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The BODY-Q Belly Button Scale: A Development and Validation Study.
[BACKGROUND] One of the critical steps in abdominoplasty or reconstructive procedures using abdominal tissue involves repositioning the belly button. However, there is limited knowledge about patient satisfaction regarding the appearance of…
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The Use of BODY-Q to Assess Factors Impacting Satisfaction and Quality-of-life Postabdominoplasty in Kenya.
[BACKGROUND] Massive weight loss can often lead to skin redundancy and affect a patient's quality of life. Abdominoplasty has grown in popularity due to its cosmetic and functional effects. There is currently a paucity in the patient-report…
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The LYMPH trial: comparing microsurgical with conservative treatment for chronic breast cancer-associated lymphoedema - study protocol of a pragmatic randomised international multicentre superiority trial.
[INTRODUCTION] Up to one-fifth of breast cancer survivors will develop chronic breast cancer-related lymphoedema (BCRL). To date, complex physical decongestion therapy (CDT) is the gold standard of treatment. However, it is mainly symptomat…
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Mastectomy and breast augmentation outcomes among nonbinary, transgender, and cisgender adults.
The purpose of this study was to evaluate epidemiologic characteristics and postoperative complications among nonbinary, transgender, and cisgender adults undergoing mastectomy or breast augmentation. Comparable postoperative complication r…
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Measuring the Impact of Surgical and Non-surgical Facial Cosmetic Interventions Using FACE-Q Aesthetic Module Scales: A Systematic Review and Meta-Analysis.
The FACE-Q Aesthetic module measures patient-important outcomes following surgical and non-surgical facial cosmetic procedures. The primary aim of this systematic review was to summarize the pre- to post-intervention mean differences of fa…
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Results of a Pilot Virtual Microsurgery Course for Plastic Surgeons in LMICs.
[BACKGROUND] The Plastic Surgery Foundation's Surgeons in Humanitarian Alliance for Reconstruction, Research and Education (SHARE) program seeks to expand surgical capacity worldwide through mentorship and training for local plastic surgeon…
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Breast Reduction Epidemiology and Complications in Nonbinary, Transgender, and Cisgender Adults.
[INTRODUCTION] Research in gender-affirming chest surgery has primarily compared cisgender versus transgender and gender-diverse (TGD) people, without specifically addressing nonbinary people. This study will assess surgical complications b…
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From a Chicken Model to a Patient: Microsurgical Repair of a Brachial Artery in Mozambique.
In sub-Saharan Africa, options for reconstruction of traumatic injuries are limited due to lack of access to microsurgery-trained surgeons. Recently, the Plastic Surgery Foundation-sponsored Surgeons in Humanitarian Alliance for Reconstruct…
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Understanding Breast Implant-Associated Illness: A Delphi Survey Defining Most Frequently Associated Symptoms.
[BACKGROUND] Increased understanding of the constellation of symptoms referred to as breast implant illness is necessary to better address patient concerns, provide evidence-based care, and inform prospective patients about potential risks.…
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Association of Radiation Timing with Long-Term Satisfaction and Health-Related Quality of Life in Prosthetic Breast Reconstruction.
[BACKGROUND] Radiation therapy is increasingly used after breast cancer surgery, which may impact patients' postoperative quality of life. This study assessed differences in long-term patient satisfaction and health-related quality of life …
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Safety of DIEP Flap Reconstruction in Patients with Factor V Leiden: A Retrospective Cohort Study.
[BACKGROUND] Factor V Leiden (FVL) is the most common inherited thrombophilia in White people. Thrombotic complications resulting from free flap breast reconstruction in FVL patients have been studied to a limited degree. We evaluated wheth…
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Patient-Reported Outcomes in Free-Flap Breast Reconstructive Surgery over Time (PRO-BREST).
[INTRODUCTION] Patient-reported outcomes (PROMs) are increasingly relevant to assess surgical quality and guide decisions in breast reconstruction (BR). Satisfaction with outcomes may change as time progresses. We assessed satisfaction in p…
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Smooth versus Textured Implant Breast Reconstruction: Patient-Reported Outcomes and Complications.
[BACKGROUND] The association between textured surface breast implants and breast implant-associated anaplastic large cell lymphoma has led to an increase in surgical procedures to exchange textured devices to smooth surface implants. Becaus…
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Review of Outcomes in Prepectoral Prosthetic Breast Reconstruction with and without Surgical Mesh Assistance.
[BACKGROUND] In the past decade, surgeons have increasingly advocated for a return to prepectoral breast reconstruction with claims that surgical mesh (including acellular dermal matrix) can reduce complication rates. However, numerous surg…
- Letter to the Editor: Comment on Sinnott CJ, et al. Female Genital Cosmetic Surgery Requires a New Rigorously Developed Patient Reported Outcome Measure (Ann Plast Surg. 2020;85(S1)).
- The Impact of Outcomes Research in Plastic and Reconstructive Surgery.
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Toward International Harmonization of Breast Implant Registries: International Collaboration of Breast Registry Activities Global Common Data Set.
[BACKGROUND] The Poly Implant Prothèse incident and breast implant-associated anaplastic large cell lymphoma have pointed to the need for uniform registries for breast implants as key features to monitoring the outcomes of breast implant su…
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Breast Implant-associated Anaplastic Large Cell Lymphoma Incidence: Determining an Accurate Risk.
[OBJECTIVE] This study sought to estimate the incidence and incidence rate of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) at a high-volume single institution, which enables vigorous long-term follow-up and implant tr…
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Immediate and delayed autologous abdominal microvascular flap breast reconstruction in patients receiving adjuvant, neoadjuvant or no radiotherapy: a meta-analysis of clinical and quality-of-life outcomes.
[BACKGROUND] Effects of postmastectomy radiotherapy (PMRT) on autologous breast reconstruction (BRR) are controversial regarding surgical complications, cosmetic appearance and quality of life (QOL). This systematic review evaluated these o…
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Laterality and Patient-Reported Outcomes following Autologous Breast Reconstruction with Free Abdominal Tissue: An 8-Year Examination of BREAST-Q Data.
[BACKGROUND] Despite the rise in rates of contralateral prophylactic mastectomy, few studies have used patient-reported outcomes to assess satisfaction between unilateral and bilateral breast reconstruction with autologous tissue. The purpo…
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Measuring Outcomes in Cosmetic Abdominoplasty: The BODY-Q.
The BODY-Q is a condition-specific patient-reported outcome measure that enables a comprehensive assessment of outcomes that are specific to patients undergoing body contouring procedures such as abdominoplasty. The BODY-Q scales were desig…
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Is There Gender Inequality in Plastic Surgery? Evaluation of Society Leadership and Composition of Editorial Boards.
[BACKGROUND] Women now constitute 40.5 percent of integrated plastic surgery residents; however, in 2007, women represented only 11.3 percent of the leadership positions in plastic surgery societies and journal editorial boards. The authors…
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Plastic Surgery Chairs and Program Directors: Are the Qualifications Different for Men and Women?
[BACKGROUND] The gender disparity between the number of female and male chairs and program directors has been previously established. The aim of this study was to determine whether any differences in objective credentials existed between ma…
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Patient Registry and Outcomes for Breast Implants and Anaplastic Large Cell Lymphoma Etiology and Epidemiology (PROFILE): Initial Report of Findings, 2012-2018.
[BACKGROUND] In January of 2011, the US Food and Drug Administration released a safety communication regarding the potential association between breast implants and anaplastic large cell lymphoma (ALCL). In August of 2012, the American Soci…
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Impact of Contralateral Symmetry Procedures on Long-Term Patient-Reported Outcomes following Unilateral Prosthetic Breast Reconstruction.
[BACKGROUND] One aim of unilateral postmastectomy breast reconstruction (BR) is to restore symmetry with the contralateral breast. As such, unilateral prosthetic reconstruction often requires a contralateral symmetry procedure (CSP). There…
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Understanding the Health Burden of Macromastia: Normative Data for the BREAST-Q Reduction Module.
[BACKGROUND] The BREAST-Q Reduction module evaluates outcomes in reduction mammaplasty. However, there are currently no published normative scores, limiting the interpretation of BREAST-Q data. [METHODS] The BREAST-Q Reduction module was a…
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Normative Data for Interpreting the BREAST-Q: Augmentation.
[BACKGROUND] The BREAST-Q is a rigorously developed, well-validated, patient-reported outcome instrument with a module designed for evaluating breast augmentation outcomes. However, there are no published normative BREAST-Q scores, limiting…
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Postmastectomy Radiation Therapy and Two-Stage Implant-Based Breast Reconstruction: Is There a Better Time to Irradiate?
[BACKGROUND] The ideal timing of postmastectomy radiation therapy (PMRT) in the setting of two-stage implant-based breast reconstruction remains unclear. In this cohort study, the authors sought to determine whether complication rates diffe…
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Development and Psychometric Evaluation of the FACE-Q Scales for Patients Undergoing Rhinoplasty.
[IMPORTANCE] Rhinoplasty continues to rank among the most popular cosmetic surgical treatments. Measuring what the nose looks like has typically involved the use of observer-reported or physician-reported outcome measures (eg, photographs).…
- FACE-Q Satisfaction with Appearance Scores from Close to 1000 Facial Aesthetic Patients.