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Deep Inferior Epigastric Perforator Flap with Implant Placement has a Favorable Complication Profile Compared with Implant-Only or Flap-Only Reconstruction.
Hybrid deep inferior epigastric perforator (DIEP) flap and simultaneous silicone implant breast reconstruction procedures ("DIEP + I") have many conceptual advantages compared with either reconstruction method alone, but the outcomes of DIE…
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Cost and insurance coverage for reduction mammoplasty: Evidence from United States claims data.
[BACKGROUND] Despite the proven benefits of reduction mammoplasty, the procedure is often denied by insurance plans even when deemed medically beneficial. The present study sought to evaluate nationwide variation in insurance type coverage,…
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Impact of High Food Swamp Scores on Breast Reduction Outcomes: A Multivariate Analysis of 1052 Patients.
[INTRODUCTION] "Food swamps" are areas with a high density of fast-food restaurants (unhealthy foods) relative to grocery stores (healthy foods). Patients in regions with inequitable access to healthy foods may have worsened surgical outcom…
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Pulse Irrigation Reduces Rate of Postoperative Hematoma Following Breast Reduction.
[PURPOSE] Breast reduction (BR) involves a large surface area of manipulated tissue, increasing the risk of postoperative hematoma. Pulse irrigation (PI) uses a device to deliver intermittent pressurized irrigant intraoperatively. This stud…
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The safety of simultaneous versus delayed contralateral breast symmetrization: Systematic review and meta-analysis.
[BACKGROUND] While unilateral breast reconstruction often requires contralateral breast symmetrization procedures, the optimal timing of the matching procedure remains unclear. While the delayed approach may be traditionally perceived as sa…
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The Use of Recreational Cannabis Among Breast Reduction Patients: Characteristics, Complications, and Immediate Postoperative Analgesic Needs.
The characteristics, complications, and postoperative analgesic needs of patients with a recent or active history of recreational cannabis use have not been explored explicitly in plastic surgery. In this study, the characteristics, complic…
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Nationwide Analysis of Cost and Insurance Type Coverage for Primary Rhinoplasty.
[BACKGROUND] Health insurance reimbursement has been changing continuously with patients being increasingly responsible for their healthcare costs. Lack of transparency for patients and providers with limited understanding of out-of-pocket …
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Impact of Gender-Affirming Surgery on Craniofacial Exposure for Plastic and Reconstructive Surgery Training: A Preliminary, Single-Institution Study.
[OBJECTIVE] Current available plastic surgery positions in craniofacial surgery are not commensurate with the growing number of trained plastic surgery residents and fellows interested in the field. Despite this, there is growing demand for…
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Aesthetic Specialization: A Comparative Study across Medical and Surgical Specialties.
[BACKGROUND] Postresidency fellowship training has become increasingly popular as a career option. Specifically, the subspecialty of aesthetic surgery has grown tremendously over the past 2 decades within several fields, including plastic a…
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Impact of Interview Modality on Gender Disparities in Plastic and Reconstructive Surgery Residency Match Success.
[INTRODUCTION] The transition from in-person to virtual visits during the COVID-19 pandemic transformed the residency application process. Recognizing the gradual return to in-person interviews and the historical presence of gender disparit…
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Contextualizing the Impact of Pop Culture on Breast Implant Illness and its Medical Relevance.
[INTRODUCTION] Despite a lack of data demonstrating causation, there is growing concern over breast implants and systemic illness. This study examines the impact of rising public interest in breast implant illness (BII) and its implications…
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The Impact of Depression and Anxiety Comorbidities on Acute Postoperative Pain After DIEP Flap Breast Reconstruction.
[BACKGROUND] Depression and anxiety have a complex association with opioid dependence, though their impact on acute postoperative pain is unclear. The present study investigated the impact of depression and anxiety on acute postoperative pa…
- Cost Reduction in Plastic Surgery: Starting With the Basics.
- Adherence of a Large Language Model to Clinical Guidelines for Craniofacial Plastic and Reconstructive Surgeries.
- Implications for the Use of Artificial Intelligence in Plastic Surgery Research and Practice.
- Artificial Intelligence in Plastic Surgery: ChatGPT as a Tool to Address Disparities in Health Literacy.
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Never events in plastic surgery: An analysis of surgical burns and medical malpractice litigation.
[INTRODUCTION] Burns and fires in the operating room are a known risk and their prevention has contributed to many additional safety measures. Despite these safeguards, burn injuries contribute significantly to the medical malpractice lands…
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Underrepresented in Medicine Applicants are Less Likely to Successfully Match into Plastic Surgery.
[IMPORTANCE] The lack of underrepresented in medicine physicians in academic plastic surgery has been a topic of interest for many years, and accordingly outreach has been undertaken to address the pipeline from medical school to residency …
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The Association of a Research Year With Matching Into an Integrated Plastic Surgery Residency.
[INTRODUCTION] The relationship between pursuing a research year (RY) and plastic surgery match outcomes is unclear. The present study investigated the association between a dedicated RY and the odds of matching into an integrated Plastic a…
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Cosmetic Rhinoplasty.
[LEARNING OBJECTIVES] After studying this article, the participant should be able to: 1. Perform a systematic nasofacial analysis. 2. Identify the underlying anatomical cause of specific external nasal findings. 3. Recognize the interrelate…
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Impact of Physician Extenders and Midlevels in Plastic Surgery.
[BACKGROUND] With the rapidly changing health care marketplace, there is constant pressure on the health care industry to progress and to ensure high-quality and cost-effective service delivery. The aim of this article is to review the econ…
- Disussion: A Modified Large-cap Graft in East Asian Revision Rhinoplasty.
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Comparison of patients satisfaction with aesthetic outcomes following lower extremity reconstruction: Muscle vs. fasciocutaneous free flaps.
[BACKGROUND] The microsurgical reconstruction of complex lower limb defects has become a routine procedure with high success rates. The emphasis has changed from ensuring flap 'success' to providing a reconstruction, which is also aesthetic…
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Advanced Practice Providers in Plastic Surgery.
[BACKGROUND] The aims of this article are to examine the scope of practice differences between physician assistant and nurse practitioner providers, to identify financial cost and benefits, and to posit the impact of physician extenders on …
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Treating Symptomatic Midvault Soft Tissue Collapse in Revision Rhinoplasty with a Nasal Wall Implant.
Persistent nasal airway obstruction (NAO) due to midvault soft tissue collapse in patients following rhinoplasty or nasal surgery is a clinical challenge for surgeons. An absorbable lateral nasal wall implant is one option available to help…