Plastic andReconstructiveSurgery®

BREAST

Original Articles1109 Hybrid Prepectoral Breast Reconstruction: A Surgical

Approach that Combines the Benefits of Autologous and Implant-Based ReconstructionArash Momeni, M.D., and Suhail Kanchwala, M.D. THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.

1116 The Timing of Chemoprophylaxis in Autologous Microsurgical Breast ReconstructionBrian Bassiri-Tehrani, M.D., Irena Karanetz, M.D., Stephanie F. Bernik, M.D., Wojciech Dec, M.D., Jennifer C. Lehman, M.D., and Oren Z. Lerman, M.D. PATIENT SAFETY CME.

621e Low-Level Laser Treatment Is Ineffective for Capsular Contracture: Results of the LaTCon Randomized Controlled TrialFarhad Azimi, M.S., F.R.A.C.S., Kathy Flitcroft, B.B.Sc., M.A., Ph.D., Erin Mathieu, B.Ed., M.P.H., Ph.D., Rebecca Karantonis, R.N., Kylie Snook, F.R.A.C.S., and Andrew J. Spillane, M.B.B.S., M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1125 Subcutaneous Mastectomy Improves Satisfaction with Body and Psychosocial Function in Trans Men: Findings of a Cross-Sectional Study Using the BODY-Q Chest ModuleTim C. van de Grift, M.D., M.Sc., Lian Elfering, M.Sc., Marijke Greijdanus, B.Sc., Jan Maerten Smit, M.D., B.Sc., Mark-Bram Bouman, M.D., Ph.D., Anne F. Klassen, D.Phil., and Margriet G. Mullender, Ph.D., M.B.A. EVIDENCE-BASED OUTCOMES ARTICLE.

632e Perioperative Ketorolac Use and Postoperative Hematoma Formation in Reduction Mammaplasty: A Single-Surgeon Experience of 500 Consecutive CasesJoseph M. Firriolo, M.D., Laura C. Nuzzi, B.A., Lauren C. Schmidtberg, P.A.-C., M.M.Sc., and Brian I. Labow, M.D.

639e Breast Implant Mycobacterial Infections: An Epidemiologic Review and Outcome AnalysisBecher Al-Halabi, B.Med.Sc., B.M.B.Ch., M.H.P.E., Alex Viezel-Mathieu, M.D., C.M., M.Sc., Zachary Shulman, Marcel A. Behr, M.D., M.Sc., and Omar Fouda Neel, M.Mgt., F.R.C.S.C., F.A.A.P.

VOLUME 142 • NUMBER 5 • NOVEMBER 2018

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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.

On the CoverModification of the reconstructive ladder with CRISPR. Drawing by Dr. E. C. Liao. See related article, “CRISPR Craft: DNA Editing the Reconstructive Ladder,” by Roh et al., pages 1355–1364.

online-onlysupplemental digital content

associated video journal club

cpt coding perspectiveoutcomes psychosocial column patient safety cme

INSIGHTS

PSYCHOSOCIAL

Continued

1135 Anatomy of the Superficial Fascia System of the Breast: A Comprehensive Theory of Breast Fascial AnatomyRobert D. Rehnke, M.D., Rachel M. Groening, M.S., Eric R. Van Buskirk, M.D., and John M. Clarke, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

COSMETIC

1165

1135

1153

Baker Gordon Symposium VideoPRSJournal.com Exclusive

VideoHigh-Definition Liposuction: Combining Liposuction and Volume Enhancement to Shape the Torso and BackAlfredo Hoyos, M.D.

High-definition liposuction is a procedure that not only allows the reduction of fatty deposits but also provides the surgeon the ability to sculpt the torso and back to enhance individual muscle definition. The procedure requires a knowledge of muscular anatomy such that fat removal provides etching of muscular boundaries, and in conjunction with autologous volume addition, it allows the creation of both muscular definition and overall artistic shaping in body contour surgery. This video demonstrates the preoperative analysis and intraoperative technique required to produce consistent results in high-definition liposuction.

VideoHigh-Definition Liposuction with Abdominoplasty and NeoumbilicoplastyAlfredo Hoyos, M.D.

High-definition liposuction has become an integral part of our technique for abdominoplasty, enhancing both abdominal contour and postoperative muscular definition. This video demonstrates safe methods to combine high-definition liposuction with abdominoplasty, as well as demonstrating a technique for neoumbilicoplasty, which provides a more consistent and natural umbilical shape in the postoperative result.

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

Original Articles1145 The Relationship between Age and Facial Asymmetry

Olivia E. Linden, M.D., Jun Kit He, B.A., Clinton S. Morrison, M.D., Stephen R. Sullivan, M.D., M.P.H., and Helena O. B. Taylor, M.D., Ph.D.

1153 The Feasibility Determination of Risky Severe Complications of Arterial Vasculature Regarding the Filler Injection Sites at the Tear TroughBenrita Jitaree, M.Sc., Thirawass Phumyoo, M.Sc., Sukanya Uruwan, M.Sc., Worapat Sawatwong, B.Sc., Liam McCormick, M.Biol.Sci., and Tanvaa Tansatit, M.D., M.Sc. THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS.

653e High-Throughput Screening of Full-Face Clinically Relevant Arterial Variations Using Three-Dimensional Postmortem Computed TomographyGuo-Zhang Zhu, M.D., Ph.D., Wei-Rui Zhao, M.D., Cheng-En Luo, M.D., Bing Cai, M.D., Xiang-Xue Kong, M.D., Ph.D., Wen-Feng Zhan, M.D., Zhong-Sheng Sun, M.D., and Sheng-Kang Luo, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1165 Alar Cinching with Subcutaneous Flaps: A Procedure to Achieve Narrowing of the Nasal Base while Controlling the Alar Axis and Sidewall CurvatureToshitsugu Hirohi, M.D., Donald Ng, M.D., Koji Nagai, M.D., and Kotaro Yoshimura, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1177 Discussion: Alar Cinching with Subcutaneous Flaps: A Procedure to Achieve Narrowing of the Nasal Base while Controlling the Alar Axis and Sidewall CurvatureDean M. Toriumi, M.D.

665e Management of Fat Necrosis after Autologous Fat Transplantation for Breast AugmentationJeng-Yee Lin, M.D., Ph.D., Ping Song, M.D., and Lee L. Q. Pu, M.D., Ph.D.

1180 Clinical Implications of Gluteal Fat Graft Migration: A Dynamic Anatomical StudyDaniel A. Del Vecchio, M.D., Nathaniel L. Villanueva, M.D., Raja Mohan, M.D., Bret Johnson, M.D., Dinah Wan, M.D., Aniketh Venkataram, M.D., and Rod J. Rohrich, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. PATIENT SAFETY CME.

1193 Discussion: Clinical Implications of Gluteal Fat Graft Migration: A Dynamic Anatomical StudyAshkan Ghavami, M.D.

1196 Discussion: Clinical Implications of Gluteal Fat Graft Migration: A Dynamic Anatomical StudySteven Teitelbaum, M.D.

1198 Understanding Fatal Fat Embolism in Gluteal Lipoinjection: A Review of the Medical Records and Autopsy Reports of 16 PatientsJorge Enrique Bayter-Marin, M.D., Lázaro Cárdenas-Camarena, M.D., Herley Aguirre-Serrano, M.D., Héctor Durán, M.D., Guillermo Ramos-Gallardo, M.D., and José Antonio Robles-Cervantes, M.D. PATIENT SAFETY CME.

1209 Discussion: Understanding Fatal Fat Embolism in Gluteal Lipoinjection: A Review of the Medical Records and Autopsy Reports of 16 PatientsSteven Teitelbaum, M.D.

Ideas and Innovation1212 The Impact of Upper Face Botulinum Toxin Injections

on Eyebrow Height and Forehead Lines: A Randomized Controlled Trial and an Algorithmic Approach to Forehead InjectionSamer F. Jabbour, M.D., Cyril J. Awaida, M.D., Joseph S. ElKhoury, M.D., Youssef A. Rayess, M.D., Rani B. Makhoul, M.D., Elio G. Kechichian, M.D., and Marwan W. Nasr, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

EXPERIMENTAL1219 The Architecture of Fat Grafting II: Impact of Cannula

DiameterIsaac B. James, M.D., Debra A. Bourne, M.D., Gabriella DiBernardo, B.S., Sheri S. Wang, B.S., Jeffrey A. Gusenoff, M.D., Kacey Marra, Ph.D., and J. Peter Rubin, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT. THIS AND RELATED “CLASSIC” ARTICLES APPEAR ON PRSJOURNAL.COM FOR JOURNAL CLUB DISCUSSIONS. VIDEO DISCUSSION BY RAJA MOHAN, M.D., IS AVAILABLE ONLINE FOR THIS ARTICLE.

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1226 Discussion: The Architecture of Fat Grafting II: Impact of Cannula DiameterRoger K. Khouri, Jr., M.D., Raoul-Emil R. Khouri, M.Eng., Khalil R. Khouri, M.S.E., and Gerard Ateshian, Ph.D.

1229 The Disturbed Function of Neutrophils at the Early Stage of Fat Grafting Impairs Long-Term Fat Graft RetentionKaiyang Liu, M.D., Junrong Cai, M.D., Hongjin Li, M.D., Jingwei Feng, M.D., Chuanbo Feng, Ph.D., and Feng Lu, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

674e Assisting Rapid Soft-Tissue Expansion with Adipose-Derived Stem Cells: An Experimental Study in a Pig ModelQianwen Wang, M.D., Ph.D., Lu Zhou, M.D., Ph.D., Tailing Wang, M.D., Ph.D., Xin Guo, M.D., Hao Yu, M.D., Ph.D., and Jiaqi Wang, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1240 Vascular Endothelial Growth Factor Enhances Proliferation of Human Tenocytes and Promotes Tenogenic Gene ExpressionArmin Kraus, M.D., Daniel Sattler, M.D., Markus Wehland, Ph.D., Ronald Luetzenberg, M.D., Nauras Abuagela, M.D., and Manfred Infanger, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1248 Discussion: Vascular Endothelial Growth Factor Enhances Proliferation of Human Tenocytes and Promotes Tenogenic Gene ExpressionRoger K. Khouri, Jr., M.D.

685e Mechanical Loading Improves Engineered Tendon Formation with Muscle-Derived Cells: An In Vivo AnalysisBo Chen, M.D., Ph.D., Jinping Ding, M.D., Zhenxia Zhao, M.D., Ji Jin, M.D., Shan Zhu, M.D., Mengqing Zang, M.D., Bingjian Xue, M.D., and Yuanbo Liu, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

HAND/PERIPHERAL NERVE

Original Articles1251 Combined Carpal Tunnel Release and Palmar Fasciectomy

for Dupuytren’s Contracture Does Not Increase the Risk for Complex Regional Pain SyndromeScott N. Loewenstein, M.D., Stephen P. Duquette, M.D., and Joshua M. Adkinson, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1258 Validity of the Tinel Sign and Prevalence of Tibial Nerve Entrapment at the Tarsal Tunnel in Both Diabetic and Nondiabetic Subjects: A Cross-Sectional StudyWillem D. Rinkel, M.D., Manuel Castro Cabezas, M.D., Ph.D., Johan W. van Neck, Ph.D., Erwin Birnie, Ph.D., Steven E. R. Hovius, M.D., Ph.D., and J. Henk Coert, M.D., Ph.D.

1267 Gender Disparities in Preoperative Resource Use for Wrist ArthroscopyJessica I. Billig, M.D., Jennifer M. Sterbenz, B.Sc., Lin Zhong, M.D., M.P.H., and Kevin C. Chung, M.D., M.S.

PEDIATRIC/CRANIOFACIAL

Original Articles1275 A 26-Year Experience with Microsurgical Reconstruction of

Hemifacial Atrophy and Linear SclerodermaJenny T. Chen, M.D., Daniel B. Schmid, M.D., Jacqueline S. Israel, M.D., and John W. Siebert, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Continued

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685e

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1275

694e A Review of Validated Quality-of-Life Patient-Reported Outcome Measures in Pediatric Plastic SurgeryJanine M. Roller, M.D., Rebecca J. M. Courtemanche, M.Sc., and Douglas J. Courtemanche, M.D., M.S.

1285 Early Mandibular Distraction in Craniofacial Microsomia and Need for Orthognathic Correction at Skeletal Maturity: A Comparative Long-Term Follow-Up StudyRosaline S. Zhang, B.A., Lawrence O. Lin, B.S., Ian C. Hoppe, M.D., Jordan W. Swanson, M.D., Jesse A. Taylor, M.D., and Scott P. Bartlett, M.D.

1294 Discussion: Early Mandibular Distraction in Craniofacial Microsomia and Need for Orthognathic Correction at Skeletal Maturity: A Comparative Long-Term Follow-Up StudyDerek M. Steinbacher, D.M.D., M.D.

708e Intracranial Volume and Head Circumference in Children with Unoperated Syndromic CraniosynostosisRichard William Francis Breakey, M.B.B.S., B.Sc., Paul G. M. Knoops, M.Sc., Alessandro Borghi, M.Eng., Ph.D., Naiara Rodriguez-Florez, M.Eng., Ph.D., Justine O’Hara, F.R.C.S.(Plast.), Gregory James, Ph.D., F.R.C.S.(Neuro. Surg.), David J. Dunaway, F.D.S.R.C.S., F.R.C.S.(Plast.), Silvia Schievano, M.Eng., Ph.D., and N. U. Owase Jeelani, M.B.A., M.Phil.(Medical Law), F.R.C.S.(Neuro. Surg.) SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Ideas and Innovations1300 A New Paradigm in Cleft Lip Procedural Excellence: Creation

and Preliminary Digital Validation of a Lifelike SimulatorCarolyn R. Rogers-Vizena, M.D., Francesca Y. L. Saldanha, M.B.B.Chir., Andrew L. Hosmer, M.E.T., and Peter Weinstock, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Special Topic718e Arthroscopic Ganglionectomy in the Pediatric Population

Oded Ben-Amotz, M.D., Ronnie A. Pezeshk, M.D., Douglas M. Sammer, M.D., and Jonathan Cheng, M.D.

RECONSTRUCTIVE

Head and Neck

Original Articles1307 Simultaneous Reconstruction of the Lower Lip with Gracilis

Functioning Free Muscle Transplantation for Facial Reanimation: Comparison of Different TechniquesJerry Tsung-Kai Lin, M.D., Johnny Chuieng-Yi Lu, M.D., Tommy Nai-Jen Chang, M.D., and David Chwei-Chin Chuang, M.D. CODING PERSPECTIVE FOR THIS ARTICLE IS ON PAGE 1316.

1318 Discussion: Simultaneous Reconstruction of the Lower Lip with Gracilis Functioning Free Muscle Transplantation for Facial Reanimation: Comparison of Different TechniquesRonald M. Zuker, M.D.

722e Predicting Perceived Disfigurement from Facial Function in Patients with Unilateral ParalysisSofia Lyford-Pike, M.D., Nathaniel E. Helwig, Ph.D., Nick E. Sohre, M.S., Stephen J. Guy, Ph.D., and Tessa A. Hadlock, M.D.

Special Topic1320 Vascularized Composite Allotransplantation: Alternatives

and Catch-22sJ. Rodrigo Diaz-Siso, M.D., Zachary M. Borab, B.A., Natalie M. Plana, B.A., Brendan Parent, J.D., John T. Stranix, M.D., and Eduardo D. Rodriguez, M.D., D.D.S.

cpt

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722e

Trunk

Original Article1327 Outcome and Complications following Vertical Rectus

Abdominis Myocutaneous Flap Surgery to Reconstruct Sacrectomy DefectsMatthew T. Houdek, M.D., Karim Bakri, M.B.B.S., Meagan E. Tibbo, M.D., Eric R. Wagner, M.D., Peter S. Rose, M.D., Franklin H. Sim, M.D., and Steven L. Moran, M.D.

Ideas and Innovations729e Creation of Clitoral Hood and Labia Minora in Penile Inversion

Vaginoplasty in Circumcised and Uncircumcised TranswomenDries Opsomer, M.D., Katherine M. Gast, M.D., M.S., Lisa Ramaut, M.D., Edward De Wolf, M.D., Karel Claes, M.D., Casper Sommeling, M.D., and Stan Monstrey, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

Lower Extremity

Original Articles1337 Regional Variation and Trends in the Timing of Lower

Extremity Reconstruction: A 10-Year Review of the Nationwide Inpatient SampleClifford C. Sheckter, M.D., Brian Pridgen, M.D., Alexander Li, M.D., Catherine Curtin, M.D., and Arash Momeni, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

734e Donor-Site Morbidity and Functional Status following Medial Femoral Condyle Flap HarvestGhassan Mehio, M.D., Mohamed Morsy, M.D., Cenk Cayci, M.D., M. Diya Sabbagh, M.D., Alexander Y. Shin, M.D., Allen T. Bishop, M.D., Steven L. Moran, M.D., and Brian T. Carlsen, M.D.

Ideas and Innovations1349 Amputation-Site Soft-Tissue Restoration Using Adipose Stem

Cell TherapyDebra A. Bourne, M.D., R. Dallin Thomas, D.O., M.P.H., Jacqueline Bliley, M.S., Gretchen Haas, Ph.D., Aaron Wyse, M.D., Albert Donnenberg, Ph.D., Vera S. Donnenberg, Ph.D., Ian Chow, M.D., Rory Cooper, Ph.D., Sydney Coleman, M.D., Kacey Marra, Ph.D., Paul F. Pasquina, M.D., and J. Peter Rubin, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

CME742e Getting the Most Out of Augmentation-Mastopexy

Konrad Sarosiek, M.D., G. Patrick Maxwell, M.D., and Jacob G. Unger, M.D.RELATED VIDEO CONTENT IS AVAILABLE ONLINE.

PLASTIC SURGERY FOCUS

Regenerative Medicine1355 CRISPR Craft: DNA Editing the Reconstructive Ladder

Danny S. Roh, M.D., Ph.D., Edward B.-H. Li, B.A. and Eric C. Liao, M.D., Ph.D.

1365 Discussion: CRISPR Craft: DNA Editing the Reconstructive LadderMichael S. Hu, M.D., M.P.H., M.S., Michael T. Longaker, M.D., M.B.A., and Derrick C. Wan, M.D.

Continued

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1327

742e

1349

Technology and Innovations1367 Preclinical Experience Using a New Robotic System Created

for MicrosurgeryTom J. M. van Mulken, M.D., Clint A. E. M. Boymans, M.D., Rutger M. Schols, M.D., Ph.D., Raimondo Cau, Ph.D., Ferry B. F. Schoenmakers, Lisette T. Hoekstra, M.D., Ph.D., Shan S. Qiu, M.D., Ph.D., Jesse C. Selber, M.D., M.P.H., and René R. W. J. van der Hulst, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

1377 Discussion: Preclinical Experience Using a New Robotic System Created for MicrosurgeryTheodore A. Kung, M.D., and Jennifer F. Waljee, M.D., M.P.H.

Special Topics760e Introducing Knowledge Translation to Plastic Surgery:

Turning Evidence into PracticeSyena Moltaji, B.Sc., M.D.(C.), Ahmad H. Alkhatib, M.D., Henry Liu, M.D., Jessica Murphy, M.Sc., Lucas Gallo, B.H.Sc., M.D.(C.), Marta Karpinski, B.H.Sc., Sadek Mowakket, B.H.Sc.(C.), and Achilleas Thoma, M.D., M.Sc.

1380 Ergonomics in the Operating Room: The Cervicospinal Health of Today’s SurgeonsSean M. Fisher, M.D., Chad M. Teven, M.D., and David H. Song, M.D., M.B.A. PATIENT SAFETY CME.

770e Impact of Chronic Steroid Use on Plastic Surgery Outcomes: Analysis of 94,140 CasesCarolina P. Barcha, M.S.P.H., and Matthew J. Ranzer, M.D. PATIENT SAFETY CME.

780e Discussion: Impact of Chronic Steroid Use on Plastic Surgery Outcomes: Analysis of 94,140 CasesMargaret J. Starnes-Roubaud, M.D., and Edward I. Chang, M.D.

Ideas and Innovations782e Familial Aggregation of Plastic Surgical Procedures

Andrew T. Timberlake, M.D., Ph.D., and Derek M. Steinbacher, D.M.D., M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

EDITORIAL1391 Sifting through the Ashes to Find the Meaning of Resilience

Heather J. Furnas, M.D., and Barbara Kammerer Quayle

BOOK AND MEDIA REVIEWS1397 The Art of Body Contouring: A Comprehensive Approach,

edited by Al Aly and Fabio NahasReviewed by J. Peter Rubin, M.D., and Omar E. Beidas, M.D.

1398 Nasoseptal Perforations: Endoscopic Repair Techniques, by Isam Alobid and Paolo CastelnuovoReviewed by Jennifer Lavin, M.D., M.S.

CORRECTIONS1400 Liposuction Aspirate Fluid Adipose-Derived Stem Cell

Injection and Secondary Healing in Fingertip Injury: A Pilot Study: Correction

1400 Nitroglycerin Ointment for Reducing the Rate of Mastectomy Flap Necrosis in Immediate Implant-Based Breast Reconstruction: Correction

Continued

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1391

LETTERS786e Minimally Invasive Laparoscopically Dissected Deep Inferior

Epigastric Artery Perforator Flap: An Anatomical Feasibility Study and a First Clinical CaseAdeyemi A. Ogunleye, M.D., S.M., Vinay S. Gundlapalli, M.D., Rana C. Pullatt, M.D., Milton B. Armstrong, M.D., and Kevin O. Delaney, M.D., M.B.A.

787e Reply: Minimally Invasive Laparoscopically Dissected Deep Inferior Epigastric Artery Perforator Flap: An Anatomical Feasibility Study and a First Clinical CaseMarc David Benjoar, M.D., Yael Berdah, M.D., Francis Dubosq, M.D., Daniel Zarca, M.D., Laurent Lantieri, M.D., Stéphane Hans, M.D., Ph.D., and Mikael Hivelin, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

789e The Comparison of Strattice and SurgiMend in Acellular Dermal Matrix-Assisted, Implant-Based Immediate Breast ReconstructionYezen Sheena, F.R.C.S.(Plast.), Jessica Ball, M.R.C.S.(Eng.), Sarah Louise Benyon, F.R.C.S.(Plast.), Parto Forouhi, F.R.C.S.(Eng.), and Charles M. Malata, F.R.C.S.(Plast.)

790e Reply: The Comparison of Strattice and SurgiMend in Acellular Dermal Matrix-Assisted, Implant-Based Immediate Breast ReconstructionFayyaz A. K. Mazari, M.Sc., M.S., Ph.D., F.R.C.S., F.E.B.S.

791e Where Do We Look? Assessing Gaze Patterns in Breast Reconstructive Surgery with Eye-Tracking TechnologyArie Azuelos, M.D., Simone La Padula, M.D., Mounia SidAhmed-Mezi, Ph.D., Jean Paul Meningaud, M.D., Ph.D., and Barbara Hersant, M.D.

792e Reply: Where Do We Look? Assessing Gaze Patterns in Breast Reconstructive Surgery with Eye-Tracking TechnologyLawrence Z. Cai, M.D., John A. M. Paro, M.D., Gordon K. Lee, M.D., and Rahim S. Nazerali, M.D.

793e Nipple-Areola Complex ReconstructionAndrea Sisti, M.D., Edoardo Pica Alfieri, M.D., Cesare Brandi, M.D., Giuseppe Nisi, M.D., and Luca Grimaldi, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

793e Lower Body Lift in the Massive Weight Loss Patient: A New Classification and Algorithm for Gluteal AugmentationCassio Eduardo Raposo-Amaral, M.D., Ph.D.

794e Reply: Lower Body Lift in the Massive Weight Loss Patient: A New Classification and Algorithm for Gluteal AugmentationSamer Jabbour, M.D., and Taliah Schmitt, M.D.

795e The Addition of Platelet-Rich Plasma to Facial Lipofilling: A Double-Blind, Placebo-Controlled, Randomized TrialKadri Ozer, M.D., and Oguz Atan, M.D.

796e Reply: The Addition of Platelet-Rich Plasma to Facial Lipofilling: A Double-Blind, Placebo-Controlled, Randomized TrialJoris A. van Dongen, B.Sc., Joep C. N. Willemsen, M.D., Maroesjka Spiekman, M.D., Karin M. Vermeulen, Ph.D., Martin C. Harmsen, Ph.D., Hieronymus P. Stevens, M.D., Ph.D., and Berend van der Lei, M.D., Ph.D.

798e Measurement of Warping Angle in Human Rib Graft: An Experimental StudyXiaona Lu, M.D., and Fei Fan, M.D.

799e Reply: Measurement of Warping Angle in Human Rib Graft: An Experimental StudySafvet Ors, M.D.

Continued

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787e

799e

800e Targeting Reflux-Free Veins with a Vein Visualizer to Identify the Ideal Recipient Vein Preoperatively for Optimal Lymphaticovenous Anastomosis in Treating LymphedemaApinut Wongkietkachorn, M.D., Palakorn Surakunprapha, M.D., Kengkart Winaikosol, M.D., Nuttapone Wongkietkachorn, M.D., Kant Eua-angkanakul, M.D., Pattama Punyavong, M.D., Kamonwan Jenwitheesuk, M.D., and Bowornsilp Chowchuen, M.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

801e Reply: Targeting Reflux-Free Veins with a Vein Visualizer to Identify the Ideal Recipient Vein Preoperatively for Optimal Lymphaticovenous Anastomosis in Treating LymphedemaJohnson Chia-Shen Yang, M.D.

801e Vascular Anomalies: From a Clinicohistologic to a Genetic FrameworkLeonidas Pavlidis, M.D., Ph.D.

802e Autologous Fat Injection versus Lundborg Resection Arthroplasty for the Treatment of Trapeziometacarpal Joint OsteoarthritisFrancesco Klinger, M.D., Marco Klinger, M.D., Luca Maione, M.D., Federico Barbera, M.D., Mattia Siliprandi, M.D., Andrea Battistini, M.D., and Fabio Caviggioli, M.D.

803e Reply: Autologous Fat Injection versus Lundborg Resection Arthroplasty for the Treatment of Trapeziometacarpal Joint OsteoarthritisHolger C. Erne, M.D., Ph.D., and Daniel Schmauss, M.D., Ph.D.

804e Targeting Reflux-Free Veins with a Vein Visualizer to Identify the Ideal Recipient Vein Preoperatively for Optimal Lymphaticovenous Anastomosis in Treating LymphedemaTakumi Yamamoto, M.D., Ph.D., Nana Yamamoto, M.D., Hayahito Sakai, M.D., Yuma Fuse, M.D., Hidehiko Yoshimatsu, M.D., Yukio Seki, M.D., and Akiyoshi Kajikawa, M.D., Ph.D.

806e Reply: Targeting Reflux-Free Veins with a Vein Visualizer to Identify the Ideal Recipient Vein Preoperatively for Optimal Lymphaticovenous Anastomosis in Treating LymphedemaJohnson Chia-Shen Yang, M.D.

807e Superthin SCIP Flap for Reconstruction of Subungual Melanoma: Aesthetic Functional SurgeryMario Cherubino, M.D., Chiara Stocco, M.D., Davide Sallam, M.D., and Luigi Valdatta, M.D.

808e Reply: Superthin SCIP Flap for Reconstruction of Subungual Melanoma: Aesthetic Functional SurgeryKyeong-Tae Lee, M.D., and Goo-Hyun Mun, M.D., Ph.D.

809e Three-Dimensional Reconstruction: The Waveform Design of Free Perforator Flap for the Heel Defect RepairDing Pan, Zheng-Bing Zhou, and Ju-Yu Tang SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

810e Reply: Reconstruction of the Heel, Middle Foot Sole, and Plantar Forefoot with the Medial Plantar Artery Perforator Flap: Clinical Experience with 28 CasesAlberto Franchi, M.D., and Mario F. Scaglioni, M.D.

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811e An Intraoperative Three-Dimensional Imaging System for Better Image Sharing and Protection of Reconstructive Surgeons’ NeckYukari Ando, M.D., Yuma Fuse, M.D., and Takumi Yamamoto, M.D., Ph.D.

812e Reply: Work-Related Musculoskeletal Injuries in Plastic Surgeons in the United States, Canada, and NorwayIbrahim Khansa, M.D., Lara Khansa, Ph.D., Tormod S. Westvik, M.D., Jamil Ahmad, M.D., Frank Lista, M.D., and Jeffrey E. Janis, M.D.

813e Increasing Diversity in Plastic SurgeryRebecca L. DeSanti, B.A., Lakshmi Nair, B.S., and Oluwaseun A. Adetayo, M.D.

814e Reply: Increasing Diversity in Plastic SurgeryCarisa M. Cooney, M.P.H., and Damon S. Cooney, M.D., Ph.D.

VIEWPOINTS816e Endoscopic Nipple-Sparing Mastectomy with Immediate

Multistage Fat Grafting for Total Breast Reconstruction: A New Combination for Minimal Scar Breast Cancer SurgeryToshihiko Satake, M.D., Ph.D., Kazutaka Narui, M.D., Ph.D., Mayu Muto, M.D., Takashi Ishikawa, M.D., Ph.D., and Jiro Maegawa, M.D., Ph.D. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

818e Coned Radial Forearm Free Flap for Improved Retention of Orbital Prosthesis following Orbital ExenterationKiane Zhou, M.D., Jason K. Luong, Jonathan R. Clark, M.Biostat., F.R.A.C.S., and Sydney Ch’ng, Ph.D., F.R.A.C.S. SUPPLEMENTAL DIGITAL CONTENT IS AVAILABLE IN THE TEXT.

819e A New Simple Maneuver to Manipulate Sutures during Microvascular Anastomosis Using MicrosuctionEfterpi Demiri, M.D., Ph.D., Georgia-Alexandra Spyropoulou, M.D., Ph.D., Dimitrios Dionyssiou, M.D., Ph.D., and Leonidas Pavlidis, M.D., Ph.D.

820e Systematic Review of the Cost of Applying to Integrated Plastic Surgery ResidencyFrancesco M. Egro, M.Sc., M.R.C.S., Brandon T. Smith, M.S., and Vu T. Nguyen, M.D.

821e The Fourth Industrial Revolution Tackles Plastic SurgeonsArturo S. Prado, M.D.

ANNOUNCEMENTS823e ASPS/PSF Sponsored Symposia and Workshops

823e International Meetings and Symposia

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