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June 2020 - Volume 145 - Issue 6
pp: 1343-1569,1022e-1121e

Original Articles



Original Articles


Photoaged Skin Therapy with Adipose-Derived Stem Cells

Charles-de-Sá, Luiz; Gontijo-de-Amorim, Natale Ferreira; Rigotti, Gino; More

Plastic and Reconstructive Surgery. 145(6):1037e-1049e, June 2020.

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Original Articles


The Effect of Surgical Video on Resident Performance of Carpal Tunnel Release: A Cadaveric Simulation-Based, Prospective, Randomized, Blinded Pilot Study

Yee, Andrew; Padovano, William M.; Rowe, Amanda G.; More

Plastic and Reconstructive Surgery. 145(6):1455-1463, June 2020.

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Original Articles


Ideas and Innovations



Head and Neck: Original Articles


Prospective Quality-of-Life Outcomes after Facial Feminization Surgery: An International Multicenter Study

Morrison, Shane D.; Capitán-Cañadas, Fermín; Sánchez-García, Anabel; More

Plastic and Reconstructive Surgery. 145(6):1499-1509, June 2020.

Trunk: Ideas and Innovations


Lower Extremity: Original Articles


Who, What, Where: Demographics, Severity of Presentation, and Location of Treatment Drive Delivery of Diabetic Limb Reconstructive Services within the National Inpatient Sample

Fan, Kenneth L.; DeLia, Derek; Black, Cara K.; More

Plastic and Reconstructive Surgery. 145(6):1516-1527, June 2020.



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Creator: PRS Journal
Duration: 34:14
Plastic and Reconstructive Surgery June 2020, Volume 145, Issue 6;
In this episode of the Award-winning PRS Journal Club Podcast, 2020 Resident Ambassadors to the PRS Editorial Board – Min-Jeong Cho, Casey Kraft, and Ara Salibian- and special guest Bernard T. Lee, MD, discuss the following articles from the June 2020 issue:

"Contemporary Analysis of Rhytidectomy Using the Tracking Operations and Outcomes for Plastic Surgeons Database with 13,346 Patients" by Chopan, Samat, and Mast.

"Dual-Plane versus Prepectoral Breast Reconstruction in High–Body Mass Index Patients" by Gabriel, Sigalove, Storm-Dickerson, et al.

"Who, What, Where: Demographics, Severity of Presentation, and Location of Treatment Drive Delivery of Diabetic Limb Reconstructive Services within the National Inpatient Sample" by Fan, DeLia, Black, et al.

Special Guest Bernard T. Lee, MD, professor of surgery at Harvard medical school and chief of the division of plastic and reconstructive surgery at the Beth Israel Deaconess Medical Center.

READ the articles discussed in this podcast as well as free related content from the archives: https://bit.ly/PRSJCJune20Collection

#PRSJournalClub

Creator: Rod. J. Rohrich, MD; R. Raja Shanmugakrishnan MS MRCS DNB(Plastic); and Raja Mohan, MD
Duration: 7:52

Video demonstrates the details of tip refinement. A number of suturing techniques are exhibited along with placement of a butterfly graft. The meticulous closure of the open incision is shown. From "Rhinoplasty Refinements: Revision Rhinoplasty using Fresh Frozen Costal Cartilage Allograft." Plastic and Reconstructive Surgery: June 2020 - 145 (6).

Keywords: plastic surgery; rhinoplasty; Crooked nose: retracted columella; fresh frozen cartilage graft; nose

Creator: Rod. J. Rohrich, MD; R. Raja Shanmugakrishnan MS MRCS DNB(Plastic); and Raja Mohan, MD
Duration: 7:02

Video demonstrates the senior author’s percutaneous osteotomy technique is shown. Then the fresh frozen cartilage allograft is carved and used to fashion different grafts to straighten the nose and correct the retracted columella. From "Rhinoplasty Refinements: Revision Rhinoplasty using Fresh Frozen Costal Cartilage Allograft." Plastic and Reconstructive Surgery: June 2020 - 145 (6).

Keywords: plastic surgery; rhinoplasty; Crooked nose: retracted columella; fresh frozen cartilage graft; nose

Creator: Rod. J. Rohrich, MD; R. Raja Shanmugakrishnan MS MRCS DNB(Plastic); and Raja Mohan, MD
Duration: 6:39

Video highlights the key portions of the revision rhinoplasty technique using fresh frozen allograft to address a crooked nose with a retracted columella. From "Rhinoplasty Refinements: Revision Rhinoplasty using Fresh Frozen Costal Cartilage Allograft." Plastic and Reconstructive Surgery: June 2020 - 145 (6).

Keywords: plastic surgery; rhinoplasty; Crooked nose: retracted columella; fresh frozen cartilage graft; nose

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Creator: Susan E. Mackinnon, MD and Andrew Yee, BS
Duration: 4:17

Video demonstrates an open carpal tunnel release procedure. From "The Role of Surgical Video on Resident Performance of Carpal Tunnel Release: A Cadaveric Simulation-based, Prospective, Randomized, Blinded Pilot Study." Plastic and Reconstructive Surgery: June 2020 - 145(6).

Keywords: surgical video, video-based learning, objective structured assessment of technical skills, resident training, carpal tunnel release

Subscriber Access Only
Creator: Enrico Robotti, MD and Francesco Leone, MD
Duration: 7:05

Video shows pertinent patient examples. From "The SPF -SPLF graft: building the ideal dorsum in revision rhinoplasty." Plastic and Reconstructive Surgery: June 2020 - 145 (6).

Keywords: diced cartilage; rectus fascia; Deep temporal fascia; rib; nasal augmentation; revision rhinoplasty

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Creator: Enrico Robotti, MD and Francesco Leone, MD
Duration: 5:43

Video demonstrates technical highlights of finalizing the dorsal contour with SPF-SPLF grafts. From "The SPF -SPLF graft: building the ideal dorsum in revision rhinoplasty." Plastic and Reconstructive Surgery: June 2020 - 145 (6).

Keywords: diced cartilage; rectus fascia; Deep temporal fascia; rib; nasal augmentation; revision rhinoplasty

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Creator: Enrico Robotti, MD and Francesco Leone, MD
Duration: 4:06

Video demonstrates technical highlights of harvesting, laminating the rib, and reconstructing the dorsal l-strut. From "The SPF -SPLF graft: building the ideal dorsum in revision rhinoplasty." Plastic and Reconstructive Surgery: June 2020 - 145 (6).

Keywords: diced cartilage; rectus fascia; Deep temporal fascia; rib; nasal augmentation; revision rhinoplasty

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Creator: Richard Hopper
Duration: 3:47

This video demonstrates the critical considerations in minimizing complications during early Monobloc distraction advancement. From "Thirty Years Later – What Has Craniofacial Distraction Osteogenesis Surgery Replaced". June 2020 – 145 (6). CME.

Keywords: Craniofacial distraction osteogenesis;orthognathic surgery;literature review;cranial distraction osteogenesis;alveolar reconstruction

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Creator: Richard Hopper
Duration: 6:28

This video demonstrates the critical considerations in performing posterior cranial vault remodeling including vector alignment and sub-cranial decompression. From "Thirty Years Later – What Has Craniofacial Distraction Osteogenesis Surgery Replaced". June 2020 – 145 (6). CME.

Keywords: Craniofacial distraction osteogenesis;orthognathic surgery;literature review;cranial distraction osteogenesis;alveolar reconstruction

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Creator: Richard Hopper
Duration: 3:42

This video demonstrates the concept of subcranial rotation distraction including expected airway changes. From "Thirty Years Later – What Has Craniofacial Distraction Osteogenesis Surgery Replaced". June 2020 – 145 (6). CME.

Keywords: Craniofacial distraction osteogenesis;orthognathic surgery;literature review;cranial distrac

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Creator: Richard Hopper
Duration: 4:21

This video demonstrates critical considerations in performing a neonatal mandible distraction for airway improvement. From "Thirty Years Later – What Has Craniofacial Distraction Osteogenesis Surgery Replaced". June 2020 – 145 (6). CME.

Keywords: Craniofacial distraction osteogenesis;orthognathic surgery;literature review;cranial distraction osteogenesis;alveolar reconstruction

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Creator: Joseph T. Tarr, BS, Matthew Hagan, MD, Ben Zhang, BA, Neil Tanna, MD, MBA, Brian T. Andrews, MD, Justine C. Lee, MD, PhD, and James P. Bradley, MD
Duration: 7:17

Video summary of study with single patient example of cranioplasty and functional recovery. From "Syndrome of the Trephined: Quantitative Functional Improvement after Large Cranial Vault Reconstruction." Plastic and Reconstructive Surgery: June 2020 - 145 (6).

Keywords: Syndrome of the Trephined; cranioplasty; Cranial Vault Reconstruction, Plastic Surgery; Decompressive craniectomy; craniectomy

Creator: Rod J. Rohrich, MD
Duration: 2:10

After a rhinoplasty, your nose should be perfectly straight and symmetrical, right? Many times, nasal asymmetry can remain uncorrected after a nose surgery.

Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses a new classification system of nasal anatomy which was developed to help plastic surgeons better plan for each patients’ unique nasal deviations and reduce the need for secondary operations.

Read the June 2020 PRS #PlasticSurgery article, "Practical Classification of Upper Lateral Cartilage in Middle Vault Asymmetry" Hafezi, Naghipour, Naghibzadeh, Ashtiani, and Forghani.

For consumer information on plastic surgery, and to find a board-certified plastic surgeon in your area visit http://plasticsurgery.org

Keywords: plastic surgery; #PRSHotTopic; nose surgery; rhinoplasty; mid-vault; upper lateral cartilage; asymmetry; septal deviations; deviations; cosmetic surgery; nasal deviations;

Creator: Rod J. Rohrich, MD
Duration: 2:30

Facial feminization surgery (FFS) can serve as a critical role in gender affirmation. But there is little data that tracks FFS patients long-term after their operations.

Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses a new prospective study that gathered feedback from the patients and outsiders, studied outcomes, and performed statistical analyses throughout the surgical process in order to truly understand how FFS affects quality of life for transfeminine people.

Read the June 2020 PRS #PlasticSurgery article, "Prospective Quality-of-Life Outcomes after Facial Feminization Surgery: An International Multicenter Study" Morrison, Capitán-Cañadas, Sánchez-García, Ludwig, Massie, Nolan, Swanson, Rodríguez-Conesa, Friedrich, Cederna, Bellinga, Simon, Capitán and Satterwhite.

For consumer information on plastic surgery, and to find a board-certified plastic surgeon in your area visit http://plasticsurgery.org

Keywords: plastic surgery; #PRSHotTopic; FFS; reconstructive surgery; facial feminization surgery; transgender; gender dysphoria; feminine gender; gender; craniofacial surgery; transgender surgery;

Creator: Rod J. Rohrich, MD
Duration: 2:16

Can adipose-derived stem cells help successfully treat sun-damaged skin?

Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses the results of an experiment in which plastic surgeons from Brazil and Italy used patients’ mesenchymal stem cells to treat aging and sun-damaged skin.

Read the June 2020 PRS #PlasticSurgery article, "Photoaged Skin Therapy with Adipose-Derived Stem Cells" Charles-de-Sá, Gontijo-de- Amorim, Rigotti, Sbarbati, Bernardi, Benati, Bizon Viera Carias, Maeda Takiya, and Borojevic.

For consumer information on plastic surgery, and to find a board-certified plastic surgeon in your area visit http://plasticsurgery.org

Keywords: plastic surgery; #PRSHotTopic; skin; stem cells, dermis; epidermis; adipose tissue; mesenchymal cells; macrophage; cosmetic surgery; facial skin; stem cell biology

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Creator: John P. Fischer MD, MPH, FACS
Duration: 4:10

In this video, John P. Fischer MD, MPH, FACS discusses the article "Differences between Breast Cancer Reconstruction and Institutionally Established Normative Data Using the BREAST-Q Reconstruction Module: A Prospective, Comparative Study" by Klifto, Aravind, Major, Payne, Shen, Rossen, Cooney, and Manahan, which appears in the June 2020 issue of Plastic and Reconstructive Surgery, Volume 145 Issue 6.

Keywords: plastic surgery; #plasticsurgery; breast reconstruction; breast cancer; autologous breast reconstruction; breast surgery; breast; BREAST-Q; breast satisfaction; breast outcome;

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Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 11:30
Journal: Plastic and Reconstructive Surgery June 2020, Volume 145, Issue 6;

One of the major advances in current techniques for surgical rejuvenation of the aging face is the combination of volumetric enhancement in conjunction with facial fat repositioning via the SMAS. Volume addition provides for the correction of facial deflation as well as restoring the volumetric highlights seen in the youthful face, and in conjunction with fat repositioning provides the surgeon with the consistent ability to create and restore facial shape. This video demonstrates the use of autologous fat injection placed at the initial stage of a facelift to restore volumetric highlights and correct deflation. The technical nuances of injection and patient safety are emphasized.

Part 2 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; face lift; neck; rejuvenation; rhytidoplasty; rejuvenation; patient safety

Subscriber Access Only
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 12:01
Journal: Plastic and Reconstructive Surgery June 2020, Volume 145, Issue 6;

One of the major advances in current techniques for surgical rejuvenation of the aging face is the combination of volumetric enhancement in conjunction with facial fat repositioning via the SMAS. Volume addition provides for the correction of facial deflation as well as restoring the volumetric highlights seen in the youthful face, and in conjunction with fat repositioning provides the surgeon with the consistent ability to create and restore facial shape. This video demonstrates the use of autologous fat injection placed at the initial stage of a facelift to restore volumetric highlights and correct deflation. The technical nuances of injection and patient safety are emphasized.

Part 1 of 1.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; face lift; neck; rejuvenation; rhytidoplasty; rejuvenation; patient safety

Subscriber Access Only
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 13:15
Journal: Plastic and Reconstructive Surgery June 2020, Volume 145, Issue 6;

This video segment focuses on the subplatysma approach to cervical contouring. This technique involves the preservation of preplatysma fat and emphasizes subplatysma fat resection in conjunction with partial submaxillary gland resection and partial digastric muscle resection. The anatomic and artistic concepts required for intracapsular gland resection are presented and safety considerations to ensure hemostasis are emphasized.

Part 2 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; face lift; neck; rejuvenation; submandibular; cervical contouring

Subscriber Access Only
Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 13:55
Journal: Plastic and Reconstructive Surgery June 2020, Volume 145, Issue 6;

This video segment focuses on the subplatysma approach to cervical contouring. This technique involves the preservation of preplatysma fat and emphasizes subplatysma fat resection in conjunction with partial submaxillary gland resection and partial digastric muscle resection. The anatomic and artistic concepts required for intracapsular gland resection are presented and safety considerations to ensure hemostasis are emphasized.

Part 1 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; face lift; neck; rejuvenation; submandibular; cervical contouring

Subscriber Access Only
Creator: Susan E. Mackinnon, MD and Andrew Yee, BS
Duration: 5:00

Video demonstrates an open carpal tunnel release procedure. From "The Role of Surgical Video on Resident Performance of Carpal Tunnel Release: A Cadaveric Simulation-based, Prospective, Randomized, Blinded Pilot Study." Plastic and Reconstructive Surgery: June 2020 - 145(6).

Keywords: surgical video, video-based learning, objective structured assessment of technical skills, resident training, carpal tunnel release

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