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29건 · 최신순-
Increasing Superficial Musculoaponeurotic System Durability and Retention in Facelift Surgery.
[BACKGROUND] Facelift surgery remains the gold standard for facial rejuvenation, yet limitations such as suture pull-through failure, superficial musculoaponeurotic system (SMAS) laxity, and the need for secondary procedures persist. Althou…
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Reshaping Our Understanding of Sensation and Pain Following Breast Reduction Surgery.
[BACKGROUND] This study evaluated the sensory and breast pain outcomes in inferior versus superomedial pedicle breast reduction. [METHODS] Twenty patients undergoing the inferior pedicle technique were matched to 20 patients undergoing the…
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Optimizing Nasal Tip Position: A Systematic Review of Columellar Strut and Septal Extension Grafts.
[BACKGROUND] Nasal tip position is a crucial aspect of rhinoplasty. To stabilize and define the nasal tip, various cartilaginous grafts have been widely utilized. The purpose of this systematic review is to critically evaluate and compare 2…
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Readability analysis and concept mapping of PROMs used for headache disorders.
[OBJECTIVE] To assess the readability and the comprehensiveness of patient-reported outcome measures (PROMs) utilized in primary headache disorders literature. [BACKGROUND] As the health-care landscape has evolved toward a patient-centric …
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Micro-Coring: A Novel Approach to Perioral Rejuvenation.
[BACKGROUND] A long philtrum and poor perioral skin quality are stigmata of the aging face. Micro-Coring is a novel technology that allows for scarless skin removal. [OBJECTIVES] In this study we aimed to determine whether micro-coring can…
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Functional outcomes between headache surgery and targeted botox injections: A prospective multicenter pilot study.
[INTRODUCTION] Chronic migraine headaches (MH) are a principal cause of disability worldwide. This study evaluated and compared functional outcomes after peripheral trigger point deactivation surgery or botulinum neurotoxin A (BTA) treatmen…
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Postmastectomy Radiation Therapy on Permanent Implants or Tissue Expanders: Which is Better?
[OBJECTIVES] This study evaluates complications and reconstructive failure rates in implant-based reconstruction with radiotherapy. [BACKGROUND] Postmastectomy radiotherapy may adversely affect breast reconstructive outcomes. However, the …
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Injection Cryolipolysis: First-in-human Study.
[BACKGROUND] Injection cryolipolysis using an ice slurry has been hypothesized to be a novel method of reducing fat. The present first-in-human pilot study aims to investigate the feasibility, safety, and tolerability of ice slurry injectio…
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ChartSweep: A HIPAA-compliant Tool to Automate Chart Review for Plastic Surgery Research.
Retrospective chart review (RCR) is the process of manual patient data review to answer research questions. Large and heterogeneous datasets make the RCR process time-consuming, with potential to introduce errors. The authors therefore desi…
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Evaluating and Comparing Emotional Intelligence and Improvement Mindset of Plastic Surgery Residents.
[BACKGROUND] Emotional Intelligence (EI) has been linked to burnout, job satisfaction, and work performance among resident physicians. Individuals with a growth mindset believe intelligence and ability are traits that can be increased or im…
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Evaluation of capsular contracture following immediate prepectoral versus subpectoral direct-to-implant breast reconstruction.
Capsular contracture is a common adverse outcome following implant breast reconstruction, often associated with radiation treatment. The authors hypothesize that muscle fibrosis is the main contributor of breast reconstruction contracture a…
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Prepectoral Direct-to-Implant Breast Reconstruction: Safety Outcome Endpoints and Delineation of Risk Factors.
[BACKGROUND] Continued evolution of implant-based breast reconstruction involves immediate placement of the implant above the pectoralis muscle. The shift to prepectoral breast reconstruction is driven by goals of decreasing morbidity such …
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The Use of Absorbable Mesh in Implant-Based Breast Reconstruction: A 7-Year Review.
[BACKGROUND] Breast reconstruction is most frequently performed using implants or expanders. Adjunctive materials such as acellular dermal matrix and synthetic meshes are used to support the implant or expander. A paucity of large studies e…
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Impact of Patient Subtype and Surgical Variables on Abdominoplasty Outcomes: A 12-Year Massachusetts General Hospital Experience.
[BACKGROUND] The traditional abdominoplasty is one of the most common surgical procedures performed. This study evaluates the impact of different surgical techniques and clinical patient factors on abdominoplasty outcomes. [METHODS] A retr…
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Revisions in Implant-Based Breast Reconstruction: How Does Direct-to-Implant Measure Up?
[BACKGROUND] Immediate direct-to-implant breast reconstruction is increasingly performed for breast cancer treatment or prevention. The advantage over traditional tissue expander/implant reconstruction includes the potential for fewer surgi…
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Uniting Evidence-Based Evaluation with the ACGME Plastic Surgery Milestones: A Simple and Reliable Assessment of Resident Operative Performance.
[BACKGROUND] Milestones evaluations in plastic surgery reflect a shift toward competency-based training but have created a number of challenges. The authors have incorporated the smartphone application evaluation tool, System for Improving …
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Breast reconstruction outcomes after nipple-sparing mastectomy and radiation therapy.
[BACKGROUND] Few studies in the literature examine outcomes of immediate breast reconstruction after mastectomy with nipple preservation and radiation therapy. [METHODS] Retrospective analysis of multisurgeon consecutive implant-based reco…
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Nipple-sparing mastectomy in patients with previous breast surgery: comparative analysis of 775 immediate breast reconstructions.
[BACKGROUND] An increasing number of women are candidates for nipple preservation with mastectomy. It is unclear how previous breast surgery impacts nipple-sparing mastectomy and immediate breast reconstruction. [METHODS] A single-institut…
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Assessment of patient factors, surgeons, and surgeon teams in immediate implant-based breast reconstruction outcomes.
[BACKGROUND] Outcome studies of immediate implant-based breast reconstruction have focused largely on patient factors, whereas the relative impact of the surgeon as a contributing variable is not known. As the procedure requires collaborati…
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The John D. Constable International Traveling Fellowship: A Reciprocal Education in Plastic Surgery.
The John D. Constable International Traveling Fellowship has been an integral part of the American Association of Plastic Surgeons since 2006 and has provided an opportunity for international plastic surgeons to work with leaders in America…
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Prevention of capsular contracture with photochemical tissue passivation.
[BACKGROUND] Capsular contracture is the most common complication following the insertion of breast implants. Within a decade, half of patients will develop capsular contracture, leading to significant morbidity and need for reoperation. Th…
- Reply: prevention of capsular contracture with photochemical tissue passivation.
- Fat graft survival: physics matters: invited commentary to "The impact of liposuction cannula size on adipocyte viability".
- Reply: the effect of pressure and shear on autologous fat grafting.
- Reply: The effect of pressure and shear on autologous fat grafting.
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A methodological analysis of the plastic surgery cost-utility literature using established guidelines.
[BACKGROUND] Cost-utility studies, common in medicine, are rare within plastic surgery despite their capability of measuring the value of procedures by considering the societal costs of improving quality of life. The objectives of this stud…
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The effect of pressure and shear on autologous fat grafting.
[BACKGROUND] Fat grafting has become routine in plastic surgery because of low donor-site morbidity, a low complication rate, and fast recovery time. The optimal technique, however, has yet to be defined. Two critical variables are pressure…
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Abdominal contouring procedures increase activity of the coagulation cascade.
One of the most serious complications in plastic surgery is a thromboembolic event. However, little physiologic evidence exists to support the observed hypercoagulable state seen in contouring procedures. Twenty-one consecutive patients wer…
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Endoscopic-assisted transaxillary breast augmentation: minimizing complications and maximizing results with improvements in patient selection and technique.
The use of the transaxillary incision has enabled augmentation mammoplasty with a scarless breast. However, the classic technique has been associated with high rates of asymmetry, malposition, and high riding implants. With the addition of …