Aesthetic Surgery Journal

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BACKGROUND: The number of Brazilian Butt Lift (BBL) fatalities remains high in the United States (US) despite numerous practice advisories geared towards patient safety and reducing the incidence of fatal pulmonary fat emboli (PFE). OBJECTIVES: This study aimed to evaluate US board-certified plastic surgeon opinion, understanding of BBL-related mortality, and current risk-reducing surgical practices for BBL procedures. METHODS: An online 18-question survey was distributed via email by the Aesthetic Surgery Education and Research Foundation to national board-certified plastic surgeon members of the American Society of Aesthetic Plastic Surgeons...

BACKGROUND: The Transverse Myocutaneous Gracilis (TMG) flap is a viable and safe option for breast reconstruction in patients with limited abdominal tissue or other contraindications for abdominal based flaps. Although it is one of the most commonly used flaps for breast reconstruction, data on patient reported outcome is limited. OBJECTIVES: The authors seek to evaluate patient satisfaction and aesthetic outcome after breast reconstruction with the TMG flap. METHODS: All patients who underwent breast reconstruction with a TMG flap between March 2010 and October 2020 were identified...

BACKGROUND: Nipple-sparing mastectomies (NSM) and implant-based breast reconstructions (IBR) have evolved from two-stage reconstructions with tissue expansion (TE) and implant exchange, to direct-to-implant (DTI). In this study, we tested safety and efficacy of Polyurethane based implants according to standard assessment tools. OBJECTIVES: This study aims to test safety and feasibility of polyurethane coated implants using standardized assessment with internationally acknowledge evaluation criteria...

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BACKGROUND: The perception of an ideal nose is influenced by a variety of factors, with demographic characteristics playing a significant role in what is considered an ideal nose. The nasolabial angle (NLA) is considered one of the defining features shaping the nose. OBJECTIVES: This study set out to capture the perception of the ideal nasolabial angle among Canadian, Saudi, Kuwaiti, and Lebanese populations. METHODS: An online questionnaire-based cross-sectional study was conducted to investigate the ideal nasolabial angle among Canadian, Saudi, Kuwaiti, and Lebanese populations (N = 197)...

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BACKGROUND: Decellularized adipose-derived matrix (DAM) represents a new alternative to tissue fillers. The function of DAM is closely associated with the decellularization technique used for its preparation. However, most techniques are time-consuming and expensive, and this might reduce the popularity of DAM. OBJECTIVES: The study aimed to investigate an enzyme-free adipose decellularization method and generate a DAM capable of adipose tissue regeneration. METHODS: DAMs prepared using the enzyme-free and Flynn's methods were compared and cocultured with human adipose-derived stem cells (hADSCs) to investigate cytocompatibility...

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BACKGROUND: The safety of gluteal fat grafting is a global concern in plastic surgery. OBJECTIVE: To test whether fat grafting to the buttocks with Auto Stop Reach (ASR) technology prevents penetration from the subcutaneous space into the fascia and muscle layers of the buttocks. METHODS: Fat transfer simulation was performed with blue dye on 8 fresh tissue cadaver buttocks by 3 board certified plastic surgeons (SSK, SC, BW). An open control was used to visualize the process in the different anatomic layers while all of the other procedures were performed blindly akin to live surgery...

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The World Health Organization (WHO) estimates that over 650 million adults are obese worldwide. Recently, anti-diabetic medications have rapidly become popular as weight loss medications. With the rising prevalence of obesity and the increasing demand for aesthetic procedures, it is anticipated that a growing number of patients presenting for consultation will be prescribed these medications. Therefore, it is critical for practicing plastic surgeons to understand their potential synergistic effects and safety considerations...

BACKGROUND: Indications for breast-conserving surgery and adjuvant radiotherapy (BCSAR) in patients with breast carcinoma are increasing, as are indications for risk-reducing mastectomy (RRM) in healthy subjects. Most of these cases are reconstructed with silicone shell breast implants (SSBI). OBJECTIVES: To study complications of silicone shell breast implants (SSBI) in breast reconstruction in patients undergoing RRM with previous BCSAR. METHODS: A prospective-cohort study was designed...

BACKGROUND: The lumbar artery perforator (LAP) flap is a valuable secondary option for autologous breast reconstruction when abdominal donor sites are not available. OBJECTIVES: To determine how the LAP donor site affects waistline and gluteal proportions, and whether LAP flaps may lead to potential secondary benefits concerning donor site aesthetics. METHODS: A retrospective review of 50 patients who underwent bilateral breast reconstruction with LAP flaps (100 flaps) from 2018 - 2022 was performed...

BACKGROUND: Textured implants and expanders are associated with an increased risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). As a result, plastic surgeons are utilizing smooth expanders, but many perceive these produce undesirable outcomes including infection, seroma, and lateral displacement. OBJECTIVES: To compare clinical outcomes of smooth and textured expanders. METHODS: We retrospectively reviewed breast reconstruction patients from January 2018 to May 2021...

BACKGROUND: As the prevalence of obesity increases, the number of patients seeing body contouring procedures after bariatric surgery for massive weight loss (MWL) is increasing. While the positive impact of bariatric surgery on physical and emotional health is well-described, few studies have investigated psychosocial well-being of patients undergoing body contouring procedures. Psychosocial well-being can impact patient satisfaction and maintenance of weight loss, and is an important area to study...

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BACKGROUND: There is limited information regarding the perioperative effects of marijuana in breast reconstructive surgeries. OBJECTIVES: The objective of this study was to explore the association between history of cannabis use and post-operative complications in the setting of implant-based breast reconstruction. METHODS: Two databases, TriNetX (TriNetX, LLC; Cambridge, MA) and PearlDiver (Colorado Springs, CO) were queried for patients undergoing implant-based breast reconstruction...

BACKGROUND: The challenge of objectively defining the parameters of beauty dates back centuries. As aesthetic physicians and plastic surgeons, our responsibility is to enhance the natural beauty of our patients' faces, whether it is for aesthetic enhancement or reconstructive purposes. To achieve this goal, it is crucial for us to have a deep understanding of the aesthetic ideals that we strive to achieve. While numerous aesthetic criteria have been proposed over the years, there is a lack of empirical analysis supporting many of these standards...

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