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From Palliation After Angiosarcoma Resection to Totally Autologous Aesthetic Breast Reconstruction Combining Kiss Latissimus Dorsi Flap and Contralateral Breast Sharing Internal Mammary Artery Perforator Flap: A Case Report.
Angiosarcoma of the breast is a rare but aggressive disease that often requires wide-margin resection resulting in massive thoracic defects. In this report we present the unique case of a patient who underwent primary chest wall reconstruct…
FULLTEXT: paradigm shift -
Subtarsal Capsulopalpebral Fascia Incision: A New Paradigm for Ectropion-Free Transcutaneous Lower Blepharoplasty.
TL;DRA transcutaneous lower-eyelid technique that incorporates four modifications that greatly reduce common complications of transcutaneous lower-eyelid surgeries, including persistent postoperative ectropion, may be a promi…
FULLTEXT: paradigm shift -
Intraoperative ultrasound for localization of a ruptured M2-M3 middle cerebral artery aneurysm with temporal hematoma: A case report.
We present a patient who had a ruptured distal middle cerebral artery (MCA) aneurysm at the M2-M3 junction with a temporal lobe hematoma, in which intraoperative ultrasound (iUS) proved critical for real-time aneurysm localization when neur…
FULLTEXT: paradigm shift -
Suitability of 3D scanning as a screening tool for reduction mammoplasty referrals for plastic surgery-a pilot study.
[BACKGROUND] Reduction mammoplasty is a common procedure in plastic surgery. However, patients need to fulfill resection weight criterion in order to get state or insurance coverage for the procedure. General practitioners in health centers…
FULLTEXT: paradigm shift -
Marginal Orbicularis Oris Hyperactivity (MOOH): An Exploratory Case Series of Inversion-Dominant Upper Lip Dynamics Following Intraoral Botulinum Toxin Type A.
Excessive gingival display (EGD) is most commonly attributed to vertical upper lip elevation, short lip length, or dentoalveolar disproportion. However, some patients exhibit gingival or mucosal visibility during smiling despite minimal ver…
FULLTEXT: paradigm shift -
Oleuropein in Nasal Epithelial Cells: A Breakthrough Candidate for Anti-Inflammatory Topical Therapy.
TL;DRAt lower concentrations, oleuropein may promote wound healing in nasal epithelial cells without causing cytotoxicity, which could pave the way for the development of novel topical medicines to aid healing after septoplas…
FULLTEXT: paradigm shift -
Modern Approaches to Aesthetic Breast Surgery: A Review of Augmentation, Mastopexy, and Fat Grafting.
TL;DRA comprehensive understanding of augmentation, mastopexy, and autologous fat transfer will enable surgeons to tailor procedures for safe, durable, and natural-looking results.
FULLTEXT: paradigm shift -
Rethinking Implant Plane Selection: Do We Still Need to Go Under the Muscle?
TL;DRA shift in clinical practice from predominantly dual-plane to more frequent prepectoral breast augmentation is described, supported by years of retrospective data and qualitative clinical insight.
FULLTEXT: paradigm shift -
Orbicularis Revectoring in the Deep Plane Facelift.
TL;DRThe author's experience with extending prezygomatic dissection in deep plane facelift surgery to the suborbicularis space, release of the orbicularis retaining ligament and revectoring the orbicularis oculi as part of a …
FULLTEXT: paradigm shift -
Improving Periorbital Aesthetics with Volume Augmentation.
TL;DRA combined approach using volume augmentation with fat grafting, a transconjunctival approach to the lower eyelid fat pads, and conservative management can produce optimal aesthetic results while minimizing complications…
FULLTEXT: paradigm shift -
Capsular Contracture Rates in Subfascial and Subglandular Breast Augmentation With Smooth vs Textured Implants.
TL;DRThis study compares CC rates between subfascial and subglandular breast augmentation stratified by implant surface and finds that when controlling for implant surface, CC rates do not differ significantly between subfasc…
FULLTEXT: paradigm shift -
Re-Vision of Geometric Flap Design in Lower Limb Reconstruction: A Comparative Analysis on Perforator Enhancement.
TL;DRFlap geometric design can be significantly improved by the inclusion of perforators, maintaining spatial advantages with larger ductility and improved vascular solidity.
FULLTEXT: paradigm shift -
Modern Orthognathic Surgery in Private Practice: Insights from 500 Consecutive Cases.
TL;DRDescribing observations from a single private practice with a focus on patient motivations, surgical protocols, and trends that reflect the rise of the aesthetic-driven era in orthognathic surgery offer a descriptive per…
FULLTEXT: paradigm shift -
Structured Surgical Algorithm for Lateral Wall Insufficiency (LWI): A 25-Patient Technical Case Series in Functional Rhino-Septoplasty.
TL;DRAn algorithm-driven surgical strategy for LWI leads to substantial improvement in nasal airflow and patient-reported outcomes, and offers a promising paradigm for functional rhinoplasty, warranting further validation thr…
FULLTEXT: paradigm shift -
Trends in Urogynecologic and Reconstructive Pelvic Surgery Among Early-career Urologists: Analysis of American Board of Urology Case Logs From 2009-2020.
TL;DRInterestingly minimally invasive OAB treatments are increasingly adopted by non-URPS urologists, likely due to improvement in surgical techniques and the development of new technology.
FULLTEXT: paradigm shift -
Facial Overfilled Syndrome: A Narrative Clinical Review.
[BACKGROUND] Facial Overfilled Syndrome (FOS) is an increasingly prevalent iatrogenic complication resulting from the excessive or inappropriate use of dermal fillers. Clinically significant for causing facial distortion and unnatural dynam…
FULLTEXT: paradigm shift -
Microsurgery Education among U.S. Plastic Surgery Residency Programs.
TL;DRMost microsurgeon faculty underrepresented in plastic surgery were earlier in their career, suggesting a potential shift in diversity as these individuals ascend the academic ladder.
FULLTEXT: paradigm shift -
Integrative Migraine Therapy: From Current Concepts to Future Directions-A Plastic Surgeon's Perspective.
TL;DRPlastic surgeons, equipped with detailed knowledge of peripheral nerve anatomy and minimally invasive techniques, play an increasingly pivotal role in the multidisciplinary management of refractory migraine.
FULLTEXT: paradigm shift -
Tip Tensioning in Rhinoplasty.
TL;DRA combined structural and tension-modulating strategy enhances long-term stability, counteracts postoperative contracture, and provides durable, natural tip aesthetics across primary and secondary rhinoplasty.
FULLTEXT: paradigm shift -
Multimodal Prehabilitation for Hernia Repair: Linking Metabolic Modulation and Mechanical Methods.
TL;DRA paradigm shift toward integrated, personalized preoperative optimization is emerging, combining metabolic conditioning with mechanical preparation based on individual patient phenotypes and hernia complexity, to maximi…
FULLTEXT: paradigm shift