2,735 results match your criteria Clinics in Plastic Surgery[Journal]


Pediatric Craniofacial Surgery: State of the Craft.

Clin Plast Surg 2019 04 8;46(2):xiii. Epub 2019 Jan 8.

Division of Plastic Surgery, Texas Children's Hospital, Baylor College of Medicine, 6701 Fannin Street, Suite 610.00, Houston, TX 77030, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cps.2018.12.002DOI Listing

Pediatric Craniomaxillofacial Oncologic Reconstruction.

Clin Plast Surg 2019 Apr 30;46(2):261-273. Epub 2019 Jan 30.

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, 6701 Fannin Street, CC 610.00, Houston, TX 77030, USA. Electronic address:

Reconstruction of defects of the head and face in the pediatric population requires special consideration for future growth, and at times temporization in anticipation for skeletal maturity followed by subsequent reoperation at an appropriate age. Additional challenges include more limited donor sites, smaller anastomoses, and unpredictable postoperative compliance compared with their adult counterparts. Nonetheless, successful composite bony and soft tissue, and isolated soft tissue defects in children are safely reconstructed using existing local tissue and microsurgical techniques. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.011DOI Listing
April 2019
3 Reads

Pierre Robin Sequence.

Clin Plast Surg 2019 Apr 8;46(2):249-259. Epub 2019 Feb 8.

Pediatric Plastic Surgery, Craniofacial Program, Rhode Island Hospital, The Warren Alpert Medical School of Brown University, 2 Dudley Street, Suite 180, Providence, RI 02905, USA. Electronic address:

Pierre Robin sequence consists of clinical triad of micrognathia, glossoptosis, and airway compromise with variable inclusion of cleft palate. Evaluation of airway obstruction includes physical examination, polysomnography for obstruction events, and a combination of nasoendoscopy and bronchoscopy to search for synchronous obstructive lesions. A multidisciplinary approach is required given the high rate of syndromic disease. Read More

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April 2019
7 Reads

Pediatric Facial Trauma.

Clin Plast Surg 2019 Apr 2;46(2):239-247. Epub 2019 Feb 2.

Hagey Laboratory for Pediatric Regenerative Medicine, Division of Plastic Surgery, Department of Surgery, School of Medicine, Stanford University, 257 Campus Drive, Stanford, CA 94305, USA; Division of Plastic Surgery, Department of Surgery, School of Medicine, Stanford University, 770 Welch Road, Suite 400, Stanford, CA 94305, USA. Electronic address:

Pediatric facial fracture management is often complex and demanding. The structure and topography of the pediatric craniofacial skeleton are profoundly different from the mature skull. Consequently, the pediatric facial skeleton responds differently to traumatic force. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.008DOI Listing
April 2019
1 Read

Parry Romberg Syndrome.

Clin Plast Surg 2019 Apr 9;46(2):231-237. Epub 2019 Jan 9.

Division of Plastic Surgery, Baylor College of Medicine, 6701 Fannin Street, Houston, TX 77030. Electronic address:

Parry-Romberg syndrome, or progressive hemifacial atrophy, is a rare disorder of unknown etiology. Patients present with unilateral atrophy of skin that may progress to involve underlying fat, muscle, and osseocartilaginous structures. Neurologic complications are common. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.007DOI Listing

Porous Polyethylene Ear Reconstruction.

Clin Plast Surg 2019 Apr 28;46(2):223-230. Epub 2018 Dec 28.

Craniofacial and Pediatric Plastic Surgery, Cedars Sinai Medical Center, 250 N. Robertson Boulevard, Suite 506, Beverly Hills, CA, 90211.

The use of a porous polyethylene implant covered with a well-vascularized fascial flap allows ear reconstruction at an early age (before school) with minimal morbidity and psychological trauma. Excellent outcomes with minimal morbidity can be obtained using this technique. This type of microtia reconstruction provides a more holistic approach because it is done at a younger age, in a single stage, as an outpatient and could address the functional hearing issues earlier. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.006DOI Listing
April 2019
2 Reads

Craniofacial Microsomia.

Clin Plast Surg 2019 Apr;46(2):207-221

Craniofacial Pediatrics, Seattle Children's Hospital, 4800 Sand Point Way, M/S OB.9.528, PO Box 5371, Seattle, WA 98105, USA.

Clinicians use different diagnostic terms for patients with underdevelopment of facial features arising from the embryonic first and second pharyngeal arches, including first and second branchial arch syndrome, otomandibular dysostosis, oculoauriculovertebral syndrome, and hemifacial microsomia. Craniofacial microsomia has become the preferred term. Although no diagnostic criteria for craniofacial microsomia exist, most patients have a degree of underdevelopment of the mandible, maxilla, ear, orbit, facial soft tissue, and/or facial nerve. Read More

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http://dx.doi.org/10.1016/j.cps.2018.12.001DOI Listing
April 2019
2 Reads

Treacher Collins Syndrome.

Clin Plast Surg 2019 Apr 30;46(2):197-205. Epub 2019 Jan 30.

H.B. Williams Craniofacial and Cleft Surgery Unit, Montreal Children's Hospital, Division of Plastic and Reconstructive Surgery, McGill University Health Center, 1001 Decarie Boulevard, B05.3310, Montreal, Quebec H4A 3J1, Canada. Electronic address:

Treacher Collins syndrome is a rare genetic disorder of craniofacial development with a highly variable phenotype. The disorder displays an intricate underlying dysmorphology. Affected patients may suffer life-threatening airway complications and functional difficulties involving sight, hearing, speech, and feeding. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.005DOI Listing

State-of-the-Art Hypertelorism Management.

Clin Plast Surg 2019 Apr 9;46(2):185-195. Epub 2019 Jan 9.

Division of Plastic Surgery, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104, USA. Electronic address:

Orbital hypertelorism represents lateralization of the orbits, meaning increased interorbital and outer orbital distances. Interorbital hypertelorism represents a failure of medial orbital wall medialization in the setting of normally positioned lateral orbital walls. The etiology and type of hypertelorism influence selection of an operative procedure, whereas the severity of deformity dictates surgical need. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.004DOI Listing

Pediatric Cranioplasty.

Clin Plast Surg 2019 Apr 2;46(2):173-183. Epub 2019 Jan 2.

Department of Plastic Surgery, Children's Hospital of Pittsburgh of University of Pittsburgh Medical Center, One Children's Hospital Drive, 4401 Penn Avenue, Faculty Pavilion, Floor 7, Pittsburgh, PA 15224, USA. Electronic address:

Historically, the approach to pediatric cranioplasty has been largely extrapolated from the treatment of adults. More recently, however, the intricacies of pediatric cranial reconstruction have become better understood, and the surgical management has been refined contemporaneously. Each patient's cranial defect bears a unique set of challenges and, as such, the choice of cranioplasty technique must be tailored accordingly. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.003DOI Listing

Orthognathic Surgery for Patients with Cleft Lip and Palate.

Clin Plast Surg 2019 Apr 6;46(2):157-171. Epub 2019 Feb 6.

Division of Plastic and Reconstructive Surgery, University of Toronto, Hospital for Sick Children, 555 University Avenue, Toronto, Ontario M5G 1X8, Canada. Electronic address:

Cleft orthognathic surgery is an important component of a comprehensive cleft care plan. Applying combined orthodontic and orthognathic treatment principles to a cohort of patients with cleft lip and palate raises many challenges not encountered in conventional orthognathic care. Cleft patients share a commonality in their midfacial anatomy that is characterized by a 3-dimensionally deficient maxilla. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.002DOI Listing

Syndromic Craniosynostosis.

Clin Plast Surg 2019 Apr;46(2):141-155

Section of Plastic and Reconstructive Surgery, Oral and Maxillofacial Surgery, Department of Surgery, Yale-New Haven Hospital, Yale University, 330 Cedar Street, Boardman Building, 3rd Floor, New Haven, CT 06511, USA. Electronic address:

Management strategies for syndromic craniosynostosis patients require multidisciplinary subspecialty teams to provide optimal care for complex reconstructive approaches. The most common craniosynostosis syndromes include Apert (FGFR2), Crouzon (FGFR2), Muenke (FGFR3), Pfeiffer (FGFR1 and FGFR2), and Saethre-Chotzen (TWIST). Bicoronal craniosynostosis (turribrachycephaly) is most commonly associated with syndromic craniosynostosis. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.009DOI Listing
April 2019
2 Reads

Nonsyndromic Craniosynostosis.

Clin Plast Surg 2019 Apr 30;46(2):123-139. Epub 2019 Jan 30.

Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, 6701 Fannin Street, CC 610.00, Houston, TX 77030, USA. Electronic address:

Nonsyndromic craniosynostosis is significantly more common than syndromic craniosynostosis, affecting the sagittal, coronal, metopic, and lambdoid sutures in decreasing order of frequency. Nonsyndromic craniosynostosis is most frequently associated with only 1 fused suture, creating a predictable head shape. Repair of craniosynostosis is recommended to avoid potential neurodevelopmental delay. Read More

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http://dx.doi.org/10.1016/j.cps.2018.11.001DOI Listing
April 2019
2 Reads

Body Contouring After Massive Weight Loss.

Clin Plast Surg 2019 01 1;46(1):xi. Epub 2018 Oct 1.

University of Pittsburgh, 3380 Boulevard of the Allies, Suite 180, Pittsburgh, PA 15213, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cps.2018.09.001DOI Listing
January 2019
1 Read

Vertical Medial Thigh Contouring.

Authors:
Joseph Michaels

Clin Plast Surg 2019 Jan 22;46(1):91-103. Epub 2018 Oct 22.

Private Practice, Michaels Aesthetic & Reconstructive Plastic Surgery, 11404 Old Georgetown Road, Suite 206, North Bethesda, MD 20852, USA; Department of Plastic and Reconstructive Surgery, Johns Hopkins Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA. Electronic address:

Excess thigh laxity is a problem for many patients following significant weight loss. Thigh laxity has both vertical and horizontal components that require correction to optimize the aesthetic appearance of the thigh. The vertical vector is best corrected first with a lower body lift or extended abdominoplasty. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.014DOI Listing
January 2019
5 Reads

Patient Evaluation and Surgical Staging.

Clin Plast Surg 2019 Jan;46(1):9-14

Department of Plastic Surgery, Lenox Hill Hospital, Northwell Health System, 48 Chestnut Hill, Roslyn, NY 11576, USA.

Comprehensive evaluation of the massive-weight-loss patient is a key factor to minimize complications while optimizing surgical outcomes. Special attention is given to medical and weight loss history, nutritional status, and physical examination. Massive-weight-loss patients often present with multiple areas of concern and therefore benefit from staged procedures. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.002DOI Listing
January 2019
15 Reads

Arm Contouring in the Massive-Weight-Loss Patient.

Clin Plast Surg 2019 Jan 22;46(1):85-90. Epub 2018 Oct 22.

Division of Plastic and Reconstructive Surgery, University of Rochester Medical Center, 601 Elmwood Avenue, Box 661, Rochester, NY 14642, USA. Electronic address:

Brachioplasty is an increasingly popular procedure performed for improved arm contour in the massive-weight-loss population. There are challenging deformities presented in this population, such as redundant skin, posterior arm lipodystrophy, and loosening of fascial layers of the upper arm and chest wall that must be addressed to achieve successful contour of the arms. Common complications can be minimized with meticulous technique and knowledge of surgical anatomy. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.011DOI Listing
January 2019
21 Reads

Bra-Line Back Lift.

Clin Plast Surg 2019 Jan 22;46(1):77-84. Epub 2018 Oct 22.

Hunstad Kortesis Bharti Cosmetic Surgery, 11208 Statesville Road, #300, Huntersville, NC 28078, USA.

Upper back deformity caused by aging or fluctuations in weight are cosmetically and functionally unappealing to patients. Natural upper torso adherence zones create tether points that lead to horizontal and vertical laxity. Bra-line back lift is a versatile technique that can be used in any individual showing signs of redundant skin and adiposity. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.010DOI Listing
January 2019
12 Reads

Breast Reshaping After Massive Weight Loss.

Clin Plast Surg 2019 Jan 23;46(1):71-76. Epub 2018 Oct 23.

3550 Terrace Street, 6B Scaife Hall, Pittsburgh, PA 15261, USA. Electronic address:

The technique of dermal suspension, parenchymal reshaping mastopexy is a useful procedure for patients with massive weight loss with a typical presentation. The operation is tailored to the individual deformity, powerfully reshapes the breast, and can be safely combined with other commonly performed procedures. It is long-lasting and associated with minor complications that are easily treated in an office setting. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.009DOI Listing
January 2019
14 Reads

Buttock Lifting: The Golden Rules.

Clin Plast Surg 2019 Jan 22;46(1):61-70. Epub 2018 Oct 22.

Head of Scientific Council, IPSAC, 8 Quai Général Sarrail, Lyon 69006, France. Electronic address:

There are some precise rules to succeed with a buttock lift. The article begins with a reminder about the ideal buttock shape. It explains the different quality of skin that is essential to be aware of at the back part of the body. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.008DOI Listing
January 2019
4 Reads

Fleur-de-lis Abdominoplasty and Neo-umbilicus.

Clin Plast Surg 2019 Jan;46(1):49-60

Plastic Surgery Division, Botucatu Medical School, Paulista State University, Rua Tomaz Antonio Gonzaga, 160 Lins, São Paulo 16400-465, Brazil.

Body contouring for patients with massive weight loss may demand not only lifting but also some extent of central body tightening to achieve complete tissue readjustment. Although the fleur-de-lis procedure usually achieves nice contouring results, poor visible scars, including umbilical complications, have restricted the indications for the anterior vertical approach. The purpose of this article is to present the authors' experience with the inner scar umbilical reconstruction, enhancing overall results for vertical abdominoplasties. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.007DOI Listing
January 2019
21 Reads

Abdominal Contouring and Combining Procedures.

Clin Plast Surg 2019 Jan 24;46(1):41-48. Epub 2018 Oct 24.

Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Department of Plastic Surgery, Lenox Hill Hospital, New York, NY, USA.

The abdomen is the most common area of concern among patients with massive weight loss (MWL). Abdominal contouring techniques in the MWL population include panniculectomy, standard abdominoplasty, fleur-de-lis abdominoplasty, reverse abdominoplasty and various combinations of these techniques as part of circumferential procedures such as, circumferential abdominoplasty, and lower body lift. The authors believe that the optimal surgical approach to the abdomen is an integration of the patient aesthetic preferences and the surgeon assessment and experience. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.006DOI Listing
January 2019
3 Reads

Pain Management and Body Contouring.

Clin Plast Surg 2019 Jan;46(1):33-39

Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, PO Box 208062, New Haven, CT 06520-8062, USA. Electronic address:

Body contouring procedure is a catchall that includes mastopexy, abdominoplasty, liposuction, and lower body lift. It is well known that optimal postoperative pain control decreases hospitalization length of stay and promotes early ambulation, which in turn decreases the incidence of complications. There have been many innovations in pain control beyond opiate medications, including prolonged administration of local anesthesia, regional blocks, and the use of a multimodal regimen which utilizes nonopiates. Read More

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January 2019
16 Reads

Safety in Body Contouring to Avoid Complications.

Clin Plast Surg 2019 Jan 22;46(1):25-32. Epub 2018 Oct 22.

Department of Plastic and Reconstructive Surgery, Johns Hopkins University, 601 North Caroline street, Baltimore, MD 21287, USA. Electronic address:

Body contouring after weight loss is becoming more prevalent. An appropriate systematic approach that starts from the first consultation needs to focus on residual comorbidities and weight of the patient. A thorough discussion about potential outcomes manages expectations. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.004DOI Listing
January 2019
16 Reads

Patient-Reported Outcome Measures: BODY-Q.

Clin Plast Surg 2019 Jan;46(1):15-24

Department of Plastic and Reconstructive Surgery, Brigham and Women's Hospital, Harvard University, 75 Francis Street, Boston, MA 02115, USA. Electronic address:

Patient-reported outcome measures (PROMs) are questionnaires designed to measure outcomes of importance to patients from their perspective. The BODY-Q is a PROM designed to measure outcomes in weight loss and/or body contouring surgery. To develop the BODY-Q, a literature review, 63 patient interviews, 22 cognitive interviews, and input from 9 clinical experts were used to develop a conceptual framework that covers 3 broad domains: appearance concerns, health-related quality of life, and experience of care. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.003DOI Listing
January 2019
15 Reads

Common Complications and Management After Massive Weight Loss Patient Safety in Plastic Surgery.

Clin Plast Surg 2019 Jan 22;46(1):115-122. Epub 2018 Oct 22.

Department of Plastic Surgery, University of Pittsburgh, 3380 Boulevard of the Allies, Suite 180, Pittsburgh, PA 15213, USA. Electronic address:

This article discusses strategies to prevent and manage the most common complications seen in body contouring surgery. General approaches to avoidance and treatment of these complications are addressed, including wound dehiscence, delayed wound healing, seroma, hematoma, infections of the surgical or remote sites, lymphedema, suture extrusion, and fat necrosis. Procedure-specific complications and pearls to avoiding complications in these cases are presented. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.013DOI Listing
January 2019
22 Reads

Face and Neck Lifting After Weight Loss.

Clin Plast Surg 2019 Jan 23;46(1):105-114. Epub 2018 Oct 23.

Department of Plastic Surgery, Dermatology and Plastic Surgery Institute, Cleveland Clinic, 9500 Euclid Avenue, A60, Cleveland, OH 44195, USA.

After massive weight loss, deflation of the tissues and loss of skin elasticity in the face and neck can result in the appearance of accelerated facial aging. Surgical facial rejuvenation can be successfully performed with several modifications. Proper preoperative counseling and expectation management regarding staged or ancillary procedures is recommended. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.012DOI Listing
January 2019
27 Reads

The Obesity Epidemic and Bariatric Trends.

Clin Plast Surg 2019 Jan;46(1):1-7

Department of Plastic Surgery, University of Pittsburgh, 3380 Boulevard of the Allies, Suite 180, Pittsburgh, PA 15213, USA. Electronic address:

The United States has experienced a significant increase in obesity over the past several decades, including a substantial increase in obesity-related comorbidities, such as type 2 diabetes, hypertension, heart disease, and obstructive sleep apnea. With obesity reaching epidemic proportions, there has been an increasing need for surgical intervention as a treatment option. Bariatric procedures have not only contributed to the significant weight loss a patient may experience but they have also had a profound effect on the decrease of weight-related comorbidities. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.001DOI Listing
January 2019
20 Reads

Lower Facial Rejuvenation.

Clin Plast Surg 2018 10;45(4):ix-x

Department of Otolaryngology-, Head and Neck Surgery, Johns Hopkins School of Medicine, 10751 Falls Road, Suite 406, Lutherville, MD 21093, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cps.2018.07.001DOI Listing
October 2018
6 Reads

Gender Reassignment: Feminization and Masculinization of the Neck.

Clin Plast Surg 2018 Oct 10;45(4):635-645. Epub 2018 Aug 10.

Division of Plastic, Reconstructive, Aesthetic and Transgender Surgery, Department of Surgery, LGBTQ Center for Wellness, Gender and Sexual Health, University of Miami Hospital, Jackson Memorial Hospital, 1120 Northwest 14th Street, Miami, FL 33136, USA.

Facial stigmata associated with one's assigned gender can be very distressing for the gender dysphoric patient. The lower face and neck contain several structures that play a significant role in their ability to "pass" as their desired gender. Clinical recognition and modification of these structures will allow the patient to have facial and neck features that are consistent with their desired gender. Read More

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http://dx.doi.org/10.1016/j.cps.2018.06.006DOI Listing
October 2018
19 Reads

The Avoidance and Management of Complications, and Revision Surgery of the Lower Face and Neck.

Authors:
Fred G Fedok

Clin Plast Surg 2018 Oct 10;45(4):623-634. Epub 2018 Aug 10.

Facial Plastic and Reconstructive Surgery, Fedok Plastic Surgery, 113 East Fern Avenue, Foley, AL 36535, USA. Electronic address:

Complications are an inherent occurrence in surgery. In rhytidectomy, many complications are avoidable with thorough preoperative assessment and optimal intraoperative and postoperative care. Nevertheless, complications do occur. Read More

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October 2018
20 Reads

Difficult Necks and Unresolved Problems in Neck Rejuvenation.

Clin Plast Surg 2018 Oct 10;45(4):611-622. Epub 2018 Aug 10.

Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, 601 North Caroline Street, 6th Floor, Baltimore, MD 21287, USA; Facial Plastic Surgicenter, 1838 Greene Tree Road, Suite 370, Baltimore, MD 21208, USA. Electronic address:

Neck rejuvenation attempts to correct the unattractive features that result from the process of facial aging. The aesthetic goals of surgery include creating a well-defined jaw contour, optimal cervicomental angle, smooth-appearing skin, and a healthy redistribution of soft tissue volume. Unique patient characteristics create inherent challenges that may limit the degree to which improvement can be made. Read More

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October 2018
6 Reads

Surgical and Nonsurgical Perioral/Lip Rejuvenation: Beyond Volume Restoration.

Clin Plast Surg 2018 Oct 10;45(4):601-609. Epub 2018 Aug 10.

Indiana University School of Medicine, 1130 West Michigan Street, Indianapolis, IN 46202, USA. Electronic address:

Lip rejuvenation options have evolved from surgical augmentation with plastic to far more natural options to include fat, tissues, resurfacing, and surgical manipulation of lip borders and contour. An overview of different options contrasts the risks, benefits, costs, and results between available surgical options. The ideal treatment varies from patient to patient, but optimally incorporates numerous simultaneous procedures. Read More

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http://dx.doi.org/10.1016/j.cps.2018.06.008DOI Listing
October 2018
14 Reads

Short Scar Neck Lift: Neck Lift Using a Submental Incision Only.

Clin Plast Surg 2018 Oct;45(4):585-600

Marten Clinic of Plastic Surgery, 450 Sutter Street Suite 2222, San Francisco, CA 94108, USA.

For a subset of patients poor neck contour exists as a largely isolated problem and can be treated with a short scar neck lift procedure whereby no skin is removed. The procedure is performed through a submental incision without any removal of skin and relies on modification of deep-layer structures to improve neck contour. "Excess" skin is allowed to redistribute itself over the increased neck surface area created when deep-layer maneuvers are performed, neck contour is improved, and the cervicomental angle deepened. Read More

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http://dx.doi.org/10.1016/j.cps.2018.06.005DOI Listing
October 2018
9 Reads

Noninvasive Methods for Lower Facial Rejuvenation.

Clin Plast Surg 2018 Oct 31;45(4):571-584. Epub 2018 Jul 31.

Department of Plastic Surgery, Clinical Center for Cosmetic Laser Treatment, 1801 Inwood Road, Dallas, TX 75390-9132, USA.

Demand for noninvasive aesthetic medicine options is increasing because of the popularity of nonsurgical procedures and industry's focus on direct-to-consumer marketing. Such techniques as nonablative and ablative lasers, intense pulsed light, radiofrequency, high-intensity focused ultrasound, and skin care with peeling agents may also be used in conjunction with surgery to optimize overall aesthetic results. To maximize benefits, the provider must have a detailed understanding of the science behind each device. Read More

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http://dx.doi.org/10.1016/j.cps.2018.06.003DOI Listing
October 2018
30 Reads

Management of the Platysma in Neck Lift.

Clin Plast Surg 2018 Oct;45(4):555-570

Marten Clinic of Plastic Surgery, 450 Sutter Street, Suite 2222, San Francisco, CA 94108, USA.

Traditional techniques to treat platysma bands relied on corset tightening of the anterior platysma muscle borders or rigid suspension of the lateral platysma borders to sternocleidomastoid or periauricular fascia. Although results seemed good, recurrence was common and the ultimate outcome was poor. Despite modifications, they have largely failed, and for surgeons seeking to rejuvenate the face, treating platysma bands remains a most frustrating and perplexing problem in neck surgery. Read More

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http://dx.doi.org/10.1016/j.cps.2018.06.004DOI Listing
October 2018
28 Reads

Extended Deep Plane Facelift: Incorporating Facial Retaining Ligament Release and Composite Flap Shifts to Maximize Midface, Jawline and Neck Rejuvenation.

Clin Plast Surg 2018 Oct;45(4):527-554

New York Center for Facial Plastic and Laser Surgery, 630 Park Avenue, New York, NY 10065, USA.

This article describes our extended, deep plane facelift technique. This procedure releases 4 key retaining ligaments in the face and neck, the zygomatic cutaneous, masseteric cutaneous, mandibular cutaneous, and cervical retaining ligaments. Once released, the composite deep plane flap is repositioned to volumize the midface and gonial angle. Read More

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October 2018
34 Reads

Management of the Submandibular Gland in Neck Lifts: Indications, Techniques, Pearls, and Pitfalls.

Clin Plast Surg 2018 Oct 10;45(4):507-525. Epub 2018 Aug 10.

Clínica Auersvald de Cirurgia Plástica, Alameda Presidente Taunay, 1756, Curitiba, Paraná 80430-000, Brazil. Electronic address:

Neck contour deformities are common among patients who present for facial rejuvenation. A thorough physical examination and photographic analysis, including an upward view of the flexed neck, enable the surgeon to determine which structures should be treated. Common causes of neck concerns include hypertrophy of the subplatysmal fat, the anterior belly of the digastric muscle, and/or the submandibular salivary glands. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183004
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http://dx.doi.org/10.1016/j.cps.2018.06.001DOI Listing
October 2018
4 Reads

Reduction Neck Lift: The Importance of the Deep Structures of the Neck to the Successful Neck Lift.

Clin Plast Surg 2018 Oct 10;45(4):485-506. Epub 2018 Aug 10.

Clinica Gomez Bravo, Calle Claudio Coello 76, Madrid 28001, Spain. Electronic address:

A description of the deep structures of the neck that are responsible for submandibular fullness and a systematic surgical approach to reduce them are presented. The structures susceptible to surgical management include the subplatysmal fat, inter-sternocleidomastoid origin fat, anterior belly of the digastric muscle, hyoid bone, submandibular gland and the tail of the parotid gland. A thorough analysis of the key anatomic landmarks of the young and attractive neck is detailed in resting and dynamic positions. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183004
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http://dx.doi.org/10.1016/j.cps.2018.05.002DOI Listing
October 2018
12 Reads

Neck Lift: Defining Anatomic Problems and Choosing Appropriate Treatment Strategies.

Clin Plast Surg 2018 Oct;45(4):455-484

Marten Clinic of Plastic Surgery, 450 Sutter Street Suite 2222, San Francisco, CA 94108, USA.

Success or failure in treating the neck lies in the diagnosis of underlying problems and the application of a logical surgical plan. Although it is a commonly advocated practice, it is not enough to perform submental liposuction and tighten the skin in most patients, as such an approach ignores a number of anatomic problems present in many patients seeking neck improvement. Removing subcutaneous fat and tightening skin over these problems does not correct them, and the presence or absence of each must be looked for to create and apply an appropriate surgical plan. Read More

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http://dx.doi.org/10.1016/j.cps.2018.06.002DOI Listing
October 2018
2 Reads

Understanding Deep Neck Anatomy and Its Clinical Relevance.

Clin Plast Surg 2018 Oct 31;45(4):447-454. Epub 2018 Jul 31.

Department of Plastic Surgery, University of Louisville, Louisville, KY, USA. Electronic address:

In deep central necklift surgery, the first step to safely and effectively modify all of the relevant components is a thorough understanding of the nuances of the complex anatomic relationships and variations within the confined space of the deep central neck. There are anatomic variations that defy our traditional approaches to create the ideal neck in the aging patient as well as the young patient. This article concentrates on the surgically relevant anatomy of the deep central neck. Read More

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http://dx.doi.org/10.1016/j.cps.2018.06.011DOI Listing
October 2018
1 Read

Gender Surgery: A Truly Multidisciplinary Field.

Clin Plast Surg 2018 07;45(3):xiii

The Buncke Clinic, The San Francisco Transgender Institute, 45 Castro Street, Suite 121, San Francisco, CA 94114, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cps.2018.05.001DOI Listing
July 2018
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Sexual Function After Shallow and Full-Depth Vaginoplasty: Challenges, Clinical Findings, and Treatment Strategies- Urologic Perspectives.

Authors:
Maurice M Garcia

Clin Plast Surg 2018 Jul;45(3):437-446

Division of Urology, Academic Urology Practice, Cedars-Sinai Medical Center, 8631 West Third Street, Suite 1070 West, Los Angeles, CA 90048, USA; Department of Urology, University of California San Francisco, San Francisco, CA, USA; Department of Anatomy, University of California San Francisco, San Francisco, CA, USA. Electronic address:

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. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183003
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http://dx.doi.org/10.1016/j.cps.2018.04.002DOI Listing
July 2018
19 Reads

Urologic Complications After Phalloplasty or Metoidioplasty.

Clin Plast Surg 2018 Jul;45(3):425-435

Department of Urology, New York University School of Medicine, 50 East 32nd, Street, 2nd Floor, New York, NY 10016, USA.

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. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.013DOI Listing
July 2018
2 Reads

Phalloplasty Flap-Related Complication.

Clin Plast Surg 2018 Jul;45(3):415-424

Oregon Health & Science University, Mail Code L352A, 3181 Southwest Sam Jackson Park Road, Portland, OR 97239, USA. Electronic address:

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. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.017DOI Listing
July 2018
46 Reads

Penile Prostheses.

Clin Plast Surg 2018 Jul 1;45(3):407-414. Epub 2018 May 1.

Department of Experimental Medicine and Surgery, Urology Unit, Tor Vergata University of Rome, Via Montpellier 1, Rome 00133, Italy.

Phalloplasty represents the most complete genitoperineal transformation for trans men. Although voiding while standing is a priority for most trans men, most patients want to use the neophallus for sexual experience after they are accustomed to their new voiding abilities. Different techniques have been used to obtain rigidity in the neophallus, often resulting in complications and failure. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.012DOI Listing
July 2018
13 Reads

The Pedicled Anterolateral Thigh Phalloplasty.

Clin Plast Surg 2018 Jul 1;45(3):399-406. Epub 2018 May 1.

The Buncke Clinic, 45 Castro Street, Suite 121, San Francisco, CA 94114, USA; Adjunct Clinical Faculty, Division of Plastic and Reconstructive Surgery, Stanford University, Stanford, CA, USA; American Society of Gender Surgeons. Electronic address:

The anterolateral thigh (ALT) flap is a viable and reliable option for phalloplasty. The primary advantages of the ALT flap remain an inconspicuous donor site and flexibility in phallus length. The disadvantages of the ALT flap are a higher incidence of both flap and urethral complications compared with a radial forearm phalloplasty. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183002
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http://dx.doi.org/10.1016/j.cps.2018.03.011DOI Listing
July 2018
6 Reads

Radial Forearm.

Clin Plast Surg 2018 Jul 1;45(3):391-398. Epub 2018 May 1.

Section of Plastic and Reconstructive Surgery, The University of Chicago Medicine and Biological Sciences, 5841 South Maryland Avenue, Room J-641, MC6035, Chicago, IL 60637, USA. Electronic address:

The radial forearm free flap phalloplasty provides a thin, potentially sensate, minimally hair-bearing cutaneous flap. Since its initial description, several modifications of the technique have emerged. The earliest dimensions described needed to be increased because of the increase amount of subcutaneous fat in the Western population. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.009DOI Listing
July 2018
3 Reads

Introduction to Phalloplasty.

Clin Plast Surg 2018 Jul 1;45(3):387-389. Epub 2018 May 1.

The Buncke Clinic, 45 Castro Street, Suite 121, San Francisco, CA 94114, USA.

Phalloplasty represents the most complete genitoperineal transformation. Because it requires complex, staged procedures as well as the use of tissue from remote sites, patients must be well informed as to the nature of surgery. Surgical techniques for phalloplasty continue to evolve. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.014DOI Listing
July 2018
4 Reads

Metoidioplasty.

Authors:
Rados P Djinovic

Clin Plast Surg 2018 Jul 9;45(3):381-386. Epub 2018 Apr 9.

Sava Perovic Foundation, Center for Genito-Urinary Reconstructive Surgery, Borisavljeviceva 58, Belgrade 11000, Serbia. Electronic address:

Transmasculine gender confirmation surgery remains challenging and demanding. As there is no perfect or standard procedure for creating male genitalia, practitioners continue to strive for better solutions. There are 2 goals in the surgical treatment of transgender persons: removal of the native genitalia and secondary sexual characteristics and creation of the desired genitalia and secondary sexual characteristics. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.008DOI Listing
July 2018
10 Reads