Evidence-Based Plastic Surgery: Its Rise, Importance, and a Practical Guide
There is a perfect storm developing in 21st century healthcare; rising complexity and patient expectations in the context of fiscal restraint. Evidence-based medicine (EBM) may be the best-kept secret in dealing with the "storm." Such an approach prefers management pathways that deliver better outcomes at less relative cost. In this article, the rise of EBM, its significance, a guide to practicing it, and its future in the field of plastic, reconstructive, and aesthetic surgery are presented. (Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Agha, R. A., Orgill, D. P. Tags: Special Topic Source Type: research
Commentary on: Interaction Between Breast Cancer Cells and Adipose Tissue Cells Derived from Fat Grafting
(Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Pallua, N., Kim, B.-S. Tags: Original Article Source Type: research
Interaction Between Breast Cancer Cells and Adipose Tissue Cells Derived from Fat Grafting
Conclusions
Recent studies have shown that the microenvironment surrounding breast cancer cells may stimulate growth and promote progression of residual cancer cells when surgery is performed on the main tumor mass. Accordingly, the graft of adipose tissue could potentially promote or accelerate the development of a subclinical tumor or support its locoregional recurrence. Our data suggest that adipocytes have a remarkable influence on the proliferation of cancer cell lines. The oncological safety of the lipofilling procedure outcome is still debated; thus, further studies and consistent follow-up examination are needed. (...
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Massa, M., Gasparini, S., Baldelli, I., Scarabelli, L., Santi, P., Quarto, R., Repaci, E. Tags: Original Article Source Type: research
Preparation, Characterization, and Clinical Implications of Human Decellularized Adipose Tissue Extracellular Matrix (hDAM): A Comprehensive Review
Fat grafting is commonly employed by plastic and reconstructive surgeons to address contour abnormalities and soft-tissue defects; however, because retention rates and thus volume filling effects are unpredictable, there is a search for new and innovative approaches. Initial studies on the use of human decellularized adipose tissue extracellular matrix (hDAM) show promise for its use not only in tissue engineering, but also in fat grafting. In this review, we examine and analyze the literature for the preparation, characterization, and use of hDAM and its derivatives in tissue engineering and plastic surgery applications. ...
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Banyard, D. A., Borad, V., Amezcua, E., Wirth, G. A., Evans, G. R. D., Widgerow, A. D. Tags: Special Topic Source Type: research
Characterizing the Lateral Border of the Frontalis for Safe and Effective Injection of Botulinum Toxin
Conclusions
Surface anatomy mapping can assist with predicting the lateral border of the frontalis to minimize the side effects and maximize the efficiency of BoNT-A injections into the forehead. (Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Choi, Y.-J., Won, S.-Y., Lee, J.-G., Hu, K.-S., Kim, S.-T., Tansatit, T., Kim, H.-J. Tags: Original Articles Source Type: research
A Multicenter Study for Cellulite Treatment Using a 1440-nm Nd:YAG Wavelength Laser with Side-Firing Fiber
Conclusions
A single, 3-step, minimally invasive laser treatment using a 1440-nm Nd:YAG laser, side-firing fiber, and temperature-sensing cannula to treat the underlying structure of cellulite proved to be safe and maintained effectiveness at least 1 year post treatment.
Level of Evidence: 2
Therapeutic (Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: DiBernardo, B. E., Sasaki, G. H., Katz, B. E., Hunstad, J. P., Petti, C., Burns, A. J. Tags: Original Articles Source Type: research
Commentary on: Prevalence of Body Dysmorphic Disorder Symptoms and Body Weight Concerns in Patients Seeking Abdominoplasty
(Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Sarwer, D. B. Tags: Original Article Source Type: research
Prevalence of Body Dysmorphic Disorder Symptoms and Body Weight Concerns in Patients Seeking Abdominoplasty
Conclusions
Candidates for abdominoplasty had a high prevalence of BDD symptoms, and body weight and shape concerns were associated with increased symptom severity.
Level of Evidence: 3
Diagnostic (Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: de Brito, M. J. A., Nahas, F. X., Cordas, T. A., Gama, M. G., Sucupira, E. R., Ramos, T. D., Felix, G. d. A. A., Ferreira, L. M. Tags: Original Article Source Type: research
Commentary on: Challenging Breast Augmentations: The Influence of Preoperative Anatomical Features on the Final Result
(Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Zambacos, G. J. Tags: Original Article Source Type: research
Challenging Breast Augmentations: The Influence of Preoperative Anatomical Features on the Final Result
Conclusions
In this study, complicating factors for augmentation mammaplasty were defined and classified as major or minor depending on their effect on the surgical outcome. We suggest an identification system that simplifies the recognition of challenging cases in breast augmentation.
Level of Evidence: 4
Therapeutic (Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Bayram, Y., Zor, F., Karagoz, H., Kulahci, Y., Afifi, A. M., Ozturk, S. Tags: Original Article Source Type: research
Commentary on: The Relationship of Bacterial Biofilms and Capsular Contracture in Breast Implants
(Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Wixtrom, R. N. Tags: Special Topic Source Type: research
The Relationship of Bacterial Biofilms and Capsular Contracture in Breast Implants
Capsular contracture is a common sequelae of implant-based breast augmentation. Despite its prevalence, the etiology of capsular contracture remains controversial. Numerous studies have identified microbial biofilms on various implantable materials, including breast implants. Furthermore, biofilms have been implicated in subclinical infections associated with other surgical implants. In this review, we discuss microbial biofilms as a potential etiology of capsular contracture. The review also outlines the key diagnostic modalities available to identify the possible infectious agents found in biofilm, as well as available p...
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Ajdic, D., Zoghbi, Y., Gerth, D., Panthaki, Z. J., Thaller, S. Tags: Special Topic Source Type: research
Preventing Elevated Radix Deformity in Asian Rhinoplasty with a Chimeric Dorsal-Glabellar Construct
Conclusions
The Chimeric technique preserves the nasal profile with a favorable (horizontal) radix transposition vector. There was not a significant difference in final radix position when Chimeric rhinoplasty was performed because that is controlled by implant thickness and position. The technique did not blunt the radix significantly.
Level of Evidence: 4
Therapeutic (Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Zelken, J. A., Hong, J. P., Broyles, J. M., Hsiao, Y.-C. Tags: Original Article Source Type: research
Commentary on: Visual, Physiological, and Aesthetic Factors and Pitfalls in Asian Blepharoplasty
(Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Wang, C., Pu, L. L. Q. Tags: Special Topic Source Type: research
Visual, Physiological, and Aesthetic Factors and Pitfalls in Asian Blepharoplasty
This article touches on some of the possible errors in placement of crease height in upper blepharoplasty and the pitfalls that can be associated with permanent placement of nondissolvable sutures that encircle the complex layers of the upper eyelid, as well as the ideal eyelid crease wound closure and its biodynamics. One should consider these factors in any form of upper eyelid procedure, as they are not merely applicable to upper blepharoplasty. (Source: Aesthetic Surgery Journal)
Source: Aesthetic Surgery Journal - February 15, 2016 Category: Cosmetic Surgery Authors: Chen, W. P.-D. Tags: Special Topic Source Type: research
