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The Role of Density in Achieving Volume and Weight Symmetry in Breast Reconstruction.
[BACKGROUND] Knowledge of tissue and implant density is crucial in obtaining both volume and weight symmetry in unilateral breast reconstruction. Therefore, the aim of this study was to determine and compare the density of abdominal and br…
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Isolated and combined breast augmentation in transgender patients: Multi-institutional insights into early outcomes and risk factors.
[BACKGROUND] The increasing demand for gender-affirming surgery (GAS) in transgender and gender-diverse healthcare highlights the importance of breast augmentation surgery (BAS) for transfeminine patients. Despite its significance, there is…
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Outcomes and Risk Factors in Microsurgical Forefoot Reconstruction.
[BACKGROUND] Defects at the forefoot frequently require microsurgical reconstruction; however, reconstructive failure can lead to results inferior to primary amputation. The purpose of this study was to identify independent factors affecti…
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Hair Transplantation in the United States: A Population-based Survey of Female and Male Pattern Baldness.
[BACKGROUND] Androgenetic alopecia, the most common type of hair loss, can impair the patient's overall mental health. Although there are pharmaceutical and surgical treatments available, little is known about the public standpoint toward h…
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Perioperative Outcomes and Risk Profile of 4730 Cosmetic Breast Surgery Cases in Academic Institutions: An ACS-NSQIP Analysis.
[BACKGROUND] Cosmetic breast surgery (CBS) can be subdivided into augmentation, mastopexy, reduction, and reconstruction. [OBJECTIVES] The aim of this study was to retrospectively analyze a multi-institutional national database to investig…
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Sensory Innervation of the Upper Eyelid and Its Implication for Upper Eyelid Surgery.
[PURPOSE] Sensory alterations of the upper eyelid skin and eyelashes are frequently encountered after upper eyelid surgery. The objective of this study was to provide information on the exact course and distribution of sensory nerve fibers …
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Incidence and Risk Factors of Postoperative Complications After Rhinoplasty: A Multi-Institutional ACS-NSQIP Analysis.
[OBJECTIVE] Despite the popularity of rhinoplasty, outcome research has been mainly limited to single-surgeon or single-institution reports. Therefore, we performed a multi-institutional analysis to present a broader portrait of the postope…
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Thinking like a Lawyer-Human Rights and Their Association with the Plastic Surgeon of Today.
Plastic surgeons are trained to perform a wide repertoire of surgeries-ranging from standard local procedures to highly specialized operations. Therefore, plastic surgeons treat a plethora of clinical presentations and address multiple pati…
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How to attract our future? - Perception of plastic surgery among medical students.
[BACKGROUND] There is a mounting body of evidence that underscores the worldwide and US national need for increased plastic surgery recruitment of trainees. Thus, plastic surgery must attract more applicants while maintaining the high-level…
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Impact of patients' gender on microvascular lower extremity reconstruction.
The physiological differences between genders have significant implications for health and disease. With regard to microsurgery, results remain elusive as to whether male or female gender is an independent risk factor for free flap reconstr…
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Common practices in patient care after mammaplasty and perioperative safety measures to prevent thromboembolic events - An observational study across all continents.
[BACKGROUND] Most plastic surgeons have encountered complications related to venous thromboembolism in their profession. However, considerable deficits in risk assessment and prophylaxis have been described. As outpatient procedures are inc…
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Impact of Intraoperative Hypothermia on Microsurgical Free Flap Reconstructions.
[BACKGROUND] Patients requiring microsurgical defect reconstruction are highly susceptible to intraoperative hypothermia, given oftentimes long operative times and exposure of large skin surface areas. While the impact of hypothermia has b…
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Effect of Radiation Therapy on Microsurgical Deep Inferior Epigastric Perforator Flap Breast Reconstructions: A Matched Cohort Analysis of 4577 Cases.
[INTRODUCTION] Breast reconstruction with autologous tissue is a state-of-the art procedure. Several patient-related factors have been identified with regard to the safety and efficacy of these reconstructions. The presented study investiga…
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Uni-vs. bilateral DIEP flap reconstruction - A multicenter outcome analysis.
[OBJECTIVE] Over the past decade numbers of bilateral mastectomy have increased steadily. As a result, bilateral breast reconstruction is gaining popularity. The presented study compares complications and outcomes of unilateral and bilatera…
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How to Approach Secondary Breast Reduction: International Trends and a Systematic Review of the Literature.
[BACKGROUND] Secondary breast reduction is complex and poses significant challenges to surgeons. Complication rates exceed those of primary reduction, commonly caused by impaired vascular supply of the nipple-areolar complex (NAC). Literatu…
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Effect of Reduction Mammoplasty on Pulmonary Function Tests: A Systematic Review.
In patients with breast hypertrophy, excessive breast weight applies pressure on the thorax, which may disrupt the normal breathing. The purpose of this study is to evaluate the impact of the breast hypertrophy and reduction mammoplasty on …
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Comparison of Outcomes of End-to-End versus End-to-Side Anastomoses in Lower Extremity Free Flap Reconstructions.
[BACKGROUND] Whether to perform an end-to-end (ETE) versus end-to-side (ETS) arterial anastomosis is an integral part of preoperative planning and intraoperative decision making in free flap-based reconstructions. This study evaluated the …
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Impact of Smoking Status in Free Deep Inferior Epigastric Artery Perforator Flap Breast Reconstruction: A Multicenter Study.
[BACKGROUND] Several patient-related factors have been identified with regard to the safety and efficacy of breast reconstructions. Using the largest database available in Europe, the presented study investigated the impact of cigarette sm…
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Immediate versus secondary DIEP flap breast reconstruction: a multicenter outcome study.
[PURPOSE] Immediate breast reconstruction (IBR) at the time of mastectomy is gaining popularity, as studies show no negative impact on recurrence or patient survival, but better aesthetic outcome, less psychological distress and lower treat…
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Female eye attractiveness - Where beauty meets science.
[INTRODUCTION] While periorbital and -ocular surgery ranks amongst the most frequently performed plastic surgical procedures, only scarce information exists regarding the contributing factors of aging and its systematic anatomic assessment.…
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[A critical analysis of perception of plastic surgery in Germany].
[BACKGROUND AND OBJECTIVES] Plastic surgery includes a broad range of activities; however, there are no studies available in Germany which evaluated the specific role plastic surgeons play in providing patient care. The aim of the project w…
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Current Trends in Breast Augmentation: An International Analysis.
[BACKGROUND] Breast augmentation surgery remains the most frequently performed aesthetic surgical procedure worldwide. However, many variations exist regarding preoperative planning, surgical management, and postoperative care. [OBJECTIVES…
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Pyoderma gangrenosum after breast surgery: A systematic review.
[BACKGROUND] Post-surgical pyoderma gangrenosum (PSPG) is a rare inflammatory skin disorder of unknown aetiology. Given its similar presentation to wound infection and lack of reliable diagnostic tests as well as pathognomonic clinical feat…
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The Public Face of Rhinoplasty: Impact on Perceived Attractiveness and Personality.
[BACKGROUND] The authors assess the impact of rhinoplasty on public perception of a patient's appearance and personality. [METHODS] A survey was created using standardized before-and-after photographs of 10 Caucasian women who had undergon…
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The current preferred female lip ratio.
[BACKGROUND] Perception of beauty is influenced by the individual's demographic background and characteristics. However, objective measurements and ratios remain the foundation for aesthetic evaluations. This study aimed to elucidate if the…
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Lip Attractiveness: A Cross-Cultural Analysis.
[BACKGROUND] Perception of beauty is influenced by the individual's geographic, ethnic, cultural, and demographic background. However, objective measurements remain the foundation for aesthetic evaluations. In the quest for to better define…
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Global aesthetic surgery statistics: a closer look.
[INTRODUCTION] Obtaining quality global statistics about surgical procedures remains an important yet challenging task. The International Society of Aesthetic Plastic Surgery (ISAPS) reports the total number of surgical and non-surgical pro…
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In Vivo Changes of Breast Perfusion After Augmentation.
[BACKGROUND] Revision surgeries after breast augmentation are associated with an increased risk of complications (eg, nipple areolar complex [NAC]) necrosis. Consequently, maintaining perfusion to the NAC is a critical aspect of secondary b…
- The Role of Plastic Surgeons in Advancing Global Development.
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Plastic Surgery Statistics in the US: Evidence and Implications.
[BACKGROUND] The American Society of Plastic Surgeons publishes yearly procedural statistics, collected through questionnaires and online via tracking operations and outcomes for plastic surgeons (TOPS). The statistics, disaggregated by U.S…