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Permanent Plastic Surgery Job in Dothan Alabama with Community Health Systems, Inc.
Dothan, AL - How good can it get! Dothan continues to grow and we're looking for another Plastic Surgeon. This opportunity is to join a busy practice. 08 Resident would be great. Email us or call
Permanent Plastic Surgery Job in Great Falls Montana with Benefis Healthcare
Unique opportunity to join a thriving private practice. Extremely busy physician is looking for a colleague for full spectrum Plastic Surgery. This opportunity is housed in a beautiful new office building
Permanent Plastic Surgery Job in Temple Texas with Scott & White Health Clinic
CENTRAL TEXAS Plastic Surgery Scott & White and Texas A&M College of Medicine Department of Surgery are seeking BC/BE Plastic Surgeons to join our established Division at our main campus Temple. The
Archives of Facial Plastic Surgery current issue
ABOUT THIS JOURNAL: About This Journal
Mon, 21 Jul 2008 00:00:00 -0000
HIGHLIGHTS OF ARCHIVES OF FACIAL PLASTIC SURGERY: Highlights of Archives of Facial Plastic Surgery
Mon, 21 Jul 2008 00:00:00 -0000
ORIGINAL ARTICLE: Applications of GORE-TEX Implants in Rhinoplasty Reexamined After 17 Years
Conrad, K., Torgerson, C. S., Gillman, G. S. Mon, 21 Jul 2008 00:00:00 -0000
Objective To determine the efficacy of GORE-TEX (W. L. Gore & Associates Inc, Flagstaff, Arizona) alloplast in rhinoplasty. Design A 17-year retrospective medical chart review at a teaching hospital, community hospital, and private facial cosmetic surgery center. A total of 521 patients (122 male and 399 female; age range, 13-70 years) were followed for 12 months to 17 years. All patients had undergone GORE-TEX implantation rhinoplasty (685 implants in 158 primary procedures and 508 secondary procedures) performed by 1 surgeon. Patient satisfaction, expressed with respect to desired cosmetic benefit and functional outcome, and physician assessment, based on aesthetic improvement, technical considerations, and complications, were evaluated. Results were assessed according to the follow-up notes in the medical chart reflecting patients' and surgeon's comments and full preoperative and postoperative photographic documentation. Results GORE-TEX alloplasts, 1 to 10 mm thick, implanted in the nasal dorsum (n = 264), lateral nasal wall (n = 252), supratip dorsum (n = 85), and premaxilla (n = 84) showed excellent stability and tissue tolerance. Biological complications that required implant removal occurred in 1.9% of patients and included infection, soft tissue swelling, migration, and extrusion. Conclusions With the exception of the nasal tip, columella, or problems in which corrections would require rigidity of the grafted or implanted material, the GORE-TEX alloplast is a safe, inexpensive, and predictable alternative to autografts. In the present series, more than 95% of implants used were 1 to 4 mm thick. In the remaining 5%, 6 implants ranged from 8 to 10 mm thick, and we found them acceptable. It is our opinion that for both primary and secondary rhinoplasty with adequate endonasal and external soft tissue coverage, GORE-TEX should be strongly considered for major and minor corrections of the nasal wall and bridge in properly selected patients.
ANNOUNCEMENT: Search
Mon, 21 Jul 2008 00:00:00 -0000
ORIGINAL ARTICLE: Rhinoplasty for African American Patients: A Retrospective Review of 75 Cases
Slupchynskyj, O., Gieniusz, M. Mon, 21 Jul 2008 00:00:00 -0000
Objective To determine satisfaction, change in self-esteem, and maintenance of ethnic characteristics in African American patients after rhinoplasty. Patients African American male (n = 21) and female (n = 54) patients aged 14 through 58 years (mean, 33.8 years) who underwent rhinoplasty. Methods Open structure rhinoplasty, using the 3-tiered approach, was performed on all 75 patients. An anonymous questionnaire addressed postoperative patient satisfaction, maintenance of ethnic characteristics, self-esteem, and nasofacial harmony. The rate of complications was determined by medical record review. Results On a scale of 1 to 5 (1, no change; 5, complete change), patients reported a significant degree of preservation of ethnic characteristics (mean, 2.3), high self-esteem (mean, 4.3), and very high satisfaction (mean, 4.6) and facial harmony (mean, 4.3) postoperatively (P < .001 for all). The overall complication rate was 2.7%. Conclusion In African American patients, 3-tiered open structure rhinoplasty yields high patient satisfaction with a minimal rate of major complications.
ORIGINAL ARTICLE: Long-term Results of Carbon Dioxide Laser Resurfacing of the Face
Ward, P. D., Baker, S. R. Mon, 21 Jul 2008 00:00:00 -0000
Objective To evaluate the long-term effectiveness of, and the complications associated with, carbon dioxide laser treatment of rhytidosis and solar aging. Methods This retrospective report describes our experience with 47 patients who underwent entire facial carbon dioxide laser resurfacing. Results The mean improvement in facial rhytid score at long-term follow-up was 45%. This improvement was consistent in all facial subsites. With the exception of 1 case of hyperpigmentation, which resolved within 2 years of treatment, hypopigmentation was the only long-term adverse effect. This complication was present in 6 patients (13%). The patients who developed hypopigmentation were more likely to have a greater response to treatment. Conclusion Our findings show that carbon dioxide laser resurfacing is a safe and effective treatment for facial rhytids.
Aesthetic Plastic Surgery
Announcements
Sat, 30 Aug 2008 17:14:55 -0000
Announcements Content Type Journal ArticleCategory AnnouncementDOI 10.1007/s00266-008-9240-9 Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Patient Retention and Replacement Trends After Saline Breast Implants: Are Deflations Inflationary?
Thu, 28 Aug 2008 15:29:21 -0000
Abstract Background This study aimed to examine serial operative trends with patients who have experienced surgical implant deflation. In addition, the economic impact of deflation on practice caseload was analyzed. Methods A retrospective review was conducted to examine patients who experienced deflation from 2000 to 2007. Patient demographics, implant data, and the presence of secondary (performed at explantation) or tertiary (performed later) procedures were examined. Financial information was tabulated to determine the economic multiplier effect (i.e. the expected value of revenue from secondary and tertiary procedures divided by explantation cost) of taking on deflation cases in a practice. Results For this study, 285 patients with an average age of 38.4 years were identified. The average time to explantation was 50 months. Slightly more than half of the patients (55%) had both implants replaced at the time of explantation, whereas 59% switched to silicone implants and 41% continued with saline implants. A larger implant was chosen by 54% of the patients (average increase, 82 ml), whereas 18% underwent secondary procedures at the time of explantation including mastopexy (n = 22), facial rejuvenation (n = 8), liposuction (n = 7), or a combination of the two (n = 8). Tertiary procedures were performed for 31% of the patients after their explantation/reimplantation (average time frame, 13 months). The tertiary procedures included replacement with silicone (33.7%), liposuction (24.7%), abdominoplasty (11.2%), facial rejuvenation (13.5%), or nonsurgical rejuvenation using Botox, Restylane, or laser procedure (33.7%). Economic multiplier analysis showed that the financial impact of revenue derived from implant deflation on downstream practice revenue is 1.02. Conclusion At the time of explantation, replacement with silicone after saline deflation is common (59% of patients). In this study, patients who chose replacement with saline had a significant tendency to replace with silicone (33%) as a tertiary procedure. Saline deflation represents a substantial opportunity for practice development. In particular, it has a positive impact on patient retention for additional aesthetic surgical or nonsurgical procedures. Economic multiplier analysis can be used to quantify the financial impact of saline deflation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9235-6Authors W. Grant Stevens, Marina Plastic Surgery Associates Marina Del Rey CA 90292 USASalvatore J. Pacella, Scripps Clinic and Research Institute La Jolla CA USAElliot Hirsch, Northwestern Memorial Hospital Chicago IL USADavid A. Stoker, Marina Plastic Surgery Associates Marina Del Rey CA 90292 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Management of Tuberous Breast Deformity with Anatomic Cohesive Silicone Gel Breast Implants
Thu, 28 Aug 2008 15:29:20 -0000
Abstract Background Tuberous breast deformity is a rare congenital condition that often requires surgical correction. Numerous surgical techniques have been described, reflecting the reconstructive challenge of this deformity. The anatomic cohesive gel breast implant is a powerful tool in both aesthetic and reconstructive breast surgery. In the authors’ experience, its use in treating tuberous breast deformity has provided the opportunity for a single-stage approach, with very good results. Methods The senior author has managed more than 50 cases of single-stage reconstruction for tuberous breast deformity using anatomic cohesive gel breast implants. His surgical technique is described with suggestions for achieving optimal results. Representative case examples are provided. Conclusions The anatomic cohesive silicone gel breast implant is an excellent device for treating tuberous breast deformity. It often can be used as a single-stage correction of the deformity with very good results. The authors strongly advocate consideration of its use in tuberous breast deformity reconstruction. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9234-7Authors Vivek Panchapakesan, University of Toronto Department of Surgery, Division of Plastic Surgery 790 Bay Street, Suite 410 Toronto ON Canada M5G 1N8Mitchell H. Brown, University of Toronto Department of Surgery, Division of Plastic Surgery 790 Bay Street, Suite 410 Toronto ON Canada M5G 1N8 Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Use of the VersaJet for Pedicle Deepithelialization During Breast Reduction Surgery
Thu, 28 Aug 2008 15:29:19 -0000
Abstract Background Many modern techniques of breast reduction require that a pedicle of breast tissue be deepithelialized. The process of deepithelialization is both tedious and time consuming. Many techniques have been described to facilitate the process of deepithelialization in breast reduction, but none have replaced the gold standard of using the scalpel. This series details the authors’ results using the VersaJet Hydrosurgery System for pedicle deepithelialization in breast reduction surgery. Methods In this study, 20 patients underwent inferior pedicle breast reduction using the VersaJet for pedicle deepithelialization between September 2006 and June 2007. The overall time required for pedicle deepithelialization using the VersaJet was compared with the average overall time required for deepithelialization using the scalpel. Intraoperative and postoperative complications were recorded. Results An overall time-savings of 10 to 25 min per case was noted using the VersaJet for pedicle deepithelialization rather than the scalpel. No intraoperative or postoperative complications were encountered due to use of the VersaJet for pedicle deepithelialization. Conclusions The VersaJet is a safe and effective tool for pedicle deepithelialization in breast reduction surgery. The VersaJet significantly facilitates the process of pedicle deepithelialization and requires less time than use of the scalpel for the procedure. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-008-9217-8Authors Ian Lonergan, Henry Ford Hospital Department of Plastic and Reconstructive Surgery, K-16 2799 West Grand Boulevard Detroit MI 48202 USAKenneth Moquin, Henry Ford Hospital Department of Plastic and Reconstructive Surgery, K-16 2799 West Grand Boulevard Detroit MI 48202 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Treatment of Iatrogenic Abdominal Contour Irregularities
Thu, 28 Aug 2008 15:29:14 -0000
Abstract In many countries, liposuction is the most frequently performed aesthetic procedure. The procedure is promoted as a safe, easy-to-learn, outpatient procedure. The increasing number of liposuction procedures, often performed by inadequately trained physicians, has led to a growing number of iatrogenic postliposuction contour deformities and skin irregularities. This report describes a treatment protocol for iatrogenic abdominal contouring deformities. For patients who present with contour deformities but no skin flaccidity, the type 1 treatment plan (syringe-assisted lipectomy and lipografting) is the suggested approach. In cases of contour deformities and infraumbilical skin flaccidity, the type 2 treatment plan (minilipoabdominoplasty and lipografting procedures) is used. Finally, in the case of contour deformities as well as supra- and infraumbilical flaccidity, the type 3 treatment plan (lipoabdominoplasty and lipografting procedures) is indicated. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-008-9233-8Authors Luiz Haroldo Pereira, Luiz Haroldo Clinic Department of Plastic Surgery Rua Xavier da Silveira 45/206 22061-010 Rio de Janeiro BrazilAris Sterodimas, Pontifical Catholic University of Rio de Janeiro and the Carlos Chagas Post-Graduate Medical Institute Department of Plastic Surgery Rua Dona Mariana 65 22280-020 Rio de Janeiro Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
“The Stork Lift”: A Circumoccipital Extended Neck-Lift
Thu, 28 Aug 2008 15:29:09 -0000
Abstract Background The goal of the lower face- and neck-lift is restoration of a sharp cervicomental angle. However, standard cervical rhytidectomy for the patient with extensive excess skin of the neck often leaves the patient with objectionable vertical or diagonal skin folds of the lateral neck, a large hair-step deformity, or both. To remove extensive excess skin of the neck and to avoid vertical/diagonal folds and a stepped hairline, the authors “walk” the excess skin posteriorly along the hairline, often from ear to ear along the inferior posterior hairline. Methods Patients with extensive excess skin of the neck underwent neck-lift procedures using the circumocciput incision technique during a 1-year period. With the patient in a sitting position, a postauricular face-lift incision is extended along the inferior hairline from ear to ear. The flap is “walked” posteriorly to and along the occiput on either side of the midline. It is closed using a divide and close technique. Flaps are created, and the wound is closed in a multilayered fashion with a posterior midline A-to-T flap. Results During a 1-year period, 25 patients (22 women and 3 men) underwent a cheek/neck-lift, and 2 patients (1 man and 1 woman) underwent isolated neck-lift procedures using the circumocciput incision technique. The average patient age was 64.8 years (range, 49–79 years). There were no instances of obvious lateral neck folds. Complications included hematoma (1 patient), Candida wound infection (1 patient), and a widened scar revised secondarily (1 patient). All the patients were satisfied with their cosmetic result 6 months after the operation. None of the patients stated that their final scar was noticeable or objectionable. Conclusions The patients in this study who presented with excessive redundant skin of the neck were treated with the “stork lift,” which provided excellent lifting of the anterior, lateral, and posterior neck as well as excellent cervicomental angles without postoperative sequelae of lateral neck folds or stepped hairlines. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9236-5Authors Harry Marshak, The Morrow Institute Rancho Mirage CA USADavid M. Morrow, The Morrow Institute Rancho Mirage CA USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
PubMed: 1529-4242
Retraction.
Related Articles Retraction. Plast Reconstr Surg. 2008 Sep;122(3):997 Authors: PMID: 18766085 [PubMed - in process]
Reply.
van de Graaf RC, Nicolai JP Related Articles Reply. Plast Reconstr Surg. 2008 Sep;122(3):996-7 Authors: van de Graaf RC, Nicolai JP PMID: 18766084 [PubMed - in process]
Facial paralysis in the early nineteenth century.
Dieffenbach KM Related Articles Facial paralysis in the early nineteenth century. Plast Reconstr Surg. 2008 Sep;122(3):995-6 Authors: Dieffenbach KM PMID: 18766083 [PubMed - in process]
Low-molecular-weight heparin and postoperative bleeding in rhytidectomy.
Durnig P, Jungwirth W Related Articles Low-molecular-weight heparin and postoperative bleeding in rhytidectomy. Plast Reconstr Surg. 2008 Sep;122(3):994-5 Authors: Durnig P, Jungwirth W PMID: 18766082 [PubMed - in process]
Facial surgery and safe oxygen delivery.
Colon GA Related Articles Facial surgery and safe oxygen delivery. Plast Reconstr Surg. 2008 Sep;122(3):993 Authors: Colon GA PMID: 18766081 [PubMed - in process]
Reply.
Rosenfield L, Chang DS Related Articles Reply. Plast Reconstr Surg. 2008 Sep;122(3):993 Authors: Rosenfield L, Chang DS PMID: 18766080 [PubMed - in process]
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Permanent Plastic Surgery Job in Dothan Alabama with Community Health Systems, Inc.
Dothan, AL - How good can it get! Dothan continues to grow and we're looking for another Plastic Surgeon. This opportunity is to join a busy practice. 08 Resident would be great. Email us or call
Permanent Plastic Surgery Job in Great Falls Montana with Benefis Healthcare
Unique opportunity to join a thriving private practice. Extremely busy physician is looking for a colleague for full spectrum Plastic Surgery. This opportunity is housed in a beautiful new office building
Permanent Plastic Surgery Job in Temple Texas with Scott & White Health Clinic
CENTRAL TEXAS Plastic Surgery Scott & White and Texas A&M College of Medicine Department of Surgery are seeking BC/BE Plastic Surgeons to join our established Division at our main campus Temple. The
Archives of Facial Plastic Surgery current issue
ABOUT THIS JOURNAL: About This Journal
Mon, 21 Jul 2008 00:00:00 -0000
HIGHLIGHTS OF ARCHIVES OF FACIAL PLASTIC SURGERY: Highlights of Archives of Facial Plastic Surgery
Mon, 21 Jul 2008 00:00:00 -0000
ORIGINAL ARTICLE: Applications of GORE-TEX Implants in Rhinoplasty Reexamined After 17 Years
Conrad, K., Torgerson, C. S., Gillman, G. S. Mon, 21 Jul 2008 00:00:00 -0000
Objective To determine the efficacy of GORE-TEX (W. L. Gore & Associates Inc, Flagstaff, Arizona) alloplast in rhinoplasty. Design A 17-year retrospective medical chart review at a teaching hospital, community hospital, and private facial cosmetic surgery center. A total of 521 patients (122 male and 399 female; age range, 13-70 years) were followed for 12 months to 17 years. All patients had undergone GORE-TEX implantation rhinoplasty (685 implants in 158 primary procedures and 508 secondary procedures) performed by 1 surgeon. Patient satisfaction, expressed with respect to desired cosmetic benefit and functional outcome, and physician assessment, based on aesthetic improvement, technical considerations, and complications, were evaluated. Results were assessed according to the follow-up notes in the medical chart reflecting patients' and surgeon's comments and full preoperative and postoperative photographic documentation. Results GORE-TEX alloplasts, 1 to 10 mm thick, implanted in the nasal dorsum (n = 264), lateral nasal wall (n = 252), supratip dorsum (n = 85), and premaxilla (n = 84) showed excellent stability and tissue tolerance. Biological complications that required implant removal occurred in 1.9% of patients and included infection, soft tissue swelling, migration, and extrusion. Conclusions With the exception of the nasal tip, columella, or problems in which corrections would require rigidity of the grafted or implanted material, the GORE-TEX alloplast is a safe, inexpensive, and predictable alternative to autografts. In the present series, more than 95% of implants used were 1 to 4 mm thick. In the remaining 5%, 6 implants ranged from 8 to 10 mm thick, and we found them acceptable. It is our opinion that for both primary and secondary rhinoplasty with adequate endonasal and external soft tissue coverage, GORE-TEX should be strongly considered for major and minor corrections of the nasal wall and bridge in properly selected patients.
ANNOUNCEMENT: Search
Mon, 21 Jul 2008 00:00:00 -0000
ORIGINAL ARTICLE: Rhinoplasty for African American Patients: A Retrospective Review of 75 Cases
Slupchynskyj, O., Gieniusz, M. Mon, 21 Jul 2008 00:00:00 -0000
Objective To determine satisfaction, change in self-esteem, and maintenance of ethnic characteristics in African American patients after rhinoplasty. Patients African American male (n = 21) and female (n = 54) patients aged 14 through 58 years (mean, 33.8 years) who underwent rhinoplasty. Methods Open structure rhinoplasty, using the 3-tiered approach, was performed on all 75 patients. An anonymous questionnaire addressed postoperative patient satisfaction, maintenance of ethnic characteristics, self-esteem, and nasofacial harmony. The rate of complications was determined by medical record review. Results On a scale of 1 to 5 (1, no change; 5, complete change), patients reported a significant degree of preservation of ethnic characteristics (mean, 2.3), high self-esteem (mean, 4.3), and very high satisfaction (mean, 4.6) and facial harmony (mean, 4.3) postoperatively (P < .001 for all). The overall complication rate was 2.7%. Conclusion In African American patients, 3-tiered open structure rhinoplasty yields high patient satisfaction with a minimal rate of major complications.
ORIGINAL ARTICLE: Long-term Results of Carbon Dioxide Laser Resurfacing of the Face
Ward, P. D., Baker, S. R. Mon, 21 Jul 2008 00:00:00 -0000
Objective To evaluate the long-term effectiveness of, and the complications associated with, carbon dioxide laser treatment of rhytidosis and solar aging. Methods This retrospective report describes our experience with 47 patients who underwent entire facial carbon dioxide laser resurfacing. Results The mean improvement in facial rhytid score at long-term follow-up was 45%. This improvement was consistent in all facial subsites. With the exception of 1 case of hyperpigmentation, which resolved within 2 years of treatment, hypopigmentation was the only long-term adverse effect. This complication was present in 6 patients (13%). The patients who developed hypopigmentation were more likely to have a greater response to treatment. Conclusion Our findings show that carbon dioxide laser resurfacing is a safe and effective treatment for facial rhytids.
Aesthetic Plastic Surgery
Announcements
Sat, 30 Aug 2008 17:14:55 -0000
Announcements Content Type Journal ArticleCategory AnnouncementDOI 10.1007/s00266-008-9240-9 Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Patient Retention and Replacement Trends After Saline Breast Implants: Are Deflations Inflationary?
Thu, 28 Aug 2008 15:29:21 -0000
Abstract Background This study aimed to examine serial operative trends with patients who have experienced surgical implant deflation. In addition, the economic impact of deflation on practice caseload was analyzed. Methods A retrospective review was conducted to examine patients who experienced deflation from 2000 to 2007. Patient demographics, implant data, and the presence of secondary (performed at explantation) or tertiary (performed later) procedures were examined. Financial information was tabulated to determine the economic multiplier effect (i.e. the expected value of revenue from secondary and tertiary procedures divided by explantation cost) of taking on deflation cases in a practice. Results For this study, 285 patients with an average age of 38.4 years were identified. The average time to explantation was 50 months. Slightly more than half of the patients (55%) had both implants replaced at the time of explantation, whereas 59% switched to silicone implants and 41% continued with saline implants. A larger implant was chosen by 54% of the patients (average increase, 82 ml), whereas 18% underwent secondary procedures at the time of explantation including mastopexy (n = 22), facial rejuvenation (n = 8), liposuction (n = 7), or a combination of the two (n = 8). Tertiary procedures were performed for 31% of the patients after their explantation/reimplantation (average time frame, 13 months). The tertiary procedures included replacement with silicone (33.7%), liposuction (24.7%), abdominoplasty (11.2%), facial rejuvenation (13.5%), or nonsurgical rejuvenation using Botox, Restylane, or laser procedure (33.7%). Economic multiplier analysis showed that the financial impact of revenue derived from implant deflation on downstream practice revenue is 1.02. Conclusion At the time of explantation, replacement with silicone after saline deflation is common (59% of patients). In this study, patients who chose replacement with saline had a significant tendency to replace with silicone (33%) as a tertiary procedure. Saline deflation represents a substantial opportunity for practice development. In particular, it has a positive impact on patient retention for additional aesthetic surgical or nonsurgical procedures. Economic multiplier analysis can be used to quantify the financial impact of saline deflation. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9235-6Authors W. Grant Stevens, Marina Plastic Surgery Associates Marina Del Rey CA 90292 USASalvatore J. Pacella, Scripps Clinic and Research Institute La Jolla CA USAElliot Hirsch, Northwestern Memorial Hospital Chicago IL USADavid A. Stoker, Marina Plastic Surgery Associates Marina Del Rey CA 90292 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Management of Tuberous Breast Deformity with Anatomic Cohesive Silicone Gel Breast Implants
Thu, 28 Aug 2008 15:29:20 -0000
Abstract Background Tuberous breast deformity is a rare congenital condition that often requires surgical correction. Numerous surgical techniques have been described, reflecting the reconstructive challenge of this deformity. The anatomic cohesive gel breast implant is a powerful tool in both aesthetic and reconstructive breast surgery. In the authors’ experience, its use in treating tuberous breast deformity has provided the opportunity for a single-stage approach, with very good results. Methods The senior author has managed more than 50 cases of single-stage reconstruction for tuberous breast deformity using anatomic cohesive gel breast implants. His surgical technique is described with suggestions for achieving optimal results. Representative case examples are provided. Conclusions The anatomic cohesive silicone gel breast implant is an excellent device for treating tuberous breast deformity. It often can be used as a single-stage correction of the deformity with very good results. The authors strongly advocate consideration of its use in tuberous breast deformity reconstruction. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9234-7Authors Vivek Panchapakesan, University of Toronto Department of Surgery, Division of Plastic Surgery 790 Bay Street, Suite 410 Toronto ON Canada M5G 1N8Mitchell H. Brown, University of Toronto Department of Surgery, Division of Plastic Surgery 790 Bay Street, Suite 410 Toronto ON Canada M5G 1N8 Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Use of the VersaJet for Pedicle Deepithelialization During Breast Reduction Surgery
Thu, 28 Aug 2008 15:29:19 -0000
Abstract Background Many modern techniques of breast reduction require that a pedicle of breast tissue be deepithelialized. The process of deepithelialization is both tedious and time consuming. Many techniques have been described to facilitate the process of deepithelialization in breast reduction, but none have replaced the gold standard of using the scalpel. This series details the authors’ results using the VersaJet Hydrosurgery System for pedicle deepithelialization in breast reduction surgery. Methods In this study, 20 patients underwent inferior pedicle breast reduction using the VersaJet for pedicle deepithelialization between September 2006 and June 2007. The overall time required for pedicle deepithelialization using the VersaJet was compared with the average overall time required for deepithelialization using the scalpel. Intraoperative and postoperative complications were recorded. Results An overall time-savings of 10 to 25 min per case was noted using the VersaJet for pedicle deepithelialization rather than the scalpel. No intraoperative or postoperative complications were encountered due to use of the VersaJet for pedicle deepithelialization. Conclusions The VersaJet is a safe and effective tool for pedicle deepithelialization in breast reduction surgery. The VersaJet significantly facilitates the process of pedicle deepithelialization and requires less time than use of the scalpel for the procedure. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-008-9217-8Authors Ian Lonergan, Henry Ford Hospital Department of Plastic and Reconstructive Surgery, K-16 2799 West Grand Boulevard Detroit MI 48202 USAKenneth Moquin, Henry Ford Hospital Department of Plastic and Reconstructive Surgery, K-16 2799 West Grand Boulevard Detroit MI 48202 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Treatment of Iatrogenic Abdominal Contour Irregularities
Thu, 28 Aug 2008 15:29:14 -0000
Abstract In many countries, liposuction is the most frequently performed aesthetic procedure. The procedure is promoted as a safe, easy-to-learn, outpatient procedure. The increasing number of liposuction procedures, often performed by inadequately trained physicians, has led to a growing number of iatrogenic postliposuction contour deformities and skin irregularities. This report describes a treatment protocol for iatrogenic abdominal contouring deformities. For patients who present with contour deformities but no skin flaccidity, the type 1 treatment plan (syringe-assisted lipectomy and lipografting) is the suggested approach. In cases of contour deformities and infraumbilical skin flaccidity, the type 2 treatment plan (minilipoabdominoplasty and lipografting procedures) is used. Finally, in the case of contour deformities as well as supra- and infraumbilical flaccidity, the type 3 treatment plan (lipoabdominoplasty and lipografting procedures) is indicated. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-008-9233-8Authors Luiz Haroldo Pereira, Luiz Haroldo Clinic Department of Plastic Surgery Rua Xavier da Silveira 45/206 22061-010 Rio de Janeiro BrazilAris Sterodimas, Pontifical Catholic University of Rio de Janeiro and the Carlos Chagas Post-Graduate Medical Institute Department of Plastic Surgery Rua Dona Mariana 65 22280-020 Rio de Janeiro Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
“The Stork Lift”: A Circumoccipital Extended Neck-Lift
Thu, 28 Aug 2008 15:29:09 -0000
Abstract Background The goal of the lower face- and neck-lift is restoration of a sharp cervicomental angle. However, standard cervical rhytidectomy for the patient with extensive excess skin of the neck often leaves the patient with objectionable vertical or diagonal skin folds of the lateral neck, a large hair-step deformity, or both. To remove extensive excess skin of the neck and to avoid vertical/diagonal folds and a stepped hairline, the authors “walk” the excess skin posteriorly along the hairline, often from ear to ear along the inferior posterior hairline. Methods Patients with extensive excess skin of the neck underwent neck-lift procedures using the circumocciput incision technique during a 1-year period. With the patient in a sitting position, a postauricular face-lift incision is extended along the inferior hairline from ear to ear. The flap is “walked” posteriorly to and along the occiput on either side of the midline. It is closed using a divide and close technique. Flaps are created, and the wound is closed in a multilayered fashion with a posterior midline A-to-T flap. Results During a 1-year period, 25 patients (22 women and 3 men) underwent a cheek/neck-lift, and 2 patients (1 man and 1 woman) underwent isolated neck-lift procedures using the circumocciput incision technique. The average patient age was 64.8 years (range, 49–79 years). There were no instances of obvious lateral neck folds. Complications included hematoma (1 patient), Candida wound infection (1 patient), and a widened scar revised secondarily (1 patient). All the patients were satisfied with their cosmetic result 6 months after the operation. None of the patients stated that their final scar was noticeable or objectionable. Conclusions The patients in this study who presented with excessive redundant skin of the neck were treated with the “stork lift,” which provided excellent lifting of the anterior, lateral, and posterior neck as well as excellent cervicomental angles without postoperative sequelae of lateral neck folds or stepped hairlines. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-008-9236-5Authors Harry Marshak, The Morrow Institute Rancho Mirage CA USADavid M. Morrow, The Morrow Institute Rancho Mirage CA USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
PubMed: 1529-4242
Retraction.
Related Articles Retraction. Plast Reconstr Surg. 2008 Sep;122(3):997 Authors: PMID: 18766085 [PubMed - in process]
Reply.
van de Graaf RC, Nicolai JP Related Articles Reply. Plast Reconstr Surg. 2008 Sep;122(3):996-7 Authors: van de Graaf RC, Nicolai JP PMID: 18766084 [PubMed - in process]
Facial paralysis in the early nineteenth century.
Dieffenbach KM Related Articles Facial paralysis in the early nineteenth century. Plast Reconstr Surg. 2008 Sep;122(3):995-6 Authors: Dieffenbach KM PMID: 18766083 [PubMed - in process]
Low-molecular-weight heparin and postoperative bleeding in rhytidectomy.
Durnig P, Jungwirth W Related Articles Low-molecular-weight heparin and postoperative bleeding in rhytidectomy. Plast Reconstr Surg. 2008 Sep;122(3):994-5 Authors: Durnig P, Jungwirth W PMID: 18766082 [PubMed - in process]
Facial surgery and safe oxygen delivery.
Colon GA Related Articles Facial surgery and safe oxygen delivery. Plast Reconstr Surg. 2008 Sep;122(3):993 Authors: Colon GA PMID: 18766081 [PubMed - in process]
Reply.
Rosenfield L, Chang DS Related Articles Reply. Plast Reconstr Surg. 2008 Sep;122(3):993 Authors: Rosenfield L, Chang DS PMID: 18766080 [PubMed - in process]
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