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How to approach the deep inferior epigastric perforator flap revision for optimal aesthetics.
Deep inferior epigastric perforator (DIEP) flap reconstruction has become the gold standard for autologous breast reconstruction, offering favorable outcomes in terms of flap viability and breast aesthetics. However, optimizing both donor a…
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Arteriovenous Malformations of the Hand: Optimizing Outcomes with Palmar Arch Reconstruction.
[BACKGROUND] Arteriovenous malformations are abnormal high-flow vascular anomalies that can greatly alter the structure of surrounding tissues. Treatment of symptomatic hand arteriovenous malformations must address the functional and aesthe…
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Analysis of adolescent patient satisfaction and well-being following reduction mammaplasty using the BREAST-Q survey.
[BACKGROUND] While functional breast reduction surgery has been shown to lead to increased quality of life in adult patients, the effects of this operation has not been investigated as thoroughly in adolescent patients. This study uses the …
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Sharing the Operating Room: A Descriptive Study of Combined and Collaborative Plastic Surgery Cases.
[BACKGROUND] Plastic surgeons are often asked for intraoperative assistance by other surgical services. Improvement of a plastic surgery service has been shown to improve patient outcomes, decrease length of stay, and increase hospital reve…
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Vascularized Bone Grafts for Spinal Fusion-Part 2: The Rib.
[BACKGROUND] Pseudoarthrosis, or failure to achieve bony union, is a well-known complication of spinal fusion operations. Rates range from 5% to 40% and are influenced by both patient and technical factors. Patients who do not achieve compl…
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Vascularized Bone Grafts for Spinal Fusion-Part 4: The Scapula.
[BACKGROUND] Solid arthrodesis is the long-term goal of most spinal reconstruction surgeries. A multitube of biologics as well as autograft is commonly used to augment the bony fusion. Medial scapular vascularized bone grafts (S-VBGs) are a…
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Vascularized Bone Grafts for Spinal Fusion-Part 1: The Iliac Crest.
[BACKGROUND] Iliac crest autograft has been the gold standard for harvest of fusion materials in spine surgery. The benefits of a vascularized version of this bone graft-including delivery of stem cells, ability to deliver antibiotics to th…
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Are You Ready to Negotiate Your First Employment Contract? Experience of More Than 700 Plastic Surgeons.
[BACKGROUND] Plastic surgeons have been shown to be unprepared to negotiate their first employment contracts. Previous survey studies have attempted to assess plastic surgeons' first employment contracts to outline common pitfalls in contra…
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No-Charge Nonsurgical Facial Aesthetic Clinic in a Residency Program: A Single-Center Experience.
[BACKGROUND] In 2014, the Accreditation Council for Graduate Medical Education set minimum case requirements for injectable procedures as a surrogate for procedural competency. Despite the implementation of resident-run aesthetic surgery cl…
- Reply: Impact Factor, h-Index, and Alternative Metrics: How Should We Measure the Impact of Publications in Plastic Surgery?
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The Importance of Financial Metrics in Physician Funding and Performance Evaluation.
[BACKGROUND] Financial key performance indicators are often used to evaluate performance. Understanding of key performance indicators can be crucial for career advancement and bargaining leverage in resource negotiations. This study aimed t…
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The Impact of Political Advocacy on the Plastic Surgeon: A Data-Driven Analysis.
[BACKGROUND] Despite successful legislative efforts by the American Society of Plastic Surgeons (ASPS), the Plastic Surgery Political Action Committee remains underused. Participation in advocacy and financial contributions of ASPS members …
- Reply: Changing United States Medical Licensing Examination Step 1 to Pass/Fail: Anticipated Ramifications for Plastic Surgery Residency Applicants and Programs.
- Reply: The COVID-19 Pandemic: Implications for Medical Students and Plastic Surgery Residency Applicants.
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Carving Out Financial Success: The Power of Insurance Carve-Outs in a Private Plastic Surgery Practice.
[BACKGROUND] Since the Patient Protection and Affordable Care Act was signed into law, there has been a push away from fee-for-service payment models. The rise of bundled payments has drastically impacted plastic surgeons' incomes, especial…
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Financial Analysis of Operating a Resident Aesthetic Clinic.
[BACKGROUND] Recent changes to the plastic surgery residency training requirements along with a general call for expanded education in cosmetic surgery have encouraged many institutions to incorporate resident aesthetic clinics into their c…
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Cost-effectiveness of Multidisciplinary Care in Plastic Surgery: A Systematic Review.
[BACKGROUND] Multidisciplinary care has been previously shown to improve outcomes for patients and providers alike, fostering interprofessional collaboration and communication. Many studies have demonstrated the beneficial health care outco…
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Bringing Your Idea to the Market: A Primer for Plastic Surgeons.
The progress of biotechnology, medical instruments, and applied sciences contributes to a rapidly expanding space for the advancement of the medical field. Surgeons experience first-hand the limitations of current medical devices and thus h…
- Reply: The COVID-19 Pandemic: Implications for Medical Students and Plastic Surgery Residency Applicants.
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Employment as a Plastic Surgeon: A Review of Trends and Demand Across the Field.
Intrinsic to the field of plastic surgery, constant changes in health care policy, consumer demands, and medical technology necessitate periodic evaluation of trends in employment over time. In this article, we review the existing literatur…
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Patents for the Plastic Surgeon: A Primer.
Although innovation and entrepreneurship are complementary in the process of creating new products, plastic surgeons are frequently discouraged by the challenges associated with the regulatory and administrative environments in patent filin…
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Certification and Accreditation in Plastic Surgery Subspecialty Training.
There are multiple subspecialties that residents can pursue after core plastic surgery training, including 5 major fellowship categories: aesthetic, burn, craniofacial, hand, and microsurgery. Hand surgery remains the only plastic surgery s…
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Fat Grafting for Facial Rejuvenation.
For optimal results, facial rejuvenation procedures should address both the tissue laxity and volume deflation associated with facial aging. The lift-and-fill face lift, in which fat grafting provides volumetric rejuvenation to the face whi…
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Application of Fat Grafting in Cosmetic Breast Surgery.
The role of fat grafting to the breasts has evolved in the recent past, gaining several new applications within both reconstructive and aesthetic surgery. Initially used for reconstructive purposes to fill lumpectomy defects or to correct r…
- Who Owns the Patient's Photographs? Consent and Legal Ramifications of Photography in Plastic Surgery.
- Impact Factor, h-Index, and Alternative Metrics: How Should We Measure the Impact of Publications in Plastic Surgery?
- Role of Simulation and Artificial Intelligence in Plastic Surgery Training.
- The COVID-19 Pandemic: Implications for Medical Students and Plastic Surgery Residency Applicants.
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The COVID-19 Pandemic: Crisis Management for Plastic Surgeons.
The worldwide outbreak of coronavirus disease 2019 (COVID-19) has forced health care systems across the United States to undertake broad restructuring to address the ongoing crisis. The framework of crisis management can assist plastic surg…
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The Discrepancy Between Perceived Importance and Actual Delivery of Business Education in Residency: A Survey of Program Directors.
[BACKGROUND] In the contemporary healthcare environment, there is a need for physicians to understand business fundamentals. Nonsurgical residencies have implemented formal business education, but surgical training programs have been slower…