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Preservative Breast Augmentation: Preserving Muscle-glandular unions by areolar approach.
[BACKGROUND] Breast augmentation remains one of the most commonly performed cosmetic surgical procedures worldwide to achieve a youthful and beautiful breast appearance. We describe a technique that preserves glandular tissue and muscle-gla…
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Current practices in reduction mammaplasty: A nationwide survey of French plastic surgeons in 2024.
[BACKGROUND] Reduction mammaplasty is a common surgical procedure in France. Even if the French surgeons were pioneers in this surgery's development, we ignored French plastics surgeons' practices in this domain at this time. The aim of thi…
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Beam me later: Prepectoral vs subpectoral breast reconstruction before postmastectomy radiotherapy - A systematic review and meta-analysis.
[AIM] To compare postoperative complications between prepectoral and subpectoral immediate implant-based breast reconstruction (IBBR) in patients receiving postmastectomy radiotherapy. [METHODS] This systematic review and meta-analysis wer…
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Effect of glucagon-like peptide-1 agonists on deep inferior epigastric perforator flap breast reconstruction outcomes in obese patients: A study of 5618 patients.
Glucagon-like peptide-1 (GLP-1) agonists are frequently prescribed to manage obesity and diabetes. The effect of GLP-1 agonists on DIEP flap outcomes is unknown. This study compares outcomes in patients with class I/II obesity (BMI 30-40 kg…
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Our Experience in Oral Commissure Reconstruction After Surgical Excision of Stage 3 and Stage 4 Oral Cavity Malignancy.
[INTRODUCTION] The upper and lower lips represent the most important functional and aesthetic anatomical structures of the lower segment of the face. The reconstructive aims are to restore the oral lining, oral competence and function (i.e.…
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The Art and Science of Dangling: A Systematic Review of Free Flap Protocols.
[BACKGROUND] Dangling protocols are widely used in the postoperative management of lower extremity free flaps to promote microvascular adaptation. To optimize outcomes, surgeons use dangling protocols, gradually increasing limb dependency, …
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Ligasure Impact™ to Reduce Complications After Abdominoplasty: A Meta-Analysis of Comparative Studies.
BackgroundThe optimal dissection technique for flap elevation in abdominoplasty remains debated, particularly in high-risk patients after massive weight loss. The LigaSure Impact™ (LS) vessel-sealing system (Medtronic, Dublin, Ireland) is a…
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Circumferential Negative Pressure Lymphedema Therapy: A Novel Rapid Perioperative Decongestion Strategy for Advanced Stage III-IV Lymphedema.
[INTRODUCTION] Advanced Stage III-IV lymphedema, particularly in filariasis-endemic regions, presents with severe fibrosis, massive limb enlargement, and a poor response to conventional conservative therapy, complicating reductive surgical …
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Evaluating the Use of 5-Factor Modified Frailty Index to Predict Wound Healing Complications in Reduction Mammoplasty.
[BACKGROUND] Reduction mammoplasty is an established treatment for symptomatic macromastia. Understanding risk factors associated with complications is essential for counseling and patient selection. The modified frailty index (mFI-5) has b…
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Negative Pressure Therapy Postabdominal Body Contouring in Bariatric Surgery Patients.
[BACKGROUND] The primary aim of this study was to investigate the effects of Incisional Negative Pressure Wound Therapy (iNPWT) on surgical site complication rates for abdominal body contouring following bariatric surgery that resulted in m…
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Safety and Efficacy of Combining Multiple Body-Contouring Procedures in Massive-Weight-Loss Patients: A Retrospective Multicenter Study.
[INTRODUCTION] Significant weight loss often results in severe deformities affecting multiple body regions, negatively impacting patients' social and personal lives. Many massive-weight-loss patients (MWLP) seek treatment for multiple anato…
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Complications of Free Flap Reconstruction in Maxillary and Mandibular Defects: A Systematic Review and Meta-Analysis.
Microvascular osseous free flaps play a central role in head and neck reconstruction; surgeons often rely on fragmented and inconsistently reported data when counselling patients and planning reconstructive strategies. This systematic revie…
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Skin-Reducing Mastectomy and Implant Reconstruction: Long-Term Surgical, Oncological, and Patient-Reported Outcomes.
[BACKGROUND] Skin-reducing mastectomy (SRM) allows implant-based immediate breast reconstruction in women with large, ptotic breasts. This study aimed to evaluate the surgical and patient-reported outcomes (PRO) following SRM. [METHODS] A …
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Factors Associated With Unplanned Return to Theater in Reconstructive Head and Neck Cancer Patients: A Retrospective Risk Factor Analysis.
[BACKGROUND] Unplanned return to theater (URTT) following head and neck cancer reconstruction presents significant clinical and economic challenges. Identifying risk factors for URTT can aid in surgical planning and patient risk stratificat…
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Immediate microsurgical breast reconstruction following vertical incision mastectomy in patients with ptotic breasts: An international multicenter case series.
[INTRODUCTION] Skin-sparing mastectomies often require reshaping of the skin envelope, particularly in patients with ptotic breasts. However, this reshaping can result in skin necrosis. A vertical skin resection technique, combined with imm…
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Flap Choice in Gender Affirming Phalloplasty Affects Postoperative Complication Rates.
[BACKGROUND] Phalloplasty plays an important role in female-to-male (FTM) gender affirmation surgery to create a neophallus that prioritizes aesthetic and functional outcomes. Patients have a variety of flap choices for phalloplasty, but th…
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Superficial Inferior Epigastric Artery (SIEA) Flap For Autologous Breast Reconstruction: A Single-Institution Experience With Technical Pearls.
Introduction Autologous abdominal tissue transfer is considered the gold standard for breast reconstruction, providing natural composition and texture. The superficial inferior epigastric artery (SIEA) flap represents the least invasive opt…
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Personal Strategies for DIEP Flap Breast Reconstruction in Patients with Prior Abdominal Surgery and Hernia Repairs.
Delayed breast reconstruction using deep inferior epigastric perforator (DIEP) flaps in patients with a history of abdominal wall hernias and/or cesarean sections presents unique challenges. This study examines 10 such cases, emphasizing ke…
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Extensive Local Flaps Among Head and Neck Patients With Multimorbidity. Review of Main Comorbidities Related to Increased Perioperative Risk in Free Flap Procedures.
The field of head and neck surgery is marked by its complexity, particularly when addressing oncological treatment, including extensive resections and consecutive reconstructive procedures. This introductory exploration will set the foundat…
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Surgical Outcomes After Scalp Reconstruction With Free Tissue Transfer.
[BACKGROUND] Complex scalp defects represent a significant reconstructive challenge and frequently require free tissue transfer. Although the latissimus dorsi (LD) and anterolateral thigh (ALT) flaps are widely regarded as preferred options…