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Plastic and Reconstructive Surgery. Global Open

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https://www.readbyqxmd.com/read/28018778/technical-considerations-for-filler-and-neuromodulator-refinements
#1
José Raúl Montes, Anthony J Wilson, Brian L Chang, Ivona Percec
Background: The toolbox for cosmetic practitioners is growing at an unprecedented rate. There are novel products every year and expanding off-label indications for neurotoxin and soft-tissue filler applications. Consequently, aesthetic physicians are increasingly challenged by the task of selecting the most appropriate products and techniques to achieve optimal patient outcomes. Methods: We employed a PubMed literature search of facial injectables from the past 10 years (2005-2015), with emphasis on those articles embracing evidence-based medicine...
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28018777/global-updates-on-the-future-directions-of-neurotoxins-and-fillers
#2
Jeanine B Downie, Anup Patel, Jade Heningburg
Neurotoxins and fillers continue to remain in high demand, comprising a large part of the growing business of cosmetic minimally invasive procedures. Multiple Food and Drug Administration-approved safe yet different products exist within each category, and the role of each product continues to expand. The authors review the literature to provide an overview of the use of neurotoxins and fillers and their future directions.
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28018776/three-dimensional-facial-anatomy-structure-and-function-as-it-relates-to-injectable-neuromodulators-and-soft-tissue-fillers
#3
Jacob I Beer, David A Sieber, Jack F Scheuer, Timothy M Greco
BACKGROUND: The advent of new neuromodulators and soft-tissue fillers continues to expand the nonsurgical repertoire of the core cosmetic physician. METHODS: The authors review relevant facial anatomy as it relates to facial aging and the resultant structural changes that occur. These changes are important for the cosmetic physician to identify and understand in order to perform both safe and effective placement of neuromodulators and soft-tissue fillers. In this anatomic review, the authors review key structures that serve as landmarks for successful treatment using both neuromodulators and fillers...
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28018775/review-of-3-dimensional-facial-anatomy-injecting-fillers-and-neuromodulators
#4
David A Sieber, Jack F Scheuer, Nathaniel L Villanueva, Ronnie A Pezeshk, Rod J Rohrich
To achieve consistent results utilizing facial injectables, practitioners must understand the pertinent anatomy of the forehead, temple, cheek, nose, and perioral areas. A detailed understanding of facial blood vessels, nerves, and musculature is essential for safe and effective placement of fillers and neuromodulators.
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28018774/the-unique-value-of-core-only-continuing-medical-education
#5
Mary P Lupo, Vic Narurkar
The importance of training in minimally invasive cosmetic procedures is essential to insure safe outcomes for patients. Board certification in the appropriate specialty is one way to improve aesthetic outcomes. Meetings that consider appropriate residency training for admission can help achieve this goal.
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28018773/noninvasive-submental-fat-compartment-treatment
#6
Ava T Shamban
BACKGROUND: KYBELLA, ATX-101, is an injectable form of sodium deoxycholic acid. It is currently the only Food and Drug Administration-approved injectable drug for the reduction of submental fat. OBJECTIVES: A literature review and discussion of the treatment of submental fat. RESULTS: KYBELLA is a well-tolerated alternative for the treatment of submental fat. CONCLUSIONS: KYBELLA is a safe and efficacious, first in class, injectable drug for the reduction of submental fat...
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28018772/understanding-how-to-prevent-and-treat-adverse-events-of-fillers-and-neuromodulators
#7
Glynis Ablon
Experience teaches cosmetic surgeons to become good, but avoiding and treating adverse events make them great. In no area is this more true than in cosmetic procedures involving fillers and neuromodulators. By utilizing knowledge of materials and anatomy involved, specialists seek to avoid complications. A well-trained physician is able to reduce the sequelae from an adverse event by acting promptly using algorithms and a methodical approach to treatments. In this article I discuss the difference between perceived and true complications from fillers and neuromodulators, how to avoid, what to look for and how to treat to provide patients with the best possible outcomes, and make the physicians life less stressful...
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/28018771/skincare-bootcamp-the-evolving-role-of-skincare
#8
Katie Rodan, Kathy Fields, George Majewski, Timothy Falla
BACKGROUND: Although cosmetic procedures have a significant impact on certain aspects of aging, such as deep, wrinkling, sagging, and volume loss, they fail to address the overall quality of the skin. METHODS: Daily skincare routines potentially can have a significant long-term impact on the overall quality of a person's complexion. RESULTS: By expanding our product knowledge, we can help our patients individualize their at-home skincare routine using effective products and ingredients designed to address their specific skin concern and support the professional care we deliver...
December 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975040/determining-length-and-position-of-pedicle-vessels-using-a-flap-model-with-vascular-tape
#9
Naohiro Ishii, Kazuo Kishi
In free-flap surgery, if the appropriate length of the pedicle and the distance necessary for separation of the artery and vein are determined earlier during flap elevation, the operative time and the stress placed on the flap pedicle can be reduced. However, the pedicle of a flap passes through 3-dimensional structures, particularly in head and neck reconstructions, and because of the difference in body shapes between individuals, even experienced microsurgeons may misjudge the required distance. To date, no easy method to counteract this problem has been reported...
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975039/tumescent-technique-in-vascularized-composite-allotransplantation-secondary-surgery
#10
Alessandro Thione, Pedro C Cavadas
No abstract text is available yet for this article.
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975038/new-b-cell-lymphomas-in-the-setting-of-a-previous-rare-breast-implant-associated-b-cell-lymphoma
#11
Alison Messer, Helena Jenkinson, Wei Wang, Madeleine Duvic
We present a follow-up of a patient who underwent right-sided subtotal mastectomy and placement of right-sided saline implant in 1968 for a phyllodes tumor and then in 2012 was diagnosed with a rare B-cell type lymphoma of the right breast. In 2015, she was diagnosed with diffuse large B-cell lymphoma involvement of the left breast and left leg and experienced subsequent self-regression of leg lesions without therapy.
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975037/abdominal-wall-reconstruction-using-retrorectus-self-adhering-mesh-a-novel-approach
#12
Ibrahim Khansa, Jeffrey E Janis
BACKGROUND: In abdominal wall reconstruction, the retrorectus plane offers an ideal location for mesh placement. Mesh fixation in this plane is often achieved using transfascial sutures, which risks entrapping intercostal nerves and causing significant pain, and takes time to place. A novel alternative is the use of sutureless self-adhering mesh. Although the use of this mesh in inguinal hernias has been well described, studies on its use in abdominal wall reconstruction are lacking. METHODS: Consecutive patients who underwent ventral hernia repair with retrorectus mesh were reviewed...
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975036/breast-desmoid-tumor-after-ductal-carcinoma-treatment-salvaging-a-diep-flap-reconstruction
#13
Dmitry Zavlin, Eric S Ruff, Steven Benjamin Albright
Supplemental Digital Content is available in the text.
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975035/patient-in-the-sitting-position-to-improve-comfort-in-follicular-unit-extraction
#14
Yong Miao, Zhe-Xiang Fan, Wei Jiang, Zhi-Qi Hu
No abstract text is available yet for this article.
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975034/subcutaneous-implant-based-breast-reconstruction-with-acellular-dermal-matrix-mesh-a-systematic-review
#15
Ara A Salibian, Jordan D Frey, Mihye Choi, Nolan S Karp
BACKGROUND: The availability of acellular dermal matrix (ADM) and synthetic mesh products has prompted plastic surgeons to revisit subcutaneous implant-based breast reconstruction. The literature is limited, however, with regards to evidence on patient selection, techniques, and outcomes. METHODS: A systematic review of the Medline and Cochrane databases was performed for original studies reporting breast reconstruction with ADM or mesh, and subcutaneous implant placement...
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975033/examination-of-epithelial-mesenchymal-transition-in-keloid-tissues-and-possibility-of-keloid-therapy-target
#16
Hiroaki Kuwahara, Mamiko Tosa, Seiko Egawa, Masahiro Murakami, Ghazizadeh Mohammad, Rei Ogawa
BACKGROUND: Keloid is a fibroproliferative skin disorder that is characterized by collagen accumulation and blood vessel proliferation in the reticular layer of the dermis. It is caused by prolonged inflammation after cutaneous injury. Several studies suggested recently that epithelial mesenchymal transition (EMT) is involved in the development of fibrosis. This study assessed whether EMT also participates in keloid development and/or aggravation. METHODS: Resected keloid (n = 19) and normal skin (n = 13) samples were subjected to immunohistochemical, immunofluorescent, and Western blot analyses of their expression of epidermal (E-cadherin) and mesenchymal (vimentin) proteins...
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975032/flexor-tendon-repair-postoperative-rehabilitation-the-saint-john-protocol
#17
Amanda Higgins, Donald H Lalonde
The Saint John Protocol describes a rehabilitation program of up to half a fist of protected true active finger flexion beginning 3 to 5 days after flexor tendon repair. We no longer use full fist place and hold. We illustrate with film and text the reasons for these changes.
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975031/median-nerve-trifurcation
#18
Sarah Lonie, Vachara Niumsawatt, Warren M Rozen
Median nerve trifurcation in the carpal tunnel has only rarely been described and never reported to be found at surgery. We present the first such case, highlighting a median nerve trifurcation found at carpal tunnel release. Consideration of amendment of the Lanz classification should be made to account for such cases, and surgeons should be aware of possible anatomical variations to avoid iatrogenic injury.
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975030/reconstruction-after-excision-of-hidradenitis-suppurativa-are-skin-grafts-better-than-flaps
#19
Yuta Sugio, Koichi Tomita, Ko Hosokawa
After surgical excision of hidradenitis suppurativa, reconstruction with a skin graft or a flap is performed when primary closure is not possible. However, the recurrence rate is reportedly high even after wide surgical excision. It is still unclear which reconstruction method provides the lowest recurrence rate. In this report, we present a case of intractable hidradenitis suppurativa in the bilateral perineal region. After wide excision and repair with bilateral groin flaps, a unilateral groin flap was replaced with a split-thickness skin graft because of flap necrosis...
November 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27975029/barriers-to-reconstructive-hand-surgery-for-rheumatoid-arthritis-in-china-a-multicenter-survey-of-patients-and-physicians
#20
Lauren E Franzblau, Xuebing Liang, Keming Wang, Zhanguo Li, Yingni Li, Melissa Shauver, Kevin C Chung
BACKGROUND: China has a similar rheumatoid arthritis (RA) disease burden compared with other countries, yet RA patients rarely receive surgical treatment for hand deformities that limit function and impact appearance. We investigated potential barriers to rheumatoid hand surgery in China. METHODS: Patients with RA, rheumatologists, and hand surgeons at 3 large tertiary hospitals in Beijing completed questionnaires that assess knowledge and attitudes surrounding RA hand surgery...
November 2016: Plastic and Reconstructive Surgery. Global Open
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