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Gender and Racial Representation of Invited Speakers From The Aesthetic Society Annual Meetings Over a 5-Year Period.
[BACKGROUND] Increased representation from both women and non-White ethnicities remains a topic of discussion in plastic surgery. Speakers at academic conferences are a form of visual representation of diversity within the field. This study…
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American Society of Plastic Surgeons Evidence-Based Clinical Practice Guideline Revision: Reduction Mammaplasty.
A multidisciplinary work group involving stakeholders from various backgrounds and societies convened to revise the guideline for reduction mammaplasty. The goal was to develop evidence-based patient care recommendations using the new Ameri…
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Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL): Are You Covered?
[BACKGROUND] Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a locally aggressive T-cell lymphoma that can develop following breast implantation. In 2017, and updated in 2019, the National Comprehensive Cancer Network…
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Trends in the research profile of matched independent plastic surgery fellows.
The independent plastic surgery pathway recruits candidates with 5 years of surgical training who are typically more advanced in research than their integrated counterparts. Research productivity helps to discriminate between applicants. Ho…
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Academic Productivity Among Plastic Surgery Subspecialty Fellowship Applicants.
[INTRODUCTION] Plastic surgery subspecialty fellowships are highly competitive. Academic productivity is an objective metric that can be used to compare candidates. This study aims to evaluate intersubspecialty differences in academic profi…
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Outpatient Reduction Mammaplasty Offers Significantly Lower Costs with Comparable Outcomes: A Propensity Score-Matched Analysis of 18,780 Cases.
[BACKGROUND] Breast reduction mammaplasty is a common plastic surgery operation. Although many contemporary surgeons provide breast reduction mammaplasty as an outpatient procedure, roughly 15 percent of patients are still observed postoper…
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Sex Disparity in Academic Rank and Industry Payments to Plastic Surgeons.
[INTRODUCTION] Despite increasing representation in surgery, women continue to lag behind men in important metrics. Little is known on how industry funding may also contribute to this ongoing disparity. This article seeks to quantify indust…
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Integrated Plastic Surgery Match: Trends in Research Productivity of Successful Candidates.
[BACKGROUND] Plastic surgery continues to be one of the most competitive specialties in the residency match. Research productivity is a key component of the selection process. Nevertheless, potential applicants have a poor understanding of …
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The Glass Ceiling in Plastic Surgery: A Propensity-Matched Analysis of the Gender Gap in Career Advancement.
[BACKGROUND] Gender parity remains elusive in academic plastic surgery. It is unknown whether this disparity is attributable to differences in qualifications or to the glass ceiling of gender bias. To parse this, the authors compared academ…
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Follow the money: Investigating gender disparity in industry payments among senior academics and leaders in plastic surgery.
[INTRODUCTION] Differences in academic qualifications are cited as the reason behind the documented gender gap in industry sponsorship to academic plastic surgeons. Gendered imbalances in academic metrics narrow among senior academic plasti…
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A 12-year review of patient-reported outcomes after reduction mammoplasty in patients with high body mass index.
Patients with increased body mass index (BMI) are often denied reduction mammoplasty due to concern for high morbidity. There is a paucity of evidence identifying high BMI as a predictor of poor long-term outcomes in reduction mammoplasty. …
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Surgical Management of Gynecomastia: A Review of the Current Insurance Coverage Criteria.
[BACKGROUND] Gynecomastia is a common condition that can be corrected with surgical excision of the breast tissue. Unlike the policies available for reduction mammaplasty in women, gynecomastia policies are variable and not based on strong …
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What Do Plastic Surgery Patients Think of Financial Conflicts of Interest and the Sunshine Act?
[BACKGROUND] The purpose of this study was to evaluate patients' views of conflicts of interest (COI) and their comprehension of recent legislation known as the Physician Payments Sunshine Act. This report constitutes the first evaluation o…
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Surgical Management of Diastasis Recti: A Systematic Review of Insurance Coverage in the United States.
[BACKGROUND] As elective surgery becomes more popular, the stringency of insurance coverage policies has increased exponentially. Many patients with diastasis recti (DR) are denied coverage of the corrective surgery that has been shown to i…
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Preventing Breast Implant Contamination in Breast Reconstruction: A National Survey of Current Practice.
[BACKGROUND] Implant-based breast reconstruction is commonly performed by plastic surgeons worldwide. Bacterial contamination is of paramount concern because of its role in biofilm formation and capsular contracture. Plastic surgeons have a…
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Antimicrobial Prophylaxis Practice Patterns in Breast Augmentation: A National Survey of Current Practice.
[BACKGROUND] Breast augmentation is one of the most commonly performed aesthetic surgery procedures worldwide. Bacterial contamination is of paramount concern due to its role in biofilm formation and capsular contracture. Plastic surgeons h…
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Effect of reduction mammoplasty on acute radiation side effects and use of lumpectomy cavity boosts.
[PURPOSE] Reduction mammoplasty (RM) during breast-conserving surgery is popular among women with large-volume breasts because it reduces redundant breast folds and may decrease skin-related morbidity from radiation therapy. However, RM may…
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The Perception and Costs of the Interview Process for Plastic Surgery Residency Programs: Can the Process Be Streamlined?
[BACKGROUND] The purpose of this study was to assess applicant perceptions and costs associated with the interview process for plastic surgery residency positions. [METHODS] This was a cross-sectional survey of applicants to the integrated…
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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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A Prospective, Randomized, Multicenter Trial Assessing a Novel Lysine-Derived Urethane Adhesive in a Large Flap Surgical Procedure without Drains.
[OBJECTIVE] To evaluate the safety and effectiveness of a lysine-derived urethane adhesive as a noninvasive alternative to closed suction drains in a commonly performed large flap surgical procedure. [METHODS] One hundred thirty subjects u…
- Complications After Primary Breast Augmentation: Capsular Contracture.
- Funding for Graduate Medical Education: A Changing Landscape.
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The VersaJet for Breast-Reduction Surgery: Operator Beware.
[BACKGROUND] Modern techniques for breast-reduction surgery depend on large surface de-epithelialization. The current gold standard technique involves the use of a scalpel for sharp debridement and is a time-consuming process that is labor-…
- Weekly plastic surgery grand rounds: keeping up through social networking.
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The use of acellular dermal matrix to prevent capsule formation around implants in a primate model.
[BACKGROUND] Implant-based breast reconstruction is a popular option after mastectomy, but capsular contracture may detract from long-term outcomes. The authors have observed that breast implants covered with acellular dermal matrix (AlloDe…
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Breast-feeding, self-exam, and exercise practices before and after reduction mammoplasty.
The current indications for reduction mammoplasty include the relief of painful physical symptoms of macromastia. Numerous studies have demonstrated not only improvement in physical symptoms following reduction mammoplasty, but postoperativ…
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Surgeon perspectives on surgical options for early-stage breast cancer.
To evaluate the practice patterns of general and plastic surgeons regarding patients with early-stage breast cancer, all general and plastic surgeons in Quebec and Maryland were mailed self-administered questionnaires evaluating surgeon dem…
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High-energy ballistic and avulsive facial injuries: classification, patterns, and an algorithm for primary reconstruction.
A 17-year experience from 1977 to 1993 with gunshot, shotgun, and high-energy avulsive facial injuries emphasizes the superiority and safety of "ballistic wound" surgical management: (1) immediate stabilization in anatomic position of exist…
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Cigarette smoking, plastic surgery, and microsurgery.
Although tobacco smoking is known to result in coronary heart disease, chronic obstructive pulmonary disease, peripheral vascular disease, cerebrovascular disease, lung cancer, and other smoking cancers, many surgeons believe that smoking a…
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Silicon tissue assays in nonaugmented cadaveric patients: is there a baseline level?
Microscopic silicone in various tissues in the bodies of females with breast implants has led to the possible incrimination of these implants with connective-tissue disorders. Current technology precludes accurate silicone measurements, but…