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A DIEP Dive into Patient Risk Factors for Hernia and Bulge Development: A Meta-regression.
[BACKGROUND] This meta-regression aims to investigate risk factors for abdominal hernia and bulge in patients undergoing deep inferior epigastric perforator (DIEP) flaps and the effect of prophylactic mesh placement on postoperative compli…
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True Grit: The Tale of American Integrated Plastic Surgery Residency Applicants.
[INTRODUCTION] Selecting candidates for plastic and reconstructive surgery (PRS) residency is complex, involving academic metrics and intrinsic personal qualities. "Grit"-perseverance and passion for long-term goals may be one of these valu…
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United States insurance coverage of immediate lymphatic reconstruction.
[INTRODUCTION] Immediate Lymphatic Reconstruction (ILR) is a prophylactic microsurgical lymphovenous bypass technique developed to prevent breast cancer related lymphedema (BCRL). We investigated current coverage policies for ILR among the …
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Free Flaps in Patients with Advanced Arteriosclerosis of the Tibial Vessels: Mini Vein Graft to the Peroneal Artery.
Lower extremity reconstruction with free flaps in patients with only peroneal artery runoff remains a challenge. Here, we present a novel technique for reconstruction of medial defects in the distal leg using a medial approach to the perone…
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Gender-affirming DIEP Flap Breast Augmentation.
Implant-based techniques have been the mainstay of gender-affirming breast augmentation (GABA). Here we describe a novel autologous technique for GABA. We provide a single-patient case report of gender-affirming deep inferior epigastric art…
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Forequarter Amputation: Reconstruction With Targeted Muscle Reinnervation to the Filet of Forearm Free Flap.
Forequarter amputation is a rarely indicated operation that has the potential for delayed wound healing, chronic pain, and dysfunction. Reconstruction in cases of skin and soft tissue loss may be particularly challenging. Here we present a …
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Robotic DIEP Patient Selection: Analysis of CT Angiography.
[BACKGROUND] Preoperative CTA is widely used and extensively studied for planning of DIEP flap breast reconstruction. However, its utility in planning robotic DIEP harvest is undescribed. [METHODS] The authors conducted a retrospective stu…
- Preserving the branch to the vastus intermedius increases anterolateral thigh flap versatility.
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ACTA2 Mutation: Microsurgeon Beware!
Patients with the alpha actin 2 genetic mutation suffer early onset aneurismal and vascular-occlusive conditions due to dysfunctional smooth muscle contractility. Outcomes of free flap reconstruction in this patient population are unknown. …
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The Cartilage Warp Prevention Suture.
[BACKGROUND] Costal cartilage graft warping can challenge rhinoplasty surgeons and compromise outcomes. We propose a technique, the "warp control suture," for eliminating cartilage warp and examine outcomes in a pilot group. [METHODS] The …
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Fat Injection: A Systematic Review of Injection Volumes by Facial Subunit.
[BACKGROUND] Fat grafting to the aging face has become an integral component of esthetic surgery. However, the amount of fat to inject to each area of the face is not standardized and has been based mainly on the surgeon's experience. The p…
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Effects of the Rhinoplasty Maneuvers on Upper Lip Position and Incisor Show.
[BACKGROUND] Smiling involves dynamic movements that include nasal tip descent and upper lip ascent. The effect of rhinoplasty on upper lip position is poorly described. [METHODS] One hundred charts were reviewed in reverse chronologic ord…