Capsular contracture remains a common and dreaded complication of breast augmentation. The etiology capsular is believed to be multi-factorial, its causes may include biofilm formation due implant/pocket contamination with skin flora. It has been shown that insertion funnel use reduces contact potential by 27-fold in cadaver model. After incorporating the into our surgical protocols, we anecdotally were experiencing fewer contractures augmentation practices. purpose this study was test...

The landscape of gender dysphoria has changed dramatically in recent years secondary to increased societal acceptance, legislative changes, and medical providers' awareness the associated psychosocial burden with diagnosis. National global advocacy efforts, conjunction expanded third-party insurance coverage, have resulted new health care opportunities for patients suffering from dysphoria. Delivering quality, streamlined these requires a complex multidisciplinary approach, involving...

Objective: The aim of this study was to identify procedure-specific risk factors independently associated with incisional hernia (IH) and demonstrate the feasibility preoperative stratification through use an IH calculator app decision–support interface. Summary Background Data: occurs after 10% 15% all abdominal surgeries (AS) remains among most challenging, seemingly unavoidable complications. However, there is a paucity readily available, actionable tools capable predicting occurrence at...

Background: Hyaluronic acid (HA) facial fillers are a non-surgical treatment for age-related changes. Literature on long-term volumetric results and patient-reported outcomes (PROs) is limited. This prospective study aims to precisely define measure objective tissue metrics PROs of HA in different regions over 12 weeks. Methods: Females aged 40 65 received injections using fillers: Restylane-L ® nasolabial folds marionette lines, Lyft the malars, Restylane Silk lip border. Patients completed...

Mesh reinforcement is a cornerstone of modern ventral hernia repair (VHR); yet, complications with synthetic mesh and cost biologic have created need for alternative options. Biosynthetic resorbable scaffold that theoretically leverages the benefits minimizes deficiencies existing types. This study evaluates 2-year outcomes following poly-4-hydroxybutyrate (P4HB) complex VHR.A retrospective review all consecutive VHR P4HB (n = 70) was conducted from 2015 to 2018 by single surgeon. Clinical...

Background: Various surgical techniques exist for lower extremity reconstruction, but limited high-quality data to inform treatment strategies. Using multi-institutional and rigorous matching, the authors evaluated effectiveness cost of three common reconstructive modalities. Methods: All adult subjects with wounds who received bilayer wound matrix, local tissue rearrangement, or free flap reconstruction were retrospectively reviewed (from 2010 2017). Cohorts’ comorbidities characteristics...

Background: Little is known about the efficacy of newer skin substitute scaffolds to reconstruct complex lower extremity wounds. The investigators present a multihospital experience reconstructive surgeons utilizing collagen-GAG bilayer wound matrix in soft-tissue reconstruction with goals (1) characterize suitable patient population, (2) categorize failures optimize selection, and (3) determine factors affecting success. Methods: Subjects underwent collagen-GAG–based from May 2010 June...

The aim of this study was to assess wound healing outcomes following direct, low-frequency, high-intensity, ultrasonic debridement as a surgical adjunct for non-healing lower extremity wounds.A retrospective review conducted patients undergoing treatment with low-frequency (22.5 kHz), high-intensity (~60 W/cm2) between January 2010 and 2016. Clinical were assessed up 180-days post-ultrasonic debridement. Descriptive statistics, cost univariate analysis performed.Overall, 82 wounds in 51...

Abstract Background Although numerous studies supporting breast augmentation with simultaneous mastopexy have been reported, concerns persist among surgeons regarding the safety of this procedure. Objectives The authors sought to evaluate and effectiveness 1-stage by analyzing long-term complication reoperation rates. Methods conducted a retrospective review 1131 patients who underwent 2183 consecutive procedures from January 2006 August 2016. Patient demographics, operative technique,...

An increasing number of patients are undergoing explantation to alleviate symptoms attributed the presence a prothesis or dissatisfaction with appearance their breasts.The authors aim evaluate clinical effectiveness and quality life (QoL) simultaneous explantation, capsulectomy, mastopexy for requesting implant removal.Two hundred sixty-two (ECM) procedures were performed in 131 from 2009 2019. Prospective QoL assessment was administered all patients. Inclusion criteria included minimum...

Retromuscular hernia repairs (RHRs) decrease recurrence and surgical site infections but can cause significant pain. We aimed to determine if pain postoperative outcomes differed when comparing suture fixation (SF) of mesh fibrin glue (FGF).Patients undergoing RHR (n = 87) between December 1, 2015 31, 2017 were retrospectively identified. Patients received SF 59, 67.8%) before the senior author changing his technique FGF 28, 32.2%). These 2 cohorts matched (age, body mass index, number prior...

Objective: This study assesses the user burden, reliability, and longitudinal validity of AHQ, a novel VH patient-reported outcomes measure (PROM). Background: We developed psychometrically validated AHQ as first VH-specific, stakeholder-informed PROM. Yet, there remains need to assess AHQ's clinical applicability further validate its psychometric properties. Methods: To patient pre- postoperative patients were timed while completing corresponding form. test-retest subset completed within...

Introduction Amid rising obesity, concurrent ventral hernia repair and panniculectomy procedures are increasing. Long-term outcomes of transverse abdominis release (TAR) combined with remain understudied. This study compares clinical quality life (QoL) after TAR, or without panniculectomy. Methods A single-center retrospective review from 2016 to 2022 evaluated patients undergoing TAR Propensity-scored matching was based on age, body mass index, ASA, working group. Patients parastomal...

Split-thickness skin grafting (STSG) is a commonly used tool in the plastic surgeon's reconstructive armamentarium. Fibrin glue (FG) consists of combination clotting factors and thrombin whose key properties include adherence hemostasis. This preliminary study aimed to assess clinical outcomes cost FG for STSG fixation general wound reconstruction.A retrospective review was conducted all patients undergoing placement by single surgeon (JPF) from January 2016 March 2018. Twenty were...

Abstract Background There has been increasing interest in the superficial circumflex iliac artery perforator (SCIP) flap as a source of thin, pliable soft tissue combined with favorable donor site. Despite several clinical series from Asia, barriers to adoption include reluctance perform submillimeter “supermicrosurgery” and effect body habitus on feasibility. The purpose this study is distinguish vascular anatomic characteristics SCIP North American population. Methods Computed tomography...

Background: Massive weight loss after bariatric surgery can lead to excess skin associated with functional and aesthetic sequelae. Access the benefit provided by body contouring procedures may be limited insurance approval, which does not consider health-related quality of life. The aim this study was quantify in life for patients who undergo massive loss. Methods: Patients evaluated postbariatric were systematically identified prospectively surveyed using BODY-Q. Health-related...