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Optimising the unilateral DIEP flap breast reconstruction: A United Kingdom-Netherlands multi-centre comparative study.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap represents the gold standard in autologous breast reconstruction; however, it is restricted by prolonged operative duration and substantial demands on inpatient capacity. We c…
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Laparoscopic Total Extraperitoneal Deep Inferior Epigastric Perforator Flap Harvest: First Experience in the United Kingdom and Technical Guidance.
The deep inferior epigastric artery perforator (DIEP) flap is considered the gold standard for autologous breast reconstruction. Traditional DIEP flap harvest involves a large rectus sheath incision, which can lead to considerable abdominal…
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Mapping the UK Aesthetic Medicine Industry: Practitioner Profiles, Pricing, and Socioeconomic Gradients in Botulinum Toxin Practice.
[BACKGROUND] The United Kingdom aesthetic botulinum toxin industry operates with limited regulatory oversight despite being a prescription-only medication. Following recent public scrutiny, regulatory reforms are imminent, warranting compre…
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Global Pharmacovigilance of Aesthetic Botulinum Toxin Type A: Analysis of Adverse Event Reports From the USA, Europe, Canada, and Australia.
[BACKGROUND] Monitoring of adverse events for aesthetic BoNT-A (BoNT-A) through pharmacovigilance databases provides critical insight into real-world safety profiles. Previous analyses suggested substantial underreporting, yet comprehensive…
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Top 75 most-cited articles in hand microsurgery: A bibliometric and visualised analysis.
[INTRODUCTION] Hand microsurgery is an important advancement of the speciality that has improved outcomes in hand trauma and hand surgical conditions. This bibliometric analysis aims to identify the 75 most cited hand microsurgery articles …
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Corrigendum to "Perforator-related risk factors for perfusion-related complications in DIEP flap breast reconstruction" [JPRAS Open 44 (2025) 390-401].
[This corrects the article DOI: 10.1016/j.jpra.2025.03.015.].…
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Venous outflow augmentation protects against fat necrosis in the DIEP flap breast reconstruction: A retrospective analysis.
[BACKGROUND] In the deep inferior epigastric perforator (DIEP) flap breast reconstruction, fat necrosis is a common and distressing complication for patients. While venous outflow augmentation using the superficial inferior epigastric vein …
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Botulinum Toxin in Aesthetic Medicine: A Bibliometric Analysis of Research Trends and Methodological Quality of the Top 100 Cited Publications.
[BACKGROUND] Botulinum toxin is widely used in aesthetic medicine, with numerous studies examining its efficacy and safety. [OBJECTIVES] This bibliometric analysis aims to describe research trends and assess the methodological quality of t…
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Impact of Laser Lipolysis With and Without Liposuction on Arm Circumference: A Systematic Review and Meta-Analysis.
Laser-assisted lipolysis (LAL) for arm fat reduction has gained popularity compared with traditional liposuction. The authors of this study aim to quantify changes in arm circumference through LAL and compare outcomes between treatments wit…
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A Systematic Review to Explore the Role of Industry and Regulators on Minimally Invasive Aesthetics Education: A Tale of Two Cities.
[INTRODUCTION] The aesthetic medicine industry has seen significant growth due to technological advancements and increasing demand for minimally invasive procedures. This sector's influence on educational institutions is profound, often sha…
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A systematic review of sustainability practices in plastic surgery.
[AIM] There is an urgent need to mitigate the environmental impact of surgery, with surgery representing a major contributor to carbon emissions. This study explores literature detailing current sustainability practices and initiatives in p…
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Disease and Economic Burden of Plastic Surgery-Related Diseases in the United Kingdom.
This study aimed to assess the burden and economic impact of disease associated with plastic and reconstructive surgery in the United Kingdom. We calculated a value per statistical life year of £60,000 per person in the United Kingdom ($75,…
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Does the use of Acellular Dermal Matrices (ADM) in women undergoing pre-pectoral implant-based breast reconstruction increase operative success versus non-use of ADM in the same setting? A systematic review.
[BACKGROUND] Breast cancer is the most common malignancy among women in the UK. Reconstruction - of which implant-based breast reconstruction (IBBR) is the most common - forms a core part of surgical management of breast cancer. More recent…
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A comparison of acellular dermal matrices (ADM) efficacy and complication profile in women undergoing implant-based breast reconstruction: a systematic review and network meta-analysis.
[INTRODUCTION] Breast cancer is the leading cause of cancer amongst women in the United Kingdom, with implant-based reconstruction (IBR) using Acellular Dermal Matrices (ADM) gaining popularity for post-mastectomy procedures. This study com…
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Sustainability in Reconstructive Breast Surgery: An Eco-audit of the Deep Inferior Epigastric Perforator Flap Pathway.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap provides an effective and popular means for autologous breast reconstruction. However, with the complexity of the pathway, the environmental impact of the pathway has yet to b…
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Intradermal Botulinum Toxin A on Skin Quality and Facial Rejuvenation: A Systematic Review and Meta-analysis.
[BACKGROUND] Botulinum toxin A (BTxA) has gained popularity as a nonsurgical aesthetic treatment for skin rejuvenation. However, previous studies on intradermal BTxA have shown inconsistent results. This systematic review and meta-analysis …
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Fostering innovation and sustainable thinking in surgery: an evaluation of a surgical hackathon.
[INTRODUCTION] Surgery represents a major source of carbon emissions, with numerous initiatives promoting more sustainable practices. Healthcare innovation and the development of a digitally capable workforce are fundamental in leveraging t…
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Embracing Spectrum: Celebrating LGBTQIA+ Journeys in Aesthetic Medicine: A Kaleidoscope of Identity.
[PURPOSE] This synaptic systemised review critically examines the provision of aesthetic medical care to LGBTQIA+ (lesbian, gay, bisexual, transgender, queer or questioning, intersex, asexual, and more) individuals, assessing both the clini…
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A systematic review of generative adversarial networks (GANs) in plastic surgery.
[INTRODUCTION] Generative adversarial networks (GANs) are a form of deep learning architecture based on the zero-sum game theory, which uses real data to generate realistic fake data. GANs use two opposing neural networks working: a generat…
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A Single-center Comparison of Unipedicled and Bipedicled Diep Flap Early Outcomes in 98 Patients.
[UNLABELLED] The deep inferior epigastric perforator (DIEP) flap is the gold standard for autologous breast reconstruction. One or two pedicles may be used. Our study is the first to compare unipedicled and bipedicled DIEP flaps on donor an…
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Uses of Smartphone Thermal Imaging in Perforator Flaps as a Versatile Intraoperative Tool: The Microsurgeon's Third Eye.
[INTRODUCTION] In this study, we evaluate the versatility of smartphone thermal imaging technology as a valuable intraoperative modality in different stages of perforator flap surgery aiming to minimize the complications and achieve the bes…
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Prolonged operative time is a risk factor for adverse postoperative outcomes in the unilateral deep inferior epigastric perforator (DIEP) flap surgery: A retrospective cohort study.
[BACKGROUND] Currently, one published study documented operative time (OT) as a predictor for postoperative outcomes in bilateral deep inferior epigastric perforator (DIEP) flap breast reconstructions. No literature has investigated this in…
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Cosmetic business mechanics in London: A cross-sectional analysis and audit of ASA compliance.
[INTRODUCTION] The proliferation of providers and practitioners of cosmetic botulinum toxin and dermal filler has profound public health implications. The Advertising Standards Authority (ASA) regulates the use of advertising materials in t…
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Quantitative and qualitative analysis of individual experiences post botulinum toxin injection - United Kingdom Survey.
[INTRODUCTION] In the United Kingdom (UK), complications that arise following the administration of Botulinum Toxin are reported to the Medicines and Health Regulatory Agency (MHRA) via the Yellow Card Reporting Scheme. Over the past decade…
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Profiling UK injectable aesthetic practitioners: A national cohort analysis.
[INTRODUCTION] The United Kingdom (UK) injectables market has been growing rapidly with a lack of robust regulation and to date, no information regarding the profile of practitioners has been published. [AIM] We aim to provide a descriptiv…
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The treatment of symptomatic fat necrosis: A review and introduction of a new treatment algorithm.
[OBJECTIVE] Fat necrosis (FN) is a well-known complication in plastic surgery. Excision of symptomatic FN has been the gold standard, but it often results in contour irregularities that require subsequent treatment. Different alternative su…
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Summary document on safety and recommendations on liposuction for lipoedema: Joint British association of aesthetic plastic surgeons (BAAPS)/British association of plastic reconstructive and aesthetic surgeons (BAPRAS) expert liposuction group.
Liposuction plays an important role as a surgical treatment option for lipoedema. This article serves to critically review the evidence in the literature, as well as explain the differences between the lipoedema population compared with the…
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Shock Wave Therapy in Plastic Surgery: A Review of the Current Indications.
[BACKGROUND] Extracorporeal shock wave therapy (ESWT) represents a promising, non-invasive management strategy supporting the treatment of a variety of conditions related to plastic surgery. [OBJECTIVES] This literature review aimed to giv…
- Letter to editor regarding: 'Efficacy of virtual plastic surgery encounters in establishment of care and surgical conversion'.
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Portable three-dimensional imaging to monitor small volume enhancement in face, vulva, and hand: A comparative study.
Multiple handheld three-dimensional (3D) systems are available on the market, but data regarding their use in detecting small volumes are limited. The aim of this study was to compare different portable 3D technologies in detecting small vo…