss with this intervention, it is still widely accepted as a treatment for filler-related emboli. The purpose of this...
Mon Jul 01, 2019 03:00
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