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Squamous Expression in Breast Implant Capsules: Insights into the Pathogenesis of Breast Implant-Associated Squamous Cell Carcinoma.
[BACKGROUND] Breast implant-associated squamous cell carcinoma (BIA-SCC) has emerged as a rare but aggressive malignancy with a mortality rate of 25% at 1 year. Its pathogenesis remains uncharacterized. [METHODS] Breast implant capsules fr…
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Apixaban (Eliquis) for Venous Thromboembolic Prophylaxis following Abdominoplasty: Establishing a Safety and Efficacy Profile.
[BACKGROUND] Abdominoplasty and body contouring operations are responsible for a majority of venous thromboembolism (VTE) events in aesthetic surgery. Apixaban is a newer oral anticoagulant that may prevent VTE without increasing the risk f…
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What Happens to Weight following Abdominoplasty: An Analysis of 188 Consecutive Cases.
[BACKGROUND] Abdominoplasty may be considered a procedure performed after a patient has already lost weight, but many surgeons have clinically observed that patients continue to lose weight in the postoperative period. This study sought to …
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Breast Implants Elicit Local and Systemic Immune Response: Evidence for Breast Cancer Immunosurveillance.
[BACKGROUND] Women with cosmetic implants have lower rates of future breast cancer than the general population. The authors hypothesized that the implant foreign body response could induce a local protective anticancer immunosurveillance. T…
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Evaluation of Major Complications Following Ruptured Implant Removal: A National Surgery Quality Improvement Program Database Analysis.
[BACKGROUND] After the removal of ruptured breast implants, patients may elect to replace or not replace ruptured implants. They also may elect to undergo mastopexy alone without replacement of breast implants to maintain a more aesthetic s…
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Breast Implant Silicones and B Cell-Mediated Immune Responses: A Systematic Review of Literature.
[INTRODUCTION] Breast implants are under recent scrutiny owing to concerns about their potential for inducing immunological diseases, namely breast implant-associated anaplastic large cell lymphoma and breast implant illness. However, the i…
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A Comparison of Capsular Contracture Rates after Immediate Implant-based Breast Reconstruction Using Biologic versus Synthetic Mesh.
[BACKGROUND] Capsular contracture is one of the most common reasons for reoperation after implant-based breast reconstruction. Prior investigations have suggested that biologic mesh may mitigate capsular contracture development. This study …
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Scar Perception: A Comparison of African American and White Self-identified Patients.
[UNLABELLED] Scars can have significant morbidity and negatively impact psychological, functional, and cosmetic outcomes as well as the overall quality-of-life, especially among ethnic minorities. The objective of this study was to evaluate…
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Patient-reported Outcomes of Scar Impact: Comparing of Abdominoplasty, Breast Surgery, and Facial Surgery Patients.
[UNLABELLED] Scarring negatively impacts patient mental health, causing worsened self-confidence, body image, and social interactions, as well as anxiety and depression. The objective of this study is to evaluate the scarring impact after f…
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Can Breast Implants Induce Breast Cancer Immunosurveillance? An Analysis of Antibody Response to Breast Cancer Antigen following Implant Placement.
[BACKGROUND] Women with cosmetic breast implants have significantly lower rates of subsequent breast cancer than the general population (relative risk, 0.63; 95 percent CI, 0.56 to 0.71). The authors hypothesize that breast implant-induced …
- 75th Anniversary: Taking CME to the Next Level of Excellence in Plastic and Reconstructive Surgery.
- Discussion: Immediate Contralateral Mastopexy/Breast Reduction for Symmetry Can Be Performed Safely in Oncoplastic Breast-Conserving Surgery.
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An overview of animation deformity in prosthetic breast reconstruction.
Animation deformity is an unsightly complication after sub-pectoral breast reconstruction characterized by implant displacement with pectoralis muscle contraction. Recent increased awareness of this phenomenon has driven interest in pre-pec…
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A Quantitative Analysis of Online Plastic Surgeon Reviews for Abdominoplasty.
[BACKGROUND] Online reviews increasingly influence patients' decision-making. This is the first systematic, quantitative analysis of online reviews for abdominoplasty. [METHODS] Reviews for abdominoplasty were sampled from RealSelf, Yelp, …
- Reply: A Quantitative Analysis of Online Plastic Surgeon Reviews for Abdominoplasty.
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Development and Internal Validation of the Abdominoplasty Risk Calculator.
[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…
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Happy and Unhappy Patients: A Quantitative Analysis of Online Plastic Surgeon Reviews for Breast Augmentation.
[BACKGROUND] Online reviews have become modern versions of the word-of-mouth recommendation, and prospective patients are increasingly consulting them before making decisions about their surgical care. The authors' objectives were to (1) id…
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Demystifying the "July Effect" in Plastic Surgery: A Multi-Institutional Study.
[BACKGROUND] The "July Effect" refers to a theoretical increase in complications that may occur with the influx of inexperienced interns and residents at the beginning of each academic year in July. [OBJECTIVES] We endeavored to determine …
- Reply: Is There a Safe Lipoaspirate Volume? A Risk Assessment Model of Liposuction Volume as a Function of Body Mass Index.
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So You Have a Research Idea: A Survey of Databases Available for Plastic Surgery Research.
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…
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Is There a Safe Lipoaspirate Volume? A Risk Assessment Model of Liposuction Volume as a Function of Body Mass Index.
[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…
- Reply: A systematic review and meta-analysis of single-stage augmentation mastopexy.
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Burnout phenomenon in U.S. plastic surgeons: risk factors and impact on quality of life.
[BACKGROUND] Recent studies by the American College of Surgeons reveal that nearly 40 percent of U.S. surgeons exhibit signs of burnout. The authors endeavored to quantify the incidence of burnout among U.S. plastic surgeons, determine iden…
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A systematic review of single-stage augmentation-mastopexy.
[BACKGROUND] The safety of single-stage augmentation-mastopexy remains controversial given the dual purpose of increasing breast volume and decreasing the skin envelope. Currently, the literature is relatively sparse and heterogeneous. This…
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Predictors of readmission after outpatient plastic surgery.
[BACKGROUND] Hospital readmissions have become a topic of focus for quality care measures and cost-reduction efforts. However, no comparative multi-institutional data on plastic surgery outpatient readmission rates currently exist. The auth…
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Resident involvement and plastic surgery outcomes: an analysis of 10,356 patients from the American College of Surgeons National Surgical Quality Improvement Program database.
[BACKGROUND] Intraoperative experience is an essential component of surgical training. The impact of resident involvement in plastic surgery has not previously been studied on a large scale. [METHODS] The authors retrospectively reviewed t…
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A multivariate regression analysis of panniculectomy outcomes: does plastic surgery training matter?
[BACKGROUND] Panniculectomy can improve quality of life in morbidly obese patients, but its functional benefits are counterbalanced by relatively high complication rates. The authors endeavored to determine the impact of plastic surgery tra…