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Top Journal Picks 2018
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Top Journal Picks 2018

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


January 2018

Prospective Controlled Study of Chin Augmentation by Means of Fat Grafting

Basile, Filipe V. M.D.; Basile, Antonio R. M.D.

Plastic and Reconstructive Surgery: December 2017 - Volume 140 - Issue 6 - p 1133–1141.

A series of 42 consecutive patients undergoing chin augmentation with autologous fat grafting alone, evaluated with serial morphometric analysis, shows an average gain in the sagittal dimension of 7 mm at 6 months follow up.  Video and convincing photographs are provided.


Incidence and Predictors of Venous Thromboembolism in Abdominoplasty

Geoffrey R Keyes, MD, FACS Robert Singer, MD, FACS Ronald E Iverson, MD, FACS Foad Nahai, MD, FACS, FRCS (Hon)

Aesthetic Surgery Journal, Volume 38, Issue 2, 17 February 2018, Pages 162–173.

A survey of IBQAP data of aesthetic procedures from 2001 to 2011 revealed 414 cases of VTE, 58% of which occurred following abdominoplasty. Predictors of VTE were age greater than 40 years and BMI greater than 25 kg/m2.   95.5% of the VTEs identified occurred in patients whose Caprini risk assessment score was between 2 and 8, which would not be an indication for chemoprophylaxis according to current recommendations.


Demystifying the “July Effect” in Plastic Surgery: A Multi-Institutional Study

Jordan T Blough, BS Sumanas W Jordan, MD Gildasio S De Oliveira, Jr., MD Michael M Vu, BS John YS Kim, MD

Aesthetic Surgery Journal, Volume 38, Issue 2, 17 February 2018, Pages 212–224.

5967 plastic surgery procedures involving residents were divided into those occurring during the first academic quarter and those occurring during the remainder of the year. No differences were seen in complications or length of hospital stay, but a slight increase in operative time by 10 minutes per procedure was seen in the first quarter.  Despite heavy coverage in popular media, the “July effect” of new trainees does not seem to impact quality in plastic surgery.


April 2018

The Use of Poly-4-Hydroxybutyrate (P4HB) Scaffold in the Ptotic Breast: A Multicenter Clinical Study

William P Adams, Jr, MD; Richard Baxter, MD; Caroline Glicksman, MD; Bruce A Mast, MD; Michael Tantillo, MD

Aesthetic Surgery Journal: Volume 38, Issue 5, 6 April 2018, Pages 502–518.

A follow up to a 2016 paper, this is a multicenter, single-armed study of 62 patients who underwent primary mastopexy or breast reduction with P4HB (Galaflex) reinforcement.  At one year follow up there was a high rate of patient and physician satisfaction and a 8% incidence of minor complications.



The Effect of Radiation on Quality of Life throughout the Breast Reconstruction Process: A Prospective, Longitudinal Pilot Study of 200 Patients with Long-Term Follow-Up

Devulapalli, Chris M.D.; Bello, Ricardo J. M.D., M.P.H.; Moin, Emily B.S.; Alsobrooks, James B.A.; Fallas, Pablo Baltodano M.D.; Ohkuma, Rika M.D.; Manahan, Michele A. M.D.; Sacks, Justin M. M.D., M.B.A.; Cooney, Carisa M. M.P.H.; Rosson, Gedge D. M.D.

Plastic and Reconstructive Surgery: March 2018 - Volume 141 - Issue 3 - p 579–589.

A longitudinal study of 200 breast reconstruction patients used a variety of validated patient-reported outcome measurements to track patient quality of life.  In the 51 patients who received radiation therapy, a marked degradation of scores was observed, especially in patients undergoing non-autologous reconstruction.


Endoscopic versus Open In Situ Cubital Tunnel Release: A Systematic Review of the Literature and Meta-Analysis of 655 Patients

Buchanan, Patrick J. M.D.; Chieng, Lee O. B.S.; Hubbard, Zachary S. B.S.; Law, Tsun Y. M.D.; Chim, Harvey M.D.

Plastic and Reconstructive Surgery: March 2018 - Volume 141 - Issue 3 - p 679–684

A meta-analysis of five studies involving 655 patients revealed no significant superiority of endoscopic over open release in achieving an “excellent” or “good” Bishop score or reduction in visual analogue scale score.  However a lower incidence of tender scar was seen in the endoscopic group.


July 2018

To Admit or Not to Admit: That is the Cleft Lip Question. Confirming the Safety of Outpatient Cleft Lip Repair

Fahradyan, Artur, M.D.; Galdyn, Izabela, M.D.; Azadgoli, Beina, M.S.; Tsuha, Michaela, B.S.; Urata, Mark M., M.D., D.D.S.; Francis, Stacey H., M.D.

Plastic and Reconstructive Surgery: July 2018 - Volume 142 - Issue 1 - p 159–168.

A very thorough review of 546 infants undergoing cleft lip repair at six centers with 30 different surgeons.  Outpatient surgery represented 81% of cases.  There were equivalent rates of readmission and ED visits between the outpatient and inpatient groups, with all readmissions or ED visits occurring 36 hours or more after surgery.  Authors conclude that, in the absence of major comorbidity, outpatient cleft lip surgery is safe and could yield a significant cost savings.




The Impact of Once- versus Twice-Daily Enoxaparin Prophylaxis on Risk for Venous Thromboembolism and Clinically Relevant Bleeding

Pannucci, Christopher J., M.D., M.S.; Fleming, Kory I., M.P.H.; Agarwal, Jayant, M.D.; Rockwell, W. Bradford, M.D.; Prazak, Ann Marie, Pharm.D., B.C.P.S.; Momeni, Arash, M.D.

Plastic and Reconstructive Surgery: July 2018 - Volume 142 - Issue 1 - p 239–249.

The study pooled data from two prospective trials and compared 94 patients who received once-daily enoxaparin (40 mg) for the duration of an inpatient stay for a variety of plastic surgery procedures to 118 patients who received twice-daily enoxaparin.  Twice-daily enoxaparin was associated with a significant decrease in 90-day acute venous thromboembolism and a non-statistically significant increase in 90-day clinically relevant bleeding  from 3.2 percent to 6.8 percent.




A Novel Method for Lower Blepharoplasty: Repositioning of the Orbital Septum Using Inverted T-Shaped Plication

Changsik Pak, MD  Sangjun Yim, MD  Heeyeon Kwon, MD  Yujin Myung, MD Baek-Kyu Kim, MD  Chan-Yeong Heo, MD, PhD  Jae Hoon Jeong, MD, PhD

Aesthetic Surgery Journal, Volume 38, Issue 7, 13 June 2018, Pages 707–713.

A convincing descriptive review of 93 patients with lower lid fat herniation and tear trough deformity who underwent lower lid blepharoplasty with septal plication.  An inverted T-shaped plication was used in mild and moderate cases, and an X-shaped plication was used in severe cases.  In moderate and severe cases, septal repositioning was performed simultaneously.  No permanent lid malposition or ectropion was observed in the series.



October 2018
The Public Face of Rhinoplasty: Impact on Perceived Attractiveness and Personality

Lu, Stephen M.; Hsu, David T.; Perry, Adam D.; et. al.

Plastic and Reconstructive Surgery. 142(4):881-887, October 2018.

Crowdsourcing was used to rate standardized before and after photographs of female rhinoplasty patients.  A total of 264 responses were obtained, with the photographs being rated on a number of different traits.  Not only were post-rhinoplasty patients rated higher in aesthetic factors such as youthfulness, attractiveness, and symmetry, but they were also rated significantly higher in personality factors such as intelligence, trustworthiness, and approachability.  An interesting study that underscores how poorly we understand the effect aesthetic surgery can have on public perception.




Pain Management After Carpal Tunnel Release Surgery: A Prospective Randomized Double-Blinded Trial Comparing Acetaminophen, Ibuprofen, and Oxycodone

Asif M. Ilyas, Andrew J. Miller, Jack G. Graham, and Jonas L. Matzon

The Journal of Hand Surgery.  Volume 43, Issue 10, October 2018, Pages 913-919

A prospective double-blinded randomized trial, similar to others in the orthopedic literature, compared oxycodone, ibuprofen, and acetaminophen for postoperative pain managment following open and endoscopic carpal tunnel surgery.  Oxycodone was not found to be superior for pain control, with the average worst daily pain scores in the open group for the oxycodone, ibuprofen, and acetominophen groups being 3.4, 2.5, and 2.3, respectively.  The authors conclude that ibuprofen or Tylenol should be the recommended postoperative pain medication following CTR.



Cellulite: A Surgical Treatment Approach

Carlos Oscar Uebel, MD, PhD, Pedro Salomao Piccinini, MD, Alessandra Martinelli, MD, Daniela Feijó Aguiar, MD, Alessandra Martinelli, MD, and Renato Franz Matta Ramos, MD

Aesthetic Surgery Journal, Volume 38, Issue 10, 14 September 2018, Pages 1099–1114

The authors present over 20 years of experience treating cellulite with a specialized subcision liposuction cannula and autologous fat grafting used to correct contour deformities and improve the skin quality.  Long-term results are presented.  A promising approach to a difficult problem. Link:



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