Dr Sarwer is the Associate Dean for Research and Director of the Center for Obesity Research and Education, College of Public Health, Temple University, Philadelphia, PA.
Dr Jabbour is a Resident, Dr Makhoul is an Attending, Dr Levan is the Program Director, and Dr Schmitt is an Attending, Department of Plastic and Reconstructive Surgery, Groupe Hospitalier Paris Saint-Joseph, Paris, France. Dr Awaida is a Resident and Dr Nasr is an Assistant Professor, Department of Plastic and Reconstructive Surgery, Faculty of Medicine Saint-Joseph University Hotel Dieu de France Hospital, Beirut, Lebanon.
Dr Pessa is an Associate Clinical Professor and Dr Kenkel is the Chairman, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Dr Kenkel is also the Associate Editor of Aesthetic Surgery Journal. Dr Heldermon is an Assistant Professor of Medicine, Division of Hematology and Oncology, The University of Florida College of Medicine, Gainesville, FL.
Mr Arshad and Ms Roberts are Research Associates, UCL Centre for the Advancement of Sustainable Medical Innovation, University of Oxford, Oxford, UK; Ms Halioua-Haubold is an Undergraduate Student, University of Texas, Austin, TX, USA; Dr Urso-Baiarda is a Consultant Plastic Surgeon, Heatherwood Hospital, London, UK; Dr Branford is a Consultant Plastic Surgeon, The Royal Marsden NHS Foundation Trust, London, UK; Dr Brindley is a Research Fellow, Department of Pediatrics, University of Oxford, Oxford, UK; Dr Davies is an Orthopedic Surgery Registrar, Division of Trauma and Orthopaedic Surgery, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK and Dr Pettitt is a Research Associate, Department of Pediatrics, University of Oxford, Oxford, UK.
Background: Adipose tissue, which can be readily harvested via a number of liposuction techniques, offers an easily accessible and abundant source of adipose-derived stem cells (ASCs). Consequently, ASCs have become an increasingly popular reconstructive option and a novel means of aesthetic soft tissue augmentation.
Objectives: This paper examines recent advances in the aesthetic surgery field, extending beyond traditional review formats to incorporate a comprehensive analysis of current clinical trials, adoption status, and the commercialization pathway. Read More
Dr Heidekrueger is a Resident and Dr Broer is an Attending, Department for Plastic, Reconstructive, Hand, and Burn Surgery, StKM - Klinikum Bogenhausen, Academic Teaching Hospital, Technical University Munich, Munich, Germany. Dr Sinno is a Fellow, Department of Plastic Surgery, New York University Medical Center, New York, NY, USA. Dr Hidalgo is the Chief, Division of Plastic Surgery, Weill Cornell Medical College, New York, NY, USA. Dr Colombo is a plastic surgeon in private practice in Buenos Aires, Argentina.
Background: Breast augmentation surgery remains the most frequently performed aesthetic surgical procedure worldwide. However, many variations exist regarding preoperative planning, surgical management, and postoperative care.
Objectives: The goal was to evaluate current trends and practices in breast augmentation, with a focus on international variability. Read More
Ms Shank is a Medical Student, Tulane University School of Medicine, New Orleans, LA. Dr Tan is a Resident, Division of Plastic and Reconstructive Surgery, Tulane University, New Orleans, LA. Dr Khoobehi is a Plastic Surgeon and Clinical Professor, Division of Plastic and Reconstructive Surgery, Louisiana State University, New Orleans, LA.
Dr Tas is an Assistant Professor, Department of Plastic, Reconstructive and Aesthetic Surgery, Istanbul Kemerburgaz University, Istanbul, Turkey. Dr Celik is a plastic surgeon in private practice in Istanbul, Turkey.
From the Department of Plastic and Reconstructive Surgery, Johns Hopkins University School of Medicine, Baltimore, MD. Dr Klatsky is Editor Emeritus of Aesthetic Surgery Journal.
Drs Huang, Xie, Wang, Zhou, and Zhao are Plastic Surgeons, and Dr Li is a Professor, Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China. Dr Herrler is an Attending Surgeon, Plastic Surgery and Burn Center, Trauma Center Murnau, Murnau, Germany. Dr Pu is a Professor of Plastic Surgery, Division of Plastic Surgery, University of California, Davis, Sacramento, CA, USA.
Background: Low satisfaction rates and severe complications are two major limitations for temporal hollowing augmentation using autologous fat grafting. Despite fat compartments in temporal region have been reported, its clinical applied anatomy for fat grafting have not been the subject of studies that show its benefits objectively and statistically.
Objectives: To investigate temporal fat compartments and relative neurovascular structures in cadavers, developing a safe and effective fat grafting technique for temporal hollowing augmentation. Read More
Dr Choi is a Researcher and Dr Park is a Professor, Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea. Dr Kim is a Senior Researcher, Center for Bionics, Korea Institute of Science and Technology, Seoul, Republic of Korea.
Background: The convergence of three-dimensional (3D) simulation, tissue engineering, and 3D printing technology is creating a paradigm shift in plastic surgery. In augmentation rhinoplasty, determining the ideal material and design method has been a critical issue for many years. Thus, these technologies are expected to make important contributions to augmentation rhinoplasty. Read More
Background: In part 1 of this study it was shown that liposuctioned fat could be a sufficient source of autologous collagen for use as a filler or in reconstruction. The collagen composition in liposuctioned fat was shown to form a cross-linked helical matrix composed of types II, III, and IV. Additionally, viable adipocytes and fibroblasts among other cells were found. Read More
Dr Thoma is a Clinical Professor, Division of Plastic Surgery, Department of Surgery; Associate Member, Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada; and Evidence-Based Medicine Section Co-editor for Aesthetic Surgery Journal. Dr Eaves is a Professor of Surgery, Division of Plastic Surgery, Emory University; Medical Director of the Emory Aesthetic Center and Emory Ambulatory Surgery Center, Atlanta, GA, USA; and Evidence-Based Medicine Section Co-editor for Aesthetic Surgery Journal.
Background: Autologous collagen is an ideal soft tissue filler and may serve as a matrix for stem cell implantation and growth. Procurement of autologous collagen has been limited, though, secondary to a sufficient source. Liposuction is a widely performed and could be a source of autologous collagen. Read More
Dr Oates is a cosmetic surgeon in private practice in Perth, Western Australia, Australia. Dr Sharp is a Clinical Psychology PhD Graduate and Clinical Psychologist Registrar, Flinders University, Adelaide, South Australia, Australia.
Penile augmentation is increasingly sought by men who are dissatisfied with the size and/or appearance of their penis. However, augmentation procedures are still considered to be highly controversial with no standardized recommendations reported in the medical literature and limited outcome data. Nevertheless, these procedures continue to be performed in increasing numbers in private settings. Read More
Dr Wall is a Plastic Surgeon in private practice, and an Assistant Clinical Professor, Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX; and an Assistant Clinical Professor, Division of Plastic Surgery, LSU Health Sciences Center at Shreveport, Shreveport, LA. Dr Del Vecchio is a plastic surgeon in private practice in Boston, MA.
Dr Ardehali is a Consultant Plastic and Reconstructive Surgeon, St George's Hospital NHS Foundation Trust, London, United Kingdom. Dr Fiorentino is a Statistician and Research Fellow, Imperial College Trial Unit and Department of Surgery, Imperial College, London, United Kingdom.
Background: Seroma is the most common complication of abdominoplasty. Certain modifications to abdominoplasty may reduce the risk of seroma.
Objectives: The authors evaluated the incidence of seroma for 3 abdominoplasty techniques: preservation of Scarpa's fascia, placement of progressive tension (or quilting) sutures, and application of fibrin glue. Read More
Dr Losken is the William G. Hamm Professor of Plastic Surgery and Program Director, Division of Plastic and Reconstructive Surgery, Emory University, Atlanta, GA.
Drs Layliev and Kaoutzanis are Plastic Surgery Fellows, Mr. Kumar is a Medical Student, and Drs Gupta and Higdon are Assistant Professors, Department of Plastic Surgery, Vanderbilt University, Nashville, TN, USA. Dr Winocour is a Plastic Surgery Fellow, Division of Plastic Surgery, University of California Los Angeles (UCLA), Los Angeles, CA, USA. Dr Grotting is a Clinical Professor, Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA; and CME/MOC Section Editor for Aesthetic Surgery Journal.
Background: Rhinoplasty remains one of the most common aesthetic procedures performed in the United States. Current literature on rhinoplasty complications is inconclusive and is based on retrospective reviews and small cohorts.
Objectives: The purpose of this study was to examine the incidence and identify predictive risk factors for major complications following rhinoplasty alone or in combination with other aesthetic operations in a large, prospective, multicenter database study. Read More
Dr Jabbour is a Resident, Dr Levan is the Chairman, and Dr Noel is an Attending, Department of Plastic and Reconstructive Surgery, Saint-Joseph Hospital, Paris, France. Dr Kechichian is a Resident, Department of Dermatology, Faculty of Medicine Saint-Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon. Dr Hersant is an Attending, Department of Plastic, Reconstructive, and Maxillofacial Surgery, Henri Mondor, Creteil, France. Dr Hachem is an Assistant Professor, Department of Obstetrics and Gynecology, Lebanese American University Medical Center, Beirut, Lebanon. Dr Nasr is Program Director and an Assistant Professor, Department of Plastic and Reconstructive Surgery, Faculty of Medicine Saint-Joseph University, Hotel Dieu de France Hospital, Beirut, Lebanon.
From the Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Dr Kenkel is the Associate Editor of Aesthetic Surgery Journal.
Drs Kaoutzanis, Winocour, Layliev, and Ramirez are Plastic Surgery Fellows, and Drs Gupta and Higdon are Assistant Professors, Department of Plastic Surgery, Vanderbilt University, Nashville, TN. Dr Grotting is a Clinical Professor, Division of Plastic Surgery, University of Alabama, Birmingham, AL; and CME/MOC Section Editor for Aesthetic Surgery Journal.
Background: Liposuction is among the most commonly performed aesthetic procedures, and is being performed increasingly as an adjunct to other procedures.
Objectives: To report the incidence and risk factors of significant complications after liposuction, and to determine whether adding liposuction to other cosmetic surgical procedures impacts the complication risk.
Methods: A prospective cohort of patients who underwent liposuction between 2008 and 2013 was identified from the CosmetAssure database. Read More
Dr Kadin is a Professor of Dermatology, Boston University School of Medicine, Boston, MA; and a Staff Physician, Roger Williams Medical Center, Providence, RI. Dr Morgan is Director of the Research Core Facility and Mr Xu is a Research Assistant, Roger Williams Medical Center, Providence, RI. Dr Glicksman is a Plastic Surgeon, Jersey Shore University Medical Center, Neptune, NJ.
Dr Clemens is an Associate Professor, Department of Plastic Surgery, the University of Texas M.D. Anderson Cancer Center, Houston, TX; and is Breast Section Co-editor for Aesthetic Surgery Journal. Dr Miranda is a Professor, Department of Hematopathology, the University of Texas MD Anderson Cancer Center, Houston, TX.
Background: Deformities and excess skin resulting from massive weight loss are corrected with circumferential lower body lift (LBL). The gluteal area is frequently flattened due to aggressive skin excision during LBL. Gluteal implants can circumvent this problem. Read More
Dr Yeslev is a Plastic and Reconstructive Surgeon, Department of Plastic Surgery, The South Permanente Medical Group, Atlanta, GA. Drs Gupta and Higdon are Assistant Professors, Department of Plastic Surgery, Vanderbilt University, Vanderbilt, TN. Dr Winocour is a Microvascular Fellow, Department of Surgery, Division of Plastic Surgery, University of California, Los Angeles, Los Angeles, CA. Dr Shack is a Professor and Dean of Medicine, and Senior Vice President of the Erlanger Heath System, the University of Tennessee at Chattanooga, Chattanooga, TN. Dr Grotting is a Clinical Professor, Division of Plastic Surgery, University of Alabama at Birmingham, Birmingham, AL; and CME/MOC Section Editor for Aesthetic Surgery Journal.
Background: Limited surgical literature currently exists that evaluates postoperative complications after cosmetic surgery in adolescents.
Objectives: The purpose of this study was to determine the incidence of major postoperative complications in adolescent patients undergoing cosmetic surgery and compare their complication rates to older patients.
Methods: A prospective cohort of patients undergoing cosmetic surgical procedures between 2008 and 2013 was identified from the CosmetAssure database. Read More
Dr Sasaki is a Clinical Professor, Loma Linda Medical University, Loma Linda, CA. Ms Abelev and Ms Papadopoulos are registered nurses in a plastic surgery private practice in Pasadena, CA.
Background: Microfocused ultrasound with visualization (MFU-V) has become a safe and effective means to tighten skin and subdermal structures by optimizing the amount of joule energy and treatment tissue planes for improved customization for the individual patient. To date, there have been an absence of split treatments to verify algorithms.
Objectives: The aims of this institutional review board-approved investigation and clinical experience were to clarify the safety and efficacy of current treatment guidelines. Read More
Drs Kaoutzanis, Sarosiek, Wormer, and Tokin are Residents, Mr Ganesh Kumar is a Medical Student, and Dr Higdon is an Assistant Professor, Department of Plastic Surgery, Vanderbilt University, Nashville, TN. Dr Winocour is a Microvascular Fellow, Department of Surgery, Division of Plastic Surgery, University of California, Los Angeles, Los Angeles, CA. Dr Gupta is a plastic surgeon in private practice in Duluth, GA. Dr Grotting is a Clinical Professor, Division of Plastic Surgery, University of Alabama, Birmingham, AL; and CME/MOC Section Editor for Aesthetic Surgery Journal.
Background: Postoperative hematomas are one of the most frequent complications following aesthetic surgery. Identifying risk factors for hematoma has been limited by underpowered studies from single institution experiences.
Objectives: To examine the incidence and identify independent risk factors for postoperative hematomas following cosmetic surgery utilizing a prospective, multicenter database. Read More
Dr Sieber is a plastic surgeon in private practice in San Francisco, CA. Dr Roostaeian is an Assistant Clinical Professor, Division of Plastic Surgery, UCLA David Geffen School of Medicine, Los Angeles, CA.
A systematic review of the published literature (from January 2000 to January 2016) to ascertain the safety of, and patient satisfaction with, the aesthetic use of abobotulinumtoxinA was conducted. In addition to the licensed indications, other special populations were considered for discussion. The potential impact of neutralizing antibodies and systemic toxicity were also addressed. Read More
BotulinumtoxinA (BoNT-A) is now widely established for the main approved indication of reducing glabellar lines, and is also widely used off-label to improve the appearance of wrinkles and lines in other parts of the face. The number of aesthetic procedures continues to increase as the patient population becomes more diverse, in particular with increasing numbers of people of color and men. Further developments in treatment may continue to expand the audience for BoNT-A by making procedures more comfortable and by delivering a more natural, less static appearance. Read More
Botulinum toxin (BoNT) has been approved for aesthetic use since 2002. Since then, clinical studies and expert use have informed our understanding of how BoNT exerts its clinical effect and the practical use of this product across a number of aesthetic applications. This review discusses the clinical properties and characteristics of abobotulinumtoxinA, which patients are suitable for its use, and how it can be utilized to treat facial rhytides. Read More
During the late 1960s and early 1970s, Alan Scott showed that intramuscular injections of botulinum toxin (BoNT) corrected nonaccommodative strabismus without resorting to surgery. The UK doctors who trained with Scott soon realized the significant potential offered by BoNT type A as a therapeutic option for several difficult-to-treat diseases. This led to a collaboration between these pioneering clinicians and the Centre for Applied Microbiology and Research at Porton Down, United Kingdom, and, in turn, to the development and commercialization of abobotulinumtoxinA as Dysport (Dystonia/Porton Down; Ipsen Biopharm Ltd. Read More
Time to onset of response and duration of response are key measures of botulinum toxin efficacy that have a considerable influence on patient satisfaction with aesthetic treatment. However, there is no overall accepted definition of efficacy for aesthetic uses of botulinumtoxinA (BoNT-A). Mechanical methods of assessment do not lend themselves to clinical practice and clinicians rely instead on assessment scales such as the Frontalis Activity Measurement Standard, Frontalis Rating Scale, Wrinkle Severity Scale, and Subject Global Assessment Scale, but not all of these have been fully validated. Read More
Background: Direct-to-implant (DTI) and tissue expander/implant (TE/I) reconstructions are the most common implant-based reconstructions after nipple-sparing mastectomy (NSM). However, there are little data beyond complication rates comparing these options. Fat grafting has emerged as an adjunct in NSM reconstructions to improve aesthetic results; however, its impact on patient perceptions of aesthetic outcomes remain unknown. Read More
Dr Mofid is an Associate Clinical Professor of Plastic Surgery (Voluntary), University of California, San Diego (UCSD), San Diego, CA; and is Chairman of the ASERF Gluteal Fat Grafting Task Force. Dr Teitelbaum is an Associate Clinical Professor (Voluntary), David Geffen School of Medicine at the University of California, Los Angeles (UCLA), Los Angeles, CA; and is President of ASERF. Dr Suissa is a plastic surgeon in private practice in Los Angeles, CA. Dr Ramirez-Montañana is a plastic surgeon in private practice in Monterey, Mexico. Dr Astarita is a Surgical Consultant, Department of Medical Examiner-Coroner, County of Los Angeles, CA. Dr Mendieta is a plastic surgeon in private practice in Miami, FL. Dr Singer is a Clinical Professor of Plastic Surgery (Voluntary), UCSD, San Diego, CA; and is a Past President of ASERF.
Background: Gluteal fat grafting is among the fastest growing aesthetic procedures in the United States and around the world. Given numerous anecdotal and published reports of fatal and nonfatal pulmonary fat embolism resulting from this procedure, the Aesthetic Surgery Education and Research Foundation (ASERF) formed a Task Force to study this complication.
Objectives: To determine the incidence of fatal and nonfatal pulmonary fat embolism associated with gluteal fat grafting and provide recommendations to decrease the risks of the procedure. Read More