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The Impact of Aesthetic Osseous Genioplasty on Upper Airway Volumes - A Single Center Retrospective Cohort Study.
[BACKGROUND] The effect of aesthetic osseous genioplasty on upper airway volume remains unclear, particularly the relative contributions of horizontal and vertical chin changes. [METHODS] We retrospectively analyzed volumetric airway chang…
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Virtual Surgical Planning for Facial Feminization Surgery: Correlation between 3-Dimensional Plans and Results Varies across Procedures.
[BACKGROUND] Facial feminization surgery encompasses a group of procedures, including frontal sinus setback, genioplasty, and gonial angle reduction, that are used to increase concordance between gender identity and physical appearance. Vir…
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Bone Healing Following Osseous Genioplasty is Minimally Impacted by the Osteotomy Gap Width.
[BACKGROUND] Bone healing in the facial skeleton is impacted by the osteotomy gap and patient-specific factors. Factors that can impact ossification have not been completely characterized. [OBJECTIVES] This study describes a technique for …
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Plastic surgeon closure in pediatric spine surgery: Comparable outcomes despite greater patient complexity.
[PURPOSE] Pediatric spine surgery closure poses unique challenges owing to smaller body habitus, limited soft-tissue coverage, and high rates of congenital and neuromuscular deformities. Plastic surgeons are increasingly being consulted for…
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Efficacy and Morphometric Outcomes of Combined Rhinoplasty-Lip Lift for Facial Feminization Surgery.
Midface feminization in facial feminization surgery (FFS) addresses nasal and perioral features. Rhinoplasty and upper lip lift are commonly used procedures that can be combined into a single surgery. This study quantitatively describes bas…
- Combined Rhinoplasty-Lip Lift Technique for Facial Feminization Surgery: An Instructional Video and Technical Report.
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Quantification of Changes in Chin Morphometric Parameters Following Feminization Genioplasty.
Genioplasty is frequently performed in facial feminization surgery, typically aiming to reduce chin height and projection for more feminine appearance. Quantification of the bony changes occurring during surgery have to date not been publis…
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Assessing the Relationship Between Mandibular Contouring and Iatrogenic Jowling in Facial Feminization Surgery.
Lower-third facial feminization procedures have been associated with the development of postoperative jowling, yet quantitative evaluations of this outcome remain limited. This study evaluated the relationship between patient risk factors a…
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Cephalometric Comparison of Transgender Women Following Facial Feminization Surgery to Assigned Female at Birth Subjects.
[OBJECTIVE] Facial feminization surgery (FFS) consists of a set of procedures utilized in gender-affirming care. With the goal of transforming masculine craniofacial features to more anthropomorphically feminine ones, these procedures are p…
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Osseous Genioplasty and Its Impact on Airway Volume-What is the Evidence?
Osseous genioplasty (OG) improves facial aesthetics by 3-dimensionally repositioning the chin and associated soft tissues. Although its effects on airway volumes and obstructive sleep apnea (OSA) have been investigated, the available eviden…
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Implant-Based Chin Augmentation Vs Osseous Genioplasty: A Systematic Review of Indications and Outcomes.
Osseous genioplasty (OG) and implant-based chin augmentation are 2 primary approaches for correcting microgenia. A comprehensive synthesis comparing their outcomes, safety profiles, and patient satisfaction is lacking. In this study, the au…
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Safety Profile Comparison of 2 Smooth Tissue Expander Types: Artoura and CPX4.
[INTRODUCTION] With the recent transition to smooth tissue expanders (TEs), functional differences between TE subtypes have not been fully elucidated. This study evaluated the differences in TE characteristics and complications between 2 co…
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Computerized Surgical Planning in Gender Affirming Facial Surgery.
Computerized Surgical Planning (CSP) is a surgical tool that enables precise bony changes through the creation of custom cutting guides and/or custom plates. CSP has been shown to be a safe and effective tool in gender affirming facial surg…
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Addressing the Rhino in the Room: ChatGPT Creates "Novel" Patent Ideas for Rhinoplasty.
[BACKGROUND] OpenAI's ChatGPT can generate novel ideas for a number of applications. The aim of this study was to prompt the chatbot to generate possible innovations in aesthetic surgery relating to rhinoplasty. [METHODS] ChatGPT was promp…
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FACE-Q Satisfaction Ratings Are Higher After Facial Feminization Surgery Than Hormone Replacement Therapy Alone.
[PURPOSE] Facial feminization surgery (FFS) is associated with improved psychological outcomes in transgender patients. We aimed to evaluate the impact of FFS on patient satisfaction with facial appearance using validated, patient-reported …
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Flap to Mastectomy Mass: Are Higher Ratios Associated with Greater Breast Reconstruction Satisfaction?
[BACKGROUND] Autologous breast reconstruction is associated with superior patient-reported outcomes compared with prosthetic techniques, but little is known about the relationship between autologous flap mass and patient satisfaction. We h…
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Breast implant capsule-associated squamous cell carcinoma: A systematic review and individual patient data meta-analysis.
[INTRODUCTION] New concerns have been raised by the US Food and Drug Administration regarding breast implant capsule-associated squamous cell carcinoma (BICA-SCC) but very little is known about this emerging topic. To gain a better understa…
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Quantitative Analysis of Morphometric Changes in Feminization Rhinoplasty Utilizing a Standardized Forehead-Rhinoplasty Technique.
[BACKGROUND] Rhinoplasty is one of the most commonly performed facial gender-affirming surgeries (FGASs) for transgender females, but well-established morphometric parameters describing feminizing nasal changes do not exist. [OBJECTIVES] D…
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Assessment of Sex Diversity Among Craniofacial Academic Faculty.
Sex diversity among plastic surgery and its subspecialties faculties lags behind many medical specialties. Despite the significant evidence in favor of diversity in leadership, female presence in high-ranking positions in medicine is lackin…
- A Critical Assessment of Gender Diversity within Plastic Surgery.
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Predictors for Prolonged Drain Use Following Autologous Breast Reconstruction.
[BACKGROUND] Surgical drains are routinely used following autologous reconstruction, but are often cited as the leading cause of peri-operative discomfort. This study defined routine drain use duration and assessed the risk factors for pro…
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Extended Scalp Expansion for Larger Defects During Staged Cranioplasty.
[BACKGROUND] Secondary cranioplasty is often required following trauma, infection, radiation, or oncologic care, but is complicated by soft-tissue deficits with limited regional options. Scalp tissue expanders can provide hair-bearing, vasc…
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Evaluation of Complication Rates of Free Flap Reconstruction in Pediatric Patients.
[INTRODUCTION] While there is extensive literature investigating surgical outcomes in free flaps for adults, there is a dearth of information on the efficacy of flap use in the pediatric population. This study is the first to measure compli…
- Gender diversity in microsurgery academic faculty across the United States.
- Venture Capital Investments in Plastic Surgery: An 8-Year Analysis.
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Trends in industry-sponsored research in plastic surgery since implementation of the Sunshine Act.
Financial contributions from industry for physician-led research have been historically challenging to study in plastic surgery. However, as mandated by the Physician Payments Sunshine Act of 2013, the Open Payments Database (OPD) has incre…
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Facial Trauma Call Reimbursement Patterns Among American Society of Maxillofacial Surgery Members.
Facial trauma accounts for over 3 million emergency room encounters each year in the United States and places significant financial burden on the health care system and surgeons. However, data on facial trauma call practices among plastic s…
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Abdominal subcutaneous fat thickness as a substitute for BMI in predicting complications in abdominally-based autologous breast reconstruction.
[INTRODUCTION] Patient selection for autologous tissue transfer for postmastectomy breast reconstruction often utilizes body mass index (BMI) to risk stratify patients, though it only estimates fat content and does not address fat distribut…
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Comparing complications in irradiated and non-irradiated free-flaps in patients with bilateral immediate breast reconstruction and unilateral post-mastectomy radiotherapy.
[BACKGROUND] Numerous studies have evaluated the effect of post-mastectomy radiotherapy (PMRT) on autologous breast reconstruction, but the variability of PMRT regimens and inadequate controls have made results difficult to interpret. There…
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A comparison of perioperative safety for breast augmentation in cis- . trans patients.
[BACKGROUND] Gender-affirming surgery provides a psychosocial benefit to transgender women. However, increased medical complexity within the transgender population has limited access for some transgender women. This study compared patient p…