Publications by authors named "Rod J Rohrich"

686 Publications

Safety and Efficacy of Transform for Noninvasive Lipolysis and Circumference Reduction of the Abdomen.

Plast Reconstr Surg Glob Open 2022 Jul 20;10(7):e4446. Epub 2022 Jul 20.

Dallas Plastic Surgery Institute, Dallas, Tex.

Noninvasive body contouring has seen a precipitous rise in popularity since its advent in the early 2000s. With this rise in popularity, there has been an expansion in the types and number of noninvasive devices for muscle hypertrophy and fat lipolysis. The Transform radiofrequency and electrical muscle stimulation device is a newly introduced device for noninvasive abdominal body contouring. The present study is a prospective clinical trial evaluating the efficacy of the Transform device on abdominal circumference. Fifteen patients were enrolled and received three treatment sessions with the Transform device. On average, patients saw changes in abdominal circumference (-0.43 cm, = 0.48), caliper pinch thickness (-6.07 mm, = 0.0036), and ultrasound fat thickness (-5.40 mm, < 0.001) at 3 months posttreatment with minimal discomfort and high patient satisfaction. Ultimately, this study demonstrates that the Transform device is a safe and effective noninvasive option for fat lipolysis and muscular hypertrophy.
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http://dx.doi.org/10.1097/GOX.0000000000004446DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9298471PMC
July 2022

Jawline Refinement in Face Lifting: The Five Zones and the Five-Step Technique.

J Plast Reconstr Aesthet Surg 2022 Jun 20. Epub 2022 Jun 20.

Dallas Plastic Surgery Institute, 9101 North Central Expressway, Expressway #600, Dallas, TX 75231. Electronic address:

Facial aging changes due to increased skin laxity as well as soft tissue atrophy and decent lead to blunting and distortion of previously well-defined zones of the face and neck. A critical component of re-establishing a youthful appearance during facelift and neck lift surgery is restoring a well-defined mandibular contour. Key principles of jawline refinement include the addition of volume to deficient areas and removal of volume in areas of unwanted fullness to re-establish facial harmony in the lower face and neck. In this article, we describe a novel classification of jawline zones and discuss our stepwise surgical approach to aid in the systematic evaluation and surgical treatment of the jawline.
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http://dx.doi.org/10.1016/j.bjps.2022.06.044DOI Listing
June 2022

Personal Evolution in Rhinoplasty Tip Shaping: Beyond the Tri-pod Concept.

Plast Reconstr Surg 2022 Jul 26. Epub 2022 Jul 26.

Dallas Plastic Surgery Institute, Dallas, Texas, USA.

Summary: Introduced over fifty years ago, the "tripod concept" has long been the foundation of our understanding of tip dynamics in rhinoplasty. Modern approaches to rhinoplasty have built upon these principles and seen the evolution of several operative techniques to address tip aesthetics. The following manuscript and accompanying case video details our algorithmic approach to tip shaping, based upon the utilization of complete lower lateral cartilage reshaping & tensioning; clarified use of medial crural transection & overlap; with stabilization on a fixed-floating septal extension graft and deliberate management of the soft-tissue envelope. The intra-operative sequencing, key technical considerations, relevant classification schemes, and global decision-making processes are reviewed.
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http://dx.doi.org/10.1097/PRS.0000000000009577DOI Listing
July 2022

Minimally Invasive Approach to Skin Tightening of the Face and Body: A Systematic Review of Monopolar and Bipolar Radiofrequency Devices.

Plast Reconstr Surg 2022 Jul 26. Epub 2022 Jul 26.

Dallas Plastic Surgery Institute.

Background: Radiofrequency (RF) treatment is a relatively new and increasingly popular option for patients desiring skin tightening and an improvement in facial or body contour without undergoing an excisional surgical procedure. A systematic review of the literature was performed to investigate the safety and efficacy of monopolar and bipolar radiofrequency devices for facial and body rejuvenation.

Methods: A computerized search of the MEDLINE database was performed for clinical studies investigating the use of monopolar and bipolar radiofrequency devices in facial and body rejuvenation. Data on the type of device, treated areas, number of patients, number of treatments, follow-up, complications, and outcomes was collected.

Results: The systematic review was performed in September 2020. A total of 207 articles examined the use of radiofrequency technology for cosmetic purposes, and 23 articles remained after all inclusion and exclusion criteria were considered. Nine articles evaluated monopolar devices and five articles evaluated bipolar devices for treatment of the face. Three articles evaluated monopolar devices and six articles evaluated bipolar devices for treatment of various body areas.

Conclusion: There is clinical evidence that monopolar and bipolar radiofrequency devices produce measurable improvement in skin laxity of the face and body with an acceptable complication profile. Although the vast majority of reported complications are minor and transient in nature, major complication rates are higher with the use of monopolar devices than with the use of bipolar devices.
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http://dx.doi.org/10.1097/PRS.0000000000009535DOI Listing
July 2022

Impact of the Virtual Format on Plastic Surgery Residency and Fellowship Interviews: A National Cross-Sectional Study.

Plast Reconstr Surg 2022 Jul 13. Epub 2022 Jul 13.

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX.

Background: The 2020-2021 residency and fellowship application cycles were profoundly affected by the introduction of virtual interviews (VIs). The authors investigate the impact that the virtual format (VF) had on plastic surgery residency and fellowship interviews from the perspectives of program directors (PDs).

Methods: Surveys were sent to PDs of integrated plastic surgery residency (RPD) and fellowship (FPD) programs to ascertain their perspectives regarding the VF's impact on residency and fellowship interviews. PDs were stratified into residency and fellowship cohorts, and comparative analysis was performed.

Results: A total of 92 PDs, 28 RPDs and 64 FPDs, completed our survey (35%). When compared to in-person interviews, VIs were reported to be more economical and time efficient by RPDs (100% and 46%, respectively) and FPDs (97% and 48%, respectively). Consequentially, 36% and 47% of residency and fellowship programs were able to interview more applicants, respectively. RPDs and FPDs reported that VIs hindered their ability to assess applicants' fit with the program (75% and 63%, respectively), personality and communication skills (75% and 64%, respectively), and commitment to the field along with their ability to function as a trainee (57% and 50%, respectively). Overall, 71% of RPDs and 58% of FPDs preferred in-person interviews. The majority of residency (71%) and fellowship (56%) programs intend to conduct both in-person and VIs in future application cycles (p=0.12).

Conclusions: Despite preferring in-person interviews, PDs intend on hosting both in-person and VIs in future application cycles. It remains to be seen how VIs will be employed moving forward.
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http://dx.doi.org/10.1097/PRS.0000000000009442DOI Listing
July 2022

The Alar Equalization Suture for Nasal Tip Refinement.

Plast Reconstr Surg 2022 Jun 28. Epub 2022 Jun 28.

Dallas Plastic Surgery Institute, Dallas, Texas.

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http://dx.doi.org/10.1097/PRS.0000000000009459DOI Listing
June 2022

Technique for Minimally Invasive Face and Neck Contouring with Bipolar Radiofrequency Devices.

Plast Reconstr Surg 2022 08 6;150(2):337e-340e. Epub 2022 Jun 6.

From the Dallas Plastic Surgery Institute; and the Division of Plastic Surgery, Baylor College of Medicine.

Summary: Radiofrequency devices have grown in popularity as minimally invasive options for the treatment of skin laxity in the face and neck. These treatments are often combined with liposuction procedures to provide enhanced tissue contraction alongside the reduction in adiposity. Proper patient selection and intraoperative technique are crucial to achieving the desired outcomes in a safe manner. In this article, the authors discuss their indications and technique for the treatment of the face and neck with bipolar radiofrequency devices.
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http://dx.doi.org/10.1097/PRS.0000000000009358DOI Listing
August 2022

Fresh Frozen Rib Cartilage Grafts in Revision Rhinoplasty: A 9-Year Experience.

Plast Reconstr Surg 2022 07 6;150(1):58-62. Epub 2022 May 6.

From the Dallas Plastic Surgery Institute; Baylor College of Medicine; Division of Plastic Surgery, Baylor Scott & White, Texas A&M Health Science Center; and private practice.

Background: Revision rhinoplasty is undoubtedly one of the most challenging procedures in facial plastic surgery. The complexity is compounded when there is a paucity of native septal cartilage to perform the required framework reconstruction. Harvest of autologous costal cartilage can result in increased operative times and possible secondary-site complications such as contour irregularity, poor scarring, and even pneumothorax.

Methods: A retrospective review was conducted of the senior author's (R.J.R.) patients from 2011 to 2020 who underwent primary or revision rhinoplasty. Inclusion criteria consisted of patients with fresh frozen off-the-shelf cartilage used in revision rhinoplasty only with a minimum of 6 months' follow-up. Outcomes for evaluation were warping, resorption, displacement, and infection.

Results: The authors identified 226 patients who underwent open rhinoplasty with the use of fresh frozen rib cartilage grafts and met inclusion criteria. The mean follow-up period was 12.18 months (range, 6 months to 8 years). The majority of patients had undergone one prior rhinoplasty procedure (54 percent); however, 4 percent of patients had undergone four or more prior procedures on their nose. The overall infection rate was 2.7 percent ( n = 6), with the majority successfully managed with antibiotics alone (2.3 percent).

Conclusions: The results in revision rhinoplasty are significantly enhanced with the creation of a stable nasal framework using off-the-shelf, easily accessible, specifically tailored fresh frozen cadaveric rib grafts. The long-term outcomes and complication rate in this 9-year retrospective study demonstrates the safety of fresh frozen rib graft in comparison to autologous or irradiated rib graft.

Clinical Question/level Of Evidence: Therapeutic, IV.
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http://dx.doi.org/10.1097/PRS.0000000000009203DOI Listing
July 2022

Versatility of the Fixed-Mobile Septal Extension Graft for Nasal Tip Reshaping.

Plast Reconstr Surg 2022 06 5;149(6):1350-1356. Epub 2022 Apr 5.

From the Dallas Plastic Surgery Institute; and Division of Plastic Surgery, Baylor College of Medicine.

Summary: Key goals of nasal tip reshaping include precise control of tip shape and position, along with restoration of proper structural support. Unfortunately, traditional techniques attempting to address these goals have yielded unpredictable results. In this article, the authors detail their surgical technique and discuss the numerous aesthetic and functional benefits of this graft, along with its applicability to a wide variety of patient populations and nasal deformities. The authors' technique utilizing the fixed-mobile septal extension graft has demonstrated reliability in establishing proper tip positioning through precise adjustments to tip rotation and projection, while simultaneously providing a stable structure for maintaining tip support. While fixed at the anterior septal angle, this graft also proves beneficial in maintaining natural tip mobility because of its anterior extension past the septum. The fixed-mobile septal extension graft is versatile and reliable when used for tip reshaping and support.
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http://dx.doi.org/10.1097/PRS.0000000000009164DOI Listing
June 2022

Current Practices in Dorsal Augmentation Rhinoplasty.

Plast Reconstr Surg 2022 05 9;149(5):1088-1102. Epub 2022 Mar 9.

From the Division of Plastic and Reconstructive Surgery, Northwell Health, Zucker School of Medicine at Hofstra/Northwell; Division of Plastic and Reconstructive Surgery, University of Toronto; private practice; Cosmed Estetik Plastik Cerrahi; Division of Plastic and Reconstructive Surgery, Stanford University; and Dallas Plastic Surgery Institute.

Background: Dorsal augmentation rhinoplasty addresses the aesthetic and functional impairments caused by a deficient nasal dorsum. Augmentation rhinoplasty can be performed using a variety of different surgical techniques and grafting materials that all have distinct advantages and disadvantages.

Methods: Grafting materials have unique characteristics, uses, and safety profiles. A detailed overview of various grafting materials and their uses, risks, and benefits is provided.

Results: Autologous grafting materials include septal cartilage, auricular cartilage, and costal cartilage. These donor sites can provide various amounts of en bloc or diced cartilage. Alternatively, bone may be used when strong structural stability is required, and soft tissue may be used to fill mild to moderate defects. Homologous grafts (e.g., irradiated and nonirradiated rib) and acellular dermal matrices are alternatives to autologous graft with many similar advantages and no need for an additional surgical site. Lastly, alloplastic implants may be successfully used for dorsal augmentation if both patient and surgeon understand their associated risks.

Conclusion: To perform successful dorsal augmentation, surgeons should be familiar with the wide variety of operative approaches and augmentation materials that are currently available and understand their risks, benefits, and uses.
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http://dx.doi.org/10.1097/PRS.0000000000009057DOI Listing
May 2022

A Novel Algorithm for Defining the Mandibular Border.

Plast Reconstr Surg 2022 Mar;149(3):429e-432e

From the Dallas Plastic Surgery Institute; and Division of Plastic Surgery, Baylor College of Medicine.

Summary: Techniques for defining the mandibular angle are a particular focus for patients around the world. Developing the desirable sharp contours is a combination of reducing bulkiness around the mandible while augmenting the border. Invasive techniques (e.g., face lifts and chin augmentation) can help define the mandible; however, younger patients are demanding more affordable and less invasive procedures. The "Nefertiti lift," masseter neurotoxin, buccal fat excision, mandibular border augmentation with filler, and liposuction of the neck can all be done in the office and will produce excellent results. If the loss of definition is due to superior soft tissue, the next step is to determine if this is based on anterior or posterior soft-tissue excess. Posteriorly, it is caused by masseter hypertrophy, and anteriorly, it may be because of an enlarged or full buccal fat pad in the lower cheek area. If the loss of definition is inferior, the next step is to again define if it is anterior or posterior. Anterior excess tissue can be corrected with liposuction of the neck along with energy-based skin tightening technology. Posteriorly, the inferior pull of the platysma can be blunted with neurotoxin. Finally, once the soft tissues are adequate, the mandibular border can be augmented with filler. In this article, the authors propose an algorithm for when to utilize each of these procedures while reviewing proper technique.
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http://dx.doi.org/10.1097/PRS.0000000000008881DOI Listing
March 2022

The Five-Step Rhinoplasty Dead Space Closure Technique.

Plast Reconstr Surg 2022 Apr;149(4):679e-680e

From the Dallas Plastic Surgery Institute.

Summary: The creation of dead space in rhinoplasty creates a welcoming environment for erratic soft -tissue contraction. If rhinoplasty surgeons can control and reliably predict skin contraction and wound healing, rhinoplasty results will undoubtedly improve. Obliteration of dead space is a key component in rhinoplasty as it minimizes soft-tissue contraction, resulting in a more predictable outcome. In this article, the authors present a systematic five-step dead space closure surgical plan.
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http://dx.doi.org/10.1097/PRS.0000000000008971DOI Listing
April 2022

Assessing Long-Term Outcomes in Breast Implant Illness: The Missing Link? A Systematic Review.

Plast Reconstr Surg 2022 Apr;149(4):638e-645e

From the Dallas Plastic Surgery Institute.

Summary: The purpose of this special topic article is to explore the current state of outcomes-based literature related to breast implant illness and summarize the key understandings that emerge from the summation of existing studies. While implanted silicone devices are some of the most ubiquitous products in modern medicine, the safety of silicone breast implants has long remained under scientific scrutiny. In the era of social media and with breast implants once again under public scrutiny with the recent connection of texture silicone implants to breast implant-associated anaplastic large-cell lymphoma, the borders between breast implant illness and other implant-related diseases are becoming clouded in the public eye. The surgical management options for breast implant illness range from simple implant explantation alone to complete en bloc capsulectomies, or even secondary exploratory operations for additional capsulectomy in persistently symptomatic patients. In this review of outcomes-based studies related to breast implant illness, the authors found that a subset of patients improves with surgical intervention but limited evidence to inform most current surgical management practices. Further, the nature of this illness renders it difficult to study. A carefully designed, large, prospective, outcomes-based study is still required if an evidence-based and sound treatment approach for this condition is to be established.
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http://dx.doi.org/10.1097/PRS.0000000000009067DOI Listing
April 2022

Beyond the Impact Factor in Peer-Reviewed Literature: What Really Matters.

Plast Reconstr Surg 2022 02;149(2):525-528

From the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School; Division of Plastic Surgery, Baylor College of Medicine; Dallas Plastic Surgery Institute; and American Society of Plastic Surgeons.

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http://dx.doi.org/10.1097/PRS.0000000000008800DOI Listing
February 2022

The Ever-Important Role of Ethics in Plastic Surgery Today.

Plast Reconstr Surg 2022 Feb;149(2):520-522

From the Division of Plastic and Reconstructive Surgery, Mayo Clinic; Hansjörg Wyss Department of Plastic Surgery, New York Univeristy Langone Health; and Dallas Plastic Surgery Institute.

Summary: As the field of plastic surgery continues to advance, so too do the number and complexity of ethical challenges faced by plastic surgeons. There is a paucity of literature, however, focusing on ethics in plastic surgery. Therefore, the authors offer a timely special topic series discussing ethical issues relevant to the field of plastic surgery. The goals of this series are four-fold: (1) to increase awareness of both frequently and less commonly encountered ethical issues in plastic surgery, (2) to foster discussion and debate of relevant and significant ethical issues, (3) to facilitate clinical ethics education and scholarship in plastic surgery, and (4) to apply an understanding and analysis of ethical issues in a way that optimizes clinical decision-making and delivery of patient care. In this introductory article, the authors discuss the current state of medical ethics scholarship in plastic surgery and introduce the first of several topics that will be detailed in the series. Ultimately, the hope is that increased awareness of the ethical challenges faced by surgeons and patients will improve the practice of plastic surgery.
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http://dx.doi.org/10.1097/PRS.0000000000008773DOI Listing
February 2022

An Update on the Surgical Management of the Bulbous and Boxy Tip.

Plast Reconstr Surg 2022 Jan;149(1):25e-27e

From the Dallas Plastic Surgery Institute.

Summary: The bulbous and box tips are two common morphologies encountered in rhinoplasty. Nasal tip reshaping is a challenging aspect of rhinoplasty. Understanding the classifications of nasal tip morphologies aids when performing a nasal-facial analysis. The management algorithm for both tip morphologies shares various techniques. These techniques include but are not limited to cephalic trim, transdomal sutures, and interdomal sutures. A graduated approach to managing the variations in bulbous and boxy tips will help in achieving consistent results. New concepts applied to the management include supporting alar rims with alar contour grafts, closing dead space through a series of techniques, and managing the soft-tissue envelope, which is often in excess.
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http://dx.doi.org/10.1097/PRS.0000000000008677DOI Listing
January 2022

Face Lift after Facial Feminization Surgery: Indications and Special Considerations.

Plast Reconstr Surg 2022 Jan;149(1):107-115

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University; Section of Plastic Surgery, University of Michigan; Department of Plastic Surgery, University of Texas Southwestern Medical Center; Dallas Plastic Surgery Institute; Division of Plastic Surgery, Baylor College of Medicine; and Align Surgical Associates.

Summary: Iatrogenic jowling can be an unintended consequence of facial feminization surgery. Reduction of the mandible and chin without overlying changes to the soft tissue can lead to a redundant and deflated soft-tissue envelope, requiring a face lift to address jowling, cervicofacial laxity, and/or lower facial rhytids. Prospective quality-of-life outcomes data support this hypothesis, as patients who underwent mandible contouring with or without angle osteotomies were significantly more likely to express interest in face lift following facial feminization surgery on univariable analysis (90.0 percent versus 10.0 percent, p = 0.038). Patients with inherent skin laxity are at particularly high risk, such as those with advancing age, extrinsic skin damage (e.g., sun exposure, cigarette smoke), and history of massive weight loss. Before facial feminization surgery, the authors recommend comprehensive patient counseling that includes a discussion of the possible future need for a face lift, preferably around 1 year after facial feminization surgery. When performing a face lift after facial feminization surgery, technical considerations include those related to sequelae of prior facial surgery, anatomical differences between cismale and cisfemale facial soft tissue, and the mechanism of jowling after facial feminization surgery versus normal facial aging. The authors believe that these considerations can set more realistic expectations for facial feminization surgery patients, improve surgeons' ability to skillfully execute this procedure, and ultimately contribute to ongoing quality-of-life improvements in facial feminization surgery patients.
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http://dx.doi.org/10.1097/PRS.0000000000008654DOI Listing
January 2022

A Review of Venous Thromboembolism Risk Assessment and Prophylaxis in Plastic Surgery.

Plast Reconstr Surg 2022 Jan;149(1):121e-129e

From the Baylor College of Medicine, Division of Plastic Surgery; Dana-Farber/Boston Children's Cancer and Blood Disorders Center, Harvard Medical School; Memorial Plastic Surgery; and Dallas Plastic Surgery Institute.

Background: Venous thromboembolism is a significant cause of postoperative death and morbidity. While prophylactic and treatment regimens exist, they usually come with some risk of clinically relevant bleeding and, thus, must be considered carefully for each individual patient.

Methods: This special topic article represents a review of current evidence regarding venous thromboembolism risk, biology, and prevention in plastic surgery patients. The specific types and duration of available prophylaxis are also reviewed. The balance of venous thromboembolism risk must be weighed against the risk of hemorrhage.

Results: Though alternatives exist, the most validated risk assessment tool is the 2005 modification of the Caprini Risk Assessment Model. Controversies remain regarding recommendations for outpatient and low risk cosmetic patients. The authors additionally make recommendations for high-risk patients regarding the use of tranexamic acid, estrogen therapy, anesthesia, and prophylaxis regimens.

Conclusion: Our profession has made great strides in understanding the science behind venous thromboembolism, risk stratification for patients, and prophylactic regimens; yet, continued studies and definitive data are needed.
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http://dx.doi.org/10.1097/PRS.0000000000008663DOI Listing
January 2022

Soaring with Eagles.

Authors:
Rod J Rohrich

Plast Reconstr Surg 2021 12;148(6):1436-1438

From the Dallas Plastic Surgery Institute and Baylor College of Medicine.

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http://dx.doi.org/10.1097/PRS.0000000000008685DOI Listing
December 2021

Nasal Tip Shaping Finesse in Rhinoplasty.

Plast Reconstr Surg 2021 Dec;148(6):1278-1279

From the Dallas Plastic Surgery Institute; and Baylor College of Medicine.

Summary: Anatomic subtleties of the nasal tip have a dramatic impact on the overall appearance of the nose. Mastery of normal nasal aesthetics and anatomy is a critical prerequisite to adeptly performing nasal tip refinement during open rhinoplasty. This article and series of videos aim to provide a focused review of nasal tip analysis, anatomy, and surgical technique, with particular emphasis on pertinent tip sutures and cartilage grafts.
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http://dx.doi.org/10.1097/PRS.0000000000008594DOI Listing
December 2021

Introduction to "Science of Aging, Part 2".

Plast Reconstr Surg 2021 Dec;148(6S):5S-6S

From the McDaniel Institute of Aging Research; Old Dominion University Department of Biological Sciences; Hampton University Skin of Color Research Institute; School of Science, Hampton University; Skin Concept Munich; Baylor College of Medicine; and Dallas Plastic Surgery Institute.

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http://dx.doi.org/10.1097/PRS.0000000000008779DOI Listing
December 2021

The "Science of Aging, Part 2" Supplement.

Authors:
Rod J Rohrich

Plast Reconstr Surg 2021 12;148(6S):1S-2S

From the Editor-in-Chief, Plastic and Reconstructive Surgery.

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http://dx.doi.org/10.1097/PRS.0000000000008777DOI Listing
December 2021

How to Host a Virtual Educational Conference.

Plast Reconstr Surg 2021 12;148(6):1401-1406

From the Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School; and Dallas Plastic Surgery Institute.

Summary: Virtual education is a promising tool for expanding surgical training and continuing education. The authors present their preferred platforms for virtual surgical education, and discuss security and privacy concerns. Maintaining communication and keeping sessions engaging require special consideration when education is done virtually. The limitations to virtual education may soon be mitigated by new technologies. In this article, the authors aim to describe the benefits, current modalities, tips for use, and future directions for virtual education as it pertains to plastic surgeons and trainees during the current coronavirus pandemic.
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http://dx.doi.org/10.1097/PRS.0000000000008571DOI Listing
December 2021

Residency and Fellowship in Plastic and Reconstructive Surgery: In the Literature and Community Engagement.

Plast Reconstr Surg 2021 11;148(5):1159-1163

From the Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health; Section of Plastic and Reconstructive Surgery, Department of Surgery, University of Kentucky; Division of Plastic and Reconstructive Surgery, Department of Surgery, Duke University; Orlando Plastic Surgery Institute; Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center; Department of Plastic Surgery, Erie County Medical Center, University at Buffalo School of Medicine and Biomedical Sciences; private practice; and Dallas Plastic Surgery Institute.

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http://dx.doi.org/10.1097/PRS.0000000000008497DOI Listing
November 2021

Why Primary Rhinoplasty Fails.

Plast Reconstr Surg 2021 Nov;148(5):1021-1027

From the Dallas Plastic Surgery Institute.

Summary: Rhinoplasty remains one of the most challenging operations performed by plastic surgeons. The complexity lies in the ability to have a consistent and predictable aesthetic result. The unpredictability is mainly attributable to the interplay of manipulated internal structures and wound healing dynamics. In addition, setting realistic expectations with the patient is essential for achieving high postoperative patient satisfaction. An open rhinoplasty approach enables an accurate and in-depth evaluation and intervention. The authors provide a detailed analysis and discussion on why primary rhinoplasty fails, along with the surgical approach for preventing these failures.
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http://dx.doi.org/10.1097/PRS.0000000000008494DOI Listing
November 2021

How to Keep Your Cervical Spine Safe for Your Entire Career.

Plast Reconstr Surg 2021 11;148(5S):137S-139S

From the Dallas Plastic Surgery Institute and the Institute of Aesthetic Medicine.

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http://dx.doi.org/10.1097/01.prs.0000798060.28047.17DOI Listing
November 2021

Millennial Leaders: Ready or Not, Here They Come.

Plast Reconstr Surg 2021 11;148(5S):130S-136S

From the Dallas Plastic Surgery Institute; and the Division of Plastic Surgery, Baylor Scott & White Health.

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http://dx.doi.org/10.1097/01.prs.0000794948.37642.3eDOI Listing
November 2021

Mentors, Leaders, and Role Models: Same or Different?

Plast Reconstr Surg 2021 11;148(5S):127S-129S

From the Dallas Plastic Surgery Institute and Careaga Plastic Surgery.

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http://dx.doi.org/10.1097/01.prs.0000794944.64228.3aDOI Listing
November 2021

Social Media in Plastic Surgery: The Future Is Now?

Plast Reconstr Surg 2021 11;148(5S):125S-126S

From the Dallas Plastic Surgery Institute and the Division of Plastic Surgery, Baylor College of Medicine.

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http://dx.doi.org/10.1097/01.prs.0000794940.66507.3fDOI Listing
November 2021

My Mother: A Lifetime Role Model.

Authors:
Rod J Rohrich

Plast Reconstr Surg 2021 11;148(5S):123S-124S

From the Dallas Plastic Surgery Institute.

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http://dx.doi.org/10.1097/01.prs.0000794936.76439.8bDOI Listing
November 2021
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