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Publisher: Oxford University Press   (Total: 370 journals)

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Showing 1 - 200 of 370 Journals sorted alphabetically
Acta Biochimica et Biophysica Sinica     Hybrid Journal   (Followers: 6, SJR: 0.881, h-index: 38)
Adaptation     Hybrid Journal   (Followers: 8, SJR: 0.111, h-index: 4)
Aesthetic Surgery J.     Hybrid Journal   (Followers: 6, SJR: 1.538, h-index: 35)
African Affairs     Hybrid Journal   (Followers: 59, SJR: 1.512, h-index: 46)
Age and Ageing     Hybrid Journal   (Followers: 85, SJR: 1.611, h-index: 107)
Alcohol and Alcoholism     Hybrid Journal   (Followers: 16, SJR: 0.935, h-index: 80)
American Entomologist     Full-text available via subscription   (Followers: 6)
American Historical Review     Hybrid Journal   (Followers: 139, SJR: 0.652, h-index: 43)
American J. of Agricultural Economics     Hybrid Journal   (Followers: 40, SJR: 1.441, h-index: 77)
American J. of Epidemiology     Hybrid Journal   (Followers: 171, SJR: 3.047, h-index: 201)
American J. of Hypertension     Hybrid Journal   (Followers: 23, SJR: 1.397, h-index: 111)
American J. of Jurisprudence     Hybrid Journal   (Followers: 17)
American J. of Legal History     Full-text available via subscription   (Followers: 6, SJR: 0.151, h-index: 7)
American Law and Economics Review     Hybrid Journal   (Followers: 25, SJR: 0.824, h-index: 23)
American Literary History     Hybrid Journal   (Followers: 12, SJR: 0.185, h-index: 22)
Analysis     Hybrid Journal   (Followers: 23)
Annals of Botany     Hybrid Journal   (Followers: 36, SJR: 1.912, h-index: 124)
Annals of Occupational Hygiene     Hybrid Journal   (Followers: 28, SJR: 0.837, h-index: 57)
Annals of Oncology     Hybrid Journal   (Followers: 49, SJR: 4.362, h-index: 173)
Annals of the Entomological Society of America     Full-text available via subscription   (Followers: 8, SJR: 0.642, h-index: 53)
Annals of Work Exposures and Health     Hybrid Journal  
AoB Plants     Open Access   (Followers: 4, SJR: 0.78, h-index: 10)
Applied Economic Perspectives and Policy     Hybrid Journal   (Followers: 19, SJR: 0.884, h-index: 31)
Applied Linguistics     Hybrid Journal   (Followers: 51, SJR: 1.749, h-index: 63)
Applied Mathematics Research eXpress     Hybrid Journal   (Followers: 1, SJR: 0.779, h-index: 11)
Arbitration Intl.     Full-text available via subscription   (Followers: 20)
Arbitration Law Reports and Review     Hybrid Journal   (Followers: 13)
Archives of Clinical Neuropsychology     Hybrid Journal   (Followers: 26, SJR: 0.96, h-index: 71)
Aristotelian Society Supplementary Volume     Hybrid Journal   (Followers: 2, SJR: 0.102, h-index: 20)
Arthropod Management Tests     Hybrid Journal   (Followers: 2)
Astronomy & Geophysics     Hybrid Journal   (Followers: 47, SJR: 0.144, h-index: 15)
Behavioral Ecology     Hybrid Journal   (Followers: 49, SJR: 1.698, h-index: 92)
Bioinformatics     Hybrid Journal   (Followers: 304, SJR: 4.643, h-index: 271)
Biology Methods and Protocols     Hybrid Journal  
Biology of Reproduction     Full-text available via subscription   (Followers: 9, SJR: 1.646, h-index: 149)
Biometrika     Hybrid Journal   (Followers: 19, SJR: 2.801, h-index: 90)
BioScience     Hybrid Journal   (Followers: 30, SJR: 2.374, h-index: 154)
Bioscience Horizons : The National Undergraduate Research J.     Open Access   (Followers: 1, SJR: 0.213, h-index: 9)
Biostatistics     Hybrid Journal   (Followers: 16, SJR: 1.955, h-index: 55)
BJA : British J. of Anaesthesia     Hybrid Journal   (Followers: 148, SJR: 2.314, h-index: 133)
BJA Education     Hybrid Journal   (Followers: 64, SJR: 0.272, h-index: 20)
Brain     Hybrid Journal   (Followers: 61, SJR: 6.097, h-index: 264)
Briefings in Bioinformatics     Hybrid Journal   (Followers: 44, SJR: 4.086, h-index: 73)
Briefings in Functional Genomics     Hybrid Journal   (Followers: 4, SJR: 1.771, h-index: 50)
British J. for the Philosophy of Science     Hybrid Journal   (Followers: 34, SJR: 1.267, h-index: 38)
British J. of Aesthetics     Hybrid Journal   (Followers: 26, SJR: 0.217, h-index: 18)
British J. of Criminology     Hybrid Journal   (Followers: 527, SJR: 1.373, h-index: 62)
British J. of Social Work     Hybrid Journal   (Followers: 83, SJR: 0.771, h-index: 53)
British Medical Bulletin     Hybrid Journal   (Followers: 7, SJR: 1.391, h-index: 84)
British Yearbook of Intl. Law     Hybrid Journal   (Followers: 27)
Bulletin of the London Mathematical Society     Hybrid Journal   (Followers: 3, SJR: 1.474, h-index: 31)
Cambridge J. of Economics     Hybrid Journal   (Followers: 58, SJR: 0.957, h-index: 59)
Cambridge J. of Regions, Economy and Society     Hybrid Journal   (Followers: 11, SJR: 1.067, h-index: 22)
Cambridge Quarterly     Hybrid Journal   (Followers: 11, SJR: 0.1, h-index: 7)
Capital Markets Law J.     Hybrid Journal   (Followers: 1)
Carcinogenesis     Hybrid Journal   (Followers: 2, SJR: 2.439, h-index: 167)
Cardiovascular Research     Hybrid Journal   (Followers: 12, SJR: 2.897, h-index: 175)
Cerebral Cortex     Hybrid Journal   (Followers: 41, SJR: 4.827, h-index: 192)
CESifo Economic Studies     Hybrid Journal   (Followers: 16, SJR: 0.501, h-index: 19)
Chemical Senses     Hybrid Journal   (Followers: 1, SJR: 1.436, h-index: 76)
Children and Schools     Hybrid Journal   (Followers: 6, SJR: 0.211, h-index: 18)
Chinese J. of Comparative Law     Hybrid Journal   (Followers: 3)
Chinese J. of Intl. Law     Hybrid Journal   (Followers: 21, SJR: 0.737, h-index: 11)
Chinese J. of Intl. Politics     Hybrid Journal   (Followers: 9, SJR: 1.238, h-index: 15)
Christian Bioethics: Non-Ecumenical Studies in Medical Morality     Hybrid Journal   (Followers: 11, SJR: 0.191, h-index: 8)
Classical Receptions J.     Hybrid Journal   (Followers: 24, SJR: 0.1, h-index: 3)
Clinical Infectious Diseases     Hybrid Journal   (Followers: 59, SJR: 4.742, h-index: 261)
Clinical Kidney J.     Open Access   (Followers: 4, SJR: 0.338, h-index: 19)
Community Development J.     Hybrid Journal   (Followers: 24, SJR: 0.47, h-index: 28)
Computer J.     Hybrid Journal   (Followers: 7, SJR: 0.371, h-index: 47)
Conservation Physiology     Open Access   (Followers: 2)
Contemporary Women's Writing     Hybrid Journal   (Followers: 11, SJR: 0.111, h-index: 3)
Contributions to Political Economy     Hybrid Journal   (Followers: 5, SJR: 0.313, h-index: 10)
Critical Values     Full-text available via subscription  
Current Legal Problems     Hybrid Journal   (Followers: 26)
Current Zoology     Full-text available via subscription   (SJR: 0.999, h-index: 20)
Database : The J. of Biological Databases and Curation     Open Access   (Followers: 11, SJR: 1.068, h-index: 24)
Digital Scholarship in the Humanities     Hybrid Journal   (Followers: 12)
Diplomatic History     Hybrid Journal   (Followers: 19, SJR: 0.296, h-index: 22)
DNA Research     Open Access   (Followers: 4, SJR: 2.42, h-index: 77)
Dynamics and Statistics of the Climate System     Open Access   (Followers: 3)
Early Music     Hybrid Journal   (Followers: 15, SJR: 0.124, h-index: 11)
Economic Policy     Hybrid Journal   (Followers: 63, SJR: 2.052, h-index: 52)
ELT J.     Hybrid Journal   (Followers: 25, SJR: 1.26, h-index: 23)
English Historical Review     Hybrid Journal   (Followers: 51, SJR: 0.311, h-index: 10)
English: J. of the English Association     Hybrid Journal   (Followers: 13, SJR: 0.144, h-index: 3)
Environmental Entomology     Full-text available via subscription   (Followers: 11, SJR: 0.791, h-index: 66)
Environmental Epigenetics     Open Access   (Followers: 1)
Environmental History     Hybrid Journal   (Followers: 26, SJR: 0.197, h-index: 25)
EP-Europace     Hybrid Journal   (Followers: 2, SJR: 2.201, h-index: 71)
Epidemiologic Reviews     Hybrid Journal   (Followers: 10, SJR: 3.917, h-index: 81)
ESHRE Monographs     Hybrid Journal  
Essays in Criticism     Hybrid Journal   (Followers: 16, SJR: 0.1, h-index: 6)
European Heart J.     Hybrid Journal   (Followers: 49, SJR: 6.997, h-index: 227)
European Heart J. - Cardiovascular Imaging     Hybrid Journal   (Followers: 8, SJR: 2.044, h-index: 58)
European Heart J. - Cardiovascular Pharmacotherapy     Full-text available via subscription   (Followers: 1)
European Heart J. - Quality of Care and Clinical Outcomes     Hybrid Journal  
European Heart J. Supplements     Hybrid Journal   (Followers: 7, SJR: 0.152, h-index: 31)
European J. of Cardio-Thoracic Surgery     Hybrid Journal   (Followers: 8, SJR: 1.568, h-index: 104)
European J. of Intl. Law     Hybrid Journal   (Followers: 160, SJR: 0.722, h-index: 38)
European J. of Orthodontics     Hybrid Journal   (Followers: 4, SJR: 1.09, h-index: 60)
European J. of Public Health     Hybrid Journal   (Followers: 22, SJR: 1.284, h-index: 64)
European Review of Agricultural Economics     Hybrid Journal   (Followers: 11, SJR: 1.549, h-index: 42)
European Review of Economic History     Hybrid Journal   (Followers: 28, SJR: 0.628, h-index: 24)
European Sociological Review     Hybrid Journal   (Followers: 41, SJR: 2.061, h-index: 53)
Evolution, Medicine, and Public Health     Open Access   (Followers: 11)
Family Practice     Hybrid Journal   (Followers: 11, SJR: 1.048, h-index: 77)
Fems Microbiology Ecology     Hybrid Journal   (Followers: 9, SJR: 1.687, h-index: 115)
Fems Microbiology Letters     Hybrid Journal   (Followers: 20, SJR: 1.126, h-index: 118)
Fems Microbiology Reviews     Hybrid Journal   (Followers: 25, SJR: 7.587, h-index: 150)
Fems Yeast Research     Hybrid Journal   (Followers: 13, SJR: 1.213, h-index: 66)
Foreign Policy Analysis     Hybrid Journal   (Followers: 22, SJR: 0.859, h-index: 10)
Forestry: An Intl. J. of Forest Research     Hybrid Journal   (Followers: 16, SJR: 0.903, h-index: 44)
Forum for Modern Language Studies     Hybrid Journal   (Followers: 6, SJR: 0.108, h-index: 6)
French History     Hybrid Journal   (Followers: 32, SJR: 0.123, h-index: 10)
French Studies     Hybrid Journal   (Followers: 20, SJR: 0.119, h-index: 7)
French Studies Bulletin     Hybrid Journal   (Followers: 10, SJR: 0.102, h-index: 3)
Gastroenterology Report     Open Access   (Followers: 2)
Genome Biology and Evolution     Open Access   (Followers: 10, SJR: 3.22, h-index: 39)
Geophysical J. Intl.     Hybrid Journal   (Followers: 34, SJR: 1.839, h-index: 119)
German History     Hybrid Journal   (Followers: 25, SJR: 0.437, h-index: 13)
GigaScience     Open Access   (Followers: 3)
Global Summitry     Hybrid Journal  
Glycobiology     Hybrid Journal   (Followers: 14, SJR: 1.692, h-index: 101)
Health and Social Work     Hybrid Journal   (Followers: 49, SJR: 0.505, h-index: 40)
Health Education Research     Hybrid Journal   (Followers: 12, SJR: 0.814, h-index: 80)
Health Policy and Planning     Hybrid Journal   (Followers: 20, SJR: 1.628, h-index: 66)
Health Promotion Intl.     Hybrid Journal   (Followers: 21, SJR: 0.664, h-index: 60)
History Workshop J.     Hybrid Journal   (Followers: 27, SJR: 0.313, h-index: 20)
Holocaust and Genocide Studies     Hybrid Journal   (Followers: 24, SJR: 0.115, h-index: 13)
Human Molecular Genetics     Hybrid Journal   (Followers: 9, SJR: 4.288, h-index: 233)
Human Reproduction     Hybrid Journal   (Followers: 78, SJR: 2.271, h-index: 179)
Human Reproduction Update     Hybrid Journal   (Followers: 17, SJR: 4.678, h-index: 128)
Human Rights Law Review     Hybrid Journal   (Followers: 60, SJR: 0.7, h-index: 21)
ICES J. of Marine Science: J. du Conseil     Hybrid Journal   (Followers: 54, SJR: 1.233, h-index: 88)
ICSID Review     Hybrid Journal   (Followers: 10)
ILAR J.     Hybrid Journal   (Followers: 1, SJR: 1.099, h-index: 51)
IMA J. of Applied Mathematics     Hybrid Journal   (SJR: 0.329, h-index: 26)
IMA J. of Management Mathematics     Hybrid Journal   (Followers: 2, SJR: 0.351, h-index: 20)
IMA J. of Mathematical Control and Information     Hybrid Journal   (Followers: 2, SJR: 0.661, h-index: 28)
IMA J. of Numerical Analysis - advance access     Hybrid Journal   (SJR: 2.032, h-index: 44)
Industrial and Corporate Change     Hybrid Journal   (Followers: 8, SJR: 1.37, h-index: 81)
Industrial Law J.     Hybrid Journal   (Followers: 30, SJR: 0.184, h-index: 15)
Information and Inference     Free  
Integrative and Comparative Biology     Hybrid Journal   (Followers: 8, SJR: 1.911, h-index: 90)
Interacting with Computers     Hybrid Journal   (Followers: 10, SJR: 0.529, h-index: 59)
Interactive CardioVascular and Thoracic Surgery     Hybrid Journal   (Followers: 5, SJR: 0.743, h-index: 35)
Intl. Affairs     Hybrid Journal   (Followers: 52, SJR: 1.264, h-index: 53)
Intl. Data Privacy Law     Hybrid Journal   (Followers: 28)
Intl. Health     Hybrid Journal   (Followers: 5, SJR: 0.835, h-index: 15)
Intl. Immunology     Hybrid Journal   (Followers: 3, SJR: 1.613, h-index: 111)
Intl. J. for Quality in Health Care     Hybrid Journal   (Followers: 33, SJR: 1.593, h-index: 69)
Intl. J. of Constitutional Law     Hybrid Journal   (Followers: 60, SJR: 0.613, h-index: 19)
Intl. J. of Epidemiology     Hybrid Journal   (Followers: 148, SJR: 4.381, h-index: 145)
Intl. J. of Law and Information Technology     Hybrid Journal   (Followers: 4, SJR: 0.247, h-index: 8)
Intl. J. of Law, Policy and the Family     Hybrid Journal   (Followers: 29, SJR: 0.307, h-index: 15)
Intl. J. of Lexicography     Hybrid Journal   (Followers: 8, SJR: 0.404, h-index: 18)
Intl. J. of Low-Carbon Technologies     Open Access   (Followers: 1, SJR: 0.457, h-index: 12)
Intl. J. of Neuropsychopharmacology     Open Access   (Followers: 3, SJR: 1.69, h-index: 79)
Intl. J. of Public Opinion Research     Hybrid Journal   (Followers: 9, SJR: 0.906, h-index: 33)
Intl. J. of Refugee Law     Hybrid Journal   (Followers: 33, SJR: 0.231, h-index: 21)
Intl. J. of Transitional Justice     Hybrid Journal   (Followers: 13, SJR: 0.833, h-index: 12)
Intl. Mathematics Research Notices     Hybrid Journal   (Followers: 1, SJR: 2.052, h-index: 42)
Intl. Political Sociology     Hybrid Journal   (Followers: 31, SJR: 1.339, h-index: 19)
Intl. Relations of the Asia-Pacific     Hybrid Journal   (Followers: 18, SJR: 0.539, h-index: 17)
Intl. Studies Perspectives     Hybrid Journal   (Followers: 7, SJR: 0.998, h-index: 28)
Intl. Studies Quarterly     Hybrid Journal   (Followers: 39, SJR: 2.184, h-index: 68)
Intl. Studies Review     Hybrid Journal   (Followers: 18, SJR: 0.783, h-index: 38)
ISLE: Interdisciplinary Studies in Literature and Environment     Hybrid Journal   (Followers: 1, SJR: 0.155, h-index: 4)
ITNOW     Hybrid Journal   (Followers: 2, SJR: 0.102, h-index: 4)
J. of African Economies     Hybrid Journal   (Followers: 15, SJR: 0.647, h-index: 30)
J. of American History     Hybrid Journal   (Followers: 43, SJR: 0.286, h-index: 34)
J. of Analytical Toxicology     Hybrid Journal   (Followers: 13, SJR: 1.038, h-index: 60)
J. of Antimicrobial Chemotherapy     Hybrid Journal   (Followers: 13, SJR: 2.157, h-index: 149)
J. of Antitrust Enforcement     Hybrid Journal   (Followers: 1)
J. of Applied Poultry Research     Hybrid Journal   (Followers: 3, SJR: 0.563, h-index: 43)
J. of Biochemistry     Hybrid Journal   (Followers: 43, SJR: 1.341, h-index: 96)
J. of Chromatographic Science     Hybrid Journal   (Followers: 16, SJR: 0.448, h-index: 42)
J. of Church and State     Hybrid Journal   (Followers: 11, SJR: 0.167, h-index: 11)
J. of Competition Law and Economics     Hybrid Journal   (Followers: 35, SJR: 0.442, h-index: 16)
J. of Complex Networks     Hybrid Journal   (Followers: 1, SJR: 1.165, h-index: 5)
J. of Conflict and Security Law     Hybrid Journal   (Followers: 13, SJR: 0.196, h-index: 15)
J. of Consumer Research     Full-text available via subscription   (Followers: 43, SJR: 4.896, h-index: 121)
J. of Crohn's and Colitis     Hybrid Journal   (Followers: 10, SJR: 1.543, h-index: 37)
J. of Cybersecurity     Hybrid Journal   (Followers: 3)
J. of Deaf Studies and Deaf Education     Hybrid Journal   (Followers: 9, SJR: 0.69, h-index: 36)
J. of Design History     Hybrid Journal   (Followers: 16, SJR: 0.166, h-index: 14)
J. of Economic Entomology     Full-text available via subscription   (Followers: 6, SJR: 0.894, h-index: 76)
J. of Economic Geography     Hybrid Journal   (Followers: 39, SJR: 2.909, h-index: 69)
J. of Environmental Law     Hybrid Journal   (Followers: 23, SJR: 0.457, h-index: 20)
J. of European Competition Law & Practice     Hybrid Journal   (Followers: 19)
J. of Experimental Botany     Hybrid Journal   (Followers: 14, SJR: 2.798, h-index: 163)
J. of Financial Econometrics     Hybrid Journal   (Followers: 23, SJR: 1.314, h-index: 27)
J. of Global Security Studies     Hybrid Journal   (Followers: 3)
J. of Heredity     Hybrid Journal   (Followers: 4, SJR: 1.024, h-index: 76)
J. of Hindu Studies     Hybrid Journal   (Followers: 7, SJR: 0.186, h-index: 3)
J. of Hip Preservation Surgery     Open Access  
J. of Human Rights Practice     Hybrid Journal   (Followers: 20, SJR: 0.399, h-index: 10)
J. of Infectious Diseases     Hybrid Journal   (Followers: 39, SJR: 4, h-index: 209)
J. of Insect Science     Open Access   (Followers: 8, SJR: 0.388, h-index: 31)

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Journal Cover Aesthetic Surgery Journal
  [SJR: 1.538]   [H-I: 35]   [6 followers]  Follow
    
   Hybrid Journal Hybrid journal (It can contain Open Access articles)
   ISSN (Print) 1090-820X - ISSN (Online) 1527-330X
   Published by Oxford University Press Homepage  [370 journals]
  • The Vast Majority of Aesthetic Surgery Patients are at Low Risk for Venous
           Thromboembolism and Do Not Require Chemical Prophylaxis
    • Authors: Pannucci C.
      Abstract: Congratulations to Moubayed et al on the publication of an important paper examining venous thromboembolism (VTE) risk among aesthetic surgery patients.1 Their retrospective review of 412 rhinoplasty patients confirms what many of us inherently believe: that the overall risk for VTE among aesthetic surgery patients is low (zero of 412 patients in this series). The author’s Figure 1, reproduced here, shows that the vast majority of patients in this series were at low risk for VTE based on an individualized VTE risk profile using a 2005 Caprini score; based on Figure 1, we can see that only 2% of aesthetic surgery patients have a Caprini score of 7 to 8 or >8. The concept of individualized VTE risk stratification as a means to conceptualize and quantify VTE risk has been supported by the 2011 American Society of Plastic Surgeons’ VTE Task Force2 and the 2016 American Association of Plastic Surgeons VTE consensus panel.3 Importantly, both societies explicitly advocate for individualized VTE risk stratification using the 2005 Caprini score. This study by Moubayed et al is the first to examine patient-centric risk in a large series of aesthetic surgery patients, and a second similar study in a cohort of over 2500 outpatient aesthetic surgeries will be presented at the 2017 Plastic Surgery Research Council’s annual meeting.4
      PubDate: 2017-08-22
      DOI: 10.1093/asj/sjx053
      Issue No: Vol. 37, No. 9 (2017)
       
  • Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL): Why
           the Search for an Infectious Etiology May Be Irrelevant
    • Authors: Swanson E.
      Abstract: Surely the title to this article cannot be serious. After all, breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is an important complication of breast implants and the sooner we discover its cause the better, right' Well, maybe not. Or rather, maybe it does not matter.
      PubDate: 2017-08-21
      DOI: 10.1093/asj/sjx108
      Issue No: Vol. 37, No. 9 (2017)
       
  • Response to “Breast Implant-Associated Anaplastic Large Cell Lymphoma
           (BIA-ALCL): Why the Search for an Infectious Etiology May Be Irrelevant”
           
    • Authors: Deva A.
      Abstract: “Reasoning will never make a man correct an ill opinion, which by reasoning he never acquired”1
      PubDate: 2017-08-21
      DOI: 10.1093/asj/sjx133
      Issue No: Vol. 37, No. 9 (2017)
       
  • Comments on “Female Genital Mutilation Reconstruction: A Preliminary
           Report”
    • Authors: Atkinson H; Bowers M, Mishori R, et al.
      Abstract: As clinicians and members of a growing group of physicians working on the management, treatment, and elimination of female genital mutilation (FGM), we were taken aback by the article “Female Genital Mutilation Reconstruction: A Preliminary Report,” by Chang et al1 published March 2, 2017. While we applaud you and the authors for shining a light on the topic in your journal, we think the article had several significant shortcomings.
      PubDate: 2017-08-17
      DOI: 10.1093/asj/sjx096
      Issue No: Vol. 37, No. 9 (2017)
       
  • Clitoral Surgery After Female Genital Mutilation/Cutting
    • Authors: Abdulcadir J; Abdulcadir O, Caillet M, et al.
      Abstract: Chang et al report their interesting preliminary results after clitoral restoration procedures on 3 women having undergone female genital mutilation/cutting (FGM/C).1 The authors conclude that “currently, there is no published literature regarding reconstructive management of FGM and, their early experience can provide a straightforward, short, and effective approach to improve the lives for women who have suffered from FGM.”1 Indeed, among the seven references cited, no recent evidence on surgical management of FGM/C is provided.
      PubDate: 2017-08-17
      DOI: 10.1093/asj/sjx095
      Issue No: Vol. 37, No. 9 (2017)
       
  • Response to Letters Regarding “Female Genital Mutilation Reconstruction:
           A Preliminary Report”
    • Authors: Chang C; Low D, Percec I.
      Abstract: We thank you for the opportunity to respond to the letters1,2 received in response to our preliminary report.3 We are grateful for the attention our work has garnered across multiple disciplines as such candid discussions can only positively advance awareness of the complex problems that the millions of women subject to female genital mutilation (FGM) face. Our preliminary report was designed to address specifically the plastic surgery community and literature to highlight the lack of FGM data within our own field.
      PubDate: 2017-08-17
      DOI: 10.1093/asj/sjx149
      Issue No: Vol. 37, No. 9 (2017)
       
  • Corrigendum
    • Abstract: Moubayed SP, Akdagli S, Most SP. Incidence of Venous Thromboembolism in Rhinoplasty. Aesthet Surg J 2017; 37 (3): NP34-NP35.
      DOI : 10.1093/asj/sjw252
      PubDate: 2017-08-08
      Issue No: Vol. 37, No. 9 (2017)
       
  • International Textbook of Aesthetic Surgery
    • Authors: Warren R.
      Abstract: ScuderiNicolò, TothBryant A., eds. International Textbook of Aesthetic Surgery. New York, NY: Springer, 2016. ISBN-13: 978-3662465981, $399.00.
      PubDate: 2017-07-25
      DOI: 10.1093/asj/sjx139
      Issue No: Vol. 37, No. 9 (2017)
       
  • A Histopathologic Diagnosis of Vascular Occlusion After Injection of
           Hyaluronic Acid Filler: Findings of Intravascular Foreign Body and Skin
           Necrosis
    • Authors: Maruyama S.
      Abstract: AbstractBefore injecting hyaluronic acid (HA) filler into high-risk zones of the face, considerable caution must be exercised, including careful selection of the most appropriate filler, volume, and injection technique. Rare but severe adverse events have occurred during and after injection of HA filler in or around the periorbital region, such as skin necrosis and blindness. In the present case, involving a 57-year-old woman, approximately 0.1 mL of HA was injected into each side of the glabella to minimize wrinkles. The filler was injected into the dermis, utilizing the linear threading method. Proper care and caution were exercised before and during the procedure. Two days later, purple discoloration and erythema were observed in the left glabellar zone and forehead. A biopsy specimen was obtained and, based on histopathologic examination, frontal skin necrosis secondary to vascular occlusion was diagnosed. The likely cause and mechanism of the embolism will be discussed. To the author’s knowledge, histopathologic findings of an intravascular remnant after injection of HA appear to be rare.Level of Evidence: 5
      PubDate: 2017-05-10
      DOI: 10.1093/asj/sjx085
      Issue No: Vol. 37, No. 9 (2017)
       
  • Mechanical Supplementation With the Stromal Vascular Fraction Yields
           Improved Volume Retention in Facial Lipotransfer: A 1-Year Comparative
           Study
    • Authors: Gontijo-de-Amorim N; Charles-de-Sá L, Rigotti G.
      Pages: 975 - 985
      Abstract: AbstractBackgroundUnpredictable volume maintenance in the long term is a major limitation of autologous fat grafting.ObjectivesThe authors compared results of autologous lipotransfer to the face with or without enrichment of fat with the stromal vascular fraction (SVF).MethodsThirty patients with asymmetric depletion of facial volume were included in a prospective study. Patients were randomly assigned to undergo a single session of autologous fat transfer with washed adipose tissue (control group) or with washed adipose tissue combined with the pellet of centrifuged lipoaspirate, which contained the SVF (enriched group). Patients were evaluated clinically and from photographs. A subset of 5 patients in each group underwent computed tomography (CT) preoperatively and 12-months postoperatively for quantitative assessment of graft retention. Washed and fractionated lipoaspirates were evaluated histochemically and with flow cytometry to determine relative abundances of viable cells.ResultsNo major complications occurred. CT findings 12 months postoperatively indicated that patients who received SVF-enriched fat had significantly better volume retention (9.6% volume loss vs 24% in the control group; P = 0.013). Independent surgeons more frequently rated long-term aesthetic outcomes as “excellent” for patients in the enriched group (82.5% vs 47.6% for control group). Laboratory results indicated that each pellet contained approximately 16,000 intact adipose-derived stem cells.ConclusionsLipotransfer with SVF-enriched adipose tissue is safe and associated with improved volume retention, compared with transplantation of unenriched fat. The SVF can be dissociated from lipoaspirate by centrifugation to yield a large quantity of viable regenerative cells, without enzymatic digestion.Level of Evidence: 2
      PubDate: 2017-07-20
      DOI: 10.1093/asj/sjx115
      Issue No: Vol. 37, No. 9 (2017)
       
  • Commentary on: Mechanical Supplementation With the Stromal Vascular
           Fraction Yields Improved Volume Retention in Facial Lipotransfer: A 1-Year
           Comparative Study
    • Authors: Pallua N; Kim B.
      Pages: 986 - 987
      Abstract: We appreciate the opportunity to comment on the article entitled “Mechanical Supplementation with the Stromal Vascular Fraction Yields Improved Volume Retention in Facial Lipotransfer: A 1-Year Comparative Study” by Gontijo-de-Amorim et al.1 The authors evaluated the clinical efficacy of washed lipoaspirates that were supplemented by the pellet of centrifuged lipoaspirates and performed histological sections and flow cytometry analysis. We agree with the authors that there is still no consensus on the optimal fat graft processing technique due to a lack of convincing data. Therefore, the present study is a valuable contribution to this unsolved problem. The authors have to be commended for their convincing concept of backing the cellular characterization of the cell fractions with clinical data using computed tomography scans and postoperative outcome evaluation. Too often bold statements of the regenerative capacity of certain fat grafting techniques are solely based on data generated in the laboratory. We also greatly appreciate the study design of prospective randomization and the blinded postoperative assessment which add to the conceptual strength of the article.
      PubDate: 2017-07-20
      DOI: 10.1093/asj/sjx128
      Issue No: Vol. 37, No. 9 (2017)
       
  • Patient-Specific Augmentation Rhinoplasty Using a Three-Dimensional
           Simulation Program and Three-Dimensional Printing
    • Authors: Choi Y; Kim Y, Park E.
      Pages: 988 - 998
      Abstract: AbstractBackgroundThe convergence of three-dimensional (3D) simulation, tissue engineering, and 3D printing technology is creating a paradigm shift in plastic surgery. In augmentation rhinoplasty, determining the ideal material and design method has been a critical issue for many years. Thus, these technologies are expected to make important contributions to augmentation rhinoplasty.ObjectivesWe sought to validate the feasibility of the 3D carving simulation and patient-specific implant fabrication system (3D carving system) in a clinical trial using reproducibility tests.MethodsPatient-specific implants were designed using a program developed in-house with preoperative computed tomography (CT). Negative molds of the implant were fabricated by a 3D printer and silicone was injected into these molds. Ten actual silicone implants were fabricated and compared with virtually designed implants. Seven patients underwent surgery and postoperative CT to confirm implant positioning.ResultsVirtually designed implants were produced into actual implants within 0.07 mm with a 0.17% ± 0.11% difference. The percentage within the gap was the highest at the cephalic end of the implant and reduced from the cephalic to caudal end (most cephalic point: 100%; rightmost and leftmost point of the implant at the caudal end of the nasal bone: 57.1% and 71.4%, respectively; rightmost and leftmost point at the supratip break: 28.6% and 28.6%, respectively; and most caudal point: 0%).ConclusionsThe 3D carving system can facilitate rhinoplasty by enabling the more intuitive, rapid, and accurate fabrication of implants irrespective of surgeon experience level.Level of Evidence: 4
      PubDate: 2017-05-17
      DOI: 10.1093/asj/sjx046
      Issue No: Vol. 37, No. 9 (2017)
       
  • Patient-Reported Outcomes of Aesthetics and Satisfaction in Immediate
           Breast Reconstruction After Nipple-Sparing Mastectomy With Implants and
           Fat Grafting
    • Authors: Qureshi A; Odom E, Parikh R, et al.
      Pages: 999 - 1008
      Abstract: AbstractBackgroundDirect-to-implant (DTI) and tissue expander/implant (TE/I) reconstructions are the most common implant-based reconstructions after nipple-sparing mastectomy (NSM). However, there are little data beyond complication rates comparing these options. Fat grafting has emerged as an adjunct in NSM reconstructions to improve aesthetic results; however, its impact on patient perceptions of aesthetic outcomes remain unknown. To improve patient-centered care, aesthetic outcomes must be considered from the patients’ perspective.ObjectivesTo evaluate patient-reported outcomes of aesthetic satisfaction and quality of life in patients undergoing immediate DTI vs TE/I reconstruction after NSM and to assess the role of fat grafting on these outcomes.MethodsThis is a prospective cohort study comparing NSM patients undergoing DTI or TE/I reconstruction. Patient-reported outcomes were evaluated using the BREAST-Q. Continuous and categorical variables were analyzed using t test and Fisher’s exact test, respectively.ResultsFifty-nine patients underwent 113 reconstructions with either DTI (n = 41) or TE/I (n = 18). Mean follow up was 12.1 months. DTI and TE/I patients had comparable satisfaction with outcome, though TE/I patients had significantly larger final implant sizes. TE/I who underwent fat grafting also had significantly higher satisfaction with outcome and psychosocial wellbeing.ConclusionsPatient-reported outcomes are comparable between DTI and TE/I reconstructions after NSM. In order for TE/I patients to achieve a similar level of satisfaction, they may require a larger final implant and additional operations compared to DTI patients. Additionally, fat grafting improves overall satisfaction. TE/I patients may have different aesthetic expectations than DTI patients, emphasizing patient-centered discussions are essential to optimizing outcomes after NSM.Level of Evidence: 3
      PubDate: 2017-03-31
      DOI: 10.1093/asj/sjx048
      Issue No: Vol. 37, No. 9 (2017)
       
  • Commentary on: Patient-Reported Outcomes of Aesthetics and Satisfaction in
           Immediate Breast Reconstruction After Nipple-Sparing Mastectomy With
           Implants and Fat Grafting
    • Authors: Namnoum J.
      Pages: 1009 - 1011
      Abstract: “If you want something new, you have to stop doing something old.”1Peter Drucker
      PubDate: 2017-07-07
      DOI: 10.1093/asj/sjx083
      Issue No: Vol. 37, No. 9 (2017)
       
  • Gluteal Implants Versus Autologous Flaps in Patients with Postbariatric
           Surgery Weight Loss: A Prospective Comparative Study of 3-Dimensional
           Gluteal Projection After Lower Body Lift
    • Authors: Levan P; Bassilios Habre S.
      Pages: 1012 - 1021
      Abstract: AbstractBackgroundDeformities and excess skin resulting from massive weight loss are corrected with circumferential lower body lift (LBL). The gluteal area is frequently flattened due to aggressive skin excision during LBL. Gluteal implants can circumvent this problem.ObjectivesWe aimed to objectively evaluate the outcomes of gluteal augmentation with implants versus flap surgery performed simultaneously with LBL.MethodsBetween January 2014 and June 2015, twenty-seven patients underwent LBL with gluteal implants (10 patients), flaps (14 patients), or no gluteal augmentation (3 patients) in our hospital. Three-dimensional analysis was used to assess gluteal projection preoperatively and at 6 months. Gain in projection, pain scores, complications, and patient and surgeon satisfaction were compared.ResultsThe mean follow-up duration was 18 months. The mean gain in projection at 6 months was 4.9 mm in the implant group, –0.5 mm in the flap group (P = 0.1), and –9.6 mm in the control group. The mean implant volume was 294.5 mL. Operation time was shorter in the flap group (192 min) than in the implant group (218 min, P = 0.001). Surgeon satisfaction was higher in the implant group (P = 0.007). Implants were more painful than flaps at 4 days and 2 weeks (P = 0.004 for both). There were 6 minor complications (60%) in the implant group versus 7 (50%) in the flap group (P = 0.94).ConclusionsIn selected patients, LBL with gluteal implants is safe and slightly increases gluteal projection.Level of Evidence: 2
      PubDate: 2017-04-07
      DOI: 10.1093/asj/sjx033
      Issue No: Vol. 37, No. 9 (2017)
       
  • Lymphatic and Sensory Function of the Upper Limb After Brachioplasty in
           Post-Bariatric Massive Weight Loss Patients
    • Authors: Gentileschi S; Servillo M, Ferrandina G, et al.
      Pages: 1022 - 1031
      Abstract: AbstractBackgroundVaried deformities of the upper arm are common after massive weight loss. Brachioplasty techniques have been successively modified to improve aesthetic outcomes and avoid complications, especially lymphedema and sensory damage.ObjectivesThe authors evaluated lymphatic drainage and sensory function of the upper limbs after brachioplasty performed with a double-ellipse marking technique, a medial incision, superficial undermining, and posterior arm liposuction.MethodsThis prospective study included 12 women who underwent brachioplasty after bariatric surgery and massive weight loss. Lymphatic drainage was evaluated by forearm volumetry and indocyanine green lymphography of the entire limb. Cutaneous sensitivity thresholds were determined with Semmes-Weinstein monofilaments.ResultsPatients received postoperative follow up for 12 months. Complications included a small dehiscence for 1 patient and hypertrophic scarring for 2 patients. Cutaneous sensitivity and forearm volumetry were unchanged after brachioplasty for all patients. Results of indocyanine green lymphography indicated that all patients had normal linear lymphatic patterns pre- and postoperatively.ConclusionsResults of the study support the belief that this type of brachioplasty does not disrupt sensory or lymphatic function of the limb.Level of Evidence: 4
      PubDate: 2017-02-22
      DOI: 10.1093/asj/sjx031
      Issue No: Vol. 37, No. 9 (2017)
       
  • Nonsurgical Medical Penile Girth Augmentation: Experience-Based
           Recommendations
    • Authors: Oates J; Sharp G.
      Pages: 1032 - 1038
      Abstract: AbstractPenile augmentation is increasingly sought by men who are dissatisfied with the size and/or appearance of their penis. However, augmentation procedures are still considered to be highly controversial with no standardized recommendations reported in the medical literature and limited outcome data. Nevertheless, these procedures continue to be performed in increasing numbers in private settings. Therefore, there is a need for safe, effective, and minimally invasive procedures to be developed, evaluated, and reported in the research literature. In this article, we focus particularly on girth enhancement procedures rather than lengthening procedures as penile girth appears to be particularly important for sexual satisfaction. We discuss the advantages and disadvantages of the common techniques to date, with a focus on the minimally invasive injectable girth augmentation techniques. Based on considerable operative experience, we offer our own suggestions for patient screening, technique selection, and perioperative care.
      PubDate: 2017-05-11
      DOI: 10.1093/asj/sjx068
      Issue No: Vol. 37, No. 9 (2017)
       
  • The Role of Injectables in Aesthetic Surgery: Financial Implications
    • Authors: Richards B; Schleicher W, D’Souza G, et al.
      Pages: 1039 - 1043
      Abstract: AbstractBackgroundThe plastic surgeon competes with both core and noncore physicians and surgeons for traditional cosmetic procedures. In 2007, the American Society for Aesthetic Plastic Surgery (ASAPS) and the American Society of Plastic Surgeons (ASPS) joined efforts to form a Cosmetic Medicine Task Force to further analyze this trend.ObjectivesOur objective is to document and quantify the patient capture and total collections generated in a single surgeon’s practice exclusive from Botulinum Toxin A and filler injections over a 10-year period. We subsequently identified the effect and importance that fillers and Botulinum Toxin A have on an active cosmetic practice.MethodsA retrospective chart review of all male and female patients who received Botulinum Toxin A or soft tissue filler injections (noninvasive aesthetic treatment) in a single surgeons practice from January 2004 to December 2013 was undertaken. Only those patients new to the practice and who were exclusively seeking out Botulinum Toxin A or fillers were included in the study. Chart review then identified which of these selected patients ultimately underwent invasive aesthetic surgery during this 10-year period. Noninvasive and invasive aesthetic surgery total collections were calculated using billing records.ResultsFrom January 2004 to December 2013, 375 patients entered the senior surgeon’s practice specifically requesting and receiving noninvasive aesthetic treatments. Of these 375 patients, 59 patients (15.7%) subsequently underwent an aesthetic surgery procedure at an average of 19 months following initial noninvasive aesthetic treatment. Of these 375 patients, 369 were female and 6 were male. The most common initial invasive aesthetic procedure performed after injectable treatment included 22 facelifts (18.5%), 21 upper eyelid blepharoplasties (17.6%), and 15 endoscopic brow lifts (12.6%). Total collections from noninvasive aesthetic sessions and invasive surgery combined represented US$762,470 over this 10-year span. This represented US$524,771 and US$396,166 in total collections for injectables and surgery respectively.ConclusionsNoninvasive aesthetic surgery is a critical part of a plastic surgery practice. A measurable and significant number of patients who sought out a single plastic surgeon exclusively for noninvasive treatment ultimately underwent traditional invasive cosmetic surgical procedures.
      PubDate: 2017-08-21
      DOI: 10.1093/asj/sjx136
      Issue No: Vol. 37, No. 9 (2017)
       
  • The Efficacy of Vibration Anesthesia on Reducing Pain Levels During Lip
           Augmentation: Worth the Buzz'
    • Authors: Guney K; Sezgin B, Yavuzer R.
      Pages: 1044 - 1048
      Abstract: AbstractBackgroundLip augmentation procedures have increased drastically in the last years as patients seek to enhance the shape and size of their lips with dermal fillers. One of the main concerns faced with these procedures is the pain inflicted through injections. On the other hand, many different techniques have been introduced for the reduction of pain while performing office-based minimal invasive procedures.ObjectivesThis study aims to determine the analgesic effect of vibration anesthesia during lip augmentation procedures and to evaluate its overall effect on the comfort of patients.MethodsA split-lip study was designed in a randomized fashion for 25 lip augmentation patients who received hyaluronic acid fillers with or without with a concurrent vibration stimulus on either half of their lips. Patients were asked to score the pain that they felt during lip injections on a scale from 0 to 10 (0 being no pain and 10 being the worst pain ever felt) for either lip half. The pain scores were then analyzed for significance.ResultsThe overall pain score on the vibration-assisted side was 3.82 ± 1.73 while the pain score for the side with no vibration was 5.6 ± 1.76 (P < 0.001). Twenty-three patients (92%) felt less pain with the addition of vibration while, interestingly, 2 patients (8%) stated that they felt an increase in pain levels on the vibration-treated side.ConclusionsVibration devices can be a safe and effective tool for lowering pain levels in patients undergoing lip augmentation with hyaluronic acid fillers.Level of Evidence: 2
      PubDate: 2017-07-05
      DOI: 10.1093/asj/sjx073
      Issue No: Vol. 37, No. 9 (2017)
       
  • Commentary on: The Efficacy of Vibration Anesthesia on Reducing Pain
           Levels During Lip Augmentation: Worth the Buzz'
    • Authors: Schierle C.
      Pages: 1049 - 1050
      Abstract: René Descartes, a philosopher and scientist, is credited with the earliest modern attempt to understand pain. His simplified scheme of the reflex, published in 1664 in the Treatise of Man,1 gives a purely mechanical view of the involuntary withdrawal of a foot that comes in contact with a noxious stimulus: “the small rapidly moving particle of fire moves the skin of the affected spot causing a thin thread to be pulled. This opens a small valve in the brain and through it animal spirits are sent down to the muscles which withdraw the foot. Just as by pulling at one end of a rope one makes to strike at the same instant a bell which hangs at the other end.” Descartes’ reflex theory directed both the study and treatment of pain for more than 330 years. Ronald Melzack and Patrick Wall’s gate control theory, proposed in 1965,2 rejuvenated the field of pain study and led to further investigation into the phenomena of spinal sensitization and central nervous system plasticity. At a conference in 1995, Wall commented that the classic picture of a single pain mechanism is being swept away in favor of a dynamic interlocking series of biological reactive mechanisms. The processing of pain takes place in an integrated matrix throughout the neuroaxis and occurs on at least three levels—at peripheral, spinal, and supraspinal sites. Strategies of pain control can take advantage of this concept of integration by attenuation or blockade of pain through intervention at the periphery, by activation of inhibitory processes that gate pain at the spinal cord and brain, and by interference with the perception of pain.
      PubDate: 2017-07-27
      DOI: 10.1093/asj/sjx114
      Issue No: Vol. 37, No. 9 (2017)
       
  • Safety of Cosmetic Surgery in Adolescent Patients
    • Authors: Yeslev M; Gupta V, Winocour J, et al.
      Pages: 1051 - 1059
      Abstract: AbstractBackgroundLimited surgical literature currently exists that evaluates postoperative complications after cosmetic surgery in adolescents.ObjectivesThe purpose of this study was to determine the incidence of major postoperative complications in adolescent patients undergoing cosmetic surgery and compare their complication rates to older patients.MethodsA prospective cohort of patients undergoing cosmetic surgical procedures between 2008 and 2013 was identified from the CosmetAssure database. Demographics, clinical characteristics, surgical procedures, and major complications in adolescent patients (age 10-19 years) and older patients (≥20 years old) were compared. Risk factors analyzed included age, gender, body mass index, smoking, diabetes, type of surgical facility, procedure by body region, and combined procedures.ResultsOverall, 3519 adolescents and 124,409 older patients underwent cosmetic surgical procedures. The adolescent cohort contained more men (20.0% vs 6.0%, P < 0.01), lower mean body mass index (22.6 ± 4.1 vs 24.4 ± 4.6, P < 0.01), lower prevalence of diabetes (0.8% vs 1.9%, P <0.01), and fewer smokers (5.9% vs 8.3%, P < 0.01) compared to the older patient cohort. Most commonly adolescent patients underwent breast followed by face and body procedures. Overall adolescent patients demonstrated a lower incidence of major postoperative complications compared to older patients after single (0.6% vs 1.5%, P < 0.01) and combined (1.2% vs 3%, P = 0.03) cosmetic procedures. Adolescent patients had lower complications rates after face, breast, and body procedures compared to the older cohort. The most common postoperative complications in adolescent patients were hematoma (0.34%) and infection (0.28%).ConclusionsCosmetic surgical procedures in adolescent patients are safe with a lower rate of major postoperative complications compared to older patients.Level of Evidence: 2
      PubDate: 2017-04-07
      DOI: 10.1093/asj/sjx061
      Issue No: Vol. 37, No. 9 (2017)
       
  • Commentary on: Safety of Cosmetic Surgery in Adolescent Patients
    • Authors: Lukash F.
      Pages: 1060 - 1061
      Abstract: The authors are to be commended for undertaking the task of attempting to statistically document the safety of cosmetic surgery in the adolescent population.1 I believe that the intent was noble and the goal was to objectify what we implicitly know: that this cohort is healthier with very few comorbidities and therefore would likely do well physically.
      PubDate: 2017-09-05
      DOI: 10.1093/asj/sjx088
      Issue No: Vol. 37, No. 9 (2017)
       
  • Autologous Adipose-Derived Tissue Matrix Part I: Biologic Characteristics
    • Authors: Schendel S.
      Pages: 1062 - 1068
      Abstract: AbstractBackgroundAutologous collagen is an ideal soft tissue filler and may serve as a matrix for stem cell implantation and growth. Procurement of autologous collagen has been limited, though, secondary to a sufficient source. Liposuction is a widely performed and could be a source of autologous collagen.ObjectivesThe amount of collagen and its composition in liposuctioned fat remains unknown. The purpose of this research was to characterize an adipose-derived tissue-based product created using ultrasonic cavitation and cryo-grinding. This study evaluated the cellular and protein composition of the final product.MethodsFat was obtained from individuals undergoing routine liposuction and was processed by a 2 step process to obtain only the connective tissue. The tissue was then evaluated by scanning electronic microscope, Western blot analysis, and flow cytometry.ResultsLiposuctioned fat was obtained from 10 individuals with an average of 298 mL per subject. After processing an average of 1 mL of collagen matrix was obtained from each 100 mL of fat. Significant viable cell markers were present in descending order for adipocytes > CD90+ > CD105+ > CD45+ > CD19+ > CD144+ > CD34+. Western blot analysis showed collagen type II, III, IV, and other proteins. Scanning electronic microscope study showed a regular pattern of cross-linked, helical collagen. Additionally, vital staing demonstrated that the cells were still viable after processing.ConclusionsCollagen and cells can be easily obtained from liposuctioned fat by ultrasonic separation without alteration of the overall cellular composition of the tissue. Implantation results in new collagen and cellular growth. Collagen matrix with viable cells for autologous use can be obtained from liposuctioned fat and may provide long term results.Level of Evidence: 5
      PubDate: 2017-05-16
      DOI: 10.1093/asj/sjx059
      Issue No: Vol. 37, No. 9 (2017)
       
  • Autologous Adipose-Derived Tissue Matrix Part II: Implantation Biology
    • Authors: Schendel S.
      Pages: 1069 - 1074
      Abstract: AbstractBackgroundIn part 1 of this study it was shown that liposuctioned fat could be a sufficient source of autologous collagen for use as a filler or in reconstruction. The collagen composition in liposuctioned fat was shown to form a cross-linked helical matrix composed of types II, III, and IV. Additionally, viable adipocytes and fibroblasts among other cells were found.ObjectivesThe purpose of this research was to study the biology of this matrix after subsequent implantation compared to Juvederm (Allergan, Parsippany, NJ) common soft tissue filler.MethodsFat was obtained from individuals undergoing routine liposuction and was processed by a two-step process to obtain a connective tissue matrix. The matrix was then cryo-frozen for a minimum of 4 weeks after which it was thawed and implanted in 46 nude mice. Juvederm Ultra was used as the control article and the animals followed for one year.ResultsLiposuctioned fat was obtained from 10 individuals and processed as previously described. Mice were harvested at 3, 6, 9, and 12 months and histology obtained. There were no adverse effects from either article and the bio-reactivity rating was 0. The implanted collagen compared favorably to Juvederm at all stages and was found to be replaced by new collagen and fat.ConclusionsA collagen matrix with viable cells for autologous use can be obtained from liposuctioned fat which has been processed and cryo-frozen. The material lasts at least one year and is slowly replaced by new collagenand fat.Level of Evidence: 5
      PubDate: 2017-05-16
      DOI: 10.1093/asj/sjx039
      Issue No: Vol. 37, No. 9 (2017)
       
  • Commentary on: Autologous Adipose-Derived Tissue Matrix Parts I and II
    • Authors: Pu L.
      Pages: 1075 - 1076
      Abstract: Soft tissue fillers have been widely used clinically to primarily provide soft tissue augmentation in aesthetic and reconstructive plastic surgery.1 However, the results after filler injections are still less permanent and thus subsequent injections are frequently needed in order to maintain the initial results following filler injections.2,3 Although new soft tissue fillers have been developed and some have been considered as permanent ones, most fillers cannot last permanently and may induce certain complications such as granuloma formation.4 Nanofat grafting is another option to improve fine wrinkles surgically in one setting but such a fat grafting technique has not become popular in North America and what substances are actually be injected after emulsification of fat grafts remains unclear.5,6
      PubDate: 2017-08-01
      DOI: 10.1093/asj/sjx112
      Issue No: Vol. 37, No. 9 (2017)
       
  • An Alternative to the Lateral Direct Browlift
    • Authors: Osaki T; Ferreira C, Osaki M.
      Pages: 1077 - 1081
      Abstract: Some patients who present for an upper blepharoplasty procedure have a component of brow ptosis only in the temporal region, leading to a melancholic appearance. The lateral portion tends to drop more than the medial because less secure muscular attachments are present temporally.1,2
      PubDate: 2017-06-02
      DOI: 10.1093/asj/sjx066
      Issue No: Vol. 37, No. 9 (2017)
       
  • The History of ASAPS on its 50th Anniversary
    • Authors: Klatsky S; Mohan R.
      Pages: 1082 - 1084
      Abstract: In 1967, two plastic surgeons, Dr Simon Fredricks and Dr John Lewis, started a new society within plastic surgery strictly committed to aesthetic surgery called the Society of Aesthetic Surgeons.1 While at a meeting in Italy, they first discussed the formation of the society at the Excelsior Hotel in Florence, Italy.2 They initially thought the society would be a travel club of 28 friends who would discuss aesthetic surgery in exotic locales.3 They wrote down the original group of members on a napkin at Harry’s Bar in Venice, and this list contained some of the most influential plastic surgeons of that era who performed aesthetic surgery2 (Appendix A, available online as Supplementary Material at www.aestheticsurgeryjournal.com).
      PubDate: 2017-05-17
      DOI: 10.1093/asj/sjx069
      Issue No: Vol. 37, No. 9 (2017)
       
 
 
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