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Physician perspectives on breast implant illness: A survey of members of the American Society of Plastic Surgeons.
[PURPOSE] Increasing patient reports of breast implant illness (BII), a broad constellation of symptoms noted by certain patients with breast implants, has prompted the plastic surgery community to explore this clinical entity. Although cur…
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Facial Dermal Filler Injection and Vaccination: A 12-Year Review of Adverse Event Reporting and Literature Review.
[BACKGROUND] Following authorization of 2 COVID-19 vaccines in December 2020, media attention increased towards postvaccine adverse events (AEs) in patients with facial dermal filler injections. [OBJECTIVES] The purpose of this study was t…
- Lack of Fitzpatrick Skin Type Diversity in Online Patient Education Images of Breast Augmentation.
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Breast Implant-Associated Anaplastic Large Cell Lymphoma Online Education Tools: A Multimetric Analysis.
[PURPOSE] In light of highly publicized media coverage on breast implant recalls and Food and Drug Administration hearings on breast implant safety, online searches of these topics have surged. It is thus critical to determine whether such …
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What Do Clinicians and Organizations Owe Patients With Recalled Implanted Devices or Materials?
Placement of prosthetic breast implants for augmentation or reconstruction is common. Two specific safety concerns are considered in this article: breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) and complexes of symptoms…
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Evidence-Based Performance Measures for Rhinoplasty: A Multidisciplinary Performance Measure Set.
The American Society of Plastic Surgeons, the American Academy of Otolaryngology-Head and Neck Surgery, and the American Academy of Facial Plastic and Reconstructive Surgery commissioned the multidisciplinary Rhinoplasty Performance Measure…
- 75th Anniversary: The Changing Face of Patient Safety in Plastic and Reconstructive Surgery.
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Establishing a Culture of Patient Safety, Quality, and Service in Plastic Surgery: Integrating the Fractal Model.
[PROBLEM] There are obstacles to effective nationwide implementation of a culture of patient safety. Plastic surgery faces unique challenges in this area because quality measures are not as well-established as in other fields. Plastic surge…
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Patient-Related Risk Factors for Worsened Abdominal Well-Being after Autologous Breast Reconstruction.
[BACKGROUND] Patient-reported lower satisfaction with the abdomen preoperatively is a strong predictor of undergoing DIEP flap surgery. The authors evaluated physical well-being of the abdomen before and after flap-based breast reconstructi…
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Postoperative Free Flap Breast Protocol Optimizing Resources and Patient Safety.
[BACKGROUND] As deep inferior epigastric artery perforator (DIEP) flaps have gained popularity in breast reconstruction, the postoperative care of these patients, including the appropriate hospital length-of-stay and the need for intensive…
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Women Continue to Be Underrepresented in Surgery: A Study of AMA and ACGME Data from 2000 to 2016.
[OBJECTIVE] In the past decade women have comprised nearly half of U.S. medical school graduates. However, women remain underrepresented among surgical residents and practicing surgeons. We conducted the current study to assess recent trend…
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Breast Pocket Irrigation with Antibiotic Solution at Implant Insertion: A Systematic Review and Meta-Analysis.
[BACKGROUND] Antibiotic irrigation is routinely used during implant insertion in augmentation mammoplasty procedures. However, the evidence for whether this reduces the incidence of infection or capsular contracture is unclear. [METHODS AN…
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Postoperative Nausea and Vomiting with Plastic Surgery: A Practical Advisory to Etiology, Impact, and Treatment.
Ambulatory surgery is common in plastic surgery, where many aesthetic and reconstructive procedures can be performed in hospitals, ambulatory surgery centers, or office-based surgery facilities. Outpatient surgery offers advantages to both …
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Matching Procedures at the Time of Immediate Breast Reconstruction: An American College of Surgeons National Surgical Quality Improvement Program Study of 24,191 Patients.
[BACKGROUND] The purpose of this study was to assess for compounded risk of postoperative morbidity with the addition of a simultaneous contralateral breast matching procedure at the time of mastectomy and immediate breast reconstruction. …
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An outcomes analysis of 2142 breast reduction procedures.
[BACKGROUND] Breast reduction alleviates macromastia symptoms and facilitates symmetrical breast reconstruction after cancer treatment. We investigated a large series of consecutive breast reductions to study important factors that impact o…
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A review of the surgical management of breast cancer: plastic reconstructive techniques and timing implications.
The oncologic management of breast cancer has evolved over the past several decades from radical mastectomy to modern-day preservation of chest and breast structures. The increased rate of mastectomies over recent years made breast reconstr…