Plastic andReconstructiveSurgery®

BREAST

Original Articles1401 Immediate Implant-Based Breast Reconstruction with

Acellular Dermal Matrix: A Comparison of Sterile and Aseptic AlloDerm in 2039 Consecutive CasesRajiv P. Parikh, M.D., M.P.H.S., Gabriella M. Brown, B.S., Ketan Sharma, M.D., M.P.H., Yan Yan, M.D., M.A., M.H.S., Ph.D., and Terence M. Myckatyn, M.D.

826e Incision Choices in Nipple-Sparing Mastectomy: A Comparative Analysis of Outcomes and Evolution of a Clinical AlgorithmJordan D. Frey, M.D., Ara A. Salibian, M.D., Jamie P. Levine, M.D., Nolan S. Karp, M.D., and Mihye Choi, M.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1411 Unplanned Emergency Department Visits within 30 Days of Mastectomy and Breast ReconstructionJacob S. Nasser, B.S., Helen E. Huetteman, B.S., Ting-Ting Chung, M.S., and Kevin C. Chung, M.D., M.S. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1421 Discussion: Unplanned Emergency Department Visits within 30 Days of Mastectomy and Breast ReconstructionKenneth L. Fan, M.D., and David H. Song, M.D., M.B.A.

836e Utility and Cost Effectiveness of Routine, Histologic Evaluation of the Mastectomy Scar in Two-Stage, Implant-Based Reconstruction during Expander-to-Implant ExchangeJordan E. Fishman, M.D., M.P.H., John Henry Y. Pang, M.D., David Dabbs, M.D., and Carolyn De La Cruz, M.D.

1424 The Stacked Hemiabdominal Extended Perforator Flap for Autologous Breast ReconstructionJop Beugels, M.D., Julie V. Vasile, M.D., Stefania M. H. Tuinder, M.D., Ph.D., Stephen J. Delatte, M.D., Hugo St-Hilaire, M.D., Robert J. Allen, M.D., and Joshua L. Levine, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. CODING PERSPECTIVE FOR THIS ARTICLE IS ON PAGE 1432.

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On the Cover(Left) Intraoperative photograph and (right) illustration showing closure of the nasal lining flaps in a bilateral cleft lip and palate. (Copyright Chris Gralapp, used with permission.) See related article, “Anatomical Nasal Lining Flaps for Closure of the Nasal Floor in Unilateral and Bilateral Cleft Lip Repairs Reduce Fistulas at the Alveolus,” by Mittermiller et al., pages 1549–1557.

cONTENTS

1424

online-onlysupplemental digital content

associated video journal club

cpt coding perspectiveoutcomes psychosocial column patient safety cme

INSIGHTS

PSYCHOSOCIAL

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: $1186 individual domestic, $1247 individual international, $2216 institutional domestic, $3045 institutional international, $568 resident/student domestic, $629 resident/student international, $267 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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1435 Discussion: The Stacked Hemiabdominal Extended Perforator Flap for Autologous Breast ReconstructionNicholas T. Haddock, M.D., and Sumeet T. Teotia, M.D.

840e Assessing Age as a Risk Factor for Complications in Autologous Breast ReconstructionRadbeh Torabi, M.D., Mark W. Stalder, M.D., Oren Tessler, M.D., M.B.A., Matthew J. Bartow, M.D., Jonathan Lam, M.D., Charles Patterson, M.D., M. Whitten Wise, M.D., Charles L. Dupin, M.D., and Hugo St. Hilaire, M.D., D.D.S.

Special Topic1438 Effect of Regional Hospital Market Competition on Use

Patterns of Free Flap Breast ReconstructionMarcelo Cerullo, M.D., M.P.H., Clara Lee, M.D., M.P.P., and Anaeze C. Offodile II, M.D., M.P.H. EVIDENCE-BASED OUTCOMES ARTICLE.

cOSMETIc

Baker Gordon Symposium VideoPRSJournal.com Exclusive

Lecture VideoSafety in Gluteal AugmentationDaniel Del Vecchio, M.D.

The mortality rate from gluteal fat grafting is unacceptable. Despite efforts at defining “safety zones” and “angles” of cannula direction, the crux of the problem appears to be the depth of cannula penetration and not the angle of insertion nor the zone of the gluteus muscle injected. Dynamic cadaver studies demonstrate that fat placed just beneath the gluteus maximus fascia will migrate deep to the submuscular space with the potential for venous tear and pulmonary fat embolism. A call is hereby made for a halt to fat grafting beneath the fascia of the gluteus muscle.

To watch the lecture video, go to www.PRSJournal.com.

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847e

Original Articles1447 The Relationship between Bone Remodeling and the

Clockwise Rotation of the Facial Skeleton: A Computed Tomographic Imaging–Based EvaluationSebastian Cotofana, M.D., Ph.D., Robert H. Gotkin, M.D., Sergey P. Morozov, M.D., Ph.D., Stanislav Y. Kim, M.D., Ph.D., Victor A. Gombolevskiy, M.D., Ph.D., Albina S. Laipan, M.D., Ilya A. Pyatnitskiy, M.D., Tigran V. Movsisyan, M.D., and Konstantin Frank, M.D.

847e Safety and Efficacy of EB-001, a Novel Type E Botulinum Toxin, in Subjects with Glabellar Frown Lines: Results of a Phase 2, Randomized, Placebo-Controlled, Ascending-Dose StudySteve G. Yoelin, M.D., Sunil S. Dhawan, M.D., Domenico Vitarella, Ph.D., Wajdie Ahmad, M.A., Fauad Hasan, M.S., and Susan Abushakra, M.D.

1456 Evolving Trends in Textured Implant Use for Cosmetic Augmentation in the United StatesVickram J. Tandon, M.D., Michael R. DeLong, M.D., Tiffany N. Ballard, M.D., Mark W. Clemens, M.D., Keith E. Brandt, M.D., Jeffrey M. Kenkel, M.D., and Paul S. Cederna, M.D. THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.

1462 Discussion: Evolving Trends in Textured Implant Use for Cosmetic Augmentation in the United StatesDavid A. Hidalgo, M.D.

1464 Discussion: Evolving Trends in Textured Implant Use for Cosmetic Augmentation in the United StatesAnand K. Deva, B.Sc.(Med.), M.S., F.R.A.C.S.

856e The Constriction Arm Band Deformity in Brachioplasty Patients: Characterization and Incidence Using a Prospective RegistryWendy Chen, M.D., M.S., Isaac B. James, M.D., Jeffrey A. Gusenoff, M.D., and J. Peter Rubin, M.D.

1468 “Brazilian Butt Lift” under Local Anesthesia: A Novel Technique Addressing Safety ConcernsChristopher T. Chia, M.D., Spero J. Theodorou, M.D., Erez Dayan, M.D., Georges Tabbal, M.D., and Daniel Del Vecchio, M.D.

1476 Discussion: “Brazilian Butt Lift” under Local Anesthesia: A Novel Technique Addressing Safety ConcernsDonald H. Lalonde, M.D.

Special Topic1478 Googling Aesthetic Plastic Surgery for Patient Insights into

the Latest TrendsCatherine C. Motosko, B.S., George A. Zakhem, B.S., Pierre B. Saadeh, M.D., and Alexes Hazen, M.D.

1486 Discussion: Googling Aesthetic Plastic Surgery for Patient Insights into the Latest TrendsBrian K. Brzowski, M.D.

EXPERIMENTAL1489 Fat Graft Safety after Oncologic Surgery: Addressing the

Contradiction between In Vitro and Clinical StudiesHakan Orbay, M.D., Ph.D., Katharine M. Hinchcliff, M.D., Heath J. Charvet, M.D., and David E. Sahar, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. PATIENT SAFETY CME.

862e Fat Grafting for Pedal Fat Pad Atrophy in a 2-Year, Prospective, Randomized, Crossover, Single-Center Clinical TrialDanielle M. Minteer, Ph.D., Beth R. Gusenoff, D.P.M., and Jeffrey A. Gusenoff, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1501 Effects of Extracorporeal Shock Wave Therapy on Distraction Osteogenesis in Rat MandibleJiriys G. Ginini, D.M.D., M.Sc., Gila Maor, Ph.D., Omri Emodi, D.M.D., Dekel Shilo, D.M.D., Ph.D., Yankel Gabet, D.M.D., Dror Aizenbud, D.M.D., and Adi Rachmiel, D.M.D., Ph.D.

872e Noninvasive Flap Preconditioning by Foam-Mediated External Suction Improves the Survival of Fasciocutaneous Axial-Pattern Flaps in a Type 2 Diabetic Murine ModelPatrick Rhodius, M.D., Anthony Haddad, M.D., Hajime Matsumine, M.D., Ph.D., Dharaniya Sakthivel, M.S., Maximilian Ackermann, M.D., Indranil Sinha, M.D., Dennis P. Orgill, M.D., Ph.D., and Giorgio Giatsidis, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1511 Contralateral Botulinum Toxin Improved Functional Recovery after Tibial Nerve Repair in RatsWashington Lima, M.D., Alessandra Grassi Salles, M.D., Ph.D., Jose Carlos Marques Faria, M.D., Ph.D., André Coelho Nepomuceno, M.D., Ph.D., Raquel Salomone, M.D., Ph.D., Patricia Krunn, M.D., and Rolf Gemperli, M.D., Ph.D.

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1520 Discussion: Contralateral Botulinum Toxin Improved Functional Recovery after Tibial Nerve Repair in RatsDaniel Ursu, Ph.D., and Paul S. Cederna, M.D.

HAND/PERIPHERAL NERVE

Original Articles1523 Percutaneous Aponeurotomy and Lipofilling versus Limited

Fasciectomy for Dupuytren’s Contracture: 5-Year Results from a Randomized Clinical TrialRuud W. Selles, Ph.D., Chao Zhou, M.D., Ph.D., Hester J. Kan, M.D., Ph.D., Robbert M. Wouters, P.T., Christianne A. van Nieuwenhoven, M.D., Ph.D., and Steven E. R. Hovius, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1532 A Cost Analysis of Carpal Tunnel Release Surgery Performed Wide Awake versus under SedationTodd H. Alter, B.S., William J. Warrender, M.D., Frederic E. Liss, M.D., and Asif M. Ilyas, M.D. EVIDENCE-BASED OUTCOMES ARTICLE.

1539 Neural Perforasomes of the Upper ExtremitySteven M. Koehler, M.D., Andrew P. Matson, M.D., David S. Ruch, M.D., and Suhail K. Mithani, M.D.

1547 Discussion: Neural Perforasomes of the Upper ExtremityDavid Chwei-Chin Chuang, M.D.

PEDIATRIc/cRANIOFAcIAL

Original Articles1549 Anatomical Nasal Lining Flaps for Closure of the Nasal Floor

in Unilateral and Bilateral Cleft Lip Repairs Reduce Fistulas at the AlveolusPaul A. Mittermiller, M.D., Harleen Sethi, B.S., Roshan P. Morbia, M.D., Dana Johns, M.D., Joseph Baylan, M.D., H. Peter Lorenz, M.D., and Rohit K. Khosla, M.D.

884e Caregiver-Reported Outcomes and Barriers to Care among Patients with Cleft Lip and PalateKatelyn G. Bennett, M.D., M.S., Kavitha Ranganathan, M.D., Anne K. Patterson, Michaella K. Baker, B.A., Christian J. Vercler, M.D., M.A., Steven J. Kasten, M.D., Steven R. Buchman, M.D., and Jennifer F. Waljee, M.D., M.S. EVIDENCE-BASED OUTCOMES ARTICLE.

1558 Microtia Reconstruction in Hemifacial Microsomia Patients: Three Framework Coverage TechniquesJung Youl Park, M.D., and Chul Park, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. VIDEO DISCUSSION BY JOHN REINISCH, M.D., IS AVAILABLE ONLINE FOR THIS ARTICLE.

892e Microtia in a Chinese Specialty Clinic Population: Clinical Heterogeneity and Associated Congenital AnomaliesYe Zhang, M.D., Haiyue Jiang, M.D., Qinghua Yang, M.D., Leren He, M.D., Xiaobo Yu, M.D., Xueshuang Huang, Ph.D., Rongwei Wu, M.D., Meirong Yang, M.D., Chuan Li, M.D., and Bo Pan, M.D. VIDEO DISCUSSION BY JOHN REINISCH, M.D., IS AVAILABLE ONLINE FOR THIS ARTICLE.

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1539

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892e

1572 Clockwise and Counterclockwise Le Fort I Movements Influence Nasolabial Morphology DifferentlyRajendra Sawh-Martinez, M.D., Alex M. Lin, M.S., Christopher R. DeSesa, D.M.D., Robin T. Wu, B.S., Cyril S. Gary, B.A., and Derek M. Steinbacher, M.D., D.M.D.

Ideas and Innovations904e Distraction Osteogenesis for Unicoronal Craniosynostosis:

Rotational Flap Technique and Case SeriesMichael G. Brandel, B.A., Cecilia L. Dalle Ore, B.A., Chris M. Reid, M.D., William Zhu, B.A., Samuel Lance, M.D., Hal Meltzer, M.D., and Amanda A. Gosman, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.

909e Discussion: Distraction Osteogenesis for Unicoronal Craniosynostosis: Rotational Flap Technique and Case SeriesDerek M. Steinbacher, M.D.

REcONSTRUcTIVE

Head and Neck

Original Article1583 Can Functional Nasal Surgery Treat Chronic Headaches?

A Systematic ReviewRebecca L. Farmer, M.D., Ph.D., Ravi K. Garg, M.D., and Ahmed M. Afifi, M.D. THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.

Special Topic913e The Fibula Osteoseptocutaneous Flap: Concise Review, Goal-

Oriented Surgical Technique, and Tips and TricksNidal F. AL Deek, M.Sc., M.D., Huang-Kai Kao, M.D., and Fu-Chan Wei, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Video+1594 Free Ulnar Forearm Flap: Design, Elevation, and Utility in

Microvascular Nasal Lining ReconstructionRami S. Kantar, M.D., William J. Rifkin, B.A., Michael J. Cammarata, B.S., J. Rodrigo Diaz-Siso, M.D., Scott J. Farber, M.D., and Eduardo D. Rodriguez, M.D., D.D.S. VIDEO PLUS CONTENT IS AVAILABLE FOR THIS ARTICLE.

Trunk

Original Articles1600 Development of the BODY-Q Chest Module Evaluating

Outcomes following Chest Contouring SurgeryAnne F. Klassen, D.Phil., Manraj Kaur, P.T., M.Sc.(Rehab.), Lotte Poulsen, M.D., Craig Fielding, M.D., Daan Geerards, M.D., Tim C. van de Grift, M.D., M.Sc., Maarten Hoogbergen, M.D., Ph.D., Claus Bogh Juhl, M.D., Ph.D., Mike Mikkelsen Lorenzen, M.D., Giancarlo McEvenue, M.D., Hugh McLean, M.D., Clayton Moliver, M.D., Margriet G. Mullender, M.B.A., Ph.D., Vivek Panchapakesan, M.D., Jussi P. Repo, M.D., Ph.D., Michael Rose, M.D., Jens Ahm Sørensen, M.D., Ph.D., René Klinkby Støving, M.D., Ph.D., and Andrea L. Pusic, M.D., M.Sc. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. EVIDENCE-BASED OUTCOMES ARTICLE.

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913e

913e

1594

1609 Microvascular Hepatic Artery Anastomosis in Pediatric Living Donor Liver Transplantation: 73 Consecutive Cases Performed by a Single SurgeonKevin J. Zuo, M.D., Arman Draginov, M.D., M.Sc., Andre Panossian, M.D., Annie Fecteau, M.D.C.M., M.Sc., Gregory H. Borschel, M.D., Emily S. Ho, O.T.Reg.(Ont.), M.Ed., and Ronald M. Zuker, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Lower Extremity

Original Articles1620 Identifying Predictors of Time to Soft-Tissue Reconstruction

following Open Tibia FracturesRonnie L. Shammas, M.D., Lily R. Mundy, M.D., Tracy Truong, M.S., Jeremy M. Weber, B.S., A. Jordan Grier, M.D., Eugenia H. Cho, B.S., Sarah B. Peskoe, Ph.D., Mark J. Gage, M.D., and Scott T. Hollenbeck, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

924e Optimal Sites for Supermicrosurgical Lymphaticovenular Anastomosis: An Analysis of Lymphatic Vessel Detection Rates on 840 Surgical Fields in Lower Extremity Lymphedema PatientsTakumi Yamamoto, M.D., Ph.D., Nana Yamamoto, M.D., Yuma Fuse, M.D., Mitsunaga Narushima, M.D., Ph.D., and Isao Koshima, M.D., Ph.D.

931e Discussion: Optimal Sites for Supermicrosurgical Lymphaticovenular Anastomosis: An Analysis of Lymphatic Vessel Detection Rates on 840 Surgical Fields in Lower Extremity Lymphedema PatientsMaureen Beederman, M.D., and David W. Chang, M.D.

cME933e Modern Primary Breast Augmentation: Best

Recommendations for Best ResultsDinah Wan, M.D., and Rod J. Rohrich, M.D. RELATED VIDEO CONTENT IS AVAILABLE ONLINE.

PLASTIc SURGERY FOcUS

Special Topics1633 Smoking and Postoperative Complications in Plastic and

General Surgical Procedures: A Propensity Score–Matched Analysis of 294,903 Patients from the National Surgical Quality Improvement Program Database from 2005 to 2014Rose H. Fu, M.D., Yoshiko Toyoda, B.A., Lu Li, M.S., Onur Baser, M.S., Ph.D., Christine H. Rohde, M.D., and David M. Otterburn, M.D. EVIDENCE-BASED OUTCOMES ARTICLE. PATIENT SAFETY CME.

1644 Medical Tourism and Postoperative Infections: A Systematic Literature Review of Causative Organisms and Empiric TreatmentPablo Padilla, M.D., Priscilla Ly, B.S., Rachel Dillard, B.S., Stefanos Boukovalas, M.D., Ramon Zapata-Sirvent, M.D., and Linda G. Phillips, M.D. PATIENT SAFETY CME.

Continued

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1644

947e Reporting Time Horizons in Randomized Controlled Trials in Plastic Surgery: A Systematic ReviewSadek Mowakket, B.H.Sc., Marta Karpinski, B.H.Sc., Lucas Gallo, B.H.Sc., Matteo Gallo, Laura Banfield, M.H.Sc., M.L.I.S., Jessica Murphy, M.Sc., Daniel Waltho, M.D., Andrea Copeland, M.D., Syena Moltaji, B.Sc., and Achilleas Thoma, M.D., M.Sc. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1653 State Variations in Public Payer Reimbursement for Common Plastic Surgery ProceduresArminder S. Kaura, B.A., Nicholas L. Berlin, M.D., M.P.H., Adeyiza O. Momoh, M.D., and Jeffrey H. Kozlow, M.D., M.S.

958e Toward the Assessment of Core Procedural Competencies among Canadian Plastic Surgery ResidentsJessica G. Shih, M.D., Aaron D. C. Knox, M.D., M.H.P.E., Nick Zhygan, M.D., Douglas J. Courtemanche, M.D., M.S., Joel S. Fish, M.D., M.Sc., and Mitchell H. Brown, M.D., M.Ed. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

EDITORIAL1663 My Mother: A Lifetime Role Model

Rod J. Rohrich, M.D.

BOOK AND MEDIA REVIEWS1665 Fat Injection: From Filling to Regeneration, 2nd Edition,

Edited by Sydney R. Coleman, Riccardo F. Mazzola, and Lee L. Q. PuReviewed by George M. Varkarakis, M.D.

1666 Hand Trauma: Illustrated Surgical Guide of Core Procedures, by Dariush NikkhahReviewed by Kyle James Chepla, M.D.

LETTERS968e MBN 2016 Aesthetic Breast Meeting BIA-ALCL Consensus

Conference ReportAdriano Santorelli, M.D., Stefano Avvedimento, M.D., and Antonio Abbadessa, M.D.

969e Reply: MBN 2016 Aesthetic Breast Meeting BIA-ALCL Consensus Conference ReportMaurizio Bruno Nava, M.D., Arianna Di Napoli, M.D., Ph.D., Mark Clemens, M.D., Giuseppe Catanuto, M.D., Ph.D., and Nicola Rocco, M.D., Ph.D.

971e MBN 2016 Aesthetic Breast Meeting BIA-ALCL Consensus Conference ReportMichael A. Cheah, M.D., Charalampos Siotos, M.D., Gedge D. Rosson, M.D., and Carisa M. Cooney, M.P.H.

972e Reply: MBN 2016 Aesthetic Breast Meeting BIA-ALCL Consensus Conference ReportMaurizio Bruno Nava, M.D., Giuseppe Catanuto, M.D., Ph.D., and Nicola Rocco, M.D., Ph.D.

973e Revisiting the Abdominal Donor Site: Introducing a Novel Nomenclature for Autologous Breast ReconstructionSamuel Sarmiento, M.D., M.P.H., M.B.A., Carisa M. Cooney, M.P.H., and Michele A. Manahan, M.D.

974e Sifting through the Evidence: A Comprehensive Review and Analysis of Neurotization in Breast ReconstructionStefania M. H. Tuinder, M.D., Ph.D., Anouk J. M. Cornelissen, M.D., Jop Beugels, M.D., and René R. W. J. van der Hulst, M.D., Ph.D.

Continued

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1665

1666

975e Cheek Volumization and the Nasolabial FoldCarlo Di Gregorio, M.D., Ph.D., Laura Oliveri, M.D., and Salvatore D’Arpa, M.D., Ph.D.

976e Female Cosmetic Genital SurgeryAndrea Sisti, M.D., Edoardo Pica Alfieri, M.D., Giuseppe Nisi, M.D., and Giovanni Sisti, M.D.

977e Reply: Female Cosmetic Genital SurgeryChristine A. Hamori, M.D.

977e Deferoxamine Preconditioning of Irradiated Tissue Improves Perfusion and Fat Graft RetentionPanxi Yu, M.D., Xiaonan Yang, M.D., Ph.D., and Zuoliang Qi, M.D., Ph.D.

978e Reply: Deferoxamine Preconditioning of Irradiated Tissue Improves Perfusion and Fat Graft RetentionDerrick C. Wan, M.D.

978e Teaching Palatoplasty Using a High-Fidelity Cleft Palate SimulatorXiaoxiao Pang, Ph.D., D.D.S., Chao Yang, Ph.D., D.D.S., Bing Shi, D.D.S., Ph.D., and Cheng-hao Li, Ph.D., D.D.S.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

980e Reply: Evaluation and Implementation of a High-Fidelity Cleft Palate SimulatorDale J. Podolsky, M.D., Ph.D., Homan Cheng, M.D., David M. Fisher, M.D., Karen W. Wong Riff, M.D., M.Sc., James M. Drake, M.D., M.Sc., and Christopher R. Forrest, M.D., M.Sc.

981e Strategic Considerations for Effective Sagittal Resection of the Mandible to Achieve a Slim and Attractive JawlinePanxi Yu, M.D., Guodong Song, M.D., Ph.D., Xianlei Zong, M.D., Ph.D., and Xiaolei Jin, M.D., Ph.D.

982e Adipose Tissue–Preserved Skin Graft: Applicability and Long-Term ResultsCagri A. Uysal, M.D., Ph.D., and Nilgun Markal Ertas, M.D.

982e Reply: Adipose Tissue–Preserved Skin Graft: Applicability and Long-Term ResultsDavid T. W. Chiu, M.D., and Bryan Chung, M.D., Ph.D.

983e Targeting Reflux-Free Veins with a Vein Visualizer to Identify the Ideal Recipient Vein Preoperatively for Optimal Lymphaticovenous Anastomosis in Treating LymphedemaGiuseppe Visconti, M.D., Ph.D., Akitatsu Hayashi, M.D., Alessandro Bianchi, M.D., and Marzia Salgarello, M.D.SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

985e Reply: Ultrasound Technology in Targeting Reflux-Free Venules for Optimal Lymphaticovenular Anastomosis in the Treatment of LymphedemaJohnson Chia-Shen Yang, M.D.

985e Patient-Reported Outcome Measures Used in Gender Confirmation Surgery: A Systematic ReviewMauro Barone, M.D., Annalisa Cogliandro, M.D., Ph.D., and Paolo Persichetti, M.D., Ph.D.

VIEWPOINTS987e Making Pharyngoplasty Simple and Safe: When Plastic

Surgery Meets Sleep SurgeryValentina Pinto, M.D., Ph.D., and Ottavio Piccin, M.D., M.Sc.

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988e If You Don’t Use It, You Lose It: The Age-Dependent Utility of Iliac Crest Cartilage for Intermediate Correction of Cleft Nasal Tip AsymmetryMichael V. DeFazio, M.D., Nicole C. Episalla, B.A., Chrisovalantis Lakhiani, M.D., James M. Economides, M.D., and Stephen B. Baker, M.D., D.D.S.

990e Nasal Tip Reconstruction following Skin Cancer Resection: A Novel Approach Combining Reconstructive and Tip Rhinoplasty PrinciplesVictor J. Hassid, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

991e Hering’s Law of the Frontal Facial BranchHaydar A. Gülbitti, M.D., and Berend van der Lei, M.D., Ph.D.

992e Understanding Platelet Function in Microsurgical Arterial Anastomosis: The Charing Cross Clamp TechniqueHazim Sadideen, M.Ed., Ph.D., F.R.C.S.(Plast.), and Navid Jallali, F.R.C.S.(Plast.)

993e Compact and Economical Microsurgical Training Made Possible with Virtual RealityTony Chieh-Ting Huang, M.D., M.Sc., M. Diya Sabbagh, M.D., Kian Adabi, B.A., Steven L. Moran, M.D., Chun-Kuan Lu, M.D., Si-Gyun Roh, M.D., Hsu-Tang Cheng, M.D., Chieh-Cheng Randy Huang, M.D., and Oscar J. Manrique, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

ANNOUNcEMENTS996e ASPS/PSF Sponsored Symposia and Workshops

996e International Meetings and Symposia

990e

993e

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