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Focused Subspecialty Training in Plastic Surgery Residency: An Objective Assessment of the Cleveland Clinic Pilot Program.
[BACKGROUND] Many senior-level plastic surgery residents have a firm idea regarding the complexion of their future practice. [OBJECTIVES] Rather than continuing with traditional rotations in the sixth year, it is suggested that chief resid…
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Chin Dysmorphology in the Primary Rhinoplasty Population: Prevalence, Objective Analysis, and Implications.
[BACKGROUND] Chin flaws are far more common than recognized. Denial of genioplasty by parents or adult patients can present a surgical planning enigma, especially in patients with microgenia and chin deviation. This study aims to investigat…
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Supply and Demand: Resident Applications to Program Positions in Plastic Surgery and Our Sister Specialties.
[BACKGROUND] Previous studies have compared various attributes of independent and integrated resident applicants and identified criteria for a successful match outcome. Few studies have directly examined the relative desirability of various…
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Local Infiltration of Tranexamic Acid During Facelift Improves Operating Room Efficiency: A Matched Patient Study.
[BACKGROUND] Tranexamic acid (TXA) has rapidly gained popularity in aesthetic surgery. Previous reports have suggested that TXA provides a dry surgical field and significantly reduces operating time during facelift surgery. [OBJECTIVES] Th…
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Face Lift Practice Patterns: An American Society of Plastic Surgeons Member Survey, 2000 and 2020. How Much Have We Changed?
[BACKGROUND] In 2000, Matarasso et al. performed a survey of American Society of Plastic Surgeons members' face lift practice patterns. Since that publication, the aesthetic marketplace has changed dramatically, as have ancillary face lift …
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Breast Implant-Associated Anaplastic Large Cell Lymphoma With Invasive Chest Wall Masses.
[BACKGROUND] Breast implant-associated anaplastic large-cell lymphoma (BIA-ALCL) might occur in any patient with a history of textured breast devices, and often presents as a spectrum of disease: from a simple late-onset seroma, to complex …
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How to Prevent and Treat Complications in Facelift Surgery, Part 1: Short-Term Complications.
This article provides a review of available evidence with regard to short-term complications in facelift surgery. The article reviews both the most common complications and less common, but well-described ones. The goal is to offer objectiv…
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Prospective Study Assessing the Effect of Local Infiltration of Tranexamic Acid on Facelift Bleeding.
[BACKGROUND] Rebound bleeding during facelift surgery is a major cause of facelift hematomas. Subcutaneous infiltration of tranexamic acid (TXA) combined with lidocaine and epinephrine was recently retrospectively shown to decrease rebound …
- Direct-to-Implant Breast Reconstruction with Simultaneous Nipple-Sparing Mastopexy Utilizing an Inferiorly Based Adipodermal Flap: Our Experience with Prepectoral and Subpectoral Techniques.
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Advances and current concepts in reconstructive surgery for breast cancer.
In this article, we report on recent advancements in reconstructive care of the breast cancer patient. New developments in sensate breast reconstruction to help address the problem of numbness after mastectomy have emerged and show promise.…
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Liposuction: Concepts, safety, and techniques in body-contouring surgery.
Liposuction is the second most commonly performed cosmetic surgery in the United States and the most common surgical procedure in patients between the ages of 35 and 64; practitioners of medicine and surgery will undoubtedly encounter these…
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Revisiting the "July Effect" in Plastic Surgery: New Data to Support Resident Autonomy.
[BACKGROUND] The "July Effect" represents a topic of considerable interest across residency programs. This study investigated the frequency of postoperative complications following procedures with plastic surgery resident participation (all…
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Professional Burnout in United States Plastic Surgery Residents: Is It a Legitimate Concern?
[BACKGROUND] Physician burnout is intimately associated with institutional losses, substance abuse, depression, suicidal ideation, medical errors, and lower patient satisfaction scores. [OBJECTIVES] By directly sampling all US plastic and …
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Breast augmentation surgery: Clinical considerations.
Women receive breast implants for both aesthetic and reconstructive reasons. This brief review discusses the evolution of and complications related to breast implants, as well as key considerations with regard to aesthetic and reconstructiv…
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Characterizing Breast Deformities After Massive Weight Loss: Utilizing the Pittsburgh Rating Scale to Examine Factors Affecting Severity Score and Surgical Decision Making in a Retrospective Series.
[BACKGROUND AND OBJECTIVES] Massive weight loss (MWL) can result in variable contour deformities of the breasts. The Pittsburgh Rating Scale (PRS) was designed to describe the multitude of deformities after MWL and recommends operations to …
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The Challenges of Augmentation Mastopexy in the Massive Weight Loss Patient: Technical Considerations.
[BACKGROUND] Augmentation mastopexy in the massive weight loss population is challenging because of poor skin elasticity and lack of inframammary support. Despite several large studies of augmentation mastopexy in the literature, few data e…
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The Plastic Surgeon as Employee: A Pilot Survey of the California Society of Plastic Surgeons.
[INTRODUCTION] Plastic surgeons endure years of training yet remain poorly equipped to negotiate first employment contracts. Our aims were to evaluate typical plastic surgeon employment contracts and assess contract comprehensiveness. We so…