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J Plast Reconstr Aesthet Surg 2021 Mar 30. Epub 2021 Mar 30.

Chief of Service, Plastic and Reconstructive Surgery Service, Hospital Universitario Ramon y Cajal, Madrid, Spain.

Background: Although without a widespread popularity, the septocutaneous gluteal artery perforator flap (sc-GAP) can be an excellent choice in breast reconstruction. The purpose of the article is to further study the preoperative imaging anatomy and surgical technique for a safe operation.

Patients And Methods: A clinical experience in four unilateral breast reconstructions is reported, and an analysis is made of the computed tomography angiography (CTA) variables (36 studies/72 sides) that might define the microsurgical consistency and reliability of the technique. Read More

J Cutan Aesthet Surg 2020 Oct-Dec;13(4):305-313

Department of Plastic and Reconstructive Surgery at the University of Rome "Tor Vergata".

Introduction: Following massive weight loss (MWL), medial contouring of the thigh is frequently requested to improve the appearance and function. Thigh lifting can be associated with significant complications if the medial thigh excess is removed en bloc. In this article, we describe the Liposuction-Assisted Medial Thigh Lift (LAMeT) and evaluate the outcomes and complications in a retrospective cohort study. Read More

J Cutan Aesthet Surg 2020 Oct-Dec;13(4):275-282

Venkat Charmalaya, Bengaluru, Karnataka, India.

Context: Tumescent local anesthesia is a form of local anesthesia, which is a technique in which a dilute local anesthetic solution is injected into the subcutaneous tissue until it becomes firm and tense. Originally developed to facilitate liposuction, the use of tumescent anesthesia has expanded to other dermatological and plastic surgery procedures, as well as to other disciplines, including endocrine and vascular surgeries. For infiltration local anesthesia, the conventional dosage of lidocaine is up to 4. Read More

Plast Reconstr Surg Glob Open 2021 Mar 23;9(3):e3471. Epub 2021 Mar 23.

Clinic of Plastic Surgery, Boca Raton, Fla.

Background: Fat is an active and dynamic tissue composed of adipocytes supported by a structural framework known as the stromal vascular fraction (SVF). SVF is traditionally isolated by enzymatic processing, but new methods are being investigated to isolate it mechanically. Recent studies propose that fat harvested with larger cannulas has a higher survival rate, most likely due to a higher concentration of SVF. Read More

J Cosmet Dermatol 2021 Apr 26. Epub 2021 Apr 26.

Department of Body Contouring and Liposuction Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Background: Temporal hollowing causes an old and gaunt appearance. An inward curve of the temporal hairline adds to the severity of temporal hollowing, which is visually exacerbated by the dark-colored hairline in most Chinese women. Whether temporal augmentation using autologous fat grafting (AFG) is effective for correcting an inwardly curved temporal hairline remains unclear. Read More

Dermatol Surg 2021 May;47(5):e184-e187

White House Center for Liposuction, Zurich, Switzerland.

Background: Liposuction has become one of the most popular aesthetic procedures today. Among the different anesthesia methods, tumescent local anesthesia (TLA) has been shown to be the safest. Liposuction is typically performed as an outpatient procedure under minimal oral sedation and without the need for any intravenous (IV) fluid administration. Read More

Plast Reconstr Surg 2021 May;147(5):1072-1083

From private practice.

Background: Male chest definition surgery and patients complaining of breast tissue overgrowth have been increasing in recent decades. After the authors' first report of pectoral etching in 2012, patients and surgeons became more aware about gynecomastia resection when performing pectoral enhancement. The authors present their experience with pectoral high-definition liposculpture in addition to inverted-omega incision resection for gynecomastia. Read More

Aesthetic Plast Surg 2021 Apr 19. Epub 2021 Apr 19.

Hand Unit, General Surgery Department, Locarno's Regional Hospital, Via Ospedale 1, 6600, Locarno, Switzerland.

Background: An understanding of fat grafting methodology, techniques and patient-related factors is crucial when considering fat grafting. Multiple factors can influence the success of a fat graft and consequently the outcome of the procedure. The aim of this systematic review is to elucidate the influence of negative pressure and various techniques of fat harvesting on the viability and function of cells, particularly adipocytes and adipose-derived stem cells. Read More

Handchir Mikrochir Plast Chir 2021 Apr 13. Epub 2021 Apr 13.

BG Klinik Ludwigshafen, Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Mikrochirurgie, Schwerbrandverletztenzentrum, Plastische Chirurgie und Handchirurgie der Universität Heidelberg.

Background:  The primary cosmetic and functional outcome following successful upper limb salvage using free tissue transfer can often be unfavourable, which may motivate patients to undergo secondary procedures. In this study, we sought to identify predictors for secondary procedures and to analyse the type and number of these procedures.

Patients And Methods:  Patients who underwent free tissue transfer to the upper extremity between 2010 and 2017 were included in a retrospective cohort study: patients with secondary procedures to optimise the functional and aesthetic flap design (S cohort) vs. Read More

Aesthet Surg J 2021 Apr 13. Epub 2021 Apr 13.

chief of the division of plastic surgery, West Virginia University, Morgantown, WV.

Background: While many plastic surgeons seek to optimize their online presence and reach a broader patient base, no studies have evaluated the general public's perceptions of one of the most valued informational tools: transformation photos.

Objectives: The aim of this study was to evaluate the general public's preferences for viewing transformation photos online.

Methods: Respondents representative of the US public, crowdsourced through Amazon Mechanical Turk, answered a survey assessing perceptions of the posting of before-and-after photos. Read More

Surg Innov 2021 Apr 8:15533506211008076. Epub 2021 Apr 8.

Department of Plastic & Reconstructive Surgery, 35470INHS Asvini, Mumbai, India.

Gynecomastia, benign enlargement of the male breast is the most common breast pathology amongst males. The most widely used modality of treatment is liposuction under general anesthesia. To date however there is no published study that specifically addresses to use tumescent anesthesia & use of tranexamic acid in it for excision of gynecomastia. Read More

BMC Womens Health 2021 Apr 7;21(1):139. Epub 2021 Apr 7.

Department of Surgery, Damsoyu Hospital, 234 Hakdong-ro, Gangnam-gu, Seoul, Republic of Korea.

Background: Patients with fibroadenomas in axillary accessory breasts (AABs) have a palpable mass, cyclic axillary pain, and aesthetic concerns that must be addressed. We compared the baseline patient characteristics, AAB characteristics, and surgical outcomes of patients with AABs with and without fibroadenomas undergoing surgical excision. We also monitored the patients for recurrence of axillary fibroadenomas. Read More

ANZ J Surg 2021 Apr 6. Epub 2021 Apr 6.

Department of Surgery, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Victoria, Australia.

Background: Lymphoedema is an incurable and progressive disease that affects not only physical function but overall quality of life. Surgical treatment options for the management of lymphoedema are being increasingly performed. This study aims to review post-operative health-related quality of life (HRQOL) following surgical treatment of lymphoedema. Read More

Clin Hemorheol Microcirc 2021 Apr 1. Epub 2021 Apr 1.

Department of Plastic, Aesthetic and Reconstructive Microsurgery/ Hand surgery, Hospital Ernst von Bergmann Clinic Potsdam, Berlin, Germany.

Background: When performing large volume liposuction, perioperative management of lipedema patients with coagulation disorders remains challenging due to a lack of clinical experience. With a prevalence of 1% of von Willebrand disease (VWD) in the general population, basic knowledge on diagnostic and adapted surgical strategies are essential for patients' safety.

Objective: Based on a selective literature review, the purpose of this article is to present a standardized algorithm for diagnosis and perioperative treatment of VWD patients undergoing large volume liposuction. Read More

Facial Plast Surg 2021 Apr 31;37(2):249-258. Epub 2021 Mar 31.

Department of Facial Plastic Surgery, Premier Image Cosmetic and Laser Surgery, Atlanta, Georgia.

Minimally invasive in-office procedures are a fast growing field in plastic surgery. Patients often notice and complain about their neck at an earlier age. Modern treatments for the aging neck have continued to evolve over the past decade, with more options continuing to become available. Read More

Aesthet Surg J Open Forum 2020 Dec 26;2(4):ojaa036. Epub 2020 Oct 26.

Background: Patients are routinely consulted regarding dislike of their upper and middle back contour and associated back rolls that stick out of their bras. Although patients only associate this fullness with excess fat, on examination it becomes evident that back rolls are due to a combination of excess fat as well as skin redundancy. To date, treatment of both excess skin and fat in back rolls has required consideration of excisional surgery such as an upper body lift. Read More

Aesthet Surg J Open Forum 2020 Sep 3;2(3):ojaa033. Epub 2020 Jul 3.

Background: Skin topical preconditioning before and after surgical procedures is a relatively new concept, particularly in relation to the efficient removal of tissue breakdown products. Clinical trials demonstrate improvements, such as less induration, when surgery is combined with topical product preconditioning and with usage post-surgery.

Objectives: This trial aimed to assess the efficacy of such a regimen at the molecular level through gene expression studies in combination with clinical assessments. Read More

Aesthet Surg J 2021 Mar 30. Epub 2021 Mar 30.

Breast Plastic Surgery Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China.

Background: Induced browning adipocytes were assumed less viable and more prone to necrosis for their hypermetabolic property. Our previous study showed that browning of adipocytes was more evident in fat grafts with necrosis in humans.

Objectives: We aimed to estimate whether fat-transfer-induced browning biogenesis was associated with necrosis and its potential inflammation mechanisms in murine models. Read More

Plast Reconstr Surg 2021 Apr;147(4):658e-668e

From the Orlando Health Aesthetic and Reconstructive Surgery Institute; and the Department of Plastic Surgery, University of Pittsburgh.

Learning Objectives: After studying this article, the participant should be able to: 1. Understand the types of tumescence available for liposuction. 2. Read More

Plast Reconstr Surg 2021 04;147(4):975-993

From the University of Chicago Medicine and Biological Sciences; Memorial Sloan Kettering Cancer Center; Boston Children's Hospital; University of Western Ontario; Sant Pau Hospital; University of Washington Medical Center; and Stanford University Medical Center.

Background: The goal of this consensus conference, sponsored by the American Association of Plastic Surgeons, was to perform a systematic review and meta-analysis of controlled trials to examine both the benefits and risks of surgical treatment and surgical prevention of upper and lower extremity lymphedema.

Methods: The panel met in Boston for a 3-day, face-to-face meeting in July of 2017. After an exhaustive review of the existing literature, the authors created consensus recommendations using the Grading of Recommendations, Assessment, Development and Evaluation criteria. Read More

Plast Reconstr Surg Glob Open 2021 Mar 15;9(3):e3459. Epub 2021 Mar 15.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Rutgers-New Jersey Medical School, Newark, N.J.

Chest masculinization for gender affirmation is the removal of breast tissue and excess skin, often with repositioning of the nipple areola complexes to achieve a male-appearing chest. A double-incision technique with free nipple grafting (FNG) is the preferred method for trans men with large, ptotic breasts. The authors present the outcomes of 72 consecutive chest masculinization cases using this technique. Read More

Clin Orthop Surg 2021 Mar 21;13(1):37-46. Epub 2020 Dec 21.

Department of Orthopedic Surgery, Seoul National University Boramae Hospital, Seoul, Korea.

Backgroud: Outcomes of traditional treatment for osteonecrosis of the femoral head (ONFH) are not always satisfactory. Hence, cell-supplementation therapy has been attempted to facilitate necrotic-tissue regeneration. Adipose-derived mesenchymal stem cell (ADMSC) transplantation is potentially advantageous over bone marrow-derived MSC implantation, but its outcomes for ONFH remain unclear. Read More

J Cosmet Dermatol 2021 Mar 15. Epub 2021 Mar 15.

Soonsoo Hospital, Hwaseong-si, Korea.

Background: It would be mandatory for plastic surgeons to consider anthropometric and anatomical differences between Asians and Caucasians in performing facial rejuvenation procedures using absorbable threadlifts in Asians.

Methods: A consensus meeting was convened to discuss indications, treatment procedures, possible combination treatments, clinical outcomes, and safety of an absorbable polydioxanone (PDO) monofilament threadlift (Mint Lift ; HansBiomed Co. Ltd. Read More

Surgery 2021 Mar 11. Epub 2021 Mar 11.

Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, People's Republic of China.

Background: Most techniques for surgical correction of gynecomastia are performed by anterior and/or lateral chest incisions, showing an "operated" appearance. Our initial experience was introduced in gynecomastia with a combination of endoscopic subcutaneous mastectomy and liposuction via an axillary single incision.

Methods: Between September 2018 and July 2019, a series of 45 male patients who had Simon grade I or II gynecomastia were enrolled in this study. Read More

Ann Maxillofac Surg 2020 Jul-Dec;10(2):417-421. Epub 2020 Dec 23.

Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India.

Introduction: There is an increased need for recontouring chin and submental areas for esthetic reasons. Reports of such surgeries across the world are present in the literature. India too has its share of chin and neck reconstruction needs. Read More

Lymphat Res Biol 2021 Mar 2. Epub 2021 Mar 2.

Department of Clinical Sciences, Lund University, Malmö, Sweden.

Adipose tissue deposition is a known consequence of lymphedema. A previous study showed that the affected arm in patients with nonpitting breast cancer-related lymphedema (BCRL) had a mean excess volume of 73% fat and 47% muscle. This condition impairs combined physiotherapy as well as more advanced microsurgical methods. Read More

J Reconstr Microsurg 2021 Mar 1. Epub 2021 Mar 1.

Department of Surgery, Division of Plastic Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Background:  Approximately half of all patients presenting for autologous breast reconstruction have abdominal scars from prior surgery, the presence of which is considered by some a relative contraindication for abdominally based reconstruction. This meta-analysis examines the impact of prior abdominal surgery on the complication profile of breast reconstruction with abdominally based free tissue transfer.

Methods:  Literature search was conducted using PubMed, Scopus, and Web of Science. Read More

Aesthet Surg J 2021 Feb 27. Epub 2021 Feb 27.

Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, TX, USA.

Background: Despite the proven efficacy of liposuction, there is a population of patients who prefer non-surgical alternatives. Laser hyperthermia-induced lipolysis has emerged as one non-invasive alternative to liposuction.

Objectives: The authors sought to evaluate the safety and efficacy of a 1060-nm (±10 nm) diode laser for non-invasive fat reduction of the abdomen. Read More

Aesthet Surg J 2021 Feb 27. Epub 2021 Feb 27.

Plastic and Reconstructive Surgery Department, Centre Hospitalier Universitaire de Tivoli, La Louvière, Belgium.

Background: An increasing number of women with breast implant removal whilst maintaining an acceptable projection and form.

Objectives: We propose a technique to remodel the breast after implant removal by the use of internal suture loops to project the breast, recruit abdominal and axillary tissue cranially and medially, and provide a matrix for lipofilling.

Methods: A prospective analysis was performed of consecutive patients undergoing implant extraction followed by Power-Assisted Liposuction Loops and Lipofilling (PALLL). Read More

Aesthetic Plast Surg 2021 Feb 26. Epub 2021 Feb 26.

Department of Plastic and Reconstructive Surgery, Dow University of Health Sciences and Dr. Ruth KM Pfau Civil Hospital Karachi, Karachi, Pakistan.

Background: Over the years, the techniques of performing abdominoplasty have been modified and altered. Some of these modifications include progressive tension suturing and preservation of sub-Scarpa fat. These alterations have been done to decrease the risk of postoperative seroma and hematoma formation. Read More