Gutowski KA

[BACKGROUND] Health care providers play an important role in the national opioid crisis with 40% of opioid-related deaths being attributed to prescription medications (Centers for Disease Control and Prevention, U.S. Department of Health an…

[BACKGROUND] Enhanced understanding of early postoperative adverse events will improve patient counseling and preoperative risk modification to decrease complications in implant-based breast augmentation. This study seeks to evaluate the ea…

[BACKGROUND] Drains are still commonly inserted during abdominoplasties despite extensive evidence documenting the benefits of drainless procedures. Continued improvements in progressive tension suturing (PTS) techniques and suture technolo…

[BACKGROUND] Risk calculators are an emerging tool that provide granular, individualized risk estimation. Presently, there is a paucity of risk calculators specific to plastic surgery. Abdominoplasty is a popular plastic surgery procedure a…

[LEARNING OBJECTIVES] After reading this article, the participant should be able to: 1. Differentiate between techniques for standard abdominoplasty and lipoabdominoplasty. 2. Assess patients for risk associated with abdominoplasty alone an…

[BACKGROUND] Combining liposuction and abdominoplasty is controversial because of concerns for increased complications and potential for vascular compromise of the abdominoplasty flap. Also, the lipoaspirate volume in abdominoplasty is regu…

Ambulatory surgery is common in plastic surgery, where many aesthetic and reconstructive procedures can be performed in hospitals, ambulatory surgery centers, or office-based surgery facilities. Outpatient surgery offers advantages to both …

Botulinum toxin type A (BTA) can be used for facial aesthetics. The 3 currently available BTA types include onabotulinumtoxinA (Botox; Botox Cosmetic, Allergan, Irvine, CA), abobotulinumtoxinA (Dysport; Ipsen, Ltd, Berkshire, UK), and incob…

Plastic surgery research using large databases has increased dramatically over the past 20 years. With the magnitude and breadth of information available in these databases, researchers are able to more easily answer a wide variety of resea…

[BACKGROUND] The introduction of neuromodulators for aesthetic facial improvements greatly expanded the limits of nonsurgical facial rejuvenation. Although many current uses are considered "off-label," the widespread acceptance and favorabl…

[BACKGROUND] Subcutaneous surgical drains are commonly used in abdominoplasties to prevent seromas but are not tolerated well by patients and add additional discomfort after the procedure. The lipoabdominoplasty modification may create a mo…

[BACKGROUND] No concrete data exist to support a specific volume at which liposuction becomes unsafe; surgeons rely on their own estimates, professional organization advisories, or institutional or government-imposed restrictions. This stud…

[BACKGROUND] Combined abdominal and breast surgery presents a convenient and relatively cost-effective approach for accomplishing both procedures. [OBJECTIVES] This study is the largest to date assessing the safety of combined procedures, …

[BACKGROUND] Tumescent analgesia (TA) is commonly used for liposuction without needing sedation or general anesthesia. [METHODS] A literature review of current use of TA in plastic surgery was done to determine other procedures where TA ca…

Barbed sutures can be used in body contouring procedures to close long incisions better than conventional sutures. The results of a literature review focusing on the use of barbed sutures in abdominal contouring procedures suggest that they…

Facial rhytidectomy is a complex and multi-faceted operation performed by different methodologies between practitioners. This study elucidates current international trends in facelift surgery, including patient selection, operative techniqu…

[BACKGROUND] Seroma and skin necrosis are potential complications following abdominoplasty. Many methods have been employed to prevent these complications, including the progressive tension suture technique. [OBJECTIVE] The authors evaluat…

[BACKGROUND] Integrated plastic surgery residency training is growing in popularity, bringing new challenges to program directors and applicants. The purpose of this study was to identify characteristics of successful applicants and to obta…

[BACKGROUND] As bariatric surgery has become more popular, plastic surgeons have seen increases in post-bariatric surgery body contouring procedures. The aim of the authors' survey was to better understand perspectives of bariatric surgeons…

[BACKGROUND] The authors evaluated the use of national databases to track surgical complications among abdominoplasty and breast augmentation patients. [METHODS] Their study population included all patients with abdominoplasty or breast au…

[LEARNING OBJECTIVES] : After studying this article, the participant should be able to: 1. Identify risk factors associated with community-acquired methicillin-resistant Staphylococcus aureus. 2. Recognize the clinical presentation of patie…

[BACKGROUND] Recommendations for venous thromboembolism (VTE) prophylaxis have been published in the plastic surgery literature. However, no comprehensive survey of the overall incidence of VTE among plastic surgery patients has been undert…

Approximately 500,000 cosmetic breast operations will be done in 2006. The majority of these are for cosmetic reasons and include breast augmentations, mastopexies, and breast reductions. Augmentations are most commonly performed using sali…

[BACKGROUND] Gigantomastia of pregnancy is a rare, severely debilitating condition characterized by massive enlargement of breasts and resulting in tissue necrosis, ulceration, infection, and, occasionally, hemorrhage. Typically, resolution…

Our center undertook an industry-funded, outcomes-based, multicenter, retrospective review to evaluate the safety and efficacy of saline-filled breast implants. Our review was part of a pre-market approval review process mandated by the U.S…