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Lower Extremity Free Tissue Transfer in the Setting of Severe Medial Arterial Calcification: Limb Salvage Is Possible, But at What Cost?
[BACKGROUND] Medial arterial calcification (MAC) is emerging as a tool to predict adverse limb events, but its effects on microsurgery are unknown. This study evaluates the effects of MAC on microsurgical limb salvage outcomes. [METHODS] P…
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Ultrasound-Based Classification of Infraorbital Fat and Groove Patterns: Clinical Implications for Safer Filler Injection.
[BACKGROUND] The infraorbital region is one of the most complex and esthetically critical areas of the face. Age-related changes, such as infraorbital groove and infraorbital fat bulging, frequently coexist and vary significantly among indi…
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Scar-Free Nipple and Areola Contouring: A Crown-Shape Debulking Method for Enhanced Aesthetic Outcomes.
In patients with large areolae, undefined nipple contours, or herniation of glandular tissue around the areola, achieving an aesthetically pleasing nipple shape that effectively reduces the areolar size, minimizes recurrence, and remains sc…
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Electrospun polycaprolactone fibers encapsulating omega-3 and montelukast sodium to prevent capsular contracture in breast implant surgery.
Capsular contracture (CC) is a common complication associated with breast implant surgery and is characterized by excessive fibrotic tissue formation around the implant. However, there is no established gold-standard treatment to prevent CC…
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Clostridium difficile induced coagulopathy: Implications for microsurgery in the setting of limb salvage.
[BACKGROUND] Studies have demonstrated a correlation between Clostridium difficile infection (CDI) and hypercoagulability. This study evaluates CDI in patients undergoing lower extremity (LE) free tissue transfer (FTT) and quantifies its im…
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A.S.S.E.S.S. for Facial Fillers.
[BACKGROUND] An in-depth and detailed facial assessment is critical in treating and achieving desirable dermal filler and neurotoxin results. [METHODS] An acronym called A.S.S.E.S.S. simplifies an often complex and overwhelming amount of d…
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Systematic review and meta-analysis of ocular complications following hyaluronic acid filler injection.
[BACKGROUND] Hyaluronic acid (HA) filler injections are widely known to be safe; however, they cause rare and severe complications such as visual loss. No standardized treatment protocol has been established because of the rarity and hetero…
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Efficacy and Safety of a Newly Developed Botulinum Toxin A (MBA-P01) in Patients with Moderate-to-Severe Glabellar Lines: A Randomized, Double-Blind, Active-Controlled, Multi-Center, Phase III Study with a Subgroup Analysis on Patients with COVID-19.
MBA-P01 is a newly developed botulinum toxin A (BoNT-A) product designed to provide similar clinical effects as OnabotulinumtoxinA (ONA-BoNT-A), thereby providing an alternative treatment option for glabellar lines. It is another holotoxin …
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Evaluation of a Novel Method for Temporary Eyebrow Lifting Using Polydioxanone Threads: Preliminary Findings.
Aging affects the face and eyebrow areas, with various resultant procedures for lifting the eyebrows. Recently, thread lifting using absorbable threads has become increasingly popular, with the advantages of a faster recovery and no visible…
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Early Grafting Using AlloDerm to Lengthen the Levator Aponeurosis and Correct Upper Eyelid Retraction Caused by Cosmetic Blepharoplasty.
[SUMMARY] Upper eyelid retraction often results from overcorrection of the levator palpebrae muscle during upper eyelid surgery. In such patients, the time between wound healing and reoperation may be prolonged and could result in symptoms,…
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Correcting Sunken Eyelid by Orbital Fat Transposition During Subbrow Lift.
[BACKGROUND] The subbrow approach is reportedly more effective than upper blepharoplasty for improving lateral hooding. Additionally, it allows for the removal of thick periorbital fat while simultaneously tightening weakened and sagging or…
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Sonographic observation of the paradoxical masseteric bulging and clinical implication of functional compartment.
Masseter are commonly botulinum neurotoxin targeted muscle for facial contouring in aesthetic field. However, paradoxical masseteric bulging is common adverse effect that has not been discussed with ultrasonographic observations. Retrospect…
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"Cohesiveness of Hyaluronic Acid Fillers": Evaluation Using Multiple Cohesion Tests.
Hyaluronic acid fillers can be manufactured using various processes. They have multiple properties, including their concentration, degree of modification, and rheological data. Cohesion is one such property to evaluate gel integrity; howev…
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Etiology of Delayed Inflammatory Reaction Induced by Hyaluronic Acid Filler.
The etiology and pathophysiology of delayed inflammatory reactions caused by hyaluronic acid fillers have not yet been elucidated. Previous studies have suggested that the etiology can be attributed to the hyaluronic acid filler itself, pat…
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Assessing the Practical Application of Rheological Properties of Hyaluronic Acid Fillers: A 1-Year Follow-Up Photographic Analysis.
[BACKGROUND] A hyaluronic acid filler is a viscoelastic substance that can be evaluated by rheology. Rheological properties are important for the longevity of the filler, which can be deformed due to the various forces that exist on the fac…
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Structural Analysis of Hyaluronic Acid Fillers Using Nuclear Magnetic Resonance: Implications for Quality Control and Clinical Performance.
Potential disruptions in the biocompatibility of hyaluronic acid (HA) fillers can arise with mono-linked 1,4-butanediol diglycidyl ether (BDDE) or unreacted (pendant) 1,4-butanediol di-(propan-2,3-diolyl) ether. Assessing the filler's degre…
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Third-Line Overactive Bladder Therapies on TikTok: What Does the Public Learn?
[IMPORTANCE] Millions of people rely on social media platforms, including TikTok, for health-related information. TikTok has not yet been evaluated as an information source for overactive bladder (OAB) third-line therapies. [OBJECTIVES] Ou…
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The Botulinum Toxin Innovation: From Powder to Liquid.
[BACKGROUND] Botulinum toxin (BoNT) has evolved as a popular treatment for various medical and aesthetic conditions since the 1980s. The emergence of new liquid formulation BoNT products in the industry highlights the need to evaluate the v…
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Case log trends of urogynecology and reconstructive pelvic surgery fellows: A comparison of urology- and gynecology-based fellowship programs.
[AIMS] Urogynecology and Reconstructive Pelvic Surgery (URPS) fellowship can be pursued after completion of either a urology (URO) or obstetrics and gynecology (GYN) residency. Our aim is to determine differences in graduating fellow cohort…
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Long-term safety and efficacy of MBA-P01 for the treatment of glabellar lines: results from a multicenter, repeated-dose, open-label extension study.
Purpose Following the introduction of new type of botulinum toxin (MBA-P01), a recent phase 3 study demonstrated that MBA-P01 showed comparable efficacy and safety to onabotulinumtoxin A for reducing glabellar lines. The primary objective o…
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Unilateral Platysma Muscle Rupture as an Effect of Using a Hard Wooden Block for Facial Massage.
Facial massages are frequently performed to achieve a feeling of freshness, rejuvenation, skin tightening, and delayed onset of wrinkles. However, vigorous massages can induce unexpected symptoms. Here, we present a case of a woman who comp…
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Minilifting: Short-Scar Rhytidectomy with Thread Lifting.
Facelifting techniques have been developed over time to mask the aging process. However, conventional facelifts cause scarring. Because of patient demands, various noninvasive lifting techniques have been introduced, including absorbable th…
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A Novel Method Using the Petal Pattern for Contouring a Domed Nipple in Tuberous Breasts.
The main cause of domed nipples is increased pressure, which causes the breast tissue to herniate toward the nipple-areola complex. It appears as a characteristic of a tuberous breast rather than occurring alone, and the boundary between th…
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Transumbilical Silicone Breast Augmentation: A 13-Year Experience and 5-Year Analysis.
[BACKGROUND] Transumbilical breast augmentation (TUBA) with saline implants has been considered a safe and efficient technique for decades. However, because silicone implants are more popular than saline ones, TUBA with saline implants is n…
- Comparative study of the penetration force between the superficial and deep temporal fascia for easier temple augmentation technique using hyaluronic acid filler.
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Determination of Hyaluronic Acid Dermal Filler Impurities Using SEM/EDS Analysis.
Although hyaluronic acid (HA) filler injections are associated with various non-vascular inflammatory complications, the underlying mode of action remains unclear. The hyaluronic acid filler may not be sufficiently pure, leading to an immun…
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Hyaluronic Acid Filler Injection Guided by Doppler Ultrasound.
Doppler ultrasound can be used to detect almost all arteries of the face before injecting the hyaluronic acid (HA) filler. The relatively more dangerous sites of filler injection are the glabellar wrinkle, forehead, temple, nose, and nasola…
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Dynamic Evaluation of Skin Displacement by the Frontalis Muscle Contraction Using Three-Dimensional Skin Displacement Vector Analysis.
[PURPOSE] Understanding the muscle actions and resultant skin movement can enable more safe and effective botulinum toxin injection for the treatment of forehead wrinkles. We aimed to investigate skin displacement patterns of the forehead a…
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Use of LetibotulinumtoxinA for Aesthetic Treatment of Asians: A Consensus.
Treatment of wrinkles and dynamic lines with botulinum toxin has been a routine practice for years in aesthetic clinical settings. The effective treatment of wrinkles requires a comprehensive understanding of facial expression muscles and t…
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Endoscopically Assisted Correction of Malpositioned Breast Implants Using Absorbable Barbed Sutures.
[INTRODUCTION] Breast implant malpositioning is the second most common reason for revisional breast surgery. Multiple correction methods are suggested, depending on the malposition, but most of the methods, such as the inframammary fold inc…