Selber JC

This article reviews the approach to microsurgical breast reconstruction. Innovations including the role of indocyanine green angiography, resensation, adapting techniques for safe outcomes in an obese patient population, robotic deep infer…

[BACKGROUND] Advanced practice providers (APPs), including physician assistants (PAs) and nurse practitioners (NPs), are increasingly integrated into surgical specialties. However, their roles within plastic and reconstructive surgery remai…

[INTRODUCTION] The integrated plastic surgery (IPS) match is one of the most competitive in medicine. Following the United States Medical Licensing Examination Step 1 transition to pass/fail, research productivity has become increasingly im…

The integration of robotic-assisted surgery (RAS) has transformed various surgical disciplines, including more recently plastic surgery. While RAS has gained acceptance in multiple specialties, its integration in plastic surgery has been gr…

[BACKGROUND] Computed tomography angiography (CTA) is useful in deep inferior epigastric perforator (DIEP) flap planning. Limitations include that 2-dimensional analysis can be difficult to interpret and the resolution of 3-dimensional (3D)…

[BACKGROUND] Robotic-assisted deep inferior epigastric artery perforator (DIEP) flap surgery requires specific vascular anatomy for optimal flap harvest. Deep inferior epigastric artery (DIEA) branching patterns were described as follows: s…

This article outlines the evolution of digital surgery, tracing its trajectory from past to present and into the future. The authors discuss the rise of robotic surgery, the role of robotic surgery within plastic surgery, and the future of …

The recent passing of Dr. Gazi Yasargil, widely regarded as the father of modern microneurosurgery, represents a profound loss for all surgical disciplines influenced by microsurgical innovation. Yasargil's groundbreaking introduction of th…

[INTRODUCTION] Prior findings reported no racial differences in research productivity among plastic surgery trainees, but by combining integrated and independent pathways, they may obscure disparities relevant at residency selection. Given …

The latissimus muscle continues to be a head to toe workhorse in free tissue transfer for coverage of large defects. Traditional full muscle harvest is performed in the lateral decubitus position which is frequently suboptimal or requires p…

[BACKGROUND] Postmastectomy breast reconstruction in patients with a history of breast-conserving surgery (BCS) and radiotherapy is challenging, with a paucity of literature on the outcomes of different breast reconstructive techniques. The…

[UNLABELLED] Although autologous free-flap breast reconstruction is the most durable means of reconstruction, it is unclear how many additional operations are needed to optimize the aesthetic outcome of the reconstructed breast. The present…

Robotic surgery has a history of applications in multiple surgical areas and has been applied in plastic surgery over the past decade. Robotic surgery allows for minimal access incisions and decreased donor site morbidity in breast extirpat…

[BACKGROUND]  Following implant-based breast reconstruction (IBR) infection and explantation, autologous reconstruction is a common option for patients who desire further reconstruction. However, few data exist about the outcomes of seconda…

Microsurgery has changed the ability to perform highly precise and technical surgeries through the utilization of high-powered microscopes and specialized instruments to manipulate and repair anatomical structures as small as a few millimet…

[UNLABELLED] Although abdominally-based free flaps have long been the gold standard, the profunda artery perforator (PAP) flap has emerged as an important alternative option for autologous breast reconstruction. The aim of this study was to…

[BACKGROUND] Implant-based breast reconstruction infections often require implant explantation. Whereas some plastic surgeons pursue autologous reconstruction following the first implant-based breast reconstruction failure caused by infecti…

[BACKGROUND] Predatory journals have exploited the open access publishing model and are considered as a major threat to the integrity of scientific research. The goal of this study was to characterize predatory publishing practices in plast…

The rising popularity of robotic surgery has enabled surgeons to continue to expand the uses of robotic surgery. Robotic surgery offers minimally invasive approaches coupled with tremor elimination, up to seven degrees of freedom, ergonomic…

[BACKGROUND] The posterior trunk is a technically demanding location for microvascular free tissue transfer. In this study, the authors report their own institutional experience with soft-tissue free flap reconstruction of the posterior tru…

[BACKGROUND] Preoperative CTA is widely used and extensively studied for planning of DIEP flap breast reconstruction. However, its utility in planning robotic DIEP harvest is undescribed. [METHODS] The authors conducted a retrospective stu…

[PURPOSE] The identification of patient-specific risk factors, which predict morbidity following abdominally based microvascular breast reconstruction is difficult. Sarcopenia is a proxy for patient frailty and is an independent predictor o…

[BACKGROUND] Oncoplastic breast-conserving surgery expands the indications for breast conservation. When performed using modified mastopexy/breast reduction techniques, the optimal timing of the contralateral symmetrizing mastopexy/breast r…

[OBJECTIVE] To analyze the long-term safety and efficacy outcomes of patients with breast implants. [SUMMARY BACKGROUND DATA] Research is ongoing regarding the safety of silicone breast implants. Despite the number of patients with breast …

Acellular dermal matrices (ADMs) are tissue grafts that have been specially processed to remove all cellular components. These machined biological scaffolds have become popular in a variety of surgical settings due to their rapid incorporat…

Isolated lingual and lower face Raynaud phenomenon without primary Raynaud of the digits is a very rare condition associated with chemoradiation therapy (RT) in previous reports. The condition, which more commonly presents in patients with …

[BACKGROUND] Microsurgery is one the most complex surgical skills to master. The factors correlating with microsurgical performance, however, are poorly understood. Understanding these factors will aid in the training and assessment of micr…

[BACKGROUND] Breast implant-associated anaplastic large cell lymphoma (ALCL) is a distinctive type of T-cell lymphoma that arises around breast implants. Although rare, all cases with adequate history have involved a textured breast implant…