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Ultrasonographic evaluation of cosmetic fillers: patterns and frequent complications - A literature review.
[PURPOSE] The use of cosmetic fillers has become increasingly popular. Radiologists and sonographers should be aware of the ultrasonographic characteristics of the most commonly used cosmetic fillers and the sonographic features of their fr…
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Holographic Deep Inferior Epigastric Perforator Exploration in Mixed Reality using Real-Time Cinematic Rendering.
Deep Inferior Epigastric Artery perforator flaps (DIEP flaps) have become the gold standard in autologous breast reconstruction; yet they remain complex procedures due to highly individual perforator anatomy. Increasingly, computed tomograp…
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Characterization of Long-Term Sensory Recovery at the Abdominal Donor Site Following Autologous Breast Reconstruction.
[BACKGROUND] Autologous breast reconstruction using abdominal tissue has become the gold standard approach to reconstruction following mastectomy. However, long term sensory loss at the donor site is a common yet understudied complication. …
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[A Consensus Statement of the German-Speaking Society for Reconstructive Microsurgery (GSRM): Closure of the DIEP/ms-TRAM Flap Donor-Site Defect].
Harvesting DIEP or msTRAM flaps for autologous breast reconstruction may lead to complications such as hernia formation and abdominal bulging at the donor site. This consensus statement aims to identify and recommend strategies to minimize …
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Oncoplastic Breast Surgery: Optimizing Resection Margins in Addition to Aesthetic Outcomes.
[OBJECTIVE] This study aims to determine whether oncoplastic surgery improves resection margins compared to lumpectomy alone in patients undergoing breast conserving therapy, as determined by re-excision rates. [BACKGROUND] Prior studies h…
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Acellular Dermal Matrix: Imaging Features With Histopathology Correlation.
Acellular dermal matrix (ADM) is an immunologically inert graft, typically from cadaveric skin, often used in postmastectomy breast reconstruction. Created from decellularized dermal tissues that have been treated to remove DNA and antigeni…
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National Trends and Impact of Preoperative CT-Angiography on Autologous Breast Reconstruction.
[BACKGROUND] Prior studies investigating the impact of preoperative computed tomography (CT)-angiography (pCTA) on outcomes for autologous breast reconstruction (ABR) have had conflicting results, in part because they have been largely limi…
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Measuring Abdominal Skin-Surface Distances Using Photos for Perforator Mapping Analysis-A Validation Study on 3D-Printed DIEP-Flap Models.
[BACKGROUND] We present a novel method for accurately measuring skin-surface distances using standard smartphone photos and Photoshop, validated on 3D-printed DIEP-flap models and on calibration grid-patterns. [MATERIALS AND METHODS] Dista…
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Long-Term Outcomes following Hybrid Breast Reconstruction.
[BACKGROUND] Hybrid breast reconstruction combines free tissue transfer with implant placement. Various mesh products have been successfully used to secure the implant position in these reconstructions. In this study, the authors investigat…
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Comparing Cortiva Silhouette to AlloDerm for Use in Prepectoral Two-stage Prosthetic Breast Reconstruction.
[BACKGROUND] The use of acellular dermal matrices (ADMs) in implant-based breast reconstruction has become increasingly routine during the past 20 years. ADMs improve soft-tissue support, facilitate greater tissue expander (TE) fill volumes…
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Spatial Fidelity of Microvascular Perforating Vessels as Perceived by Augmented Reality Virtual Projections.
[BACKGROUND] Autologous breast reconstruction yields improved long-term aesthetic results but requires increased resources of practitioners and hospital systems. Innovations in radiographic imaging have been increasingly used to improve the…
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Thrombotic Consequences of COVID-19 Infection on Microsurgical Reconstruction.
[BACKGROUND] Evidence has shown increased morbidity and mortality for patients with COVID-19 infection within 7 weeks of surgery. However, no studies have specifically investigated the effects of COVID-19 in microsurgical outcomes. This stu…
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The Reconstructive Metaverse - Collaboration in Real-Time Shared Mixed Reality Environments for Microsurgical Reconstruction.
Plastic surgeons routinely use 3D-models in their clinical practice, from 3D-photography and surface imaging to 3D-segmentations from radiological scans. However, these models continue to be viewed on flattened 2D screens that do not enable…
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Both Patients and Plastic Surgeons Prefer Artificial Intelligence-Generated Microsurgical Information.
[BACKGROUND] With the growing relevance of artificial intelligence (AI)-based patient-facing information, microsurgical-specific online information provided by professional organizations was compared with that of ChatGPT (Chat Generative P…
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[Autologous Breast Reconstruction and Radiotherapy: Consensus Report of the German-Speaking Society for Reconstructive Microsurgery (GSRM)].
Autologous postmastectomy breast reconstruction is associated with favourable long-term clinical outcomes and superior patient-reported outcomes (PROMs) compared with implant-based reconstruction. However, adjuvant radiotherapy has traditio…
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Nipple-areola-complex preservation and obesity-Successful in stages.
[BACKGROUND] The superiority of nipple-sparing mastectomy (NSM) on breast aesthetics and patient-reported outcomes has previously been demonstrated. Despite 42.4% of adults in the United States being considered obese, obesity has been consi…
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Practice Patterns and Perspectives of the Off-Label Use of GLP-1 Agonists for Cosmetic Weight Loss.
[BACKGROUND] The off-label use of glucagon-like peptide 1 (GLP-1) agonists for cosmetic weight loss has captured the interest of the public. However, there is a paucity of published data on their utilization, implications, and management, p…
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Defining the Incidence of the Impostor Phenomenon in Academic Plastic Surgery: A Multi-Institutional Survey Study.
[BACKGROUND] Impostor phenomenon occurs when high-achieving individuals have persistent self-doubt despite objective measures of competence and success, and has been associated with professional burnout and attenuated career advancement in …
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Textbook outcomes in DIEP flap breast reconstruction: a Delphi study to establish consensus.
[PURPOSE] Composite measures, like textbook outcomes, may be superior to individual metrics when assessing hospital performance and quality of care. This study utilized a Delphi process to define a textbook outcome in DIEP flap breast recon…
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Acetylsalicylic Acid Is Not Associated With Improved Clinical Outcomes After Microsurgical Breast Reconstruction.
[INTRODUCTION] Microvascular thrombosis with resultant flap loss remains a devastating complication in autologous breast reconstruction. While acetylsalicylic acid (ASA) for prevention of microvascular thrombosis is commonly administered po…
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The Incidence of Retained Objects in Intraoperative X-rays for Missing Counts in Plastic Surgery: We Should Do Better.
[BACKGROUND] In the event of incorrect surgical counts, obtaining X-rays to rule out retained surgical items (RSI) is standard practice. However, these safeguards also carry risk. This study investigates the actual incidence of RSI in plast…
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The Impact of Reconstructive Modality and Postoperative Complications on Decision Regret and Patient-Reported Outcomes following Breast Reconstruction.
Shared decision-making gives patients greater autonomy in their healthcare decisions; however, decisions that result in negative outcomes may lead to decision regret. The complexity of reconstructive options makes post-mastectomy breast rec…
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[Increasing Safety in Microsurgical Breast Reconstruction - Technique and Technology].
Microsurgical reconstruction has established itself as a standard procedure in breast reconstruction as it permits creation of a natural and aesthetically appealing breast mound, even after modified radical mastectomy and radiation. In the …
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The Majority of Venous Thromboembolism Events Should Occur in Lower Risk Aesthetic Surgery Patients: A Simulation Study.
[UNLABELLED] Evidence-based venous thromboembolism (VTE) prevention among aesthetic patients is lacking. This study seeks to (1) quantify 2005 Caprini scores in primary breast augmentation patients, (2) determine the proportion of patients …
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Prevention and Management of Complications of Tissue Flaps.
In this article, we discuss 4 common free flaps performed in reconstructive surgery: the anterolateral thigh flap, the radial forearm flap, the fibula flap, and the transverse rectus abdominis myocutaneous/deep inferior epigastric perforato…
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Pro-Fibrotic CD26-Positive Fibroblasts Are Present in Greater Abundance in Breast Capsule Tissue of Irradiated Breasts.
[BACKGROUND] Breast capsular contracture is a major problem following implant-based breast reconstruction, particularly in the setting of radiation therapy. Recent work has identified a fibrogenic fibroblast subpopulation characterized by C…
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Abdominal Flap-based Breast Reconstruction versus Abdominoplasty: The Impact of Surgical Procedure on Scar Location.
[BACKGROUND] Autologous breast reconstruction has been demonstrated to be associated with superior patient-reported outcomes, and hence is regarded as the gold standard reconstructive modality. A common drawback of this procedure, however, …
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Recommendations for the Use of Antibiotics in Primary and Secondary Esthetic Breast Surgery.
The use of systemic prophylactic antibiotics to reduce surgical-site infection in esthetic breast surgery remains controversial, although the majority of surgeons prefer to utilize antibiotics to prevent infection. Nonetheless, postoperativ…
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Oncoplastic Procedures in Preparation for Nipple-Sparing Mastectomy and Autologous Breast Reconstruction: Controlling the Breast Envelope.
[BACKGROUND] Nipple-sparing mastectomy has been associated with superior aesthetic outcomes and oncologic safety. However, traditional contraindications, such as breast ptosis/macromastia, have excluded a large number of patients. The purpo…
- Complexity of health news reporting on breast implant-associated anaplastic large cell lymphoma.