Chung, Kevin C. MD, MS 1; Fahmy, Joseph N. MD 1; Colwell, Amy S. MD 2
doi : 10.1097/PRS.0000000000009973
Volume 151(3) pgs. 463-685,367e-541e March 2023
Sadok, Nadia MD, PhD 1; Refaee, Mustafa S. MD 1; Eltahir, Yassir MD, PhD 1; de Bock, Geertruida H. PhD 2; van Veen, Martinus M. MD, PhD 1; Werker, Paul M. N. MD, PhD 1
doi : 10.1097/PRS.0000000000009899
The aim of this study was to evaluate the long-term patient satisfaction and quality of life 9 to 13 years after autologous versus alloplastic breast reconstruction and compare the data to those of an earlier study.
Nelson, Jonas A. MD, MPH; Disa, Joseph J. MD; Matros, Evan MD, MPH, MMSc
Boyd, Carter J. MD, MBA; Salibian, Ara A. MD; Bekisz, Jonathan M. MD, MSci; Karp, Nolan S. MD; Choi, Mihye MD
doi : 10.1097/PRS.0000000000009901
In July of 2019, the U.S. Food and Drug Administration (FDA) recalled the Allergan Natrelle 410 Highly Cohesive Anatomically Shaped Silicone-Filled Textured Breast Implants because of a heightened risk of developing breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).
Sullivan, Janessa BA; Tenenbaum, Marissa M. MD; Myckatyn, Terence M. MD
Hassan, Abbas M. MD 1; Tran, Jacquelynn MD 2; Asaad, Malke MD 1; Slovacek, Cedar BS 3; Liu, Jun PhD 1; Butler, Charles E. MD 1
doi : 10.1097/PRS.0000000000009903
Implant-based reconstruction (IBR) is the most common method of breast reconstruction in the United States. Despite ongoing advancements, periprosthetic infection is a serious problem that often results in device explantation.
Jones, Kaitlin D. BS; Wen, Yuan E. BA; Teotia, Sumeet S. MD; Haddock, Nicholas T. MD
doi : 10.1097/PRS.0000000000009904
Cost of breast reconstruction can create a substantial burden for patients. As patients hope to maximize insurance plan benefits, it is crucial to receive efficient, cost-reducing care.
Morrison, Kerry A. MD; Vernon, Rebecca MD; Choi, Mihye MD; Karp, Nolan S. MD
doi : 10.1097/PRS.0000000000009905
Reduction mammaplasty is a safe, effective procedure to alleviate symptoms of adolescent macromastia. However, there remain limited data on surgical complications associated with reduction mammaplasty in adolescents, which may not be concordant with those cited for adults seeking reduction mammaplasty.
Lessard, Lucie MD 1; Papanastasiou, Constantine MD, MSc 1; Fortin, Maryse PhD 2; Ouellet, Jean A. MD 3
doi : 10.1097/PRS.0000000000009906
Bilateral breast hypertrophy comes with signs and symptoms ranging from mild to debilitating. Bilateral breast reduction (BBR) is one of the most frequently performed plastic surgery procedures, and its effects on parameters such as spinal balance, paraspinal muscle function, and physical performance have not been thoroughly evaluated.
Casella, Donato PhD, MD 1; Cassetti, Dario MD 2; Marcasciano, Marco PhD, MD 3; Lo Torto, Federico PhD, MD 4; Fusario, Daniele MD 2; Miccoli, Simone MD 2; Fausto, Alfonso MD 5; Restaino, Valeria MD 2; Ribuffo, Diego PhD, MD 4; Neri, Alessandro PhD, MD 1
doi : 10.1097/PRS.0000000000009907
Skin-sparing mastectomy (SSM) is a surgical technique that preserves as much of the breast skin as possible. Double asymmetric circular incision (DACI) is a novel immediate breast reconstruction technique for immediate prepectoral implant placement using a titanium-coated polypropylene mesh.
Park, Jae Hyun MD, PhD 1; Suh, Bum Sin MD 2
doi : 10.1097/PRS.0000000000009969
The long-face morphology is associated with aesthetic concerns, and surgery is often necessary to correct excess length in the frontal plane, in the upper, middle, and lower thirds of the face.
McGarry, Kevin M. MB; Khadim, Muhammad F. FRCS; McBride, Michael MB; Martin, Serena MB; Moorehead, Andrew MB; Rashid, Abid FRCS; Hill, Chris FRCS; Fogarty, Brendan FRCS
doi : 10.1097/PRS.0000000000009908
Prominent ear" remains one of the most common referrals to pediatric plastic surgery. The perceived deformity has been corrected using a multitude of techniques for over a century, and significant variation in practice still exists.
Yin, Yue MD; Li, Tong; Wang, Chunfang; Ma, Qiaoxin; Fan, Xing MD, PhD
doi : 10.1097/PRS.0000000000009909
Botulinum toxin A injection for masseter reduction is generally considered minimally invasive, safe, and effective. However, this approach may lead to facial flaccidity and sagging, especially in older patients with reduced elasticity of the skin and the soft tissue.
Vavra, Jessica M. MD 1; Kachare, Swapnil D. MD, MBA 1; Vivace, Bradley J. BS 2; Choo, Joshua H. MD 1; Wilhelmi, Bradon J. MD 1
doi : 10.1097/PRS.0000000000009910
The umbilicus is often not a midline structure. Centralization of the umbilicus during an abdominoplasty is routinely performed at the level of the skin; however, this is associated with a high rate of postoperative reversion.
Go, Beatrice C. MD 1; Frost, Ariel S. MD 1; Friedman, Oren MD 2
doi : 10.1097/PRS.0000000000009911
Rhinoplasty is a complicated procedure that requires surgical finesse and precision to sculpt a framework that suits each patient's unique anatomical needs. Extensive resection may lead to nasal valve incompetence, causing obstructive symptoms associated with reduced quality of life. Numerous techniques have been described to help preserve and open the nasal airway, thereby mitigating valvular obstructive problems.
Kumar, Vaibhav MDS 1,2; Jain, Anuj MDS 3; Vadera, Sapna MDS 4; Shome, Debraj MD, MBA 4; Kapoor, Rinky MD 5
doi : 10.1097/PRS.0000000000009912
Liposuction, the most common body sculpting surgical procedure known today is associated with the risk of numerous complications. A safer and more noninvasive approach involves the use of high-intensity focused ultrasonography (HIFU) lasers, which work by selectively damaging fat tissue through apoptosis or necrosis induction of fat cells.
Gomez-Samano, Miguel Angel MD, MSc 1; Guerrero-Castillo, Anna Paula MSc 1,2; Abarca-Arroyo, Jorge Antonio MD 3; Albuja-Gonzalez, Elena Cristina MD 3; Garcia-Bonilla, Hans Alessandro MD 3; Espinosa-Salazar, Hector Donaldo MD 1; Villanueva-Gomez-Crespo, Maria Teresa MD 1; Catzin-Kuhlmann, Andres MD, MSc 4; Lopez-Gatell, Hugo PhD 4; Tlapanco-Beltran, Cristina Aurora MD 1; Vera-Zertuche, Juan Mauricio MD 1; Leon-Suarez, Andres MD 1; Telich-Tarriba, Jose Eduardo MD 5; Cuevas-Ramos, Daniel MD, PhD 1; Gomez-Perez, Francisco J. MD 1; Gulias-Herrero, Alfonso MD, PhD 4
doi : 10.1097/PRS.0000000000009913
Abdominal obesity has been associated with an increased risk of insulin resistance, metabolic syndrome, and diabetes. Central fat removal procedures such as liposuction, lipectomy, and abdominoplasty are among the most common surgical procedures.
Rohrich, Rod J. MD 1,2; Jalalabadi, Faryan MD 3
doi : 10.1097/PRS.0000000000009914
An aesthetically sculpted malar, cheek, and jawline contour is a desirable feature sought out by many adults with central facial adiposity. This fullness, anterior to the masseter, can be attributed to underlying buccal lipodystrophy.
Xiao, Shune MD, PhD; Qi, Jianghong MD; Li, Jianyi MD; Wu, Bihua MD; Li, Hai MD; Liu, Zhiyuan MD; Yang, Chenglan MD; Wei, Zairong MD, PhD; Wang, Dali MD; Deng, Chengliang MD, PhD
doi : 10.1097/PRS.0000000000009915
Treating hypertrophic scars remains challenging. Stromal vascular fraction (SVF) gel is produced by a purely mechanical process from lipoaspirates, rich in adipose-derived stem cells, and has showed therapeutic potential on scars.
Gerber, Peter Arne MD 1,2; Buhren, Bettina A. MD, PhD 1; Bolke, Edwin MD 1; Philipp-Dormston, Wolfgang G. MD, PhD 3; Homey, Bernhard MD 1; Schrumpf, Holger PhD 1
doi : 10.1097/PRS.0000000000009916
Hyaluronidase (HYAL) is regarded as the standard for the management of complications associated with hyaluronan (HA)-based fillers. Therefore, the understanding of interactions of HA fillers and HYAL is essential.
George, Robert E. MD 1; Elwood, Eric T. MD 2; Jones, Glyn E. MD 2
doi : 10.1097/PRS.0000000000009917
Sufficient perfusion is foundational to successful reconstructive surgery. Various technologies have been developed to help determine whether tissue is adequately perfused, or whether it will be prone to necrosis postoperatively.
Hashiguchi, Shin-ichiro MD 1; Hayakawa, Koji MD 2; Inoue, Eiko MD 3,4; Han, Aya MD 1,4; Iwanaga, Joe DDS, PhD 4,5; Tabira, Yoko PhD 4; Yamashita, Akihiro MD 4; Rikimaru, Hideaki MD, PhD 1; Kiyokawa, Kensuke MD, PhD 1; Watanabe, Koichi MD, PhD 4
doi : 10.1097/PRS.0000000000009975
In recent years, structures including the superficial musculoaponeurotic system and retaining ligaments that support the facial soft tissue have been clarified. However, these structures are very difficult to observe in their entirety by the standard gross anatomical procedure (ie, dissection from superficial to deep layers).
Trotzier, Chloe MScEng 1; Sequeira, Ines PhD 2; Auxenfans, Celine PharmD, PhD 3; Mojallal, Ali A. MD, MSc, PhD 4
doi : 10.1097/PRS.0000000000009918
Over the past 30 years, there has been a dramatic increase in the use of autologous fat grafting for soft-tissue augmentation and to improve facial skin quality. Several studies have highlighted the impact of aging on adipose tissue, leading to a decrease of adipose tissue volume and preadipocyte proliferation and increase of fibrosis.
Broekstra, Dieuwke C. PhD 1,2; Kuo, Rachel Y. L. MD 1; Burn, Edward PhD 1; Prieto-Alhambra, Daniel MD, PhD 1; Furniss, Dominic DM, FRCS(Plast) 1,3
doi : 10.1097/PRS.0000000000009919
Health care burden attributable to Dupuytren disease (DD) is largely unknown. The authors determined (1) the prevalence and incidence of DD, (2) the incidence of first surgical intervention, and (3) the lifetime risk of surgical intervention in the United Kingdom National Healthcare Service.
van Laarhoven, Cecile M. C. A. MD, PhD 1,2,3; Baas, Martijn MD, PhD 2; Qi, Hongchao MSc 4,5; Coert, J. Henk MD, PhD 2,3; Zuidam, J. Michiel MD, PhD 1,2; Koch, A. Richard MD 6
doi : 10.1097/PRS.0000000000009920
Distal hemitrapeziectomy is suggested as an alternative for total trapeziectomy for carpometacarpal thumb joint osteoarthritis, when the scaphotrapeziotrapezoidal joint is unaffected. This can be performed as an arthroscopic or open procedure, with suggested advantages for the less invasive arthroscopic technique.
Meyers, Abigail BS; Krebs, Jillian P. BS; Rampazzo, Antonio MD, PhD; Bassiri Gharb, Bahar MD, PhD
doi : 10.1097/PRS.0000000000009921
An institutional review board-approved retrospective review of patients who underwent trapeziectomy and ligament reconstruction and tendon interposition (LRTI) was conducted.
Rochlin, Danielle H. MD; Chaya, Bachar F. MD; Flores, Roberto L. MD
doi : 10.1097/PRS.0000000000009922
Relative value units (RVUs) are broadly used for billing and physician compensation; however, the accuracy of RVU assignments has not been scientifically evaluated for craniofacial surgery. The authors hypothesize that unbalanced RVU allocation creates inappropriate disparities in value among procedures performed by cleft and craniofacial surgeons.
Taub, Peter J. MD, MS
Murali, Srinisha P. MDS 1; Denadai, Rafael MD 1; Sato, Nobuhiro MD 1; Lin, Hsiu-Hsia PhD 2; Hsiao, Jonathan DDS 3; Pai, Betty C. J. DDS 4; Chou, Pang-Yun MD 1; Lo, Lun-Jou MD 1
doi : 10.1097/PRS.0000000000009923
No consensus exists regarding the timing or technique of rhinoplasty for correction of the unilateral cleft lip nose deformity, with few studies examining the long-term effects of a single technique.
Zelko, Ian DO; Zielinski, Eric MD; Santiago, Chiara N. BA; Alkureishi, Lee W. T. MBChB; Purnell, Chad A. MD
doi : 10.1097/PRS.0000000000009924
Primary rhinoplasty during correction of unilateral cleft lip continues to be a topic of debate because of concerns that early nasal intervention may affect nasal and maxillary development over the long term.
Breakey, Richard W. F. MBBS 1; Mercan, Ezgi PhD 2; van de Lande, Lara S. MBBS 1; Sidpra, Jai 1; Birgfeld, Craig MD 2,3; Lee, Amy MD 2,4; Schievano, Silvia PhD 1; Dunaway, David J. FRCS 1; Jeelani, N. Owase FRCS 1; Hopper, Richard A. MD, MS 2,3
doi : 10.1097/PRS.0000000000009925
The timing of posterior cranial expansion for the management of intracranial pressure can be "staged" by age and dysmorphology or "expectant" by pressure monitoring.
Fearon, Jeffrey A. MD
Fox, Carly M. FRACS(Plas) 1; McKenzie, Jo-Lyn C. FRACS(OHNS) 2; Morris, Helen C. MSpPath 3; Phua, Yun S. FRACS(Plas) 1; Bade, Stuart A. FRACS(Plas) 1; Bowman, James FRACS(OHNS) 2; Theile, Richard J. FRACS(Plas) 1
doi : 10.1097/PRS.0000000000009927
Large or multiply recurrent oronasal fistulas following cleft palate repair present a challenging problem. Nasal septal mucoperichondrial flaps have been widely used for repair of skull base defects; however, their use in the repair of oronasal cleft palate fistulas has not previously been described.
Morrison, Kerry A. MD 1; Farber, Scott J. MD 1; Riina, Howard A. MD 2; Staffenberg, David A. MD 1,2
doi : 10.1097/PRS.0000000000009928
The transpalpebral eyelid approach is an innovative alternative to traditional incisions for exposure of the anterior cranial fossa for neurosurgery. However, there is a paucity of data on this surgical technique in the plastic surgery literature for accessing the anterior cranial fossa.
Jang, Young Chul MD, PhD 1; Burm, Jin Sik MD, PhD 2; Cho, Jae Young MD, PhD 2
doi : 10.1097/PRS.0000000000009929
The uppermost layer of subcutaneous tissue has a rich vascular network, the subdermal plexus and multiple perforating vessels in the interlobular septa. When skin-fat composite grafts (SFCGs) include this uppermost layer, they can be readily vascularized to enhance survival.
Albano, Nicholas J. MD 1; Israel, Jacqueline S. MD 1; Carbullido, Mary K. BS 1; Stilp, Emmaline K. MSM, MMS, PA-C 1; Leverson, Glen PhD 2; Voils, Corrine I. PhD 2,3; Afifi, Ahmed M. MD 1
doi : 10.1097/PRS.0000000000009930
Studies of migraine surgery have relied on quantitative, patient-reported measures like the Migraine Headache Index (MHI) and validated surveys to study the outcomes and impact of headache surgery.
Bashian, Elizabeth MD 1; Daoud, Georges MD 1; Khansa, Ibrahim MD 1,2,3; Janis, Jeffrey E. MD 1,2
doi : 10.1097/PRS.0000000000009931
Mesh repair has been demonstrated to be superior to suture alone in ventral hernia repair. In a previous short-term pilot study, the authors found lower postoperative narcotic requirements with self-adhering mesh.
Hassan, Abbas M. MD; Butler, Charles E. MD
Huang, Hao BS; Jung, Wooram F. MSc; Otterburn, David M. MD
doi : 10.1097/PRS.0000000000009933
Despite the umbilicus being an essential aesthetic unit, current literature on umbilical outcomes following abdominally based breast reconstruction is limited. In this study, the authors aim to elucidate the incidence and predictors of umbilical complications following deep inferior epigastric perforator (DIEP) flaps, with a particular emphasis on past abdominal surgery by type and measures that can be obtained easily from preoperative imaging
Zelenski, Nicole A. MD 1; Archual, Anthony MD 2; Tangtiphaiboontana, Jennifer MD 3; Kuruoglu, Doga MD 4; Yan, Maria MD 4; Bustos-Hemer, Samyd MD 4; Moran, Steven L. MD 4
doi : 10.1097/PRS.0000000000009934
Early soft-tissue reconstruction of open fractures has been shown to decrease infection rates and improve rates of bony union. The purpose of this study was to compare the rates and time to union of open tibia fractures that underwent soft-tissue coverage.
Suh, Hyunsuk P. MD, PhD 1,2; Kedar, Daniel J. MD 3; Lee, Yeon Hoon MD 1; Lee, Pil Hyung MD, PhD 2,4; Lee, Seung-Whan MD, PhD 2,3; Hong, Joon Pio MD, PhD, MMM 1,2
doi : 10.1097/PRS.0000000000009935
Free flap after lower extremity revascularization may enable limb salvage in defects after critical limb ischemia. This study examined the outcomes of reconstruction of ischemic diabetic foot according to the severity of the vessel occlusion and assessed whether recanalized vessels may serve as a reliable recipient vessel.
Temple-Oberle, Claire FRCSC; Nicholas, Christine FRCSC; Rojas-Garcia, Priscila MD
doi : 10.1097/PRS.0000000000009936
After reading this article and viewing the videos, the participant should be able to: 1. Discuss margins for in situ and invasive disease and describe reconstructive options for wide excision defects, including the keystone flap. 2. Describe a digit-sparing alternative for subungual melanoma. 3. Calculate personalized risk estimates for sentinel node biopsy using predictive nomograms.
Fahmy, Joseph N. MD; Cichocki, Meghan N. BS; Chung, Kevin C. MD, MS
doi : 10.1097/PRS.0000000000009974
Health policy impacts all aspects of the authors' field. Research on this topic informs future policy direction and serves as an impactful means to advocate for their patients.
Yuan, Morgan MD 1; Wu, Jeremy BMSc 2; Li, Allen BHSc 3; Gallo, Lucas MD 4; Chin, Brian MD, MSc 4; Murphy, Jessica MSc 4; Coroneos, Christopher J. MD, MSc 4,5; Voineskos, Sophocles MD, MSc 4,5; Thoma, Achilleas MD, MSc 4,5
doi : 10.1097/PRS.0000000000009937
Spin" refers to a manipulation of language that implies benefit for an intervention when none may exist. Randomized controlled trials (RCTs) in other fields have been demonstrated to employ spin, which can mislead clinicians to use ineffective or unsafe interventions.
Harris, Andrew MD 1; Jain, Amit MD 1; Dhanjani, Suraj A. BS 1; Wu, Catherine A. BS 2; Helliwell, Lydia MD 2,5; Mesfin, Addisu MD 3; Menga, Emmanuel MD 3; Aggarwal, Shruti MD 4; Pusic, Andrea MD 2,5; Ranganathan, Kavitha MD 2,5
doi : 10.1097/PRS.0000000000009939
Because of the expansion of telehealth services through the 2020 Coronavirus Aid, Relief, and Economic Security (CARES) Act, the potential of telemedicine in plastic surgery has gained visibility
Lisa, Andrea MD; Vinci, Valeriano MD; Battistini, Andrea MD; Klinger, Francesco MD; Klinger, Marco MD
Sollie, Martin MD, PhD; Toyserkani, Navid MD, PhD; Bille, Camilla MD, PhD; Thomsen, Jorn B. MD, PhD; Sorensen, Jens A. MD, PhD
Abdelfattah, Usama MD; Pons, Gemma MD, PhD; Masia, Jaume MD, PhD
Johnson, Anna Rose MD, MPH; Singhal, Dhruv MD
Walker, Francis O. MD
Sasson, Daniel C. BA; Gosain, Arun K. MD
Long, Aaron S. BS; Persing, John A. MD; Alperovich, Michael MD, MSc
de Planque, Catherine A. MD; Petr, Jan PhD; Gaillard, Linda MD; Mutsaerts, Henk J. M. M. MD, PhD; van Veelen, Marie-Lise C. MD, PhD; Versnel, Sarah L. MD, PhD; Dremmen, Marjolein H. G. MD; Mathijssen, Irene M. J. MD, PhD, MBA-H
Hoffer, Oshrit PhD; Haik, Josef MD, MPH; Nir, Rony-Reuven MD, PhD; Beck, Yuval BSc; Kofler, Bar BSc; Heyman, Eilon BSc; Golan, Oz PhD; Ovadia-Blechman, Zehava PhD
Venkataram, Aniketh MBBS, MS, MCH; Mysore, Venkataram MBBS, DVD, DNB, MD; Rao, Deeksha MBBS, MS; Alexander, Sajin MBBS, MD; Makam, Sandeep
Hung, Yi-Teng MD; Cheng, Chun-Yu MD; Huang, Yau-Li MD
Abeles, Elisabeth Belman BA; Bekheet, Faraah BS; Aravind, Pathik MBBS; Manahan, Michele A. MD, MBA
Becker, Hilton MD; Vazquez, Oscar Adrian MD, MS; Slutsky, Hanna BS; Hansen, Payton Yerke BS
Luby, Alexandra O. MD, MS; Morrison, Shane D. MD, MS; Vercler, Christian J. MD, MA; Buchman, Steven R. MD; Ettinger, Russell E. MD
Deldar, Romina MD; Abu El Hawa, Areeg A.; Rashid, Waleed BS; Lester, Connor BS; Baker, Stephen B. MD
Jabori, Sinan Kallo MD; Pandya, Shivani BS; Epstein, Anabel BS; Weber, Lee MD; Panthaki, Zubin MD; Singh, Devinder MD; Thaller, Seth R. MD, DMD
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