Plastic and Reconstructive Surgeryjournals.lww.com/plasreconsurg/Documents/toc_140_6.pdf ·...

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Plastic and Reconstructive Surgery ® BREAST Original Article 1081 Prescription Opioid Use among Opioid-Naive Women Undergoing Immediate Breast Reconstruction Daniel P. Marcusa, B.A., Rachel A. Mann, B.A., David C. Cron, B.S., Brooklyn R. Fillinger, B.S., B.A., Alexandra K. Rzepecki, B.S., Jeffrey H. Kozlow, M.D., M.S., Adeyiza Momoh, M.D., Michael Englesbe, M.D., Chad Brummett, M.D., and Jennifer F. Waljee, M.D., M.S. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. Outcomes Article 1091 Acellular Dermal Matrix in Immediate Expander/Implant Breast Reconstruction: A Multicenter Assessment of Risks and Benefits Michael Sorkin, M.D., Ji Qi, M.S., Hyungjin M. Kim, Sc.D., Jennifer B. Hamill, M.P.H., Jeffrey H. Kozlow, M.D., M.S., Andrea L. Pusic, M.D., M.H.S., and Edwin G. Wilkins, M.D., M.S. Original Articles 1101 Clinical and Quantitative Isokinetic Comparison of Abdominal Morbidity and Dynamics following DIEP versus Muscle-Sparing Free TRAM Flap Breast Reconstruction Hirokazu Uda, M.D., Hideaki Kamochi, M.D., Syunji Sarukawa, M.D., Ataru Sunaga, M.D., Yasushi Sugawara, M.D., and Kotaro Yoshimura, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. 1110 Revisiting the Abdominal Donor Site: Introducing a Novel Nomenclature for Autologous Breast Reconstruction Jason M. Weissler, M.D., Frank P. Albino, M.D., Martin J. Carney, B.S., and Liza C. Wu, M.D. 1119 Discussion: Revisiting the Abdominal Donor Site: Introducing a Novel Nomenclature for Autologous Breast Reconstruction John Y. S. Kim, M.D. 1121 The Impact of Autologous Breast Reconstruction on Body Mass Index Patterns in Breast Cancer Patients: A Propensity- Matched Analysis Eugenia H. Cho, B.S., Ronnie L. Shammas, B.S., Adam D. Glener, B.S., Rachel A. Greenup, M.D., M.P.H., E. Shelley Hwang, M.D., M.P.H., and Scott T. Hollenbeck, M.D. VOLUME 140 • NUMBER 6 • DECEMBER 2017 Continued CONTENTS denotes online-only article denotes supplemental digital content in the text denotes associated video cpt denotes special coding perspective denotes journal club selection PLASTIC AND RECONSTRUCTIVE SURGERY ® (ISSN 0032-1052) is the official journal of the American Society of Plastic Surgeons and is published monthly by Wolters Kluwer Health, Inc., 14700 Citicorp Drive, Bldg 3, Hagerstown, Md. 21742. Business offices are located at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103. Production offices are located at 351 West Camden Street, Baltimore, MD 21201-2436. Printed in USA on acid-free paper. Subscription rates: $1129 individual domestic, $1070 individual international, $2024 institutional domestic, $2726 institutional international, $541 resident/student domestic, $568 resident/student international, $225 single copy. The GST number for Canadian subscribers is 895524239RT. Canadian Publication Agreement 40052291. (Prices subject to change.) POSTMASTER: Send address changes to PLASTIC AND RECONSTRUCTIVE SURGERY ® , P.O. Box 1610, Hagerstown, MD 21740. Periodicals postage paid at Hagerstown, Maryland, and at additional mailing offices. © 2017 by the American Society of Plastic Surgeons. On the Cover Operative method of oblique osteotomy with autologous fat grafting. A brief illustra- tion showing oblique osteotomy with autologous fat grafting in patients with the Wassel type IV polydactyly and zigzag deformities of the thumb. Osteotomy was performed at the proximal phalangeal level, and autologous fat was grafted to areas with soft- tissue deficiency (Printed with permission from Ha Young Wang © 2015). See related article, “Oblique Osteotomy for the Correction of the Zigzag Deformity of Wassel Type IV Polydactyly,” by Kwon et al., pages 1220-1228. 1101 1110 1110

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Page 1: Plastic and Reconstructive Surgeryjournals.lww.com/plasreconsurg/Documents/toc_140_6.pdf · Endoscopic Brow Lift, Upper and Lower Blepharoplasty, Retinacular Canthopexy James M. Stuzin,

Plastic andReconstructiveSurgery®

BREAST

Original Article1081 Prescription Opioid Use among Opioid-Naive Women

Undergoing Immediate Breast ReconstructionDaniel P. Marcusa, B.A., Rachel A. Mann, B.A., David C. Cron, B.S., Brooklyn R. Fillinger, B.S., B.A., Alexandra K. Rzepecki, B.S., Jeffrey H. Kozlow, M.D., M.S., Adeyiza Momoh, M.D., Michael Englesbe, M.D., Chad Brummett, M.D., and Jennifer F. Waljee, M.D., M.S. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Outcomes Article1091 Acellular Dermal Matrix in Immediate Expander/Implant

Breast Reconstruction: A Multicenter Assessment of Risks and BenefitsMichael Sorkin, M.D., Ji Qi, M.S., Hyungjin M. Kim, Sc.D., Jennifer B. Hamill, M.P.H., Jeffrey H. Kozlow, M.D., M.S., Andrea L. Pusic, M.D., M.H.S., and Edwin G. Wilkins, M.D., M.S.

Original Articles1101 Clinical and Quantitative Isokinetic Comparison of

Abdominal Morbidity and Dynamics following DIEP versus Muscle-Sparing Free TRAM Flap Breast ReconstructionHirokazu Uda, M.D., Hideaki Kamochi, M.D., Syunji Sarukawa, M.D., Ataru Sunaga, M.D., Yasushi Sugawara, M.D., and Kotaro Yoshimura, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1110 Revisiting the Abdominal Donor Site: Introducing a Novel Nomenclature for Autologous Breast ReconstructionJason M. Weissler, M.D., Frank P. Albino, M.D., Martin J. Carney, B.S., and Liza C. Wu, M.D.

1119 Discussion: Revisiting the Abdominal Donor Site: Introducing a Novel Nomenclature for Autologous Breast ReconstructionJohn Y. S. Kim, M.D.

1121 The Impact of Autologous Breast Reconstruction on Body Mass Index Patterns in Breast Cancer Patients: A Propensity-Matched AnalysisEugenia H. Cho, B.S., Ronnie L. Shammas, B.S., Adam D. Glener, B.S., Rachel A. Greenup, M.D., M.P.H., E. Shelley Hwang, M.D., M.P.H., and Scott T. Hollenbeck, M.D.

VOLUME 140 • NUMBER 6 • DEcEMBER 2017

Continued

cONTENTS

denotes online-only article

denotes supplemental digital content in the text

denotes associated videocpt denotes special

coding perspectivedenotes journal club selection

PLASTIC AND RECONSTRUCTIVE SURGERY® (ISSN 0032-1052) is the official journal of the American Society of Plastic Surgeons and is published monthly by Wolters Kluwer Health, Inc., 14700 Citicorp Drive, Bldg 3, Hagerstown, Md. 21742. Business offices are located at Two Commerce Square, 2001 Market Street, Philadelphia, PA 19103. Production offices are located at 351 West Camden Street, Baltimore, MD 21201-2436. Printed in USA on acid-free paper. Subscription rates: $1129 individual domestic, $1070 individual international, $2024 institutional domestic, $2726 institutional international, $541 resident/student domestic, $568 resident/student international, $225 single copy. The GST number for Canadian subscribers is 895524239RT. Canadian Publication Agreement 40052291. (Prices subject to change.) POSTMASTER: Send address changes to PLASTIC AND RECONSTRUCTIVE SURGERY®, P.O. Box 1610, Hagerstown, MD 21740. Periodicals postage paid at Hagerstown, Maryland, and at additional mailing offices. © 2017 by the American Society of Plastic Surgeons.

On the CoverOperative method of oblique osteotomy with autologous fat grafting. A brief illustra-tion showing oblique osteotomy with autologous fat grafting in patients with the Wassel type IV polydactyly and zigzag deformities of the thumb. Osteotomy was performed at the proximal phalangeal level, and autologous fat was grafted to areas with soft-tissue deficiency (Printed with permission from Ha Young Wang © 2015). See related article, “Oblique Osteotomy for the Correction of the Zigzag Deformity of Wassel Type IV Polydactyly,” by Kwon et al., pages 1220-1228.

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Continued

Evidence-Based Guidelines and Measures775e Evidence-Based Performance Measures: Quality Metrics for

the Care of Patients Undergoing Breast ReconstructionMichele A. Manahan, M.D., William A. Wooden, M.D., Stephen M. Becker, M.D., Jason R. Cacioppo, M.D., Stephen B. Edge, M.D., Amanda C. Grandinetti, M.P.H., Diedra D. Gray, M.P.H., Susan O. Holley, M.D., Ph.D., Nolan S. Karp, M.D., Ergun Kocak, M.D., Roshni Rao, M.D., Gedge D. Rosson, M.D., Jaime S. Schwartz, M.D., Thomas J. Sitzman, M.D., Hooman T. Soltanian, M.D., Sarvam P. TerKonda, M.D., and Anne M. Wallace, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

cOSMETIc

Baker Gordon Symposium VideoPRSJournal.com Exclusive

Surgery VideoEndoscopic Brow Lift, Upper and Lower Blepharoplasty, Retinacular CanthopexyJames M. Stuzin, M.D.

This video demonstrates the technique of combining upper and lower blepharoplasty with endoscopic brow lifting. The upper lid blepharoplasty preserves upper lid orbicularis oculi to maintain upper lid volume, while the lower blepharoplasty utilizes a transconjunctival approach to the lower lid fat in combination with a formal skin flap dissection to address concerns regarding treating lower eyelid skin. Shaping of the lower lid utilizing a lateral retinacular canthopexy, as well as resuspension of the lower lid orbicularis oculi, is demonstrated. The endoscopic brow lift is preformed via an optical cavity formed via a subperiosteal dissection accessed through a small incision in the lateral upper lid, followed by traditional subperiosteal endoscopic release of the forehead and temporal region. Brow elevation, accentuation of brow arching and brow fixation are performed utilizing an Endotine fixation device.

To watch the surgery videos, go to www.PRSJournal.com.

Original Articles1133 Prospective Controlled Study of Chin Augmentation by

Means of Fat GraftingFilipe V. Basile, M.D., and Antonio R. Basile, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.VIDEO DISCUSSION BY BERNARD MARKOWITZ, M.D., IS AVAILABLE ONLINE FOR THIS ARTICLE.

1142 Mentor Contour Profile Gel Implants: Clinical Outcomes at 10 YearsDennis C. Hammond, M.D., John W. Canady, M.D., Tim R. Love, M.D., Roger N. Wixtrom, Ph.D., and David A. Caplin, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1151 Prospective, Double-Blind Evaluation of Umbilicoplasty Techniques Using Conventional and Crowdsourcing MethodsCharlotte L. van Veldhuisen, B.Sc., Parisa Kamali, M.D., Winona Wu, B.Sc., Babette E. Becherer, B.Sc., Hani H. Sinno, M.D., C.M., M.Eng., Azra A. Ashraf, M.D., Ahmed M. S. Ibrahim, M.D., Adam Tobias, M.D., Bernard T. Lee, M.D., M.P.H., M.B.A., and Samuel J. Lin, M.D., M.B.A. 1151

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Ideas and Innovations1163 Augmentation of the Nasal Dorsum Using the Multistrip

Autologous Cartilage TechniqueLiqiang Liu, M.D., Zhaoyun Bu, Jincai Fan, M.D., Jia Tian, M.D., Cheng Gan, M.D., Zengjie Yang, M.D., and Hu Jiao, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Special Topic782e Optimizing Postsurgical Scars: A Systematic Review on Best

Practices in Preventative Scar ManagementJustin L. Perez, M.D., and Rod J. Rohrich, M.D.

EXPERIMENTAL

Original Articles1169 The Tissue-Engineered Tendon-Bone Interface: In Vitro and

In Vivo Synergistic Effects of Adipose-Derived Stem Cells, Platelet-Rich Plasma, and Extracellular Matrix HydrogelRory McGoldrick, M.D., B.Sc., M.B.A., Arhana Chattopadhyay, B.A., Christopher Crowe, B.S., Grace Chiou, M.D., Kenneth Hui, B.A., Simon Farnebo, M.D., Ph.D., Christopher Davis, M.D., B.Sc., Anais Le Grand, M.D., Molly Jacobs, Ph.D., Hung Pham, B.S., and James Chang, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1185 Optimization and Standardization of the Immunodeficient Mouse Model for Assessing Fat Grafting OutcomesLauren E. Kokai, Ph.D., Taraneh L. Jones, B.S., Russell Silowash, D.O., Brian Theisen, M.D., Gabriella DiBernardo, B.S., Andrew Lu, B.S., Bowen Yi, B.S., Kacey G. Marra, Ph.D., and J. Peter Rubin, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1195 Protective Effect of Hydrogen Gas Inhalation on Muscular Damage Using a Mouse Hindlimb Ischemia-Reperfusion Injury ModelMai Watanabe, M.D., Naomi Kamimura, Ph.D., Katsuya Iuchi, Ph.D., Kiyomi Nishimaki, M.B.B.S., Takashi Yokota, Ph.D., Rei Ogawa, M.D., Ph.D., and Shigeo Ohta, Ph.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1207 Discussion: Protective Effect of Hydrogen Gas Inhalation on Muscular Damage Using a Mouse Hindlimb Ischemia-Reperfusion Injury ModelIndranil Sinha, M.D., Giorgio Giatsidis, M.D., and Dennis P. Orgill, M.D., Ph.D.

HAND/PERIPHERAL NERVE

Original Articles1209 Upper Extremity Innervation Patterns and Clinical

Implications for Nerve and Tendon TransferEllen Y. Lee, M.D., Sandeep J. Sebastin, M.Ch.(Plast.), Andre Cheah, M.B.A., V. P. Kumar, F.R.C.S., and Aymeric Y. T. Lim, F.R.C.S.

1220 Oblique Osteotomy for the Correction of the Zigzag Deformity of Wassel Type IV PolydactylyByung Jun Kim, M.D., Jun Ho Choi, M.D., and Sung Tack Kwon, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Ideas and Innovations1229 Simultaneous Stiles-Bunnell Tendon Transfer Enhances

Intrinsic Function of Second-Toe TransplantationsYu-Te Lin, M.D., M.S., Charles Yuen Yung Loh, M.B.B.S., M.Sc., M.S., Shwu-Huei Lien, O.T., B.S., Chih-Hung Lin, M.D., and Fu-Chan Wei, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

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PEDIATRIc/cRANIOFAcIAL

Original Articles1235 Is Postoperative Intensive Care Unit Care Necessary

following Cranial Vault Remodeling for Sagittal Synostosis?Erik M. Wolfswinkel, M.D., Lori K. Howell, M.D., Artur Fahradyan, M.D., Beina Azadgoli, M.S., J. Gordon McComb, M.D., and Mark M. Urata, M.D., D.D.S.THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.

1240 Cephalometric Predictors of Clinical Severity in Treacher Collins SyndromeElçin Esenlik, D.D.S., Ph.D., Natalie M. Plana, B.A., Barry H. Grayson, D.D.S., and Roberto L. Flores, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.

794e Five-Year Follow-Up of Midface Distraction in Growing Children with Syndromic CraniosynostosisParit A. Patel, M.D., Pradip Shetye, D.D.S., M.D.S., Stephen M. Warren, M.D., Barry H. Grayson, D.D.S., and Joseph G. McCarthy, M.D.THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.

804e Discussion: Five-Year Follow-Up of Midface Distraction in Growing Children with Syndromic CraniosynostosisJeffrey A. Fearon, M.D.

Ideas and Innovations1251 A New Method for Reconstruction of Vermilion Deficiency in

Cleft Lip Deformity: The Bi-Winged Myomucosa Switch FlapKyung Hoon Chung, M.D., and Lun-Jou Lo, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.CODING PERSPECTIVE FOR THIS ARTICLE IS ON PAGE 1254.

1256 Discussion: A New Method for Reconstruction of Vermilion Deficiency in Cleft Lip Deformity: The Bi-Winged Myomucosa Switch FlapDavid A. Staffenberg, M.D., D.Sc.(Hon.)

REcONSTRUcTIVE

Head and Neck

Ideas and Innovations1259 The Surgeon’s Fist with the Thumb Up to Guide the Design

and Inset of the Osteoseptocutaneous Fibula Flap in Mandibular ReconstructionNidal F. AL Deek, M.D., M.S.C., Chung-Kan Tsao, M.D., and Fu-Chan Wei, M.D.

Trunk

Original Articles1263 Concomitant Panniculectomy Affects Wound Morbidity

but Not Hernia Recurrence Rates in Abdominal Wall Reconstruction: A Propensity Score AnalysisSalvatore Giordano, M.D., Ph.D., Patrick B. Garvey, M.D., Donald P. Baumann, M.D., Jun Liu, Ph.D., and Charles E. Butler, M.D.

1274 Discussion: Concomitant Panniculectomy Affects Wound Morbidity but Not Hernia Recurrence Rates in Abdominal Wall Reconstruction: A Propensity Score AnalysisGregory A. Dumanian, M.D.

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Ideas and Innovations806e Noncontrast Magnetic Resonance Lymphography for

Evaluation of Lymph Node Transfer for Secondary Upper Limb LymphedemaLionel Arrivé, M.D., Sarah Derhy, M.D., Chrif Dlimi, M.D., Sanaa El Mouhadi, M.D., Laurence Monnier-Cholley, M.D., and Corinne Becker, M.D.

Lower Extremity

Original Article1278 Superthin SCIP Flap for Reconstruction of Subungual

Melanoma: Aesthetic Functional SurgeryKyeong-Tae Lee, M.D., Bo Young Park, M.D., Ph.D., Eun-Ji Kim, M.D., Jung-Han Kim, M.D., Ph.D., Kee-Taek Jang, M.D., Ph.D., Sang-Hee Choi, M.D., Ph.D., Dong-Youn Lee, M.D., Ph.D., and Goo-Hyun Mun, M.D., Ph.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.CODING PERSPECTIVE FOR THIS ARTICLE IS ON PAGE 1288.

cME812e The Role of Checklists and Human Factors for Improved

Patient Safety in Plastic SurgeryClaude Oppikofer, M.D., B.Law, and David Schwappach, Prof. Dr., M.P.H.

SPEcIAL TOPIcS1293 Smaller Diameter Anastomotic Coupling Devices Have

Higher Rates of Venous Thrombosis in Microvascular Free Tissue TransferSummer E. Hanson, M.D., Ph.D., Matthew B. Mitchell, B.S., Nihanth Palivela, S. Andrew Peng, M.S., Lei Feng, M.S., Rene D. Largo, M.D., Charles E. Butler, M.D., and Patrick B. Garvey, M.D.

1301 Trends and Predictors of National Institutes of Health Funding to Plastic Surgery Residency ProgramsJason Silvestre, M.D., Joseph M. Abbatematteo, Pharm.D., Benjamin Chang, M.D., and Joseph M. Serletti, M.D.

1312 Discussion: Trends and Predictors of National Institutes of Health Funding to Plastic Surgery Residency ProgramsSrinivas M. Susarla, D.M.D., M.D., M.P.H., and Nicholas B. Vedder, M.D.

EDITORIAL1315 Revisiting the Fundamental Operative Principles of Plastic

SurgeryRod J. Rohrich, M.D., Andrew T. Timberlake, Ph.D., and Paul N. Afrooz, M.D.

REVIEWS1319 Auricular Reconstruction, by Françoise Firmin, Joseph

Dusseldorp, and Alexandre MarchacReviewed by Gordon Wilkes, M.D.

1320 Orthognathic Surgery: Principles, Planning and Practice, by Farhad B. Naini and Daljit S. GillReviewed by Derek M. Steinbacher, D.M.D., M.D.

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cORREcTION1321 The Differing Adipocyte Morphologies of Deep versus

Superficial Midfacial Fat Compartments: A Cadaveric Study: Correction

LETTERS818e Application of Posterior Thigh Three-Dimensional Profunda

Artery Perforator Perforasomes in Refining Next-Generation Flap Designs: Transverse, Vertical, and S-Shaped Profunda Artery Perforator FlapsAlberto Franchi, M.D., and Mario F. Scaglioni, M.D.

819e Medial Row Perforators Are Associated with Higher Rates of Fat Necrosis in Bilateral DIEP Flap Breast ReconstructionChenglong Wang, M.D., and Jie Luan, M.D.

819e Reply: Medial Row Perforators Are Associated with Higher Rates of Fat Necrosis in Bilateral DIEP Flap Breast ReconstructionParisa Kamali, M.D., Michelle Lee, M.D., and Bernard T. Lee, M.D., M.B.A., M.P.H.

820e Direct-to-Implant Breast Reconstruction without the Use of an Acellular Dermal Matrix Is Cost Effective and Oncologically SafeDomenico Parisi, M.D., Francesco Ciancio, M.D., Aurelio Portincasa, M.D., and Alessandro Innocenti, M.D.

821e Reply: Direct-to-Implant Breast Reconstruction without the Use of an Acellular Dermal Matrix Is Cost Effective and Oncologically SafeL. Charles J. Serrurier, F.C.S.Plast.Surg.(C.M.S.A.), Sarah Rayne, B.Sc.(U.C.L.), M.R.C.S.(Eng.), F.C.S.(S.A.), Marisse Venter, F.C.S.Plast.Surg.(C.M.S.A.), and Carol-Ann Benn, F.C.S.(S.A.)

822e Role of Mitomycin C in Preventing Capsular Contracture in Implant-Based Reconstructive Breast Surgery: A Randomized Controlled TrialAyal Hassidim, M.D., Stav Sarna Cahan, M.D., and Tomer Tzur, M.D., M.H.A.

823e Reply: Role of Mitomycin C in Preventing Capsular Contracture in Implant-Based Reconstructive Breast Surgery: A Randomized Controlled TrialMaurizio Bruno Nava, M.D., Giuseppe Catanuto, M.D., Ph.D., and Nicola Rocco, M.D.

824e Should Immediate Autologous Breast Reconstruction Be Considered in Women Who Require Postmastectomy Radiation Therapy? A Prospective Analysis of OutcomesLuis Parra Pont, M.D., and Andrés A. Maldonado, M.D., Ph.D.

825e The Impact of Two Operating Surgeons on Microsurgical Breast ReconstructionHazim Sadideen, M.Ed., F.R.C.S.(Plast.), Judith E. Hunter, F.R.C.S.(Plast.), Francis P. Henry, F.R.C.S.(Plast.), Simon H. Wood, F.R.C.S.Ed., F.R.C.S.(Plast.), and Navid Jallali, F.R.C.S.(Plast.)

826e Reply: The Impact of Two Operating Surgeons on Microsurgical Breast ReconstructionVishal Thanik, M.D., and Katie Weichman, M.D.

827e Intraoperative Comparison of Anatomical versus Round Implants in Breast Augmentation: A Randomized Controlled TrialLesley R. Bouwer, M.D., Hieronymus P. Stevens, M.D., Ph.D., and Berend van der Lei, M.D., Ph.D.

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828e Reply: Intraoperative Comparison of Anatomical versus Round Implants in Breast Augmentation: A Randomized Controlled TrialDavid A. Hidalgo, M.D., and Andrew Weinstein, M.D., M.S.

829e Why Women Request LabiaplastyCarlo M. Oranges, M.D., Kristin M. Schaefer, M.Sc., Daniel F. Kalbermatten, M.D., Ph.D., Martin Haug, M.D., and Dirk J. Schaefer, M.D.

829e Reply: Why Women Request LabiaplastySarah Sorice, M.D., Alexander Y. Li, B.S., M.S., Francisco L. Canales, M.D., and Heather J. Furnas, M.D.

830e Blood Congestion Can Be Rescued by Hemodilution in a Random-Pattern Skin FlapSara Di Lorenzo, M.D., Ph.D., Giovanni Zabbia, M.D., Ph.D., Roberto Pirrello, M.D., and Bartolo Corradino, M.D.

831e Reply: Blood Congestion Can Be Rescued by Hemodilution in a Random-Pattern Skin FlapKoji Kanayama, M.D., Takanobu Mashiko, M.D., Rintaro Asahi, M.D., Ataru Sunaga, M.D., and Kotaro Yoshimura, M.D.

832e Primary Septal Cartilage Graft for the Unilateral Cleft RhinoplastyXiaona Lu, M.D., and Guocheng Chen, M.D.

832e Reply: Primary Septal Cartilage Graft for the Unilateral Cleft RhinoplastyTing-Chen Lu, M.D., Chuan-Fong Yao, M.D., Susie Lin, D.D.S., and Philip Kuo-Ting Chen, M.D.

833e Principles of Cleft Lip Repair: Conventions, Commonalities, and ControversiesAndrea Sisti, M.D., and Giuseppe Nisi, M.D.

834e Simplifying the Forehead Flap for Nasal Reconstruction: A Review of 420 Consecutive CasesXiaona Lu, M.D., and Fei Fan, M.D.

835e Reply: Simplifying the Forehead Flap for Nasal Reconstruction: A Review of 420 Consecutive CasesJames F. Thornton, M.D.

835e Enoxaparin Dosing and the Prevention of Venous Thromboembolism in Plastic Surgery PatientsEric Swanson, M.D.

VIEWPOINTS837e Incorporation of Perfluorocarbons into Fat Graft May

Improve OxygenationThomas M. Suszynski, M.D., Ph.D., Travis G. Boyd, M.D., and James F. Thornton, M.D.

838e The Social Media Scrub-InCody L. Mullens, B.S., and Ian L. McCulloch, B.S., M.Res.

ANNOUNcEMENTS840e ASPS/PSF Sponsored Symposia and Workshops

840e International Meetings and Symposia

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