Hage JJ

[BACKGROUND AND AIM] When the painter Rembrandt van Rijn (1607-1669) died 350 years ago, he left us some 90 self-portraits showing his aging face. Recognizing aging characteristics of the male face is fundamental to the planning of a surgic…

[BACKGROUND] Breast-conserving therapy is defined as a breast-conserving wide local excision (WLE) of a mammary tumour combined with postoperative radiotherapy. Immediate restoration of the mammary shape by use of breast reduction technique…

Because of their relevance for liposuction and rhytidectomies, respectively, the superficial fascial system (SFS) and superficial musculoaponeurotic system (SMAS) have been thoroughly studied over the past decennia. Although it is well know…

Use of the deep inferior epigastric perforator (DIEP) flap is gaining popularity as the method of choice for breast reconstruction and replacement of prosthetic breast implants. Ideally, the volume of the prosthesis is replaced by the same …

[BACKGROUND] Citation of published articles by peers provides an indication of the relevance of the scientific work. Still, it is unknown what kinds of plastic surgery articles are cited most often. The authors set out to identify the chara…

[BACKGROUND] The allotment of grants is increasingly dependent on benchmarking of scientific output. Still, data to benchmark such output for plastic surgeons are lacking. Therefore, we retrieved these data for plastic surgeons in The Nethe…

[BACKGROUND AND PURPOSE OF STUDY] Assessment and benchmarking of research output is becoming a necessity in the quest for research funds and grants. However, reports on the trends in international research output by plastic surgeons over th…

[BACKGROUND] Citations of articles reflect their scientific relevance. The Institute for Scientific Information's impact factor measures the average number of citations to articles in a journal. Consequently, less-cited articles are credite…

[BACKGROUND] Estimates of the occurrence of breast cancer among reduction mammaplasty patients vary from 0.05 to 1.66 percent, and the chance of finding such cancers is affected by the thoroughness of preoperative and postoperative examinat…

[BACKGROUND] Little is known of what is done with the comments on submitted manuscripts provided by peer reviewers or to what extent these comments benefit the editor in deciding to accept or reject the manuscript, the author(s) in revising…

In 1999, the European Association of Plastic Surgeons accepted a structured method to assess and select the abstracts that are submitted for its yearly scientific meeting. The two criteria used to evaluate whether such a selection method is…

There is no generally accepted method for assessing abstracts that are submitted for a medical scientific meeting. This article describes the development and prospective evaluation of such a method applied to the 220 abstracts submitted for…

Plastic surgeons have associated themselves closely with photography almost since the inception of medical photography. Photographs are used for documentation of medical records and comparison of pre- and postoperative status. Digital photo…

The realization that the proper development of aesthetic surgery was hindered by a bias against such practice by departmental heads and editors of medical journals led Dr. Mario González-Ulloa from Mexico to formulate a "Manifesto" on this …

Plastic surgeons have contributed to the constructive and reconstructive surgery of the external genitals. This development followed the increase of surgical-technical possibilities. Whereas in the past the possibilities were limited to tra…

Sir Harold D. Gillies was the father of modern plastic surgery. Apart from being an extraordinary surgeon, he was an innovator of surgical instruments and an outstanding golfer. He adopted Kocher's suture scissors and converted them for nee…

Czerny from Heidelberg is generally accepted to have performed the first augmentation mammaplasty in 1895. Since then, a variety of nonsilicone materials have been injected or implanted to augment or to reconstruct the hypoplastic female br…

Driven by a persistent and unchangeable need to undo the discrepancy between reality of the body and gender of the mind, most male-to-female transsexuals seek physical feminization through hormonal and surgical treatment. The authors report…

When inversion of combined penile and scrotal skin flaps for vaginoplasty in male-to-female transsexuals has become impossible or has not led to functional results, alternative vaginoplasty techniques should be considered. Colocolpopoiesis …

Lichen sclerosus, formerly called lichen sclerosus et atrophicus, is a chronic skin disease manifesting itself mostly in the perineal region and often associated with itching. Characteristic elements are well-defined depigmentation and dege…

While aesthetic facial surgery performed for reasons of undesired facial masculinity or femininity has had some attention in the literature, there is a lack of information on gender-confirming facial surgery as part of an overall surgical s…

[PURPOSE] The need for facial corrective surgery to facilitate passing as a member of the other sex occurs in a relatively low percentage of male-to-female transsexuals. The aim of this study was to explore criteria and techniques for facia…

Radial forearm flap phalloplasty should be regarded as the gold standard. The large forearm donor site scar, however, has led to the search for other donor areas. We present our modifications and recommendations for addressing the ideal goa…

Penile skin inversion is the method of choice for vaginoplasty in male-to-female transsexuals. Rectosigmoid neocolpopoiesis should be considered only when penile skin inversion has become impossible or has not led to functional results. In …

Following vaginoplasty and vulvoplasty for male-to-female transsexualism, a mass may evolve in one of the major labia in a minority of patients. From April of 1989 to April of 1994, we treated seven patients with such masses. The case repor…

The results of vaginoplasty by inversion of penile and scrotal skin in male-to-female transsexuals, in general, are satisfying. Cosmetic and functional considerations dictate the construction of a neoclitoris ventral to the urethral orifice…