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Discrepancies in Assigned vs. Observed Operative Times: Consequences for RVU-Based Reimbursement in Plastic Surgery.
[BACKGROUND] Discrepancies between assigned and actual operative durations may distort time-based valuation of surgical procedures. This study evaluated the impact of operative time source on wRVU per minute and reimbursement per minute acr…
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Unanticipated Economic Burden of Cosmetic Surgery Tourism: A Single Academic Center's Experience.
[INTRODUCTION] Cosmetic surgery tourism is a burgeoning field, attracting patients with the possibility of procedures at reduced costs. Patients are often unaware of the potential cost of managing complications, with the cost often passed o…
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American Association of Plastic Surgeons Consensus on Breast Implant-Associated Anaplastic Large-Cell Lymphoma.
[BACKGROUND] In the absence of high-quality evidence, there is a need for guidelines and multidisciplinary consensus recommendations on breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL). The purpose of this expert consensu…
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Evaluation of Variability in Operative Efficiency in Plastic Surgery Procedures.
[BACKGROUND] As the cost of healthcare rises, it is imperative to assess value delivered to patients and impact on the economic viability of institutions. We aimed to characterize plastic surgery operative time management and identified are…
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Social Media's Influence on Breast Augmentation.
[BACKGROUND] The purpose of this study is to evaluate if and what social media use influences our patients' decisions to undergo breast augmentation. [OBJECTIVES] A single-institution study was designed to evaluate women who underwent elec…
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Redefining the Role of Resection Weight Prediction in Reduction Mammaplasty and Breaking the "One-Scale-Fits-All" Paradigm.
[BACKGROUND] Reduction mammaplasty is a highly effective procedure for treatment of symptomatic macromastia. Prediction of resection weight is important for the surgeon and the patient, but none of the current prediction models is widely ac…
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An Analysis of Female Plastic Surgery Authorship: Where Are We Today?
[BACKGROUND] Authorship in a peer-reviewed journal is highly regarded in both the academic and private sectors of plastic surgery. Recently, several articles have cited an increased contribution from women in the plastic surgery literature;…
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Medical Tourism and Postoperative Infections: A Systematic Literature Review of Causative Organisms and Empiric Treatment.
[BACKGROUND] Medical tourism has become increasingly globalized as individuals travel abroad to receive medical care. Cosmetic patients in particular are more likely to seek surgery abroad to defray costs. Unfortunately, not all procedures …
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Surgical Timing and the Menstrual Cycle Affect Wound Healing in Young Breast Reduction Patients.
[BACKGROUND] Young female subjects are known to have the highest baseline menstrual hormone levels of any female age group. Studies have found an association between hormone levels and wound healing. This has been researched in the orthoped…
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Breast Reduction in the Burned Breast.
Mammary hypertrophy can occur in the postburn breast. Patients with burned breasts exhibit the same symptoms of symptomatic macromastia as patients with unburned breasts. The extent of the deformity, the location of the deformity, and the s…
- Financial Planning for the Plastic Surgery Residency Applicant.
- The Importance of Linguistics and Science When Addressing the Social Issues of Residents.
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Melting the Plastic Ceiling: Overcoming Obstacles to Foster Leadership in Women Plastic Surgeons.
The underrepresentation of women leaders in plastic surgery echoes a phenomenon throughout society. The importance of female leadership is presented, and barriers to gender equality in plastic surgery, both intrinsic and extrinsic, are disc…
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Redefining gigantomastia.
Gigantomastia is a rare but disabling condition characterised by excessive breast growth. Most definitions of gigantomastia refer to a particular weight of excess breast tissue. We speculate that in gigantomastia the weight of the breasts c…
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Career development resource for plastic and reconstructive surgery.
Plastic surgery is a broad-based discipline with emphasis on areas such as breast, craniomaxillofacial, burn, aesthetic, and hand surgery as well as complex wounds and wound healing. Plastic surgery as a specialty captures a great deal of m…
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Breast reduction: safe in the morbidly obese?
[BACKGROUND] With an increasing obese population, plastic surgeons are consulted by women requesting larger breast reductions, with body mass indices in the obese to morbidly obese range (30 to >or=40 kg/m) and breasts considered gigantomas…
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Langer's lines: to use or not to use.
Thirty-six differently named guidelines have developed as surgeons have searched for an ideal guide for elective incisions. Many surgeons prefer Langer's lines. These lines were developed by Karl Langer, an anatomy professor, from cadavers …
- What's new in plastic surgery.
- Pregnancy and plastic surgery residency.
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Reconstructive goals for children with burns: are our goals the same?
It is often difficult if not impossible to include a pediatric patient in the planning of burn reconstruction. To give the patient greater input into his or her reconstructive plan, we developed a survey tool to evaluate the different recon…
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Inventory of potential reconstructive needs in the patient with burns.
The rehabilitation and reconstruction of patients who survive large burns is an arduous task. To facilitate it we have devised an inventory form to accurately record the somatic abnormalities caused by burns and also the severity and locati…