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Preventing Hump Recurrence in Dorsal Preservation Rhinoplasty: The 5 Key Tenets.
Preservation rhinoplasty has re-emerged over the past decade and continues to gain traction in the rhinoplasty community. Dorsal preservation rhinoplasty (DPR), one of the tenets of preservation rhinoplasty, centers on preservation of the n…
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The Blocking Points: The Keys to Consistent Success in Preservation Rhinoplasty.
Preservation rhinoplasty is a growing area of interest among rhinoplasty surgeons. Dorsal preservation-a tenet of preservation rhinoplasty-is predicated on maintaining the integrity of the nasal midvault and effecting aesthetic change throu…
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Refinements in Extended Alar Contour Grafts: Retrograde Approach in Conjunction with Alar Base Surgery.
Alar contour grafts are an excellent adjunct in both primary and revision rhinoplasty for correction and prevention of alar rim irregularities. They are traditionally placed at the conclusion of a rhinoplasty through a vestibular incision a…
- Facelift Skin Flap Redraping: The Seven Key Steps.
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An Evidence-Based and Case-Based Comparison of Modern Face Lift Techniques.
[BACKGROUND] Facial aging is a multifactorial process that affects each component of facial anatomy. The two general groups of face lift techniques are superficial musculoaponeurotic system (SMAS) elevation and SMAS manipulation. The purpos…
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Defining Our Terms: Are Postoperative Complications Adequately Defined in the Rhinoplasty Literature?
[BACKGROUND] Rhinoplasty is one of the most common aesthetic surgical procedures, and yet its postoperative complication profile remains somewhat ill-defined and underreported. The purpose of this study was to examine the quality of complic…
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Leadership and Advanced Degrees: Evaluating the Association Between Dual Degrees and Leadership Roles in Academic Plastic Surgery.
[BACKGROUND] There are increasingly prevalent formal educational programs for physicians who seek to be better trained to advance their fields. Although higher education and advanced degrees are not necessarily linked to leadership, we hypo…
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An Assessment of Patient Satisfaction and Decisional Regret in Patients Undergoing Staged Free-Flap Breast Reconstruction.
[BACKGROUND] In the setting of radiation therapy or significant medical comorbidities, free-flap breast reconstruction may be intentionally delayed or staged with tissue expander placement ("delayed-immediate" approach). The effect of a sta…
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A Comparison of Surgical Complications in Patients Undergoing Delayed versus Staged Tissue-Expander and Free-Flap Breast Reconstruction.
[BACKGROUND] Patients undergoing mastectomy may not be candidates for immediate free-flap breast reconstruction because of medical comorbidities or postmastectomy radiation therapy. In this setting, flap reconstruction may be intentionally …
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Perioperative Approach to Reducing Hematoma during Rhytidectomy: What Does the Evidence Show?
[BACKGROUND] Postoperative hematoma remains the most common complication in rhytidectomy, prompting surgeons to use a multitude of adjunctive measures to prevent its occurrence. The goal of this systematic review was to determine which of t…
- Evidence-Based Innovations Driving the Future of Plastic Surgery.
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Assessing the Influence of Attending Surgeon Continuity on Free Flap Outcomes Following Unplanned Returns to the Operating Room.
[BACKGROUND] Unplanned returns to the operating room (OR) may be necessary at times to salvage a compromised free flap. The aim of this study was to assess the influence of attending surgeon continuity on free flap outcomes following a ret…
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Implications of Training Pathways on Future Academic Plastic Surgeon Employment.
[BACKGROUND] The limited supply of academic plastic surgery positions has led to increased demand and strong competition for these desired positions. Residents and students now seek out academic opportunities earlier in their training to ac…