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Must-read articles chosen by the Southeastern Society of Plastic and Reconstructive Surgeons: April 2017

Oncoplastic Breast Reduction Technique and Outcomes: An Evolution over 20 Years
Losken, Albert M.D.; Hart, Alexandra M. M.D.; Broecker, Justine S. B.S.; Styblo, Toncred M. M.D.; Carlson, Grant W. M.D.
Plastic & Reconstructive Surgery; 139 (4):824e, April 2017

A single-center retrospective study of 353 patients demonstrates oncoplastic breast reduction to be an effective and oncologically sound treatment for breast cancer in the setting of macromastia, with higher rates of patient satisfaction than other techniques.

Intraoperative Comparison of Anatomical versus Round Implants in Breast Augmentation: A Randomized Controlled Trial
Hidalgo, David A. M.D.; Weinstein, Andrew L. M.D., M.S.
Plastic & Reconstructive Surgery; 139(3):587, March 2017

In this study of 75 patients undergoing breast augmentation, a round implant was placed in one breast and a size-matched anatomic implant in the other. Photographs were taken, following which the anatomic implant was replaced with a round one. Photographs were shown to plastic surgeons and lay observers, and neither group showed a preference for the appearance of anatomic implants. Plastic surgeons were only able to correctly identify the implant shape in 26.5% of cases.

The Effect of Nasal Tip Rotation on Upper Lip Length
Kevin Perkins, BS Ajul Shah, MD Anup Patel, MD, MBA Derek Steinbacher, MD, DMD
Aesthetic Surgery Journal (2017) 37(5): 504, May 2017

Using 3D imaging, the authors quantify the impact of tip rotation on upper lip length and establish a predictable correlation between the two.

Past Journal Picks

Treatment of Anterior Neck Aging without a Submental Approach: Lateral Skin-Platysma Displacement, a New and Proven Technique for Platysma Bands and Skin Laxity
Pelle-Ceravolo M, Angelini M, Silvi E.
Plastic and Reconstructive Surgery;139(2):10, February 2017

A single-surgeon study of 100 patients who underwent facial rejuvenation with a lateral access only for correction of anterior skin laxity and platysmal bands. Patient satisfaction rates and complication rates were improved compared to the “open-neck” technique. Convincing results are shown, even in difficult necks.

Cancer Risk after Fat Transfer: A Multicenter Case-Cohort Study
Myckatyn TM, Wagner IJ, Mehrara BJ, et al.
Plastic and Reconstructive Surgery;139(1):10, January 2017

A multicenter retrospective case-cohort study pooled data from 1,197 patients at four major cancer centers and showed that exposure to fat grafting was not predictive for cancer recurrence. This study offers the best evidence to date that fat grafting is safe in the setting of breast cancer treatment.

Is Routine Pathologic Evaluation of Sebaceous Cysts Necessary?: A 15-Year Retrospective Review of a Single Institution.
Gargya V, Lucas HD, Wendel Spiczka AJ, and Mahabir RC.
Annals of Plastic Surgery;78(2):e1, Feb 2017

A 15 year review of a single institution’s histologic database was conducted and identified 13,746 patients with a preoperative diagnosis of “cyst”. Of these, 48 were found to be malignancies, and in all cases the surgeon had a high suspicion for malignancy at operation. Authors conclude cysts should only be sent to pathology if clinical suspicion for malignancy exists.

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