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17건-
Restoring Symmetry in Challenging Revision Breast Surgery: Outcomes of Pilot Study with Poly-4-Hydroxybutyrate Implant Construct.
[BACKGROUND] Revision breast reconstruction is often necessary to address complications, reduce asymmetry, or improve the aesthetic result. Our previously described use of poly-4-hydroxybutyrate (P4HB) has shown promise in primary reconstru…
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Umbilicoplasty Techniques and Outcomes in Abdominally Based Autologous Breast Reconstruction: A Systematic Review.
[BACKGROUND] Umbilicoplasty is a critical step in donor-site closure following abdominally based autologous breast reconstruction (ABR). While various incision designs and transposition techniques have been described, their impact on patien…
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The GalaFLEX "Empanada" for Direct-to-Implant Prepectoral Breast Reconstruction.
Prepectoral breast reconstruction poses unique challenges, including a lower tolerance for mastectomy flap skin necrosis and seroma formation. With appropriate patient selection, prepectoral breast reconstruction is a valuable reconstructiv…
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Systematic Review of Poly-4-Hydroxybutyrate in Modern Breast Surgery.
Several biologic and synthetic adjuncts have been employed to reduce ptosis and improve cosmesis in breast surgery. Poly-4-hydroxybutyrate (P4HB), a fully absorbable polymer, continues to increase in use. This study sought to identify uses …
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Techniques for Success in Nipple-Sparing Mastectomy and Immediate Reconstruction.
Nipple-sparing mastectomy (NSM), given demonstrated oncologic safety, is widely used for both therapeutic and prophylactic mastectomy. The popularity of NSM has spurred advancements by breast and plastic surgeons, liberalizing the indicatio…
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Diversity in the US Academic Microsurgery Pathway.
Although the representation of women and ethnic minority students in the US medical schools has recently increased, discrepancies in representation among plastic surgery residents and faculty continue. The state of sex and ethnic diversity …
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The Evolving Plastic Surgery Applicant: How Far Have We Come in 30 Years?
[BACKGROUND] Plastic surgery training has undergone tremendous change and transitioned through many models over the years, including independent, combined, and integrated. This study evaluates how these changes and others have affected plas…
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Merit-Based Incentive Payment System: How Are Plastic Surgeons Performing?
[BACKGROUND] The Merit-based Incentive Payment System (MIPS) is a payment model implemented to promote high-value care through performance-based adjustments of Medicare reimbursements. Higher scores indicate superior performance in health c…
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Maximizing volume in autologous breast reconstruction: stacked/conjoined free flaps.
Since the first report of abdominally based tissue breast reconstruction with a free flap of rectus abdominis muscle to reconstruct mastectomy defects, autologous breast reconstruction has continually increased in popularity due to improved…
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Preauthorization Inconsistencies Prevail in Reduction Mammaplasty.
[BACKGROUND] Despite evidence documenting the physical and psychological benefits of breast reduction, third-party payer approval remains a cumbersome process. The objective of this study was to assess differences in medical necessity crite…
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Fertility & childbearing outcomes of female plastic surgeons: How far have we come in 25 years?
[BACKGROUND] To understand whether the fertility and childbearing outcomes of female plastic surgeons have changed, this study compares current data to historical data from 25 years ago. [METHODS] An IRB-approved survey was sent to female …
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Fertility and Childbearing Outcomes of Practicing Female Plastic Surgeons.
[BACKGROUND] Women now represent approximately one-third of plastic surgery residents. The impact of a career in plastic surgery on family planning is unknown. The aim of this study was to report the current status of fertility and childbea…
- Characterizing the Effect of the COVID-19 Pandemic on the Plastic Surgery Literature.
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Evolution in Parental Leave Policies: Plastic Surgery and Obstetrics/Gynecology Lead the Way.
[BACKGROUND] Forty percent of physicians anticipate becoming parents during residency. This often occurs in the absence of clear parental leave and breastfeeding policies, which may adversely impact parental and child health or jeopardize r…
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The Impact of Perioperative Blood Pressure on Hematoma Development After Panniculectomy.
[PURPOSE] Hematoma affects 10% to 13% of patients undergoing panniculectomy. Although elevated perioperative blood pressure has been associated with hematoma after rhytidectomy, this has not been established for panniculectomy. We sought to…
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Consumer Awareness and Comfort with Resident-run Cosmetic Clinics: A Crowdsourcing Study.
[BACKGROUND] Resident cosmetic clinics (RCCs) are the training modality of choice among both residents and faculty and are a mainstay at most residency programs. Despite this, knowledge of RCCs among plastic surgery consumers remains untest…
- Chronicling the COVID-19 pandemic through the plastic surgery literature.