• Original Article|Open Access

    Fat grafting as adjuvant to reduce scars in arm

    Katarina Andjelkov , Connor John Atkinson
    Aim: Brachioplasty in patients who are normal weight, with moderate skin excess and who are not accepting long scars, remains a challenge for plastic surgeons. Methods: We present our experience in 47 patients with short scar brachioplasty in combination with posterolateral liposuction, fascia anchoring and fat grafting in the inferomedial arm in order to improve skin quality and correct minor irregularities. Patients’ satisfaction rates were evaluated after 3 and 6 months following the procedure. Results: Patients (groups IIa, IIb and IIIa according to Rohrich classification) showed high... Read more
    Plast Aesthet Res 2018;5:18. | doi:10.20517/2347-9264.2017.96
    Published on: 25 May 2018  | Viewed:1118  | Downloaded:67
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  • Original Article|Open Access

    Key rheological properties of hyaluronic acid fillers: from tissue integration to product degradation

    Samuel Gavard Molliard , Jérémie Bon Bétemps , Basste Hadjab , David Topchian , Patrick Micheels , Denis Salomon
    Aim: Over the last 15 years, hyaluronic acid (HA) fillers have become the most popular injectable biomaterial for soft tissue correction. With the increasing number of available HA fillers and the multiplication of facial treatments all over the world, there has been a need from physicians to better understand the HA fillers science. There is especially a growing interest in the science-based evaluation of rheological characteristics which represents an essential tool to guide physicians in the selection of the most appropriate HA fillers, administration techniques and depths of injection... Read more
    This article belongs to the Special Issue Applications of Biomaterials in Plastic and Reconstructive Research
    Plast Aesthet Res 2018;5:17. | doi:10.20517/2347-9264.2018.10
    Published on: 14 May 2018  | Viewed:897  | Downloaded:59
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  • Original Article|Open Access

    A simple classification and a simplified treatment’s algorithm for ptotic breasts

    Bouraoui Kotti
    Aim: Many classifications have been described in the literature for ptotic breasts, focusing on the nipple areola complex position compared to the inframammary fold. These use centimeters and lateral views to illustrate their various grades in a manner always insufficient to propose a clear treatment plan aimed at achieving natural results. We discuss a new dynamic approach to breast ptosis with a complete treatment algorithm. Methods: Patients were examined in a standing position first with hands down then with hands up. We observed the elevation of the inter-nipple line called the... Read more
    Plast Aesthet Res 2018;5:16. | doi:10.20517/2347-9264.2018.11
    Published on: 26 Apr 2018  | Viewed:3051  | Downloaded:99
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  • Original Article|Open Access

    A novel highly specialized functional flap: omohyoid inferior belly muscle

    Gerado Muñoz-Jimenez , Jose E. Telich-Tarriba , Damian Palafox-Vidal , Alexander Cardenas-Mejia
    Aim: There is no previous description on the anatomy of the inferior belly of the omohyoid muscle. This muscle has specific morphological characteristic that make it appealing when solving specialized reconstructive problems. Our objective is to describe the microsurgical anatomy of the inferior belly from the omohyoid muscle. Methods: Supraclavicular bilateral dissection in 5 anatomic models (fresh human cadavers). Measurements were taken with a millimetric caliper. Statistical analysis was performed with measures of central tendency. Results: Eight muscles were dissected in 5 anatomic... Read more
    This article belongs to the Special Issue Current Surgical Procedures for Facial Paralysis and Peripheral Nerve Clinical Conditions
    Plast Aesthet Res 2018;5:14. | doi:10.20517/2347-9264.2018.04
    Published on: 23 Apr 2018  | Viewed:772  | Downloaded:26
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  • Systematic Review|Open Access

    A systematic literature review of the management of chronic venous ulcers with autologous fibrin matrix with or without growth factors

    Alejandra García Botero , Jorge Ernesto Cantini Ardila , Luis David Devoz Borja , Viviana Gómez-Ortega
    Aim: To evaluate available evidence for the effective management of venous leg ulcers with fibrin matrix with or without growth factors. Methods: A systematic review of the literature was performed to evaluate the use of fibrin matrices with or without growth factors for the management of chronic venous ulcers in lower limbs. Article searches were performed in MEDLINE, EMBASE, COCHRANE, LILACS and ongoing clinical trials at Results: The search in MEDLINE and EMBASE identified three articles; one was a pilot study evaluating the use of fibrin matrix and autologous growth... Read more
    Plast Aesthet Res 2018;5:15. | doi:10.20517/2347-9264.2018.09
    Published on: 23 Apr 2018  | Viewed:527  | Downloaded:19
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  • Letter to Editor|Open Access

    Use of “tent-pole” graft for setting columella-lip angle in rhinoplasty

    Kapil Agrawal , Raghav Shrotriya
    Plast Aesthet Res 2018;5:13. | doi:10.20517/2347-9264.2018.17
    Published on: 18 Apr 2018  | Viewed:699  | Downloaded:29
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  • Original Article|Open Access

    Optimization of tissue anchoring performance and mechanical properties of barbed sutures for flexor tendons repair

    Joseph Bakhach , Ahmad Oneissi , Elsa Bakhach , Reem Karameh , Mireille Hantouche , Elie Shammas
    Aim: The ideal flexor tendon repair should be reliable, simple and strong enough without impairing the tendon healing. Based on these requirements, we have imagined the use of a single barbed intra-tendinous suture for stumps connection. The aim of our research is to quantify the stress that the suture and barbs should withstand in order to ensure perfect stumps connections. Methods: Seven different cross-section sutures were selected for the research study. One circular and 6 different elliptical shapes were defined according to the ratio of their minor and major axes (ρ = b/a). Barbs were... Read more
    Plast Aesthet Res 2018;5:12. | doi:10.20517/2347-9264.2018.01
    Published on: 8 Apr 2018  | Viewed:1427  | Downloaded:39
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  • Case Report|Open Access

    Clinical applications of the jugal lipectomy technique: case reports

    Bárbara do Amaral Antunes , Alan Robert Moreira Schmitt , Michel Abrão Neto , Filipe Jaeguer , Maria da Graça Naclério-Homem , Matheus Furtado de Carvalho
    The adipose body of cheek is the tissue located in the buccal space. In the past, the partial removal of this tissue, called jugal lipectomy, was indicated to fill defects resulting from buccosinusal communications and/or maxillary resections. Recently, such technique became popular in facial aesthetics as it gives patients the feel of a more delicate face, in which the zygomatic bone appears to be more prominent due to the reduction in the volume of the cheeks. However, many professionals are unaware of how to establish the correct diagnosis of facial volume alterations, as well as in... Read more
    Plast Aesthet Res 2018;5:11. | doi:10.20517/2347-9264.2018.03
    Published on: 14 Mar 2018  | Viewed:1584  | Downloaded:81
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  • Review|Open Access

    Reviewing immunosuppressive regimens in animal models for vascularized composite allotransplantation

    Aline Yen Ling Wang , Charles Yuen Yung Loh
    The development of vascularized composite allotransplantation (VCA) and its clinical need has led to the need for more animal models to study and perform the research required to further this specialty in terms of functional recovery and immunomodulatory improvements. Much of the animal models are reported in individual series in the literature but there has not been a review as such of these models. Here we present a compilation of the animal models reported in the literature thus far in VCA. A comprehensive review of the literature was performed for any studies which involved the use of... Read more
    Plast Aesthet Res 2018;5:10. | doi:10.20517/2347-9264.2017.90
    Published on: 13 Mar 2018  | Viewed:1038  | Downloaded:45
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  • Original Article|Open Access

    Evolution of hair transplantation

    Oguz Kayiran , Ercan Cihandide
    Aim: Numerous non-surgical methods and surgical options are available for the solution of baldness in the practice. Technology provides mighty weapons in this field. Thus, individualized solutions are best carried out with well-trained and qualified practitioners. Here, a modification of follicular unit extraction, direct hair implantation is introduced with previously licensed unique pens. Methods: Follicular unit extraction and direct hair implantation methods were carried out in 207 hair transplantations between January and December of 2014. The nests for the grafts were created via... Read more
    This article belongs to the Special Issue Hair transplantation
    Plast Aesthet Res 2018;5:9. | doi:10.20517/2347-9264.2017.86
    Published on: 11 Mar 2018  | Viewed:4439  | Downloaded:64
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  • Case Report|Open Access

    Reverse bilateral latissimus dorsi flap reconstruction after extensive mid back dermatofibrosarcoma protuberans excision: a case report

    Stefano Bonomi , Laura Sala , Alessandro Gronchi , Dario Callegaro , Umberto Cortinovis
    Surgical resection of soft tissue sarcoma of the trunk can result in large defects requiring complex reconstruction for coverage of vital neurovascular structures and tissue defect. Large defects of the back could be reconstructed with multiple random pattern or local pedicled flaps. We present the case of a 48-year-old patient with a locally advanced dermatofibrosarcoma protuberans of the back. Wide local excision of the lesion was performed. The soft tissue defect measured 22 cm × 20 cm × 4 cm and was reconstructed with bilateral reverse latissimus dorsi myocutaneous (RLDM) flap. Each... Read more
    Plast Aesthet Res 2018;5:8. | doi:10.20517/2347-9264.2017.93
    Published on: 6 Mar 2018  | Viewed:856  | Downloaded:45
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  • Meeting Abstracts|Open Access

    The 3rd Annual Meeting of The Mountain West Society of Plastic Surgeons

    Raman C. Mahabir
    Plast Aesthet Res 2018;5:6. | doi:10.20517/2347-9264.2018.08
    Published on: 28 Feb 2018  | Viewed:794  | Downloaded:51
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  • Original Article|Open Access

    Permanent volumizing and contouring of the lower face using 350 centistokes injectable silicone

    Betul Gozel Ulusal
    Aim: An ideal injectable material would be biocompatible with long-lasting effects. The relative polymerization and chain length of the compound determines its viscosity, as measured by centistokes (cp). It is available in 350, 1000 and 5000 cp - the higher the number, the more viscous the oil. Most of the reports used 1000-cp silicone oil for filling purposes and due to high viscosity, only microdroplet injection technique is recommended to avoid complications. This is the first report of patient series using liquid silicone with a 350-cp viscosity The objective of this study was to... Read more
    Plast Aesthet Res 2018;5:7. | doi:10.20517/2347-9264.2017.81
    Published on: 28 Feb 2018  | Viewed:802  | Downloaded:63
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  • Technical Note|Open Access

    Safe and easy hair transplantation utilizing KD spreader

    Kuldeep Saxena
    Aim: An atraumatic insertion of graft is key to successful outcomes in this procedure but there is a definite learning curve in available techniques. Many physicians do not continue hair restoration practice because of the repeated initial failures. The goal of any technique or instrument in follicular unit extraction (FUE) is to extract an individual follicular unit without transaction and implanting it in recipient area without producing physical trauma to the follicular unit. This article describes a novel technique in which an innovative instrument, the KD spreader, that addresses all... Read more
    This article belongs to the Special Issue Hair transplantation
    Plast Aesthet Res 2018;5:5. | doi:10.20517/2347-9264.2017.67
    Published on: 27 Feb 2018  | Viewed:1140  | Downloaded:90
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  • 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:1733  | Downloaded:55
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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:1930  | Downloaded:34
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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:1221  | Downloaded:47
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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:859  | Downloaded:51
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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:2918  | Downloaded:118
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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:1045  | Downloaded:75
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