2,722 results match your criteria Clinics in Plastic Surgery[Journal]


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
3 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
8 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
16 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
8 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
9 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
16 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
2 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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http://dx.doi.org/10.1016/j.cps.2018.08.005DOI Listing
January 2019
13 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
12 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
12 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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https://linkinghub.elsevier.com/retrieve/pii/S00941298183007
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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
23 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
14 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
14 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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http://dx.doi.org/10.1016/j.cps.2018.06.010DOI Listing
October 2018
17 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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http://dx.doi.org/10.1016/j.cps.2018.06.009DOI Listing
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
12 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
2 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
20 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
19 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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http://dx.doi.org/10.1016/j.cps.2018.06.007DOI Listing
October 2018
26 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
7 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
4 Reads

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
37 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
7 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
4 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
7 Reads

Chest Surgery for Transgender and Gender Nonconforming Individuals.

Clin Plast Surg 2018 Jul;45(3):369-380

Department of Plastic Surgery, Ghent University Hospital, C. Heymanslaan 10, Gent 9000, Belgium. Electronic address:

Chest surgery can greatly facilitate the experience of living in a gender role. For transfeminine chest surgery, most surgeons recommend a 12-month period of feminizing hormone therapy prior to breast augmentation. For those who already have some breast volume due to hormone treatment, lipofilling can be a good option. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.010DOI Listing
July 2018
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Vaginoplasty Complications.

Clin Plast Surg 2018 Jul 31;45(3):361-368. Epub 2018 Mar 31.

Center for LGBT Care, Center for Urogynecology and Pelvic Reconstructive Surgery, Obstetrics, Gynecology and Women's Health Institute, Cleveland Clinic, Cleveland, OH 44195, USA. Electronic address:

Complications after vaginoplasty surgery for the transgender woman exist. These adverse outcomes can be minor and easily treatable, whereas others are considered major events and require ongoing care. Adverse outcomes can be immediate or remote after surgery and include bleeding, hematoma, infection, delayed wound healing, neovaginal stenosis, visceral injury, and fistula. 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.2018.03.007DOI Listing
July 2018
12 Reads

Male-to-Female Gender Confirmation Surgery: Intestinal Vaginoplasty.

Clin Plast Surg 2018 Jul 1;45(3):351-360. Epub 2018 May 1.

Department of Plastic Surgery, Ghent University Hospital, Corneel Heymanslaan 10, Ghent 9000, Belgium. Electronic address:

The major steps in vaginoplasty are orchiectomy, penile amputation, creation of the neovaginal cavity with lining, and reconstruction of urethral meatus, labia, and clitoris. During pedicled intestinal transfer, an intestinal segment is transferred in a dissected cavity between the bladder and rectum. The bowel harvest is performed by a total laparoscopic technique. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.006DOI Listing
July 2018
14 Reads

Gender-Affirming Penile Inversion Vaginoplasty.

Clin Plast Surg 2018 Jul;45(3):343-350

Department of Plastic Surgery, Kaiser Permanente Medical Center, 6041 Cadillac Avenue Suite 156, Los Angeles, CA 90034, USA.

In recent years, greater acceptance of transgender individuals in society and the inclusion of medical coverage for gender-affirmation surgeries has led to an increasing number of patients seeking gender-affirming vaginoplasty. Since the first descriptions of neovaginal reconstruction for gender affirmation were described in the early and mid-1900s, various techniques and revisions have been introduced. This article provides a brief historical perspective, defines the goals of surgical treatment within a multidisciplinary approach adhering to World Professional Association for Transgender Health standards, and focuses on issues related to what is currently the most common approach to primary neovaginal reconstruction, the penile inversion vaginoplasty. Read More

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http://dx.doi.org/10.1016/j.cps.2018.04.001DOI Listing
July 2018
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Breast and Body Contouring for Transgender and Gender Nonconforming Individuals.

Clin Plast Surg 2018 Jul;45(3):333-342

Private Practice, The Gender Confirmation Center of San Francisco, Suite 1010, 450 Sutter Street, San Francisco, CA 94108, USA. Electronic address:

Even after long-term hormone therapy, many transwomen still have challenges in the size and shape of their breasts and also of the contour of their trunk areas. Though distinct anthropomorphic differences in skeletal structure exist and pose limitations to an ideal result, considerable improvements can be obtained through breast augmentation and trunk feminization. There are challenges that are unique to the transfeminine chest and trunk, and important considerations for the priority of fat grafting to the buttocks and hips when grafted fat is in short supply. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.015DOI Listing
July 2018
4 Reads

Facial Gender Confirmation Surgery: Facial Feminization Surgery and Facial Masculinization Surgery.

Clin Plast Surg 2018 Jul;45(3):323-331

Deschamps-Braly Clinic of Plastic & Craniofacial Surgery, 450 Sutter Street, Suite 1520, San Francisco, CA 94108, USA. Electronic address:

Facial feminization surgery was pioneered in the 1980s to provide options for trans women who were having difficulty with their outward appearance. This process presented a novel application of craniofacial surgery at the time. This text outlines the basic differences between male and female facial morphology, as well as the procedures we use to feminize the face. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.005DOI Listing
July 2018
2 Reads

Hormone Therapy for Transgender Men.

Clin Plast Surg 2018 Jul 26;45(3):319-322. Epub 2018 Apr 26.

Mount Sinai Center for Transgender Medicine and Surgery, Mount Sinai Health System an Icahn School of Medicine at Mount Sinai, 17 East 102nd Street, Room D-240, New York, NY 10029, USA. Electronic address:

This article provides an account of the current understanding of hormone therapy options for transgender men and emphasizes the importance of continued physician-supervised monitoring for long-term care. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.004DOI Listing
July 2018
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Hormonal Management for Transfeminine Individuals.

Clin Plast Surg 2018 Jul;45(3):313-317

Division of Endocrinology, Metabolism & Lipids, Department of Medicine, Emory University School of Medicine, 101 Woodruff Circle NE-WMRB 1301, Atlanta, GA 30322, USA.

Transfeminine individuals are treated with estradiol and anti-androgen agents to transition to a more feminine appearance. The physical changes that occur with estradiol therapy include breast development, body fat redistribution, and decreased muscle mass. Transfeminine treatment regimens require monitoring and dose adjustments to achieve appropriate physiologic targets to enhance feminization and decrease risk of adverse outcomes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183001
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http://dx.doi.org/10.1016/j.cps.2018.03.003DOI Listing
July 2018
6 Reads

Mental Health Evaluation for Gender Confirmation Surgery.

Authors:
Randi Ettner

Clin Plast Surg 2018 Jul 19;45(3):307-311. Epub 2018 Apr 19.

New Health Foundation Worldwide, 1214 Lake Street, Evanston, IL 60201, USA. Electronic address:

The requests for medically necessary surgical interventions for transgender individuals have steadily increased over the past several years. So too has the recognition of the diverse nature of this population. The surgeon relies heavily on the mental health provider to assess the readiness and eligibility of the patient to undergo surgery, which the mental health provider documents in a referral letter to the surgeon. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.002DOI Listing
July 2018
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Primary Care for the Transgender and Gender Nonconforming Patient.

Clin Plast Surg 2018 Jul 26;45(3):301-306. Epub 2018 Apr 26.

Department of Family Medicine, University of Chicago Pritzker School of Medicine, 7126 North Lincoln Avenue, Lincolnwood, IL 60712, USA. Electronic address:

All physicians are likely to encounter gender diverse patients, and some of these patients require medically necessary surgical procedures. It is optimal for surgeons to collaborate with other providers who interact with this patient population. Primary care physicians initiate treatment with consultation from mental health professionals and refer to surgeons when necessary. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.001DOI Listing
July 2018
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Multidisciplinary Care and the Standards of Care for Transgender and Gender Nonconforming Individuals.

Clin Plast Surg 2018 Jul;45(3):295-299

Private Practice, Counseling Psychology, 204 Clement Street, San Francisco, CA 94118, USA.

In providing care to transgender patients, surgeons interact with health care providers of other disciplines, including medical and mental health providers. Mental health or medical providers often see a patient first, when hormones are initiated. The Standards of Care recommend that mental health professionals assess patients for surgery according to set criteria and send surgeons their evaluations prior to surgery. Read More

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http://dx.doi.org/10.1016/j.cps.2018.03.016DOI Listing
July 2018
2 Reads

Preface.

Clin Plast Surg 2018 04;45(2):xi-xii

Private Practice, 2310 South Dixie Highway, Miami, FL 33133, USA. Electronic address:

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http://dx.doi.org/10.1016/j.cps.2018.01.001DOI Listing
April 2018
7 Reads

Autologous Gluteal Augmentation with the Moustache Transposition Flap Technique.

Authors:
Robert F Centeno

Clin Plast Surg 2018 Apr;45(2):277-293

Department of Plastic Surgery, The Ohio State University, 915 Olentangy River Road, Suite 2100, Columbus, OH 43212, USA; Private Practice, Columbus Institute of Plastic Surgery, 6499 East Broad Street, Suite 130, Columbus, OH 43213, USA. Electronic address:

Massive weight loss patients and aesthetic patients can present with significant gluteal contour abnormalities. Gluteal ptosis, skeletal deformities, severe platypgia, and a paucity of donor fat for autologous transfer are common problems. Excisional procedures are used to treat massive-weight-loss contour abnormalities. Read More

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http://dx.doi.org/10.1016/j.cps.2017.12.011DOI Listing
April 2018
9 Reads