Broach RB

[BACKGROUND] Postmastectomy radiation therapy (PMRT) is a key component of breast cancer care, reducing locoregional recurrence in appropriately selected patients. Concurrently, use of mastectomy with implant-based breast reconstruction has…

[BACKGROUND] Direct-to-implant (DTI) reconstruction offers several advantages over the 2-stage implant-based breast reconstruction approach. However, the outcomes of prepectoral reconstruction are debated. Many previous studies contained co…

[PURPOSE] Radiation therapy following implant-based reconstruction (IBR) is known to contribute to increased complication rates and aesthetic challenges, particularly breast asymmetry, which often necessitates additional revision procedures…

Abdominally based breast free flap reconstruction exposes patients to potential significant donor site morbidity. Utilization of postoperative Incisional Negative Pressure Wound Therapy (iNPWT) has been proposed to minimize incision site co…

[BACKGROUND] The efficacy and longevity of hyaluronic acid (HA) fillers is well supported by previous studies evaluating patient-reported outcomes (PROs). However, the longitudinal relationship between patient perceptions and physical volum…

Emphasis on clinical and patient-reported outcomes has transformed research and quality-improvement efforts, with a growing push for standardized, validated outcome measures. This scoping review aimed to evaluate whether aesthetic surgery i…

[BACKGROUND] Patients undergo abdominoplasty/panniculectomy following excessive weight loss and/or to improve abdominal appearance/shape. The authors aim to compare clinical outcomes and quality of life (QoL) following these procedures in p…

[BACKGROUND] Patients undergoing plastic surgery have higher rates of psychiatric disorders, which can influence surgical outcomes and quality of life (QoL). [METHODS] A retrospective review was conducted of patients with or without psychi…

[BACKGROUND] The use of postmastectomy radiation therapy (PMRT) in the setting of immediate 2-stage breast reconstruction is becoming increasingly widespread. However, the timeframe of tissue expander exchange for permanent implant placemen…

[BACKGROUND]  Autologous breast reconstruction (ABR) after mastectomy is increasing due to benefits over implant-based reconstruction. However, free flap reconstruction is not universally offered to patients of advanced age due to perceived…

[BACKGROUND]  The timing of free flap reconstruction after lower extremity trauma has been a controversial debate since Marko Godina's original 72-hour recommendation. Recent advances in microsurgery warrant an evaluation of the optimal tim…

Scalp reconstruction following Mohs micrographic surgery (MMS) presents significant challenges when defects are complicated by radiation, extensive defect size and depth, and the use of implants. As a result, free flap reconstruction may pr…

[BACKGROUND] Autologous breast reconstruction (ABR) following nipple-sparing mastectomy (NSM) is recognized for superior aesthetic outcomes. However, body mass index (BMI)-based recommendations for free flap reconstruction remain debated du…

[IMPORTANCE] Multiple botulinum toxin A formulations were approved by the US Food and Drug Administration for treating the glabellar rhytids. A comparative quantitative evaluation of their effects on the glabella has not been conducted. [O…

[BACKGROUND] The risks and benefits of performing small fat-containing ventral or umbilical hernia repair (HR) during cosmetic abdominoplasty remains a reconstructive and aesthetic challenge for plastic surgeons. [OBJECTIVES] In this study…

[INTRODUCTION] Breast reduction surgery addresses both functional complaints and aesthetic concerns. Two commonly used incision patterns in the US are the Wise and vertical patterns, but there are limited data comparing their clinical and q…

[BACKGROUND] Implant-based breast reconstruction is the most common reconstructive approach after mastectomy. Prepectoral implants offer advantages over submuscular implants, such as less animation deformity, pain, weakness, and postradiati…

[BACKGROUND] Current consensus has established the internal mammary vessels (IMV) over the thoracodorsal vessels (TDV) as the preferred recipients for microvascular breast reconstruction due to their superior flow rates and long-established…

[BACKGROUND] The incidence of obesity is on the rise around the globe. Outside of the massive weight loss (MWL) patient population, knowledge of risk factors associated with abdominal body contouring (BC) is limited. This systematic review …

[BACKGROUND] Tranexamic acid (TXA), a fibrinolysis inhibitor, is widely used in various surgical fields to minimize blood loss. However, its efficacy and safety in plastic surgery, especially in reduction mammaplasty and abdominoplasty, rem…

[BACKGROUND] With marijuana use on the rise, its influence on surgical outcomes, particularly for breast reduction, warrants investigation. This study aims to clarify marijuana's effects on breast reduction surgery outcomes, given its limit…

[OBJECTIVES] Using Texas STAR (seeking transparency in application to residency), we aimed to 1) examine predictors of matching success in integrated plastic surgery residency programs and 2) assess the reliability of the tool. [DESIGN, SE…

[BACKGROUND] Breast implant illness (BII) is a poorly understood heterogeneous disorder treated with implant removal; however, patient-reported symptoms and outcomes after treatment remain unclear. [METHODS] A retrospective review of patie…

[BACKGROUND] Patients with advanced cancer staging have a greater risk of developing venous thromboembolism than noncancer patients. The impact of breast cancer stage and treatment on outcomes after autologous free-flap breast reconstructio…

[PURPOSE] Reconstruction of massive incisional hernias (IHs) poses a significant challenge with high rates of recurrence. Preoperative chemodenervation using botulinum toxin (BTX) injections in the abdominal wall is a technique that has bee…

[BACKGROUND] Optimal reduction mammoplasty techniques to treat patients with gigantomastia have been debated and can involve extended pedicles (EP) or free nipple grafts (FNG). [OBJECTIVES] The authors compared clinical, patient-reported, …

[BACKGROUND] A comprehensive comparison of surgical, aesthetic, and quality of life outcomes by reduction mammaplasty technique does not exist. We sought to ascertain the effect of technique on clinical, aesthetic, and patient-reported outc…

[BACKGROUND] Medical tourism has grown increasingly popular in the past few decades. Cosmetic surgery centers have developed in vacation locales, offering procedures at lower prices. However, surgeons and patients alike are often unprepared…

[INTRODUCTION] The 5-year incidence of locoregional recurrence (LRR) after mastectomy is 3-8 %. This study examines the incidence, modes of detection, and reconstructive options after loss of index reconstruction in the largest series of au…