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Publisher: Oxford University Press   (Total: 368 journals)

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Showing 1 - 200 of 368 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: 57, SJR: 1.512, h-index: 46)
Age and Ageing     Hybrid Journal   (Followers: 76, SJR: 1.611, h-index: 107)
Alcohol and Alcoholism     Hybrid Journal   (Followers: 14, SJR: 0.935, h-index: 80)
American Entomologist     Full-text available via subscription   (Followers: 5)
American Historical Review     Hybrid Journal   (Followers: 120, SJR: 0.652, h-index: 43)
American J. of Agricultural Economics     Hybrid Journal   (Followers: 41, SJR: 1.441, h-index: 77)
American J. of Epidemiology     Hybrid Journal   (Followers: 147, SJR: 3.047, h-index: 201)
American J. of Hypertension     Hybrid Journal   (Followers: 19, SJR: 1.397, h-index: 111)
American J. of Jurisprudence     Hybrid Journal   (Followers: 15)
American journal of legal history     Full-text available via subscription   (Followers: 4, SJR: 0.151, h-index: 7)
American Law and Economics Review     Hybrid Journal   (Followers: 26, 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: 33, SJR: 1.912, h-index: 124)
Annals of Occupational Hygiene     Hybrid Journal   (Followers: 24, 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: 9, 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: 18, 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: 19)
Arbitration Law Reports and Review     Hybrid Journal   (Followers: 12)
Archives of Clinical Neuropsychology     Hybrid Journal   (Followers: 25, 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: 46, SJR: 0.144, h-index: 15)
Behavioral Ecology     Hybrid Journal   (Followers: 47, SJR: 1.698, h-index: 92)
Bioinformatics     Hybrid Journal   (Followers: 221, SJR: 4.643, h-index: 271)
Biology Methods and Protocols     Hybrid Journal  
Biometrika     Hybrid Journal   (Followers: 18, SJR: 2.801, h-index: 90)
BioScience     Hybrid Journal   (Followers: 28, 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: 15, SJR: 1.955, h-index: 55)
BJA : British J. of Anaesthesia     Hybrid Journal   (Followers: 132, SJR: 2.314, h-index: 133)
BJA Education     Hybrid Journal   (Followers: 65, SJR: 0.272, h-index: 20)
Brain     Hybrid Journal   (Followers: 61, SJR: 6.097, h-index: 264)
Briefings in Bioinformatics     Hybrid Journal   (Followers: 43, 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: 32, SJR: 1.267, h-index: 38)
British J. of Aesthetics     Hybrid Journal   (Followers: 24, SJR: 0.217, h-index: 18)
British J. of Criminology     Hybrid Journal   (Followers: 489, SJR: 1.373, h-index: 62)
British J. of Social Work     Hybrid Journal   (Followers: 77, 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: 25)
Bulletin of the London Mathematical Society     Hybrid Journal   (Followers: 3, SJR: 1.474, h-index: 31)
Cambridge J. of Economics     Hybrid Journal   (Followers: 55, SJR: 0.957, h-index: 59)
Cambridge J. of Regions, Economy and Society     Hybrid Journal   (Followers: 9, SJR: 1.067, h-index: 22)
Cambridge Quarterly     Hybrid Journal   (Followers: 10, SJR: 0.1, h-index: 7)
Capital Markets Law J.     Hybrid Journal  
Carcinogenesis     Hybrid Journal   (Followers: 2, SJR: 2.439, h-index: 167)
Cardiovascular Research     Hybrid Journal   (Followers: 11, SJR: 2.897, h-index: 175)
Cerebral Cortex     Hybrid Journal   (Followers: 37, SJR: 4.827, h-index: 192)
CESifo Economic Studies     Hybrid Journal   (Followers: 15, SJR: 0.501, h-index: 19)
Chemical Senses     Hybrid Journal   (Followers: 1, SJR: 1.436, h-index: 76)
Children and Schools     Hybrid Journal   (Followers: 5, SJR: 0.211, h-index: 18)
Chinese J. of Comparative Law     Hybrid Journal   (Followers: 3)
Chinese J. of Intl. Law     Hybrid Journal   (Followers: 18, SJR: 0.737, h-index: 11)
Chinese J. of Intl. Politics     Hybrid Journal   (Followers: 8, 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: 17, SJR: 0.1, h-index: 3)
Clinical Infectious Diseases     Hybrid Journal   (Followers: 58, 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: 23, SJR: 0.47, h-index: 28)
Computer J.     Hybrid Journal   (Followers: 8, SJR: 0.371, h-index: 47)
Conservation Physiology     Open Access   (Followers: 1)
Contemporary Women's Writing     Hybrid Journal   (Followers: 11, SJR: 0.111, h-index: 3)
Contributions to Political Economy     Hybrid Journal   (Followers: 6, SJR: 0.313, h-index: 10)
Critical Values     Full-text available via subscription  
Current Legal Problems     Hybrid Journal   (Followers: 25)
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: 18, 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: 2)
Early Music     Hybrid Journal   (Followers: 13, SJR: 0.124, h-index: 11)
Economic Policy     Hybrid Journal   (Followers: 46, SJR: 2.052, h-index: 52)
ELT J.     Hybrid Journal   (Followers: 25, SJR: 1.26, h-index: 23)
English Historical Review     Hybrid Journal   (Followers: 45, SJR: 0.311, h-index: 10)
English: J. of the English Association     Hybrid Journal   (Followers: 12, 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: 25, SJR: 0.197, h-index: 25)
EP-Europace     Hybrid Journal   (Followers: 1, 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: 15, SJR: 0.1, h-index: 6)
European Heart J.     Hybrid Journal   (Followers: 46, SJR: 6.997, h-index: 227)
European Heart J. - Cardiovascular Imaging     Hybrid Journal   (Followers: 9, 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: 8, SJR: 0.152, h-index: 31)
European J. of Cardio-Thoracic Surgery     Hybrid Journal   (Followers: 7, SJR: 1.568, h-index: 104)
European J. of Intl. Law     Hybrid Journal   (Followers: 140, 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: 23, SJR: 1.284, h-index: 64)
European Review of Agricultural Economics     Hybrid Journal   (Followers: 12, SJR: 1.549, h-index: 42)
European Review of Economic History     Hybrid Journal   (Followers: 25, SJR: 0.628, h-index: 24)
European Sociological Review     Hybrid Journal   (Followers: 37, SJR: 2.061, h-index: 53)
Evolution, Medicine, and Public Health     Open Access   (Followers: 11)
Family Practice     Hybrid Journal   (Followers: 12, SJR: 1.048, h-index: 77)
Fems Microbiology Ecology     Hybrid Journal   (Followers: 8, SJR: 1.687, h-index: 115)
Fems Microbiology Letters     Hybrid Journal   (Followers: 19, SJR: 1.126, h-index: 118)
Fems Microbiology Reviews     Hybrid Journal   (Followers: 24, 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: 17, 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: 29, SJR: 0.123, h-index: 10)
French Studies     Hybrid Journal   (Followers: 19, 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: 31, SJR: 1.839, h-index: 119)
German History     Hybrid Journal   (Followers: 24, 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: 46, 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: 21, SJR: 1.628, h-index: 66)
Health Promotion Intl.     Hybrid Journal   (Followers: 19, SJR: 0.664, h-index: 60)
History Workshop J.     Hybrid Journal   (Followers: 25, SJR: 0.313, h-index: 20)
Holocaust and Genocide Studies     Hybrid Journal   (Followers: 22, SJR: 0.115, h-index: 13)
Human Molecular Genetics     Hybrid Journal   (Followers: 10, SJR: 4.288, h-index: 233)
Human Reproduction     Hybrid Journal   (Followers: 73, SJR: 2.271, h-index: 179)
Human Reproduction Update     Hybrid Journal   (Followers: 15, 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: 53, SJR: 1.233, h-index: 88)
ICSID Review     Hybrid Journal   (Followers: 8)
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: 29, SJR: 0.184, h-index: 15)
Information and Inference     Free  
Integrative and Comparative Biology     Hybrid Journal   (Followers: 7, 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: 4, SJR: 0.743, h-index: 35)
Intl. Data Privacy Law     Hybrid Journal   (Followers: 27)
Intl. Health     Hybrid Journal   (Followers: 4, SJR: 0.835, h-index: 15)
Intl. Immunology     Hybrid Journal   (Followers: 4, SJR: 1.613, h-index: 111)
Intl. J. for Quality in Health Care     Hybrid Journal   (Followers: 32, SJR: 1.593, h-index: 69)
Intl. J. of Constitutional Law     Hybrid Journal   (Followers: 50, SJR: 0.613, h-index: 19)
Intl. J. of Epidemiology     Hybrid Journal   (Followers: 114, SJR: 4.381, h-index: 145)
Intl. J. of Law and Information Technology     Hybrid Journal   (Followers: 3, SJR: 0.247, h-index: 8)
Intl. J. of Law, Policy and the Family     Hybrid Journal   (Followers: 18, 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: 4, SJR: 1.69, h-index: 79)
Intl. J. of Public Opinion Research     Hybrid Journal   (Followers: 8, 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: 12, SJR: 0.833, h-index: 12)
Intl. Mathematics Research Notices     Hybrid Journal   (Followers: 1, SJR: 2.052, h-index: 42)
Intl. Mathematics Research Surveys - advance access     Hybrid Journal  
Intl. Political Sociology     Hybrid Journal   (Followers: 24, SJR: 1.339, h-index: 19)
Intl. Relations of the Asia-Pacific     Hybrid Journal   (Followers: 17, 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: 33, SJR: 2.184, h-index: 68)
Intl. Studies Review     Hybrid Journal   (Followers: 17, 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: 38, 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: 20, 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: 18, 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: 34, 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: 11, SJR: 0.196, h-index: 15)
J. of Consumer Research     Full-text available via subscription   (Followers: 38, SJR: 4.896, h-index: 121)
J. of Crohn's and Colitis     Hybrid Journal   (Followers: 9, SJR: 1.543, h-index: 37)
J. of Cybersecurity     Hybrid Journal   (Followers: 2)
J. of Deaf Studies and Deaf Education     Hybrid Journal   (Followers: 8, SJR: 0.69, h-index: 36)
J. of Design History     Hybrid Journal   (Followers: 15, 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: 31, SJR: 2.909, h-index: 69)
J. of Environmental Law     Hybrid Journal   (Followers: 25, SJR: 0.457, h-index: 20)
J. of European Competition Law & Practice     Hybrid Journal   (Followers: 19)
J. of Experimental Botany     Hybrid Journal   (Followers: 13, SJR: 2.798, h-index: 163)
J. of Financial Econometrics     Hybrid Journal   (Followers: 21, SJR: 1.314, h-index: 27)
J. of Global Security Studies     Hybrid Journal   (Followers: 2)
J. of Heredity     Hybrid Journal   (Followers: 3, 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: 21, 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: 9, SJR: 0.388, h-index: 31)
J. of Integrated Pest Management     Open Access   (Followers: 1)

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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  [368 journals]
  • Commentary on: Expanding Role of Orbital Decompression in Aesthetic
           Surgery
    • Authors: Schwaiger N; Richter DF.
      Abstract: We want to congratulate the senior author, Dr Taban, on his great results in orbital decompression in cosmetic patients with protruding eyes, and we want thank him for sharing his experience in performing this procedure in nonthyroid patients.1 In a retrospective analysis of 26 patients with nonthyroid eye prominence, he evaluated the reduction in axial globe position, cosmetic outcome, complications, and the satisfaction rate for each patient. In his case series, the etiology of the prominent eyes was nonthyroid-related in all patients, but the etiology varied considerably, including congenital shallow orbits, hypoplasia of malar eminence, enlarged globe from high myopia, buphthalmos, and relative proptosis from contralateral enophthalmos.
      PubDate: 2017-03-14
       
  • Commentary on: The Impact of a Plastic Surgeon’s Gender on Patient
           Choice
    • Authors: Wall S, Jr; Wall H.
      Abstract: The authors of “The Impact of a Plastic Surgeon’s Gender on Patient Choice” are to be commended for their well-designed and executed study on an important aspect of the drivers and marketing of elective aesthetic surgery.1 The overwhelming majority of patients seeking aesthetic surgery in the United States are females,2 with no prior study addressing specifically whether these patients prefer gender concordance with their surgeon. Ideally, in order to isolate for gender preference, a sample of females actively seeking aesthetic surgery would be asked whether they preferred a male or a female surgeon, with all other surgeon factors being the same. This sample would be difficult to execute in practice, given that rarely are all the other surgeon factors the same, or nearly the same, which is why this particular study is so interesting, and valid. The authors’ unique practice environment allowed for the reduction or elimination of several potentially confounding factors in this study. The authors, FLC and HJF, have an almost identically matched practice in terms of surgeon age, training, time in practice, practice mix, and reputation.3,4 In effect, this well-matched “couple” differs almost exclusively in gender, allowing them to answer the question, “Do female patients prefer a woman surgeon for aesthetic surgery?” Like the authors of the study, the authors of this commentary are another “couple” who are likewise well matched in all of the identical factors.
      PubDate: 2017-03-14
       
  • Drainless Abdominoplasty Using Barbed Progressive Tension Sutures
    • Authors: Isaac KV; Lista F, McIsaac MP, et al.
      Abstract: We describe our current technique of drainless abdominoplasty using barbed progressive tension sutures. The perioperative management and detailed steps of procedure are outlined, including indications for concomitantly performing liposuction and repair of diastasis of the rectus abdominis muscles. This approach reliably improves abdominal contour, minimizes complications, and is straightforward to learn and perform.
      PubDate: 2017-03-08
       
  • Comments on “Simplified Muscle-Suspension Lower Blepharoplasty by
           Orbicularis Hitch”
    • Authors: Devoto MH; Bernardini FP.
      Abstract: We would like to comment on the publication by Drs Little and Hartstein.1 The authors present a very useful technique to support the lid and to improve its contour, and they conclude that “orbicularis hitch is a safe, simple, and effective procedure for suspension based rejuvenation of the lower eyelid region. The technique allows the safe reversal of significant orbicularis oculi descent.”
      PubDate: 2017-02-25
       
  • Response to “Comments on ‘Simplified Muscle-Suspension Lower
           Blepharoplasty by Orbicularis Hitch’”
    • Authors: Little J; Hartstein ME.
      Abstract: Thank you for providing us with this opportunity to respond to the comments1 above concerning our recent article.2 Two years ago, you requested that the senior author (J.W.L.) provide the Journal with a Commentary3 for an article you had recently accepted for publication.4 For years he had resisted such requests for a number of reasons, among them the enmity frequently engendered in authors − within these small specialties of ours − who might find the proffered opinions insufficiently favorable (he knows of more than one plastic surgeon-scholar who have been “burned” in this regard and no longer accepts such assignments under any conditions). He found that the new article challenged a number of established principles in an otherwise controversial arena within the specialty and felt obligated to respond on behalf of the status quo (in spite of the above misgivings). To maintain a certain perspective on the current communication, then, it must be pointed out that one (among two) coauthors of the comments1 before us was lead author (among ten) of the aforementioned article.4
      PubDate: 2017-02-25
       
  • Commentary on: Three-Dimensional (3D) Columellar Strut Graft in
           Rhinoplasty
    • Authors: East C.
      Abstract: Modern rhinoplasty is characterized by conservation, reorientation, and recycling of tissues rather than resection. Restoration of support mechanisms, particularly in the nasal tip and middle third of the nose, has become increasingly important to achieve a stable and reliable long-term result. This article describes a technique of using the natural “spreader form” of the upper middle third of the septal/upper lateral complex to act as a supporting scaffold in maintaining the divergence of the intermediate crura and to provide a base for a septo columella suture, securing the crura to the septum.1 This type of graft is only applicable to primary rhinoplasty patients who have a high dorsum (ie, those needing a reduction rhinoplasty, which clearly make up the author’s patient population).
      PubDate: 2017-02-20
       
  • Three-Dimensional (3D) Columellar Strut Graft in Rhinoplasty
    • Authors: Topkara A.
      Abstract: Background:Nasal tip surgery is the most important and most difficult step of an aesthetic rhinoplasty operation. Various suture and grafting techniques have been described for adequate tip rotation and projection in nasal tip surgery.Objectives:The author describes his technique of “three-dimensional (3D) columellar strut graft” in nasal tip surgery.Methods:Each patient is treated using the open technique rhinoplasty. The author’s technique uses a 3D dorsal columellar strut with a special anatomy in the shape of a Y- on a horizontal plane. When the dorsal columellar strut is placed in a way to maintain the interdomal angle, this technique perfectly stabilizes the lower lateral cruses (LLCs) that have been shaped with cephalic dome suture (CDS).Results:A retrospective analysis of 78 patients, who underwent 3D columellar strut graft technique, were included in the study. The mean follow-up period was 15 months. All of the patients were satisfied with their tip shapes.Conclusions:The 3D dorsal columellar strut graft technique is an easily administered technique with reliable outcomes. The purpose of this graft is to support the reshaped LLCs with a perfect anatomic alignment. It does not require any additional cartilaginous graft in patients undergoing a reduction of the dorsum.Level of Evidence: 4
      PubDate: 2017-02-20
       
  • Comparing a Propofol Infusion With General Endotracheal Anesthesia in
           Plastic Surgery Patients
    • Authors: Swanson E; Gordon RJ.
      Abstract: Everyone is entitled to his own opinion, but not his own facts. – Daniel Patrick Moynihan1
      PubDate: 2017-02-18
       
  • Response to “Comparing a Propofol Infusion with General Endotracheal
           Anesthesia in Plastic Surgery Patients”
    • Authors: Morales R, Jr; Patronella C, Mentz H, III, et al.
      Abstract: We appreciate the opportunity to continue further discussion on our article1 about chemoprophylaxis. Relating to Dr Swanson’s recent reply,2 there is little if any new information in regard to the original topic of deep vein thrombosis (DVT) chemoprophylaxis. His letter is focused more specifically on the type of anesthesia. Anesthesia is very complex with patient comorbidities, dosages, drug choices, etc. Dr Swanson’s personal anesthesiologist’s opinion is not evidence-based medicine and sheds no scientific light on DVT prophylaxis. Anesthesia safety is another topic and is best suited for a separate article.3 As a rebuttal, our anesthesiologists believe that general anesthesia is the safest modality for our patients. We only use board certified anesthesiologists (who have an average tenure of 14 years with the practice) throughout the entirety of every procedure in our fully accredited outpatient surgery center. As with all specialties, each practitioner has his or her own beliefs in how they deliver medical care. Therefore, we choose to trust our anesthesiologists and their recommendations, as it is in the best interest of safety for our patients.
      PubDate: 2017-02-18
       
  • Contradictions in Piezosurgery
    • Authors: Çağıcı C.
      Abstract: The article “The Role of Piezoelectric Instrumentation in Rhinoplasty Surgery” from Gerbault et al1 is my favorite text on the use of piezosurgery in rhinoplasty. The article contains important details of ultrasonic rhinoplasty, including how the extensive subperiosteal elevation is performed before piezosurgery, how osteotomies are made with piezosurgery, the effect of the osteotomy pattern on the movement plane of the mobilized lateral wall, the correction of high septal deviation with piezosurgery, and the reduction of bony convexity of the nasal bone with piezosurgery.
      PubDate: 2017-02-18
       
  • Response to “Contradictions in Piezosurgery”
    • Authors: Gerbault O; Kosins AM.
      Abstract: We must first thank Dr Çağıcı for his kind comment1 on our article,2 but also for his very relevant questions. It is exciting for us that the advantages of piezosurgery appear to be spreading throughout the rhinoplasty world.
      PubDate: 2017-02-18
       
  • Commentary on: Complications After Cosmetic Surgery Tourism
    • Authors: Alizadeh K.
      Abstract: Despite negative reports in the popular media and multiple consensus statements by medical organizations about the dangers of medical tourism, the incidence of global travel for cosmetic surgery continues to rise. Medical tourism is clearly a price driven phenomenon that appeals to an audience who may not be as educated or care about the importance of quality in determining outcome. Like many other disruptive technologies, the consumer is willing to pay less and not expect as good a quality for their service.1 As consumers we make such choices every day when we decide to choose Airbnb (Airbnb, Inc., San Francisco, CA) over an established hotel or get a ride with an Uber (Uber, San Francisco, CA) driver over the official taxi which is regulated by the city and state laws. We are usually willing to sacrifice regulated services from institutions as long as we can improve convenience and price for a given product. And here lies the problem: medical tourism is not a product but a highly complex and potentially life altering service that has become commoditized by internet marketing and forces of disruption. While performing a search on this topic I was bombarded by ads for medical tourism with one stating: “Have your vacation surgery abroad and save over 90% on medical tourism.” The key drivers for this trend are therefore price, ease of travel, and positive image internet marketing.
      PubDate: 2017-02-16
       
  • Commentary on: Discriminative Thresholds in Facial Asymmetry: A Review of
           the Literature
    • Authors: Naini FB.
      Abstract: It is a pleasure to provide a commentary on this engaging and innovative review article.1 It is important at the outset, before delving into the crux of the article, to define what we mean by the type of studies reviewed in this article. Facial attractiveness research may be defined as the scientific study of facial beauty and physical attractiveness; the purpose is to find quantifiable evidence for the attractiveness of various facial parameters utilizing contemporary population survey preferences (using lay people, clinicians, and ideally patients as observers), rather than just relying on the subjective interpretations or observations made by artists or clinicians.2 Leonardo da Vinci (1452-1519) had perhaps the best eye for human beauty, in relation to both detail and understanding, but in terms of finding ideal facial proportions in his case for art and sculpture, he wrote: “make an effort to collect the good features from many beautiful faces, but let their beauty be confirmed rather by public renown than by your own judgement.”3 [Emphasis added] This is very important and is exactly what we do today in facial attractiveness research studies. The methods we employ were first described by the English artist William Hogarth (1697-1764).2,4 To find the “ideal” attractiveness of any object, Hogarth drew the object, and then proceeded to draw graded variations of the same image, varying ideally in only one respect. The individual images were then shown to members of the public who chose their favorite. This, in essence, is still what we do today. This innovative approach means that we may come closer to finding out why one image is preferred over another. In modern facial attractiveness research, the technique may be taken one step further: in addition to finding the most attractive image among a set of images, we may also gain an understanding of the range of normal variability in terms of observer acceptance; further still, we may find threshold values or “cutoff” points in terms of desire for surgery. In this review, the authors have concentrated on the threshold values of desire for surgery, which are extremely important, and which they have termed “discriminative thresholds,” but the ranges of normal variability for any facial parameter should not be ignored.
      PubDate: 2017-02-14
       
  • Discriminative Thresholds in Facial Asymmetry: A Review of the Literature
    • Authors: Wang TT; Wessels L, Hussain G, et al.
      Abstract: Background:Facial symmetry is intimately correlated with attractiveness. Perfect facial symmetry is disconcerting and a degree of facial asymmetry is considered normal. There is a lack of data on the limits of normality across facial subunits.Objectives:This systematic review aims to establish categories of facial asymmetry perception for facial aesthetic units by establishing a discriminative threshold of “deformity perception” across facial subunits and a threshold for intervention (unacceptable asymmetry).Methods:A review of the literature was performed across Medline and Embase databases using OvidSP. All prospective studies evaluating the perception of progressive facial asymmetry in laymen or clinicians using a two- or three-dimensional model were included. Studies that did not evaluate rates of perception at varying degrees of asymmetry were excluded as these did not allow for the identification of a perceptive threshold.Results:Each facial feature possesses a unique threshold of perception defined by an abrupt, statistically significant increase in detection. Asymmetry of the eyelid position at rest is the most sensitive facial feature (perceptive threshold, 2 mm) (P < 0.02). This is followed by deviations of the oral commissure (3 mm) (P < 0.001), brow position (3.5 mm) (P < 0.001), nasal tip deviation (4 mm) (P < 0.001), and chin deviation (6 mm) (P < 0.001). Desire for surgery for worsening deformities beyond the intervention threshold is characterized by an exponential, rather than linear, correlation.Conclusions:Categories of facial asymmetry perception establish a framework to counsel patients with facial asymmetries, and are a valuable adjunct to clinical judgment in the management of static and dynamic facial deformities.
      PubDate: 2017-02-14
       
  • Comments on “The Effects of Fat Harvesting and Preparation, Air
           Exposure, Obesity, and Stem Cell Enrichment on Adipocyte Viability Prior
           to Graft Transplantation”
    • Authors: Wang C; Luan J.
      Abstract: We read with respect the recent article entitled “The Effects of Fat Harvesting and Preparation, Air Exposure, Obesity, and Stem Cell Enrichment on Adipocyte Viability Prior to Graft Transplantation” by Cucchiani and Corrales1 in Aesthetic Surgery Journal. In this article, the authors did excellent work to investigate the adipocyte viability affected by fat preparation and processing methods, which are all frequently used in clinical practice. In this communication, we would like to propose some protocols that we hope are conductive in the authors’ future studies.
      PubDate: 2017-02-12
       
  • Response to “Comments on ‘The Effects of Fat Harvesting and
           Preparation, Air Exposure, Obesity, and Stem Cell Enrichment on Adipocyte
           Viability Prior to Graft Transplantation’”
    • Authors: Cucchiani R; Corrales L.
      Abstract: We appreciate the Letter to the Editor by Chenglong Wang and Jie Luan.1
      PubDate: 2017-02-12
       
  • Commentary on: Role of Macrotextured Shaped Extra Full Projection Cohesive
           Gel Implants in Primary Aesthetic Breast Augmentation
    • Authors: Cooter RD.
      Abstract: The purpose of a study involving any high risk medical devices like breast implants should be to inform future implanters about how to enhance their skills to achieve better outcomes or how to avoid surgical pitfalls to thereby reduce complications. Surgical information to achieve these objectives should be easily replicable lest we repeat the same mistakes so often seen early in a series. Ultimately any such report should be able to demonstrate enhanced patient value. To do so the study must have sufficient power by virtue of a critical volume of patients treated and show results demonstrably superior to existing techniques, and those results should be maintained in the longer term.
      PubDate: 2017-01-27
       
  • The “Maintenance” Facelift: A Misnomer?
    • Authors: Nahai F.
      Abstract: Early in my career—before the soaring popularity of neuromodulators and fillers1 and the subsequent plethora of shopping mall medispas—if I saw a patient in consultation for a facelift whom I felt wasn’t quite ready for surgery, I would truthfully tell her so. I believed I was doing the right thing, despite the fact that my actions certainly did nothing to help my fledgling practice’s bottom line! Invariably, such a patient would walk speedily out my door and straight into another plastic surgeon’s office, where she would promptly undergo the facelift that I had said she didn’t need. After a while, it began to dawn on me that my sacrifice had been in vain; my patient did not appreciate my honesty, nor did it stop her from proceeding with the facelift she was determined to have—possibly (I immodestly surmised) obtaining a lesser result than I might have achieved for her. And while I tried to console myself with the thought that I was “above” telling her what she wanted to hear simply because she wanted to hear it, it was painful to realize that I most likely had lost her for the next 20 or 30 years.
      PubDate: 2017-01-20
       
  • Expanding Role of Orbital Decompression in Aesthetic Surgery
    • Authors: Taban M.
      Abstract: Background:Eye prominence is a source of cosmetic “deformity” for many patients not afflicted by Graves.Objectives:To report our experience in using customized orbital decompression for purely aesthetic reason to reduce eye prominence in non-thyroid patients.Methods:Retrospective analysis of patients undergoing cosmetic orbital decompression by one surgeon. Surgical technique included customized graded orbital bony-wall decompression (lateral-wall, basin, medial-wall, posterior-strut) and intraconal fat removal using eyelid crease and/or caruncle incisions. Inclusion criteria included any patient with relative prominent eye due to non-thyroid etiology. Preoperative and postoperative photographs at longest follow-up were used for analysis. Outcome measures included patient satisfaction (via a written questionnaire) and complication rates.Results:Etiologies of prominent eyes included congenital shallow orbits (14), congenital hypoplasia of malar-eminence (5), enlarged globe from high myopia (5), buphthalmos (1), and relative proptosis from contralateral enophthalmos (1). Concurrent procedures included lower eyelid-retractors lysis (5), periocular fat injection (3), tear-trough implant (3), canthoplasty (3), and periocular filler injection (3). Mean patient age was 33.8 years (range, 19-60 years). The average follow-up was 9 months (range, 6 months-4 years). All 26 patients (11 males, 15 females) had reduction in globe prominence. The mean reduction in axial globe position was 3.1 mm (range, 1.5-6.2 mm). Twenty-four of 26 patients were satisfied with the surgical outcome, with 2 patients complaining of sunken eyes. No case of permanent diplopia occurred.Conclusions:Orbital decompression may be done for cosmetic purpose, effectively and safely, to reduce eye prominence in non-thyroid patients by an experienced orbital surgeon.Level of Evidence: 4
      PubDate: 2017-01-19
       
  • Bra Sizing and the Plastic Surgery Herd Effect: Are Breast Augmentation
           Patients Getting Accurate Information?
    • Authors: Costa CR; Small KH, Adams WP, Jr.
      Abstract: Background:Bra sizing is a common method to preoperatively select implants for breast augmentation; however, no series has analyzed the accuracy of this modality postoperatively. Alternatively, previous investigations have validated the accuracy and utility of three-dimensional (3D) imaging for preoperative simulation in breast augmentation.Objectives:This investigation utilizes 3D analysis to determine if preoperative bra sizing provides equivocal information compared to surgical 3D simulation for patient education and planning prior to a breast augmentation.Methods:During primary breast augmentation consultation, patients received preoperative 3D images and associated simulations. Sizers, equivocal to the implants chosen in the simulation, were placed in a surgical bra, and 3D images were repeated. Volumetric and contour analyses were compared between the surgical simulation and the bra/sizer image. All patients used a surgical bra and smooth, round silicone sizers (average volume, 302 cc; range, 265-339 cc).Results:Seven patients (14 breasts) underwent analysis and comparison. The mean bra/sizer volume image was 22.3% greater than the preoperative simulated breast image. The mean absolute difference of all surface points between the two breast images was 9.25 mm (range, 5.98-11.96 mm; standard deviation, 8.59). The maximum anterior displacement of the bra image from the simulated image was 19.52 mm, centered at the upper pole; the maximum posterior displacement was 25.49 mm, centered at the lower pole.Conclusions:In comparison to 3D simulation, preoperative bra sizing overestimates postoperative volume, and upper pole fullness and underestimates lower pole projection. This investigation outlines some deficiencies of bra sizing and offers solutions for clinical management in primary breast augmentation.Level of Evidence: 2
      PubDate: 2017-01-17
       
  • Commentary on: Adipose Stem Cell Function Maintained with Age: An
           Intra-Subject Study of Long-Term Cryopreserved Cells
    • Authors: Irizarry D; Longaker MT, Wan DC.
      Abstract: With an aging population and a broadening range of pathologies with potential treatments involving stem cells, studies analyzing the use of adipose-derived stromal cells (ASCs) in an older population are increasingly important. Adipose tissue is a readily available source of multipotent stem cells, however, some reports have suggested ASC function may decrease with age.1 Therefore, cryopreservation of stem cells has arisen as an attractive option to preserve cells in their younger form, with the most well-known example being umbilical cord blood banking. To further elucidate how age may alter yield and differentiation capacity of ASCs, this present study2 compares recently cryopreserved ASCs to long-term cryopreserved cells. ASCs are known to be heterogeneous and significant differences exist in these cells from person to person and from donor site to donor site.3,4 Importantly, this study controls for these variables by evaluating ASC yield and function from the same study participants and from the same donor site over an extended period of time.
      PubDate: 2016-12-30
       
  • Nonsurgical Facial Rejuvenation Procedures in Patients Under 50 Prior to
           Undergoing Facelift: Habits, Costs, and Results
    • Authors: Jacono AA; Malone MH, Lavin T.
      Abstract: Background:Facial rejuvenation in patients younger than 50 years of age has experienced an unprecedented growth with multimodality nonsurgical and less invasive rhytidectomy techniques.Objectives:To analyze the nonsurgical treatment habits of patients prior to undergoing rhytidectomy at
      PubDate: 2016-12-13
       
  • The Impact of a Plastic Surgeon’s Gender on Patient Choice
    • Authors: Huis in ’t Veld EA; Canales FL, Furnas HJ.
      Abstract: Background:In the patient-driven market of aesthetic surgery, an understanding of the factors that patients consider in their choice of surgeon can inform the individual plastic surgeon’s marketing strategy. Previous studies have investigated patient gender preferences for physicians in other specialties, but none has investigated whether patients consider gender when choosing a plastic surgeon.Objectives:The purpose of this study is to determine the impact of a plastic surgeon’s gender on patient choice.Methods:A prospective study was conducted in a single private practice of two plastic surgeons, one male and one female, both closely matched in training, experience, and reputation. Two hundred consecutive patients calling for a consultation were asked if they preferred a male or female doctor; their preference, age, and area(s) of interest were recorded.Results:All patients were women. Nearly half (46%) had no gender preference, 26% requested a female surgeon, and 1% requested a male. Preference for a female surgeon was significant (Binomial-test: P < 0.001). The remaining 27% requested a specific doctor, with slightly more requesting (53.7%) the male surgeon by name, than requested the female surgeon by name (46.3%), a difference that was not statistically significant (P = 0.683).Conclusions:Most female patients interested in aesthetic surgery have no gender preference. Of those who do, nearly all requested a female plastic surgeon. More important than a plastic surgeon’s gender, however, is a plastic surgeon’s reputation.
      PubDate: 2016-12-02
       
  • Complications After Cosmetic Surgery Tourism
    • Authors: Klein HJ; Simic D, Fuchs N, et al.
      Abstract: Background:Cosmetic surgery tourism characterizes a phenomenon of people traveling abroad for aesthetic surgery treatment. Problems arise when patients return with complications or need of follow-up care.Objectives:To investigate the complications of cosmetic surgery tourism treated at our hospital as well as to analyze arising costs for the health system.Methods:Between 2010 and 2014, we retrospectively included all patients presenting with complications arising from cosmetic surgery abroad. We reviewed medical records for patients’ characteristics including performed operations, complications, and treatment. Associated cost expenditure and Diagnose Related Groups (DRG)-related reimbursement were analyzed.Results:In total 109 patients were identified. All patients were female with a mean age of 38.5 ± 11.3 years. Most procedures were performed in South America (43%) and Southeast (29.4%) or central Europe (24.8%), respectively. Favored procedures were breast augmentation (39.4%), abdominoplasty (11%), and breast reduction (7.3%). Median time between the initial procedure abroad and presentation was 15 days (interquartile range [IQR], 9) for early, 81.5 days (IQR, 69.5) for midterm, and 4.9 years (IQR, 9.4) for late complications. Main complications were infections (25.7%), wound breakdown (19.3%), and pain/discomfort (14.7%). The majority of patients (63.3%) were treated conservatively; 34.8% became inpatients with a mean hospital stay of 5.2 ± 3.8 days. Overall DRG-related reimbursement premiums approximately covered the total costs.Conclusions:Despite warnings regarding associated risks, cosmetic surgery tourism has become increasingly popular. Efficient patients’ referral to secondary/tertiary care centers with standardized evaluation and treatment can limit arising costs without imposing a too large burden on the social healthcare system.Level of Evidence: 4
      PubDate: 2016-11-14
       
  • Role of Macrotextured Shaped Extra Full Projection Cohesive Gel Implants
           in Primary Aesthetic Breast Augmentation
    • Authors: Montemurro P; Cheema M, Hedén P, et al.
      Abstract: Background:Extra full projection implants are used in a select group of aesthetic breast surgery patients. Their use is selective enough that they have not been included in long term manufacturer studies and the indications for their use have attracted much debate. Only a handful of studies have reported the outcomes from implantation of these devices.Objectives:We review our experience of using extra full projection anatomically shaped macrotextured silicone gel implants discussing our rationale, indications, and results.Methods:All patients undergoing primary aesthetic breast surgery with extra full projection anatomical implants by the first author (P.M.) over a seven-year period (January 2009 to December 2015) were included.Results:Three hundred and ten female patients had 620 macrotextured extra full projection anatomically shaped cohesive silicone gel breast implants of mean volume 338 cc (range, 195-615 cc) placed over the seven-year period. All of them had at least a 6-months follow up. There were 39 complications (12.6%) at an average follow up of 12.3 months, including implant malposition/rotation (5.4%), capsular contracture (2.6%), and bottoming out (1.6%). A total of 41 patients (13.2%) were reoperated, of which 30 (9.7%) were due to a complication and 11 (3.5%) because of patient choice. Most of the complications were in the initial part of the case series.Conclusions:The outcomes following the use of extra full projection implants in a carefully selected group of patients are comparable in the short term to those reported for other shaped implants and complications appear to decrease with experience.Level of Evidence: 4
      PubDate: 2016-11-11
       
  • Extended Submuscular Implant-Based Breast Reconstruction with
           Pectoralis-Serratus Sling and Acellular Dermal Matrix
    • Authors: Kolker AR; Piccolo PP.
      Abstract: Partial muscle coverage with the use of acellular dermal matrix (ADM) has become commonplace in implant-based breast reconstruction.1-8 Compared with total submuscular coverage,9-12 the advantages of partial muscle coverage and ADM have included greater primary implant fill volumes, quicker expansion, increased lower pole expansion, and improved breast aesthetics.5,8,13-15 Since Breuing and Warren’s 2005 description,1 ADM has been widely used as a “pectoralis extender” and “inferolateral sling.” Having amassed experience and largely favorable results with this classical technique,1 we have nevertheless found several limitations with this approach, primarily related to the incision of the lateral margin of the pectoralis major muscle and the requisite lateral inset of the allograft. First, the lateral ADM inset requires two suture lines, along both the incised pectoralis major muscle lateral margin and serratus fascia, which can be time intensive. Second, lateral allograft inset can be technically arduous, particularly through increasingly limited-length or inframammary mastectomy incisions. Finally, we had commonly noted lateralization of the breast pocket throughout the expansion process, with varying degrees of lateral breast prosthesis displacement, that have necessitated onerous and additional time-intensive lateral capsulorrhaphy maneuvers to re-define the lateral pocket at the second stage.
      PubDate: 2016-11-10
       
  • Adipose Stem Cell Function Maintained with Age: An Intra-Subject Study of
           Long-Term Cryopreserved Cells
    • Authors: Kokai LE; Traktuev DO, Zhang L, et al.
      Abstract: Background:The progressive decline in tissue mechanical strength that occurs with aging is hypothesized to be due to a loss of resident stem cell number and function. As such, there is concern regarding use of autologous adult stem cell therapy in older patients. To abrogate this, many patients elect to cryopreserve the adipose stromal-vascular fraction (SVF) of lipoaspirate, which contains resident adipose stem cells (ASC). However, it is not clear yet if there is any clinical benefit from banking cells at a younger age.Objectives:We performed a comparative analysis of SVF composition and ASC function from cells obtained under GMP conditions from the same three patients with time gap of 7 to 12 years.Methods:SVF, cryobanked under good manufacturing practice (GMP) conditions, was thawed and cell yield, viability, and cellular composition were assessed. In parallel, ASC proliferation and efficiency of tri-lineage differentiation were evaluated.Results:The results showed no significant differences existed in cell yield and SVF subpopulation composition within the same patient between harvest procedures 7 to 12 years apart. Further, no change in proliferation rates of cultured ASCs was found, and expanded cells from all patients were capable of tri-lineage differentiation.Conclusions:By harvesting fat from the same patient at two time points, we have shown that despite the natural human aging process, the prevalence and functional activity of ASCs in an adult mesenchymal stem cell, is highly preserved.Level of Evidence: 5
      PubDate: 2016-11-05
       
  • Does the Addition of Progressive Tension Sutures to Drains Reduce Seroma
           Incidence After Abdominoplasty? A Systematic Review and Meta-Analysis
    • Authors: Jabbour S; Awaida C, Mhawej R, et al.
      Abstract: BackgroundProgressive tension sutures (PTS) are commonly utilized to reduce postoperative seroma in abdominoplasty. However, current evidence regarding PTS in abdominoplasty is limited to small series and the findings of single institutions.ObjectivesThe authors reviewed the available literature concerning the effects of PTS and drains on seroma formation following abdominoplasty, and summarized the different techniques that have been described to date.MethodsWe conducted a systematic review of the Medline, Embase, and Cochrane databases. We identified randomized controlled trials (RCTs) and observational studies in which the numbers of patients who had postoperative seroma were indicated. We applied the Cochrane Collaboration's tool for assessing the risk of bias.ResultsSeven studies were included (three RCTs and four retrospective studies). Patients who had PTS and drains following abdominoplasty had a significantly lower rate of postoperative seroma than those who had drains only. The mean surgical time difference between the two groups was 23 minutes. There was no difference in postoperative seroma rate in patients who had PTS and drains placed following abdominoplasty compared to those who had PTS only.ConclusionsAddition of PTS to drains reduces the risk of postoperative seroma in standard abdominoplasty. More RCTs with larger sample sizes and better comparability are warranted to confirm with more confidence the impact of PTS in abdominoplasty.Level of Evidence 2
      PubDate: 2016-10-27
       
 
 
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