Most Viewed: Last ONE YEAR
  • 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:6128  | Downloaded:105
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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:5779  | Downloaded:101
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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:5714  | Downloaded:144
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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:4374  | Downloaded:129
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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:4026  | Downloaded:60
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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:3246  | Downloaded:88
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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:3204  | Downloaded:183
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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:2873  | Downloaded:65
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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:2599  | Downloaded:67
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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:2332  | Downloaded:108
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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:2184  | Downloaded:115
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  • 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:2099  | Downloaded:118
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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:1997  | Downloaded:129
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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:1970  | Downloaded:60
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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:1822  | Downloaded:94
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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:1667  | Downloaded:113
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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:1650  | Downloaded:47
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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:1527  | Downloaded:100
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  • Original Article|Open Access

    Optimization of the design of a barbed suture for flexor tendon repair using extended finite element analysis

    Joseph Bakhach, Ahmad Oneissi, Dimitri Bakhach, Reem Karami, Kobeissi Hiba, Shammas Elie
    Aim: Use of barbed sutures for flexor tendon repair is a promising technique. These sutures lie within the substance of the tendon, avoiding the need of external knots and so improving tendon gliding. The load is dispersed equally along the length of the barbed suture, decreasing the possibility of rupture. The purpose of this article is to propose enhanced suture geometry by comparing different cross-sectional configurations, barb cut angles and cut depths using the finite element method. Methods: Inspired by the geometry of flexor tendons, an elliptical cross-sectional wire was... Read more
    Plast Aesthet Res 2018;5:21. | doi:10.20517/2347-9264.2018.14
    Published on: 30 Jun 2018  | Viewed:1461  | Downloaded:21
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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:1386  | Downloaded:60
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  • Original Article|Open Access

    Projection capacity assessment of hyaluronic acid fillers

    Jérémie Bon Betemps, Francesco Marchetti, Tingsong Lim, Basste Hadjab, Patrick Micheels, Denis Salomon, Samuel Gavard Molliard
    Aim: Hyaluronic acid (HA) is considered as the gold standard biomaterial for facial soft tissue correction. Over the last 8 years, there has been a strong demand from physicians for HA products with high projection capacity to restore facial volume loss at the level of the cheeks, cheekbones, chin, temples and jawlines. The projection capacity is thus an essential property for HA fillers especially for the products dedicated to the restoration of the volume of the face. Methods: In this publication, a new skin model assay for evaluating the projection capacity of HA fillers is presented,... Read more
    This article belongs to the Special Issue Applications of Biomaterials in Plastic and Reconstructive Research
    Plast Aesthet Res 2018;5:19. | doi:10.20517/2347-9264.2018.24
    Published on: 28 Jun 2018  | Viewed:1377  | Downloaded:86
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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:1329  | Downloaded:48
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  • Original Article|Open Access

    Early experiences with the use of Earfold™ for correction of prominent ears

    Bernd W. Schuster
    Aim: This paper describes the author’s personal experience with using the minimally-invasive Earfold™ implant. Methods: The author inserted the Earfold™ implant into 19 patients (5 men, 14 women) between November 2016 and June 2018. Bilateral implantation was performed in 14 patients. In 5 cases, implantation was limited to one ear. The author’s main indication for treatment was a helical-mastoid distance of more than 20 mm. Additional antihelixplasty of the upper ear was performed in 4 patients (2 primarily and 2 after explantation). One patient underwent simultaneous treatment of... Read more
    This article belongs to the Special Issue Applications of Biomaterials in Plastic and Reconstructive Research
    Plast Aesthet Res 2018;5:22. | doi:10.20517/2347-9264.2018.13
    Published on: 17 Jul 2018  | Viewed:1323  | Downloaded:20
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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:1236  | Downloaded:66
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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:1161  | Downloaded:77
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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:1157  | Downloaded:47
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  • Original Article|Open Access

    When free flaps are not the first choice: is the distally based peroneus brevis still an option for foot and ankle reconstruction in the era of microsurgery?

    Raymund E. Horch, Ingo Ludolph, Marweh Schmitz, Anja M. Boos, Ulrich Kneser, Justus P. Beier, Andreas Arkudas
    ... Read more
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:26. | doi:10.20517/2347-9264.2018.25
    Published on: 31 Jul 2018  | Viewed:1155  | Downloaded:44
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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:1136  | Downloaded:70
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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:977  | Downloaded:58
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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:920  | Downloaded:67
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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 ClinicalTrial.gov. 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:865  | Downloaded:38
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  • Review|Open Access

    Wound healing in postbariatric body contouring surgery

    Olimpiu Bota, Martin Schreiber, Florian Bönke, Dominika Teather, Adrian Dragu
    Due to the continuous development in the field of bariatric surgery, there is an increasing need for postbariatric body contouring surgery. The morbidity of postbariatric patients predisposes them to develop wound healing complications. In this article we describe the preoperative, intraoperative and surgical factors influencing the wound healing and therefore the final outcome. The most common postbariatric body contouring procedures, including brachioplasty, breast contouring surgery, abdominoplasty/circumferential body lift and medial thigh lift are being discussed in terms of wound... Read more
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:30. | doi:10.20517/2347-9264.2018.47
    Published on: 23 Aug 2018  | Viewed:812  | Downloaded:61
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  • Case Report|Open Access

    Successful reconstruction of bilateral oral commissure fusion secondary to Stevens Johnson syndrome

    Shadai Flores, Dino Maglic, Neal Moores, Rayaad Hosein, Faizi Siddiqi, Barbu Gociman
    Stevens Johnson syndrome (SJS) is a rare and often fatal hypersensitivity reaction commonly triggered by drugs which results in the uncontrolled destruction of keratinocytes with both cutaneous and mucosal involvement. Fusion of the oral commissures, although reported in burn victims, is a very uncommon complication of SJS. The successful reconstruction of oral commissures fusion using a modified commissuroplasty technique in a 19-year-old Hispanic female with severe microstomia secondary to SJS is presented here. Re-establishment of normal speech, oral intake, as well as aesthetic... Read more
    Plast Aesthet Res 2018;5:24. | doi:10.20517/2347-9264.2018.31
    Published on: 27 Jul 2018  | Viewed:758  | Downloaded:18
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  • Case Report|Open Access

    Role of newer technologies in wound bed preparation in Fournier's gangrene

    Souradeep Dutta, Abhinav Aggarwal, Ravi Kumar Chittoria, Elankumar Subbarayan, Vinayak Chavan, Konda Sireesha Reddy, Saurabh Gupta, Chirra Likhitha Reddy
    Fournier's gangrene or necrotizing fasciitis of the perineum scrotum and penis is a highly debilitating condition with a high mortality rate of 20% to 88% reported in the literature. Management is multimodal, and the importance of aggressive debridement, broad-spectrum antibiotics and intensive supportive care cannot be emphasised. The addition of newer modalities of ulcer/wound management like low level laser therapy, hydrojet debridement and platelet rich plasma can be used to augment the existing principles of management and reduce the morbidity and mortality associated with the... Read more
    Plast Aesthet Res 2018;5:20. | doi:10.20517/2347-9264.2018.19
    Published on: 28 Jun 2018  | Viewed:728  | Downloaded:17
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  • Technical Note|Open Access

    Global facial rejuvenation, new technique

    Giuseppe Colombo, Vittorio Ruvolo
    Facial aging is the combination of multiple effects such as sun exposure, tobacco, environmental stress and smog, reflecting the cumulative and dynamic effects of time on the skin, soft tissues and the deep structural components of the face that show an important change structural features of the skin and loss of facial volume. There are many different techniques currently used to perform face lifting, the ultimate goal is to get good results with respect for patient safety. This article describes a new approach to facial rejuvenation combining superficial musculoaponeurotic system (SMAS)... Read more
    This article belongs to the Special Issue Facial Rejuvenation: from scalpel to syringe
    Plast Aesthet Res 2018;5:25. | doi:10.20517/2347-9264.2018.29
    Published on: 30 Jul 2018  | Viewed:621  | Downloaded:32
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  • Review|Open Access

    Rejuvenation of the centre of the face: a new paradigm. Endoscopic lifting with fat grafting

    Gabriel Pignata, Alessandro Gennai, Francesco Bernardini
    The ageing process starts in the centre of the face in the periocular region and around the mouth, with a combination of volume loss and tissue descent. It is a logical approach to assess all these problems at once. The combination of minimal incisions vertical endoscopic lifting combined with superficial enhanced fluid fat injection can be an integral approach to facial rejuvenation. Read more
    This article belongs to the Special Issue Facial Rejuvenation: from scalpel to syringe
    Plast Aesthet Res 2018;5:23. | doi:10.20517/2347-9264.2018.28
    Published on: 20 Jul 2018  | Viewed:591  | Downloaded:19
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  • Case Report|Open Access

    Cherubism in a 4-year-old boy managed with tumor curettage, mandibular osteotomies and repositioning

    Jared W. Garlick, Rhett N. Willis, Daniel P. Donato, Barbu Gociman
    Cherubism is a rare disease characterized by significant loss of medullary bone which is replaced by excessive amounts of fibrous tissue growth within the mandible and maxilla. We present a case of a 4-year-old boy with a rapidly enlarging mandible and maxilla, causing significant change in the facial contour, malocclusion and phonation difficulties. He was treated with aggressive tumor curettage, lateral mandibular cortex osteotomies with medial repositioning. This allowed obliteration of the enlarged medullary space and restoration of the normal mandibular anatomy. At 12 months... Read more
    Plast Aesthet Res 2018;5:29. | doi:10.20517/2347-9264.2018.36
    Published on: 16 Aug 2018  | Viewed:584  | Downloaded:22
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  • Review|Open Access

    State of the art in enzymatic debridement

    Benjamin Ziegler, Gabriel Hundeshagen, Tomke Cordts, Ulrich Kneser, Christoph Hirche
    Surgical treatment of deep partial thickness to full thickness burn wounds by knife has been the undisputed standard of care and was one key point in surgical burn medicine for decades. Recently, it gets more and more challenged by Bromelain-based enzymatic burn wound debridement (ED) as technique for non-surgical, selective eschar removal. Although the literature on ED is increasing constantly it cannot comprise the rapid progress that is made in clinical application of ED. To outline the current state of art in ED, recent literature as well as clinical experience is summarized and the... Read more
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:33. | doi:10.20517/2347-9264.2018.46
    Published on: 29 Aug 2018  | Viewed:475  | Downloaded:35
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  • Original Article|Open Access

    Extended sternoclavicular joint infections in cirrhotic patients: staged interdisciplinary approach with thoracic and plastic surgery

    Waldemar Schreiner, Wojciech Dudek, Denis Iulian Trufa, Raymund E. Horch, Horia Sirbu
    Aim: Sternoclavicular joint infection associated with liver cirrhosis is an uncommon condition and the optimal surgical treatment is undefined. Methods: Patients and methods: we retrospectively analysed data from six patients with sternoclavicular joint infections and liver cirrhosis underwent between February 2008 and May 2018 a staged therapy using negative pressure therapy followed by secondary "en bloc" joint resection and a pectoralis muscle flap (PMF) obliteration of the thoracic wall defect. Results: Four patients successfully underwent a transfer of the PMF. The surgical revision... Read more
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:32. | doi:10.20517/2347-9264.2018.45
    Published on: 29 Aug 2018  | Viewed:370  | Downloaded:24
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  • Review|Open Access

    Adipose-derived stem cells in cutaneous wound repair

    Bong-Sung Kim, Berthold Debye, Justus P. Beier
    Growing interest in regenerative medicine and advances in adipose tissue research have led to the identification of mesenchymal stem cells in adipose tissue, so called adipose tissue-derived stem cells (ASCs). Due to the simple and safe harvest technique as well as high regenerative capacity, ASCs are regarded as a potential source for various indications including cutaneous wound repair. This review provides a short overview over mechanisms of ASC action in cutaneous wound repair and data regarding its clinical application. Mostly experimental data provide accruing evidence for the... Read more
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:31. | doi:10.20517/2347-9264.2018.26
    Published on: 28 Aug 2018  | Viewed:344  | Downloaded:25
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  • Original Article|Open Access

    Technical refinements of the modified central mound breast reduction

    Simon Nicholson, Muhammad Adil Abbas Khan, Muhammad Riaz
    Aim: Common pitfalls with existing breast reduction techniques include poor aesthetic outcome, such as development of a “boxy” breast shape, and pseudoptosis. Presented here are a series of modifications to the technique of central mound breast reduction, based on previous work, aimed at ensuring consistent aesthetic results which are maintained in the long-term. Methods: All patients undergoing bilateral breast reduction by the senior author over a 7-year period were included, with outcome data collected prospectively. A detailed description of the technique is offered. Results: One... Read more
    Plast Aesthet Res 2018;5:34. | doi:10.20517/2347-9264.2018.30
    Published on: 21 Sep 2018  | Viewed:334  | Downloaded:29
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  • Original Article|Open Access

    Negative pressure wound therapy with instillation: effects on healing of category 4 pressure ulcers

    Johannes Matiasek, Gabriel Djedovic, Marcus Kiehlmann, Ralph Verstappen, Ulrich M. Rieger
    ... Read more
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:36. | doi:10.20517/2347-9264.2018.50
    Published on: 28 Sep 2018  | Viewed:321  | Downloaded:22
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  • Retraction|Open Access

    Retraction: 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
    Plast Aesthet Res 2018;5:27. | doi:10.20517/2347-9264.2018.55
    Published on: 10 Aug 2018  | Viewed:288  | Downloaded:19
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  • Retraction|Open Access

    Retraction: Optimization of the design of a barbed suture for flexor tendon repair using extended finite element analysis

    Joseph Bakhach, Ahmad Oneissi, Dimitri Bakhach, Reem Karami, Kobeissi Hiba, Shammas Elie
    Plast Aesthet Res 2018;5:28. | doi:10.20517/2347-9264.2018.56
    Published on: 10 Aug 2018  | Viewed:280  | Downloaded:29
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  • Review|Open Access

    Prefabricated flaps and neoangiogenesis initiated via venous grafts in arteriovenous loops

    Elias Polykandriotis, Andreas Arkudas, Annika Weigand, Aijia Cai, Raymund E. Horch
    New developments in regenerative medicine are bound to revolutionize the way we approach loss of function and form in human organisms. Especially in the field of reconstructive plastic surgery new biotechnologies find their way from bench to bed. Biofabrication is an evolving field that aims to combine natural biologic processes with bioartificial constructs with the scope of reconstituting tissue without having to rely on autotransplantation. In this brief review we present the concepts of intrinsic vs. extrinsic neovascularization and we discuss the use of neovascularization in three... Read more
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:37. | doi:10.20517/2347-9264.2018.52
    Published on: 28 Sep 2018  | Viewed:250  | Downloaded:14
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  • Original Article|Open Access

    Applying skin graft sheets transversely to manage burn patients

    Ricardo Madiedo, Jorge Luis Gaviria-Castellanos, Alejandro Zapata-Ospina
    Aim: The aim of this study is to determine whether the split-thickness grafts should be applied to the treatment of burn patients, parallel to the relaxed skin tension lines as described by Kraissl, which would help scarring and reduce the development of abnormal scars. Methods: A descriptive longitudinal case series study was conducted at the Burn Unit of Health Services Simón Bolívar North Subnetwork E.S.E. of the Secretariat of Health in Bogotá, Colombia, from 1 Jan 2016 to 31 Dec 2017. A total of 138 burn patients exhibiting deep partial- or full-thickness burns involving different body... Read more
    Plast Aesthet Res 2018;5:40. | doi:10.20517/2347-9264.2018.40
    Published on: 11 Oct 2018  | Viewed:198  | Downloaded:16
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  • Original Article|Open Access

    One-stage reconstruction of neck burns with single-layer dermal matrix

    Jorge Luis Gaviria, Viviana Gómez-Ortega
    Aim: The aim of the study was to describe the applicability of a single-layer acellular dermal matrix, in combination with split-thickness skin graft (STSG) in one-stage surgical procedure in patients with deep neck second - and third - degree burns. Methods: A descriptive longitudinal study was conducted at the Burn Unit of the Health Services Unit of Simón Bolívar North Subnetwork E.S.E. of the Secretariat of Health in Bogotá, Colombia, from January 1 2016 to December 31 2017 in which we describe the applicability of a single-layer acellular dermal matrix in combination with STSG in... Read more
    Plast Aesthet Res 2018;5:35. | doi:10.20517/2347-9264.2018.38
    Published on: 27 Sep 2018  | Viewed:198  | Downloaded:696
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  • Review|Open Access

    Tissue conditioning - strategies to improve perfusion and reduce ischemia - reperfusion injury

    Sabrina Krauss, Jens Rothenberger, Johannes Mayer, Alexander Sogorski, Manuel Held, Theodora Wahler, Adrien Daigeler, Jonas Kolbenschlag
    Ischemia as well as ischemia-reperfusion injury (IRI) can cause serious tissue damage and therefore is a feared complication in reconstructive surgery. This is the reason why researchers around the world invest their efforts to improve tissue viability after ischemic events. Tissue conditioning offers a broad scope of different techniques which can be applied pre-, peri- or postoperatively to adapt the affected tissue to the subsequent stress during and after ischemia to prevent or minimize IRI. The different ways of tissue conditioning in flap surgery include surgical delay, ischemic... Read more
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:39. | doi:10.20517/2347-9264.2018.41
    Published on: 29 Sep 2018  | Viewed:185  | Downloaded:14
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  • Case Report|Open Access

    Defect reconstruction of the trochanter major after necrotizing fasciitis and multiple operations using an arteriovenous loop and latissimus dorsi free flap

    Andreas Arkudas, Susanne Regus, Alexander Meyer, Werner Lang, Marweh Schmitz, Raymund E. Horch
    Necrotizing fasciitis (NF) is a severe soft tissue infection which has to be treated with a radical debridement as the key element. In the further course often large tissue defects occur, so that a long-term stable defect reconstruction plays a crucial role after any successful debridement. The reconstruction can include split skin grafting or local and free flaps. Here we present a case of a 41-year-old male patient with a NF in the trochanter major region after spondylodesis and spinal cord stimulation (SCS) device implantation. After multiple operations including local and free flaps we... Read more
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:38. | doi:10.20517/2347-9264.2018.44
    Published on: 28 Sep 2018  | Viewed:173  | Downloaded:13
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  • Original Article|Open Access

    Low level laser as an adjunct therapy for second degree superficial burns

    Saurabh Gupta, Ravi Kumar Chittoria, Elankumar Subbarao, Konda Sireesha Reddy, Vinayak Chavan, Abhinav Aggarawal, Chirra Likhitha Reddy
    Aim: Second degree superficial burns are painful and heal over a period of two to three weeks time. Multimodality treatment approach is effective in reducing time of healing, pain, rate of complications and overall cost of treatment. Aim of this study is to observe effect of low level laser therapy (LLLT) as an adjunct to conventional therapy for second degree superficial burn. Methods: This article presents a case series of twenty patients in which LLLT was used as an adjunct therapy for target burn areas. Results: Average time taken for complete healing of areas with second degree... Read more
    Plast Aesthet Res 2018;5:41. | doi:10.20517/2347-9264.2018.51
    Published on: 16 Oct 2018  | Viewed:126  | Downloaded:6
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  • Editorial|Open Access

    Wound healing and plastic surgery - an introduction to a special issue

    Raymund E. Horch
    This article belongs to the Special Issue Wound Healing and Plastic Surgery
    Plast Aesthet Res 2018;5:42. | doi:10.20517/2347-9264.2018.64
    Published on: 19 Oct 2018  | Viewed:0  | Downloaded:0
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