Latest
  • Original Article|Open Access

    The labio-mandibular flap for upper lip and peri-commissural defects

    Ruben Yap Kannan , Charles Nduka
    Aim: Peri-commisural defect reconstruction using the Abbe or Estlander flaps tend to pilfer tissue from the lower lip, contributing to microstomia, with its attendant problems. In this study, we aim to design a flap for more superficial defects, in which the underlying orbicularis oris muscle can be preserved when resecting peri-commisural skin malignancies whilst also ensuring completeness of excision. Methods: In a retrospective case review of 7 cases at our institution over a 12-month period (2016-2017), we conceptually designed a perforator-plus fascio-cutaneous flap from within the... Read more
    Plast Aesthet Res 2018;5:4. | doi:10.20517/2347-9264.2018.02
    Published on: 31 Jan 2018  | Viewed:647  | Downloaded:24
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  • Case Report|Open Access

    Management of the recalcitrant upper lip

    Al Haitham Al Shetawi , Rui Fernandes
    The aim of this study was to present our experience in the management of the recalcitrant upper lip and describe the surgical technique. We took a retrospective chart review of all patients who underwent reconstruction of the recalcitrant upper lip after maxillectomy and radiation therapy. Three female patients were identified. All patients had a history of malignant maxillary tumors, mucoepidermoid carcinoma (n = 1), verrucous carcinoma (n = 1), squamous cell carcinoma (n = 1). Tumor extirpation was carried out through total maxillectomy (n = 2), and bilateral subtotal maxillectomy (n =... Read more
    Plast Aesthet Res 2018;5:1. | doi:10.20517/2347-9264.2017.61
    Published on: 29 Jan 2018  | Viewed:387  | Downloaded:15
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  • Original Article|Open Access

    Transpalpebral eyebrow lift: the mini eyebrow lift

    Marcos Sforza , Renato Zaccheddu , Deborah Sforza
    Aim: This paper focus is to describe and evaluate the authors' personal technique for a simplified transpalpebral eyebrow lift. Methods: We performed surgery in 179 patients (95% females and 5% males) between years of 2008 and 2009. Initially, a thorough assessment of brow stability and symmetry was performed. To achieve desirable aesthetic we agreed upon the consensus that the eyebrow lateral third should be 0.3 to 1 cm above the supraorbital rim in women and just above or at supraorbital rim in men. Hence the surgery consisted of the removal of excess skin, treatment for bags if they were... Read more
    Plast Aesthet Res 2018;5:2. | doi:10.20517/2347-9264.2017.35
    Published on: 29 Jan 2018  | Viewed:523  | Downloaded:22
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  • Review|Open Access

    Complex reconstruction of the lower extremity following sarcoma resection: a literature review

    Beina Azadgoli , Antoine L. Carre , David P. Perrault , Alex K. Wong
    While amputation was traditionally the only option available for patients with sarcomas of the extremities, chemotherapy, radiation, and advances in microsurgical technique have allowed many patients to undergo limb-salvaging procedures. Given the low incidence and heterogeneity of these tumors, there is currently no standard treatment algorithm for limb reconstruction after large sarcoma resection. Thus, we systematically reviewed the various types of free tissue transfer used for the reconstruction of lower limbs after sarcoma resection. Techniques were described based on anatomic... Read more
    This article belongs to the Special Issue Complex Reconstruction of the Face, Breast and Wounds with Microvascular Free Flaps
    Plast Aesthet Res 2018;5:3. | doi:10.20517/2347-9264.2017.32
    Published on: 29 Jan 2018  | Viewed:368  | Downloaded:9
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  • Original Article|Open Access

    Modified lower eyelid blepharoplasty improves aesthetic outcomes in patients with hypoplastic malar prominences

    Muhammad Adil Abbas Khan , Kanza Aziz , Ammar Asrar Javed , Mark Gorman , Diaa Othman , Muhammad Riaz
    Aim: Aging affects the appearance of the eyelids and the surrounding malar region. Blepharoplasty improves the aesthetic appearance of this region, and multiple variants of the procedure have been reported. We here report our technique for modified lower lid blepharoplasty and cheek lift for patients with hypoplastic malar regions, which was introduced after observing prominent lower orbital rims in patients with flat malar prominences after blepharoplasty. Methods: This technique combines standard canthopexy and cheek-lift for rejuvenation of the mid-face with redraping of orbital fat and... Read more
    Plast Aesthet Res 2017;4:228-35. | doi:10.20517/2347-9264.2017.69
    Published on: 29 Dec 2017  | Viewed:1482  | Downloaded:93
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  • Original Article|Open Access

    Larger breast implants warranted for post-mastectomy reconstruction

    Ashley L. Howarth , Abigail M. Rodriguez , Vipul Gargya , Heather D. Lucas , Raman C. Mahabir
    Aim: Our goal was to ascertain if there was a role for larger breast implants in breast reconstruction. Methods: Patients that underwent mastectomy and implant-based breast reconstruction were identified and reviewed. Results: Of the total specimens, 92 (14.7%) weighed more than 800 g with a mean weight of 1140 g (range 803 to 2177 g). Of the patients with these larger specimens, 45 (48.9%) selected the largest available implants (800 mL implants) for their reconstruction. Conclusion: There are patients undergoing mastectomy and implant-based breast reconstruction who are unable to have... Read more
    Plast Aesthet Res 2017;4:215-8. | doi:10.20517/2347-9264.2017.80
    Published on: 29 Dec 2017  | Viewed:449  | Downloaded:21
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  • Topic: Applications of Biomaterials in Plastic and Reconstructive Research|Open Access

    Hyaluronic acid: a versatile biomaterial in tissue engineering

    Zhu Zhu , Yin-Min Wang , Jun Yang , Xu-Song Luo
    The design and application of hyaluronic acid (HA)-based scaffolds to control cell response and construct ideal tissue engineering products have been of great interest in the past few decades. This review provides an overview of the biological properties of HA to better understand how to engineer a cell-scaffold composite that is qualified in tissue engineering; important tissue engineering applications of HA including cartilage tissue engineering; and lastly, the problems of the current research on HA. All the data described above were collected and analyzed from PubMed, EMBASE and Medline. Read more
    Plast Aesthet Res 2017;4:219-27. | doi:10.20517/2347-9264.2017.71
    Published on: 29 Dec 2017  | Viewed:723  | Downloaded:46
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  • Topic: Complex Reconstruction of the Face, Breast and Wounds with Microvascular Free Flaps|Open Access

    Proximal femur reconstruction using a vascularized fibular epiphysis within a cadaveric femoral allograft in a child with Ewing sarcoma: a case report

    Michelle Y. Seu , Allison Haley , Brian H. Cho , Hannah M. Carl , Tobias J. Bos , Aladdin H. Hassanein , Alison L. Wong , Carol D. Morris , Justin M. Sacks
    Periarticular reconstruction of appendicular bones in skeletally immature patients after tumor resection is a surgical challenge that requires a multidisciplinary approach. The authors present a case of Ewing sarcoma of the proximal femur in an 8-year old girl treated with wide resection of the primary tumor and reconstruction using a vascularized fibula epiphyseal autograft within a cadaveric femoral allograft. The native femoral head was preserved to restore articular anatomy. Postoperative course was without complications. This report demonstrates the use of a vascularized fibula... Read more
    Plast Aesthet Res 2017;4:209-14. | doi:10.20517/2347-9264.2017.47
    Published on: 30 Nov 2017  | Viewed:737  | Downloaded:18
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  • Topic: Complex Reconstruction of the Face, Breast and Wounds with Microvascular Free Flaps|Open Access

    Current applications of propeller flaps in reconstruction of trunk wounds

    Shawn Moshrefi , Gordon K. Lee
    Aim: Propeller flaps provide excellent reconstructive options for defects of many etiologies. Trunk wounds are a commonly encountered issue for the plastic surgeon and multiple techniques to address them should be prepared for implementation. Propeller flaps are a subject rarely brought up as an option to address these wounds. The authors sought to elucidate this topic in the current plastic surgery literature available. Methods: A PubMed search was conducted based upon the defined inclusion and exclusion criteria and publications reviewed in detail. Search terms included "trunk wound... Read more
    Plast Aesthet Res 2017;4:204-8. | doi:10.20517/2347-9264.2017.33
    Published on: 30 Nov 2017  | Viewed:515  | Downloaded:25
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  • Editorial|Open Access

    Towards the future of plastic surgery: from flaps to microsurgery and regenerative medicine and biofabrication?

    Raymund E. Horch , Annika Weigand , Harald Wajant , Ran An , Jia-Min Sun , Andreas Arkudas
    Plast Aesthet Res 2017;4:185-9. | doi:10.20517/2347-9264.2017.72
    Published on: 31 Oct 2017  | Viewed:736  | Downloaded:35
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  • Case Report|Open Access

    Complex reconstructive surgery for a recurrent ischial pressure ulcer with contralateral muscle

    Erin L. Weber , Salah Rubayi
    The management of recurrent pressure ulcers is a frequent problem in patients with spinal cord injuries. Many local muscle and fasciocutaneous flaps can be used to cover ulcers of all sizes. However, when a recurrent pressure ulcer has been repeatedly addressed, the number of available flaps becomes quite limited. Contralateral muscles, such as the gracilis, can be used to cover recurrent ischioperineal ulcers and should be employed before last resort surgeries, such as hip disarticulation and the total thigh flap. Read more
    Plast Aesthet Res 2017;4:190-4. | doi:10.20517/2347-9264.2017.73
    Published on: 31 Oct 2017  | Viewed:1196  | Downloaded:14
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  • Topic: Complex Reconstruction of the Face, Breast and Wounds with Microvascular Free Flaps|Open Access

    Microsurgical restoration of failed or unsatisfactory breast reconstruction: a systematic review and pooled-analysis of outcomes

    Bassim EL-Sabawi , Anna C. Howell , Ketan M. Patel
    Aim: Autologous tissue transfer to salvage breast reconstruction following a previously failed or unsatisfactory reconstruction has been described by previous studies to be an effective strategy to optimize outcomes. The purpose of this systematic review is to assimilate the relevant literature to evaluate surgical and aesthetic outcomes following autologous breast reconstruction in the setting of a prior unsuccessful reconstruction. Methods: A systematic review of the English literature was performed on Pubmed/MEDLINE to identify all manuscripts reporting surgical outcomes, aesthetic... Read more
    Plast Aesthet Res 2017;4:195-203. | doi:10.20517/2347-9264.2017.20
    Published on: 31 Oct 2017  | Viewed:411  | Downloaded:8
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  • Case Report|Open Access

    Teen aesthetic surgery may eliminate bullying

    Dustin Derrick , Lauren Crawford , Jim Sheridan , Randy Buckspan , Alexis Delgado , Sebastian Gualy , Diana Vo , Markos Salisbury , Robert A. Ersek
    The media has a large influence on what constitutes modern day beauty, as it suggests to susceptible young girls and boys what makes someone beautiful. The term “beautiful” is portrayed as curvy, thin, tall, with voluptuous hair, big eyes, large breasts, round buttocks, and full lips. Very few people in society naturally appear like this, and thus many people undergo cosmetic surgery for this desired look. This article will examine the difference of opinions regarding the exact age to consider aesthetic plastic surgery. Adolescence is frequently bullied about any defect. The authors discuss... Read more
    Plast Aesthet Res 2017;4:178-84. | doi:10.20517/2347-9264.2017.64
    Published on: 26 Oct 2017  | Viewed:559  | Downloaded:41
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  • Original Article|Open Access

    Degree and location of metacarpal angulations

    Laxminarayan Bhandari , Cynthia Sathekga , Francisco Aguilar , Luis Vicentela , Elkin Galvis
    Aim: Fractures of metacarpals are commonly encountered in hand surgery. For adequate fixation, a thorough knowledge about the anatomy is essential. While fixing the metacarpals with plates and screws, plates are bent to contour the dorsal surface. However, there are no reference values in literature for the location and degree of angulation. The authors studied the dorsal surface of metacarpals in cadavers to gather data regarding the location and degree of angulation of the dorsal cortex. Methods: Cadaveric dissections of 118 metacarpals from 30 hands were performed. A true lateral view of... Read more
    Plast Aesthet Res 2017;4:174-7. | doi:10.20517/2347-9264.2017.65
    Published on: 20 Oct 2017  | Viewed:516  | Downloaded:21
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  • Topic: Hair transplantation|Open Access

    Controlled clinical trial for evaluation of hair growth with low dose cyclical nutrition therapy in men and women without the use of finasteride

    Rajendrasingh Jalamsingh Rajput
    Aim: To evaluate possible results with the stimulation use of minoxidil and the strengthening of hair roots with nutritional cyclical supplements, resulting in increased hair regrowth, without the use of anti androgens and enzyme blockers. Methods: This prospective controlled clinical trial compares the current acknowledged form of treatment for hair loss within two controlled groups for both men and women against the use of cyclical nutritional therapy and minoxidil 2%. One hundred patients in each of the 4 groups, a total of 400 patients, were followed for 1 year. The progress was... Read more
    Plast Aesthet Res 2017;4:161-73. | doi:10.20517/2347-9264.2017.57
    Published on: 30 Sep 2017  | Viewed:3005  | Downloaded:61
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  • Original Article|Open Access

    Comparison of breast reconstruction using ipsilateral and contralateral pedicle transverse rectus abdominis musculocutaneous flaps

    Ramesh Omranipour , Sima Mashayekhi , Mahtab Vasigh , Sadaf Alipour , Habibollah Mahmoodzadeh
    Aim: Breast reconstruction has several beneficial effects on psychosocial well-being and quality of life. The ultimate goal has always been to create the most natural breast mound. Thus in many centers, the unilateral pedicled transverse rectus abdominis myocutaneous (TRAM) flap remains the most common technique for breast reconstruction. Our objective was to retrospectively compare the outcomes of ipsilateral and contralateral pedicle TRAM flaps. Methods: The total of 110 patients underwent unilateral breast reconstruction with pedicle TRAM flap at Cancer Institute of Tehran University of... Read more
    Plast Aesthet Res 2017;4:155-60. | doi:10.20517/2347-9264.2017.55
    Published on: 29 Sep 2017  | Viewed:479  | Downloaded:23
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  • Topic: Hair transplantation|Open Access

    The distribution of hair in Han Chinese

    Zhen-He Guo , Guan Wang , Yong Miao , Zhe-Xiang Fan , Xiao-Min Liu , Qian Qu , Ke Ye , De-Cong Zhu , Zhi-Qi Hu
    Aim: To explore the characteristics of normal hair distribution in Han Chinese. Methods: A total of 146 healthy Han Chinese and 41 patients with androgenetic alopecia (AGA) were selected as research subjects. Digital photographs of the vertex, temporal, and occipital regions were taken after their hair was trimmed. An image analysis software was used to compute the number of follicular units (FUs) and hairs. Results: The mean FU density of the 146 healthy Han Chinese was 74.36 ± 13.33 units/cm2 and their mean hair density was 143.33 ± 28.08 hairs/cm2. There was no significant difference... Read more
    Plast Aesthet Res 2017;4:150-4. | doi:10.20517/2347-9264.2017.52
    Published on: 28 Sep 2017  | Viewed:499  | Downloaded:19
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  • Original Article|Open Access

    A novel skeletal anchorage for rigid external distractor

    Rodrigo Fariña , Felipe Salinas
    Aim: Maxillofacial surgery has always aimed to find alternative therapies to treat severe maxillary hypoplasia. Distraction osteogenesis of the midface has become the technique with the best functional and aesthetic results. Nevertheless, anchoring a distractor to the middle third of the face continues to involve complex planning. Plus, achieving the desired force vector can sometimes be cumbersome and uncomfortable. The aim of this study is to propose a novel skeletal anchorage technique for the rigid external distractor. Methods: Non-controlled, prospective study of 9 patients with severe... Read more
    Plast Aesthet Res 2017;4:144-9. | doi:10.20517/2347-9264.2017.49
    Published on: 5 Sep 2017  | Viewed:1527  | Downloaded:151
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  • Original Article|Open Access

    Immediate iliac bone graft reconstruction of post ablative defect of benign mandibular pathology - a systematic review

    Olufemi K. Ogundipe , Olalere O. Gbolahan
    Aim: Autogenous iliac crest bone graft is frequently used in immediate reconstruction of post ablation defect of benign mandibular pathologies. The aim of this study was to conduct a systematic literature review on the complication and failure rates with this technique and factors associated with failure. Methods: The initial literature search in PubMed and Cochrane databases identified 915 articles. Result: Of these, 7 were included in the final review. The majority of the studies were retrospective in nature. These articles encompassed 127 procedures with non-vascularized iliac crest bone... Read more
    Plast Aesthet Res 2017;4:137-43. | doi:10.20517/2347-9264.2017.41
    Published on: 29 Aug 2017  | Viewed:1344  | Downloaded:90
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  • Letter to Editor|Open Access

    Tips and tricks for getting more out of your delayed primary repair of ruptured flexor pollicis longus tendon

    Charles Yuen Yung Loh , Alethea Tan , Makarand Tare
    Plast Aesthet Res 2017;4:135-6. | doi:10.20517/2347-9264.2017.43
    Published on: 25 Aug 2017  | Viewed:1528  | Downloaded:89
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Plastic and Aesthetic Research Print ISSN: 2347-9264; Online ISSN: 2349-6150
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