Plastic and Reconstructive Surgery · Evolving Concepts for Facial and Cervical Rejuvenation in the...

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Plastic and Reconstructive Surgery ® BREAST Outcomes Article 825 Indocyanine Green Angiography Use in Breast Reconstruction: A National Analysis of Outcomes and Cost in 110,320 Patients Anmol Chattha, B.A., Alexandra Bucknor, M.B.B.S., M.Sc., Austin D. Chen, Bernard T. Lee, M.D., M.B.A., M.P.H., and Samuel J. Lin, M.D., M.B.A. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. Original Articles 833 Breast Cancer following Augmentation Mammaplasty: A Case-Control Study Michael Sosin, M.D., Chaitan Devulapalli, M.D., Charles Fehring, M.D., Edward R. Hammond, M.D., M.P.H., Ph.D., Shawna C. Willey, M.D., Eleni A. Tousimis, M.D., Scott L. Spear, M.D., Maurice Y. Nahabedian, M.D., and Elizabeth D. Feldman, M.D. THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. 841 Enhanced Recovery Pathway in Microvascular Autologous Tissue-Based Breast Reconstruction: Should It Become the Standard of Care? Christodoulos Kaoutzanis, M.D., Nishant Ganesh Kumar, M.D., Dillon O’Neill, B.A., Blair Wormer, M.D., Julian Winocour, M.D., John Layliev, M.D., Matthew McEvoy, M.D., Adam King, M.D., Stephane A. Braun, M.D., and K. Kye Higdon, M.D. 852 Discussion: Enhanced Recovery Pathway in Microvascular Autologous Tissue-Based Breast Reconstruction: Should It Become the Standard of Care? Amy S. Colwell, M.D. 476e Low-Dose Insulin as an Antiscarring Therapy in Breast Surgery: A Randomized Controlled Trial Marc-James Hallam, M.R.C.S., B.M., Elizabeth Pitt, B.Sc.(Hons.), S.A.M.Ba., C.D.T., Alexis Thomas, M.R.C.S., B.Sc., and Charles Nduka, M.D., M.B., B.S. VOLUME 141 • NUMBER 4 • APRIL 2018 Continued On the Cover: Model for the survival of tamoxifen-induced beige adipose tissue. See related article, “Tamoxifen-Prefabricated Beige Adipose Tissue Improves Fat Graft Survival in Mice,” by Cai et al., pages 932–942. CONTENTS 476e 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. © 2018 by the American Society of Plastic Surgeons. 825

Transcript of Plastic and Reconstructive Surgery · Evolving Concepts for Facial and Cervical Rejuvenation in the...

Page 1: Plastic and Reconstructive Surgery · Evolving Concepts for Facial and Cervical Rejuvenation in the MACS Face Lift Alexis Verpaele, M.D. In this video, the MACS lift is presented

Plastic andReconstructiveSurgery®

BREAST

Outcomes Article825 Indocyanine Green Angiography Use in Breast

Reconstruction: A National Analysis of Outcomes and Cost in 110,320 PatientsAnmol Chattha, B.A., Alexandra Bucknor, M.B.B.S., M.Sc., Austin D. Chen, Bernard T. Lee, M.D., M.B.A., M.P.H., and Samuel J. Lin, M.D., M.B.A.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Original Articles833 Breast Cancer following Augmentation Mammaplasty: A

Case-Control StudyMichael Sosin, M.D., Chaitan Devulapalli, M.D., Charles Fehring, M.D., Edward R. Hammond, M.D., M.P.H., Ph.D., Shawna C. Willey, M.D., Eleni A. Tousimis, M.D., Scott L. Spear, M.D., Maurice Y. Nahabedian, M.D., and Elizabeth D. Feldman, M.D.THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

841 Enhanced Recovery Pathway in Microvascular Autologous Tissue-Based Breast Reconstruction: Should It Become the Standard of Care?Christodoulos Kaoutzanis, M.D., Nishant Ganesh Kumar, M.D., Dillon O’Neill, B.A., Blair Wormer, M.D., Julian Winocour, M.D., John Layliev, M.D., Matthew McEvoy, M.D., Adam King, M.D., Stephane A. Braun, M.D., and K. Kye Higdon, M.D.

852 Discussion: Enhanced Recovery Pathway in Microvascular Autologous Tissue-Based Breast Reconstruction: Should It Become the Standard of Care?Amy S. Colwell, M.D.

476e Low-Dose Insulin as an Antiscarring Therapy in Breast Surgery: A Randomized Controlled TrialMarc-James Hallam, M.R.C.S., B.M., Elizabeth Pitt, B.Sc.(Hons.), S.A.M.Ba., C.D.T., Alexis Thomas, M.R.C.S., B.Sc., and Charles Nduka, M.D., M.B., B.S.

VOLUME 141 • NUMBER 4 • ApRiL 2018

Continued

On the Cover: Model for the survival of tamoxifen-induced beige adipose tissue. See related article, “Tamoxifen-Prefabricated Beige Adipose Tissue Improves Fat Graft Survival in Mice,” by Cai et al., pages 932–942.

CONTENTS

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denotes online-only article

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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. © 2018 by the American Society of Plastic Surgeons.

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855 5000 Free Flaps and Counting: A 10-Year Review of a Single Academic Institution’s Microsurgical Development and OutcomesMartin J. Carney, B.S., Jason M. Weissler, M.D., Michael G. Tecce, D.O., Michael N. Mirzabeigi, M.D., Ari M. Wes, B.S., Peter F. Koltz, M.D., Suhail K. Kanchwala, M.D., David W. Low, M.D., Stephen J. Kovach, M.D., Liza C. Wu, M.D., Joseph M. Serletti, M.D., and Joshua Fosnot, M.D.

486e Absorbable Antibiotic Beads Prophylaxis in Immediate Breast ReconstructionDenise M. Kenna, M.D., Busayo B. Irojah, M.D., KimberLee Mudge, M.D., and Kendra Eveler, P.A.-C.

865 Antibiotic Prophylaxis after Immediate Breast Reconstruction: The Reality of Its EfficacyKavitha Ranganathan, M.D., Erika D. Sears, M.D., M.S., Lin Zhong, M.D., M.P.H., Ting-Ting Chung, M.S., Kevin C. Chung, M.D., M.S., Jeffrey H. Kozlow, M.D., M.S., Adeyiza O. Momoh, M.D., and Jennifer F. Waljee, M.D., M.P.H., M.S.

493e Trends in Physician Payments for Breast ReconstructionClifford C. Sheckter, M.D., Day Yi, M.S., Hina J. Panchal, M.D., Shantanu N. Razdan, M.D., M.P.H., Andrea L. Pusic, M.D., M.H.S., Colleen M. McCarthy, M.D., M.P.H., Peter G. Cordeiro, M.D., Joseph J. Disa, M.D., Babak Mehrara, M.D., and Evan Matros, M.D., M.M.Sc., M.P.H.

COSMETiC

Original Articles500e Comparison of Cartilage-Scoring and Cartilage-Sparing

Otoplasty: A Retrospective Analysis of Complications and Aesthetic Outcome of 1060 EarsMarije N. Smittenberg, M.D., Martijn Marsman, M.D., Nic J. G. M. Veeger, M.D., Ph.D., and Chantal M. Moues, M.D., Ph.D.

Baker Gordon Symposium VideoPRSJournal.com Exclusive

Interactive VideoEvolving Concepts for Facial and Cervical Rejuvenation in the MACS Face LiftAlexis Verpaele, M.D.

In this video, the MACS lift is presented as the cornerstone of our current concept of comprehensive facial rejuvenation. It effectively and safely treats the aging of the lower half of the face and the upper neck in the majority of aging men and women. The addition of microfat grafting to treat the age-related centrofacial deflation adds to the power and longevity of the rejuvenation, and also allows treatment of non–age-related features, such as the tear trough and the nasolabial fold. To treat the category of patients with a more demanding neck laxity, platysmal bands, and submental fat deposition, we can add a subplatysmal fat resection via a submental incision, and/or a posterior subplatysmal neck plasty with posterior platysma suspension. All of these techniques are included in detail in this video, together with some theoretical considerations.

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

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880 Critical Differences between Microscopic (MIFE) and Macroscopic (MAFE) Fat Embolism during Liposuction and Gluteal LipoinjectionLázaro Cárdenas-Camarena, M.D., Héctor Durán, M.D., José Antonio Robles-Cervantes, M.D., Ms.C., Ph.D., and Jorge Enrique Bayter-Marin, M.D.

507e Inner Scar Umbilicus: New Horizons for Vertical AbdominoplastyFlavio H. Mendes, M.D., Ph.D., Fausto Viterbo, M.D., Ph.D., and Ana L. A. P. Luna, M.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

892 Is There a Limit? A Risk Assessment Model of Liposuction and Lipoaspirate Volume on Complications in AbdominoplastyBrittany L. Vieira, B.S., Ian Chow, M.D., Sammy Sinno, M.D., Robert G. Dorfman, M.Sc., Philip Hanwright, M.D., and Karol A. Gutowski, M.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

902 An Update on the Safety and Efficacy of Outpatient Plastic Surgery: A Review of 26,032 Consecutive CasesRod J. Rohrich, M.D., Bernardino M. Mendez, M.D., and Paul N. Afrooz, M.D.

517e Plastic Surgery Complications from Medical Tourism Treated in a U.S. Academic Medical CenterKimberly M. Ross, M.P.H., Andrea V. Moscoso, B.A., Lauren R. Bayer, P.A.-C., Liliana Rosselli-Risal, M.D., and Dennis P. Orgill, M.D., Ph.D.

524e Discussion: Plastic Surgery Complications from Medical Tourism Treated in a U.S. Academic Medical CenterJacob S. Nasser, B.S., and Kevin C. Chung, M.D., M.S.

Ideas and Innovations910 The Boomerang Lift: A Three-Step Compartment-Based

Approach to the Youthful CheekJillian E. Schreiber, M.D., Jordan Terner, M.D., Carrie S. Stern, M.D., Javier Beut, M.D., Elizabeth B. Jelks, M.D., Glenn W. Jelks, M.D., and Oren M. Tepper, M.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

914 Discussion: The Boomerang Lift: A Three-Step Compartment-Based Approach to the Youthful CheekBernard L. Markowitz, M.D.

Video Plus916 Female Cosmetic Genital Surgery

Christine A. Hamori, M.D., James M. Stuzin, M.D., and Paul N. Afrooz, M.D.VIDEO PLUS CONTENT IS AVAILABLE FOR THIS ARTICLE.

EXpERiMENTAL

Original Articles919 Capsular Biofilm Formation at the Interface of Textured

Expanders and Human Acellular Dermal Matrix: A Comparative Scanning Electron Microscopy StudyMichel A. Danino, M.D., Ph.D., Johnny I. Efanov, M.D., Georges Dimitropoulos, M.D., Maxim Moreau, Ph.D., Charles Maalouf, M.D., Monica Nelea, Ph.D., Ali Izadpanah, M.D., M.Sc., and Jean-Philippe Giot, M.D.

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526e External Volume Expansion Up-Regulates CXCL12 Expression and Enhances Mesenchymal Stromal Cell Recruitment toward Expanded Prefabricated Adipose Tissue in RatsZijin Qin, M.D., Junrong Cai, M.D., Tao Zhou, M.D., Yi Yuan, M.D., Ph.D., Jianhua Gao, M.D., Ph.D., and Ziqing Dong, M.D., Ph.D.

538e Discussion: External Volume Expansion Up-Regulates CXCL12 Expression and Enhances Mesenchymal Stromal Cell Recruitment toward Expanded Prefabricated Adipose Tissue in RatsYvonne I. Heit, M.D., and Dennis P. Orgill, M.D., Ph.D.

930 Tamoxifen-Prefabricated Beige Adipose Tissue Improves Fat Graft Survival in MiceJunrong Cai, M.D., Bin Li, M.D., Jing Wang, M.D., Kaiyang Liu, M.D., Yuteng Zhang, M.D., Yunjun Liao, M.D., and Feng Lu, M.D., Ph.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

HAND/pERipHERAL NERVE

Original Articles941 Hypercholesterolemia Is Associated with the Subjective

Evaluation of Postoperative Outcomes in Patients with Idiopathic Carpal Tunnel Syndrome Who Undergo Surgery: A Multivariate AnalysisKoichi Yano, M.D., Ph.D., Akira Kawabata, M.D., Mikinori Ikeda, M.D., Ph.D., Keisuke Suzuki, M.D., Yasunori Kaneshiro, M.D., Ph.D., and Takeshi Egi, M.D., Ph.D.

949 Recovery of Elbow Flexion after Nerve Reconstruction versus Free Functional Muscle Transfer for Late, Traumatic Brachial Plexus Palsy: A Systematic ReviewDon Hoang, M.D., Vivi W. Chen, B.S., and Mitchel Seruya, M.D.

960 Use and Associated Spending for Anesthesiologist-Administered Services in Minor Hand SurgerySirichai Kamnerdnakta, M.D., Helen E. Huetteman, B.S., and Kevin C. Chung, M.D., M.S. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

pEDiATRiC/CRANiOFACiAL

Original Articles971 Preoperative Alveolar Segment Position as a Predictor of

Successful Gingivoperiosteoplasty in Patients with Unilateral Cleft Lip and PalateElcin Esenlik, D.D.S., Ph.D., Jonathan M. Bekisz, B.A., Travis Gibson, D.M.D., Court B. Cutting, M.D., Barry H. Grayson, D.D.S., and Roberto L. Flores, M.D.

540e Augmentation of the Median Tubercle with Dermis-Fat Graft in Children with Repaired Cleft LipCory M. Resnick, D.M.D., M.D., Justin Partridge, D.M.D., Rushil R. Dang, D.M.D., Hamad M. Burashed, D.M.D., Bonnie L. Padwa, D.M.D., M.D., and John B. Mulliken, M.D.

Outcomes Article984 Outcome of Palate Re-repair with Radical Repositioning

of the Levator Muscle Sling as a First-Line Strategy in Postpalatoplasty Velopharyngeal Incompetence Management ProtocolAhmed Elsherbiny, M.D., Meghan Amerson, M.C.D., C.C.C.-S.L.P., Laura Sconyers, M.C.D., C.C.C.-S.L.P., and John H. Grant III, M.D.

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Original Articles547e Objective Assessment of the Unilateral Cleft Lip Nasal

Deformity Using Three-Dimensional Stereophotogrammetry: Severity and OutcomeEzgi Mercan, M.Sc., Makinna Oestreich, B.Sc., David M. Fisher, M.D., Alexander C. Allori, M.D., M.P.H., Stephen P. Beals, M.D., Thomas D. Samson, M.D., Thomas J. Sitzman, M.D., Damir B. Matic, M.D., M.Sc., Babette S. Siebold, Ph.D., and Raymond W. Tse, M.D.

993 Predictors for Unfavorable Projection of the Constructed Auricle following Ear Elevation Surgery in Microtia ReconstructionKyeong-Tae Lee, M.D., and Kap Sung Oh, M.D., Ph.D.

559e Incidence of Cranial Base Suture Fusion in Infants with CraniosynostosisDaniel M. Mazzaferro, M.B.A., Sanjay Naran, M.D., Ari M. Wes, B.A., Christopher M. Runyan, M.D., Arastoo Vossough, M.D., Ph.D., Scott P. Bartlett, M.D., and Jesse A. Taylor, M.D.

Ideas and Innovations1003 Airway Volume Simulation in Virtual Mandibular

Distraction: A Cohort StudyLaura S. Humphries, M.D., Essie K. Yates, M.D., Julie M. Mhlaba, M.D., John M. Collins, M.D., Ph.D., Fuad M. Baroody, M.D., and Russell R. Reid, M.D., Ph.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

RECONSTRUCTiVE

Head and Neck

Original Articles1011 A New Composite Eyeball-Periorbital Transplantation Model

in Humans: An Anatomical Study in Preparation for Eyeball TransplantationMaria Siemionow, M.D., Ph.D., D.Sc., Mehmet Bozkurt, M.D., Fatih Zor, M.D., Yalcin Kulahci, M.D., Safak Uygur, M.D., Can Ozturk, M.D., Risal Djohan, M.D., and Frank Papay, M.D.

571e A 20-Year Experience with 202 Segmental Mandibulectomy Defects: A Defect Classification System, Algorithm for Flap Selection, and Surgical OutcomesPeter G. Cordeiro, M.D., Peter W. Henderson, M.D., M.B.A., and Evan Matros, M.D., M.M.Sc., M.P.H.THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.

Ideas and Innovations582e Cranial Nerve Coactivation and Implication for Nerve

Transfers to the Facial NerveDavid Jensson, M.D., Sara Enghag, M.D., Nina Bylund, M.D., Lars Jonsson, M.D., Ph.D., Johan Wikström, M.D., Ph.D., Margareta Grindlund, Roland Flink, M.D., Ph.D., and Andres Rodriguez-Lorenzo, M.D., Ph.D.

1021 Surgical Approach to Injuries of the Cervical Plexus and Its Peripheral Nerve BranchesDavid L. Brown, M.D., and A. Lee Dellon, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

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Trunk

Original Article1026 Patient-Reported Outcome Measures Used in Gender

Confirmation Surgery: A Systematic ReviewMy Andréasson, M.D., Konstantinos Georgas, M.D., Anna Elander, M.D., Ph.D., and Gennaro Selvaggi, M.D., Ph.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Lower Extremity

Original Article1040 Soft-Tissue Reconstruction of the Complicated Knee

Arthroplasty: Principles and Predictors of SalvageDavid L. Colen, M.D., Martin J. Carney, B.S., Valeriy Shubinets, M.D., Michael A. Lanni, M.D., Tiffany Liu, B.S., L. Scott Levin, M.D., Gwo-Chin Lee, M.D., and Stephen J. Kovach, M.D.CODING PERSPECTIVE FOR THIS ARTICLE IS ON PAGE 1046.

CME586e How to Diagnose and Treat Breast Implant–Associated

Anaplastic Large Cell LymphomaMark W. Clemens, M.D., Garry S. Brody, M.D., Raman C. Mahabir, M.D., and Roberto N. Miranda, M.D.

pLASTiC SURGERY FOCUS

Special Topics1051 Why Videos Matter So Much in Plastic Surgery Today: A

Complete Index of Videos in Plastic and Reconstructive Surgery and Plastic and Reconstructive Surgery Global OpenKaitlin S. Boehm, M.D., Rod J. Rohrich, M.D., and Donald H. Lalonde, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

600e Skin Rejuvenation through HIF-1α ModulationAndrea Pagani, Matthias M. Aitzetmüller, M.D., Elizabeth A. Brett, M.Sc., Viktoria König, M.D., Raphael Wenny, M.D., Dominik Thor, Ph.D., Christine Radtke, M.D., Georg M. Huemer, M.D., M.B.A., M.Sc., Hans-Günther Machens, M.D., and Dominik Duscher, M.D.

1056 Learning from an Unsuccessful Study Idea: Reflection and Application of Innovative Techniques to Prevent Future FailuresYuki Fujihara, M.D., Ph.D., Taichi Saito, M.D., Ph.D., Helen E. Huetteman, B.S., Jennifer M. Sterbenz, B.S., and Kevin C. Chung, M.D., M.S.

Women in Plastic Surgery1063 Factors Affecting Women’s Success in Academic and Private

Practice Plastic SurgeryAmita R. Shah, M.D., Ph.D., Melinda J. Haws, M.D., and Loree K. Kalliainen, M.D., M.A.THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.VIDEO DISCUSSION BY ANNE TAYLOR, M.D., IS AVAILABLE ONLINE FOR THIS ARTICLE.

EDiTORiAL1071 The Divergence of Ethics and Professionalism in the Social

Media ArenaB. Aviva Preminger, M.D., M.P.H., Juliana Hansen, M.D., Chris M. Reid, M.D., and Amanda A. Gosman, M.D.

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BOOK AND MEDiA REViEWS1073 Aesthetic Nasal Reconstruction: Principles and Practice, by

Frederick J. MenickReviewed by Mark B. Constantian, M.D.

1074 Eyelid & Periorbital Surgery Video Collection, 2nd Edition, Edited by Mark A. Codner and Clinton D. McCord, Jr.Reviewed by Mohammed S. Alghoul, M.D.

CORRECTiONS1076 High-Resolution Magnetic Resonance Imaging of Aging

Upper Face Fat Compartments: Correction1076 Direct-to-Implant Breast Reconstruction in Women Older

than 65 Years: A Retrospective Analysis of Complication Rate and Overall Outcomes: Correction

LETTERS608e Tumor-to-Nipple Distance as a Predictor of Nipple

Involvement: Expanding the Inclusion Criteria for Nipple-Sparing MastectomyJ. Arthur Jensen, M.D.

609e Prophylactic Nipple-Sparing Mastectomy and Direct-to-Implant Reconstruction of the Large and Ptotic Breast: Is Preshaping of the Challenging Breast a Key to Success?Shangshan Li, M.D., and Jie Luan, M.D.

610e Reply: How to Preshape the Breast for a Successful Nipple-Sparing Mastectomy and Direct-to-Implant Breast Reconstruction in the Challenging BreastGudjon L. Gunnarsson, M.D., and Jorn Bo Thomsen, M.D., Ph.D.

611e Quilting Sutures after Latissimus Dorsi Breast Reconstruction in Breast Cancer Patients Might Lead to Reduced Risk of Developing Arm Lymphedema by Reducing Seroma RiskKadri Altundag, M.D.

611e Optimizing Aesthetics with Prosthetic Prepectoral Breast ReconstructionDon A. Hudson, F.R.C.S., F.C.S.(S.A.), M.Med.

612e Reply: Optimizing Aesthetics with Prosthetic Prepectoral Breast ReconstructionHani Sbitany, M.D.

613e Indications for Prepectoral Breast ReconstructionJingjing Yu, M.S., and Xiao Long, M.D.

613e Reply: Indications for Prepectoral Breast ReconstructionHani Sbitany, M.D.

614e Selective Serotonin Reuptake Inhibitor–Induced Hyponatremia and the Plastic Surgery PatientLawrence N. Gray, M.D.

614e Validation of the Clinician-Graded Electronic Facial Paralysis AssessmentDamián Palafox, M.D., Soledad Rubio-Mainardi, Ricardo Becerra, M.D., and Alexánder Cárdenas-Mejía, M.D.

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615e Reply: Validation of the Clinician-Graded Electronic Facial Paralysis AssessmentTimothy J. Eviston, M.B.B.S.(Hons.), Lauren S. H. Chong, B.Med., and Jonathan R. Clark, M.B.B.S.(Hons.)

616e Vectra 3D Imaging for Quantitative Volumetric Analysis of the Upper Limb: A Feasibility Study for Tracking Outcomes of Lymphedema TreatmentBernardo N. Batista, M.D., Jaqueline M. T. Baiocchi, P.T., Murillo F. P. Fraga, M.D., Ph.D., Marcelo M. C. Sampaio, M.D., and Alfredo C. D. Barros, M.D., Ph.D.

617e Reply: Vectra 3D Imaging for Quantitative Volumetric Analysis of the Upper Limb: A Feasibility Study for Tracking Outcomes of Lymphedema TreatmentMark J. Landau, Ph.D., Daniel J. Gould, M.D., Ph.D., and Ketan M. Patel, M.D.

ViEWpOiNT618e Do Our Large Surgical Databases Need a Transition?

Benjamin B. Massenburg, M.D., Peter J. Taub, M.D., and Shane D. Morrison, M.D., M.S.

ANNOUNCEMENTS621e ASPS/PSF Sponsored Symposia and Workshops

621e International Meetings and Symposia

618e

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