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Impact of SPY Elite Fluorescence Imaging on Complications and Healthcare Utilization in DIEP Flap Breast Reconstruction: An Interrupted Time Series Analysis.
[BACKGROUND] The deep inferior epigastric perforator (DIEP) flap is a favored option for autologous breast reconstruction. However, complications related to insufficient perfusion, such as flap loss and fat necrosis, remain significant conc…
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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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Long-Term Outcomes of Preoperative Botulinum Toxin Use in Abdominal Wall Reconstruction: A Propensity-Matched Analysis of More Than 5000 Patients Over 5 Years.
[BACKGROUND] Preoperative botulinum toxin (BTX) has been proposed to facilitate myofascial medialization and tension reduction in abdominal wall reconstruction (AWR), but long-term comparative outcomes are unclear. [OBJECTIVES] To compare …
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Management of Chronic Seromas and the Role of Bleomycin Sclerotherapy: A Two-Case Report.
Seroma is a common postoperative complication after several plastic surgery operations. They mostly resolve on their own, but from time to time, they can persist and become chronic. This article reports two cases of persistent seromas, a po…
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Endoscopic Intramuscular Fat Grafting for Precise and Safe Abdominal Contouring: Introducing the Supercharged Body Technique-Preliminary Report of a Novel Approach.
[BACKGROUND] High-definition (HD) liposuction is widely favored by plastic surgeons and patients for its capacity to create athletic, sculpted body contours. However, traditional HD liposuction may not effectively enhance muscle volume, res…
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Evaluation of the Efficacy and Patient Satisfaction of Endoscope-Assisted High-Speed Rotary Cutter for Nuchal Fat Pad Removal.
[OBJECTIVE] To evaluate the clinical efficacy and patient satisfaction of high-speed rotary cutter combined with endoscopy for the treatment of nuchal fat pads. [METHODS] A total of 68 adult patients with hypertrophic nuchal fat pads were …
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Aesthetic abdominal contouring enhancement with combined abdominoplasty and circumferential liposuction in normal-BMI postpartum Asian women.
[BACKGROUNDS] Abdominoplasty constitutes a principal aesthetic procedure in plastic surgery, with relevance for postpartum women presenting with abdominal wall laxity. Nowadays, an increasing number of patients are undergoing abdominoplasty…
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Use of Ancillary Procedures in Combination with the MACS-Lift for Facial Rejuvenation: A Retrospective Cohort Study.
[BACKGROUND] While facelifts remain central to facial rejuvenation, ancillary procedures are essential for addressing aspects of aging not corrected by facelifting alone, such as soft tissue atrophy and skin quality. Despite their routine u…
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"Argoplasma: analysis of 594 patients - safety, complications, and satisfaction ".
[INTRODUCTION] Liposuction is the most frequently performed aesthetic procedure worldwide, with a 38.6% increase in the past decade. Advances in technology have transformed the procedure from simple fat removal to a sculpting technique. Arg…
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Timing of Dangle Protocol Initiation Following Lower Extremity Free Flap Reconstruction.
[BACKGROUND] Although the indications for the dangle protocol following lower extremity free flap reconstruction (LEFFR) are well established, significant heterogeneity in the postoperative day (POD) of protocol initiation is observed in cl…
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Abdominoplasty After Bariatric Surgery and GLP-1 Receptor Agonists: Independent vs Combined Complication Risks.
[BACKGROUND] Rising obesity has surged demand for weight loss interventions and body contouring procedures. The independent and combined effects of prior bariatric surgery (BS) and glucagon-like peptide-1 receptor agonists (GLP-1RAs) on abd…
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Prepectoral Breast Reconstruction: Early and Long-Term Complications and Outcomes of Total Coverage Acellular Dermal Matrix and Implants Vs Polyurethane-Coated Implants Without Use of Acellular Dermal Matrix.
[BACKGROUND] Immediate prepectoral breast reconstruction has emerged as a prominent alternative to subpectoral techniques, offering favorable outcomes in selected patients. Among available options, implant coverage with acellular dermal mat…
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Use of Plant-Based Absorbable Hemostatic Powder and Intravenous Tranexamic Acid in Breast Reduction Patients Reduces Hematoma Rates.
[BACKGROUND] Reduction mammaplasty is an effective treatment for symptomatic macromastia but is associated with postoperative complications, such as hematoma, seroma, and infection. Tranexamic acid (TXA) has been shown to reduce blood loss …
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Drain Use and Complications After Breast Reduction in A Five-Academic-Institution Cohort.
[BACKGROUND] Over 70,000 reduction mammaplasties were performed in 2022. Previous studies have suggested equivalent overall complication rates with or without intraoperative drains but have been inadequately powered to assess individual out…
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Complications following Primary Implant-Based Gluteal Augmentation: A Systematic Review and Meta-Analysis.
[BACKGROUND] Gluteal augmentation is a widely performed aesthetic procedure, with implants providing a reliable alternative for patients with insufficient donor fat or those seeking a more pronounced and predictable volume enhancement. Howe…
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Comparative Outcomes of Proton versus Photon Postmastectomy Radiation Therapy in Prepectoral Implant-Based Breast Reconstruction.
[BACKGROUND] The increasing popularity of prepectoral implant-based breast reconstruction (PP-IBBR) and proton-based radiation (PRT) lacks outcomes data. The authors compared complications in PP-IBBR with photon-based radiation (XRT) versus…
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The role of bovine pericardium matrix in immediate prepectoral breast reconstruction: Insights from the largest published retrospective series.
[UNLABELLED] Immediate prepectoral breast reconstruction (IPBR) with biological matrices is a widely adopted technique, traditionally guided by ABS-BAPRAS eligibility criteria. In Europe, their use has declined in recent years, while polyur…
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Open preperitoneal abdominal wall reconstruction (AWR) for patients with deep inferior epigastric perforator (DIEP) or transverse rectus abdominis myocutaneous (TRAM) flap hernias.
[BACKGROUND] Donor site hernias or eventrations are a known complication of DIEP or TRAM flap breast reconstruction. Surgical management of these complex hernias can be challenging due to missing or atrophic rectus muscle. The purpose of th…
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The effect of an urban vs. rural environment on outcomes in autologous breast reconstruction: A single center matched cohort study.
[INTRODUCTION] Increasing access to autologous breast reconstruction requires significant outreach efforts. We have made focused efforts in care coordination, addition of physician extenders, outreach clinics, and telehealth utilization to …