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Impact of Body Mass Index on Surgical Outcomes in Oncologic Microvascular Head and Neck Reconstruction.
[BACKGROUND] Despite increasing recognition, obesity continues to represent a major health issue for millions of people in the USA and worldwide. There is a paucity in the literature regarding the effect of body mass index (BMI) on microsur…
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Consensus of free flap complications: Using a nomenclature paradigm in microvascular head and neck reconstruction.
[BACKGROUND] We aim to define a set of terms for common free flap complications with evidence-based descriptions. [METHODS] Clinical consensus surveys were conducted among a panel of head and neck/reconstructive surgeons (N = 11). A conten…
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Association Between Multimodal Analgesia Administration and Perioperative Opioid Requirements in Patients Undergoing Head and Neck Surgery With Free Flap Reconstruction.
[IMPORTANCE] The opioid epidemic has reignited interest in opioid-sparing strategies in managing pain. However, few studies have focused on opioid use during perioperative care in patients undergoing head and neck surgery with free flap rec…
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Association between postoperative complications and long-term oncologic outcomes following total laryngectomy: 10-year experience at MD Anderson Cancer Center.
[BACKGROUND] Postoperative complications are an independent predictor of poor survival across several tumors. However, there is limited literature on the association between postoperative morbidity and long-term survival following total lar…
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The current status of autologous fat grafting.
The opinion of the majority of surgeons is fat grafting does not work. The fat cells do not survive transfer. Many have attempted the techniques only to become discouraged and abandon it. This article describes certain principles necessary …
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A simple preoperative method of screening for alcoholism.
The patient with an alcohol problem represents a higher risk to the aesthetic surgeon. Problems may develop intraoperatively, or in the immediate postoperative period due to lack of compliance, ultimately a higher risk of patient dissatisfa…
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Correction of deep gluteal depression by autologous fat grafting.
In the past, the traditional method of contouring the iliac crest and lateral femoral areas has been liposuction or the surgical removal of the bulges. Unfortunately, this method fails to correct the deep gluteal depression juxtaposed at th…
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Psychological considerations in the elderly cosmetic surgery candidate.
The mean age of Americans is increasing, and more and more Americans are living longer and more productively. It follows, therefore, that an increasing number of elderly patients will be seen by the cosmetic surgeon. These patients are ofte…
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Combination of facial rejuvenation and lipoplasty of the torso.
Older women seeking facial rejuvenation often exhibit another sign of middle age--the accumulation of subcutaneous fat in the torso. In the author's practice a total body evaluation approach is used. It is often suggested that the patient c…
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Dissatisfaction among women with "thunder thighs" undergoing closed aspirative lipoplasty.
In our practice, we have uncovered a small series of female patients with "thunder thighs" who were dissatisfied with results of closed aspirative lipoplasty. The common problem appears to be unrealistic expectations. These patients expecte…
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Should face-lifts be performed before the age of 40?
Patients are seeking rhytidectomies at a younger age. Review of literature indicates most procedures are performed in patients over 40 years of age. This paper attempts to answer the question, "Should face-lifts be performed before 40?" In …
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Lipoplasty of the torso in patients over fifty.
This article describes the author's experience in performing lipoplasty in patients over 50 years of age. Historically, emphasis was placed on selection of patients for this procedure who were under age 40 years. However, the author's exper…
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Lipoplasty: treatment for gynecomastia.
Excision of moderate to large amounts of adipose tissue in male breasts has been unsatisfactory because of frequent complications and unacceptable cosmetic results. Essentially, one deformity was traded for another. Lipoplasty (blunt suctio…
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Management of the recovering alcoholic who seeks cosmetic surgery.
Plastic surgeons are likely to see patients who have successfully completed alcohol or drug abusers' rehabilitation programs. These patients are seeking to improve their appearance and, hence, their self-image. Unless special care is given …
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Lipoplasty of the neck.
Lipoplasty provides a new method of removing subcutaneous fat and contouring the neck. This author reports his experience in 50 cases. A total of 35 patients were done in conjunction with a rhytidoplasty, and 15 patients had lipoplasty as a…
- Success with lipoplasty as an outpatient procedure.
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Preservation of the female sideburn.
Routine face-lift incisions in the temporal hair line may be unsatisfactory because of one or all of the following reasons: Production of an area of baldness immediately in front of the ear; presence of wide unsightly scar in the temporal h…
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SAFE: a practical guide to psychological factors in selecting patients for facial cosmetic surgery.
Selecting appropriate patients for facial cosmetic surgery can reduce patient management problems as well as increase the number of patients satisfied with their treatment and with the aesthetic result. In addition to medical considerations…
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Patient selection and patient satisfaction.
Patient selection is difficult. Modern-day plastic surgeons are becoming increasingly aware that patient selection is an important aspect of a successful surgical practice. Evaluation of the patient as a whole rather than just the deformity…
- The patient's experience of aesthetic regenerative facial surgery: a composite.
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Method for immediate measurement of skin removed during rhytidectomies.
A method for measuring skin removed during rhytidectomy is presented based on analysis of 50 female patients. More skin was removed in primary rhytidectomies than in subsequent ones. Younger patients, aged 30 to 39 years, had measurably mor…
- For your peace of mind.
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Rhytidectomies in office operating rooms.
We report our experiences in 100 consecutive face lifts done in a well-equipped office operating room, and we believe the results answer the question about the safety of face lifts being done in this manner in a carefully screened populatio…
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Fluorescein test for prediction of flap viability during breast reconstructions.
The fluorescein test is a useful ancillary procedure for predicting the viability of breast flaps in reconstructive procedures after subcutaneous mastectomy or radial mastectomy.…