March 2019 - Volume 143 - Issue 3
pp: 655-970,465e-681e

Original Articles


Enhanced Recovery after Surgery Pathway for Microsurgical Breast Reconstruction: A Systematic Review and Meta-Analysis

Sebai, Mohamad E.; Siotos, Charalampos; Payne, Rachael M.; More

Plastic and Reconstructive Surgery. 143(3):655-666, March 2019.

Barriers of Access to Breast Reconstruction: A Systematic Review

Retrouvey, Helene; Solaja, Ogi; Gagliardi, Anna R.; More

Plastic and Reconstructive Surgery. 143(3):465e-476e, March 2019.

Introducing BREAST-Q Computerized Adaptive Testing: Short and Individualized Patient-Reported Outcome Assessment following Reconstructive Breast Surgery

Young-Afat, Danny A.; Gibbons, Christopher; Klassen, Anne F.; More

Plastic and Reconstructive Surgery. 143(3):679-684, March 2019.

Ideas and Innovations



Original Articles


Achieving Aesthetic Results in the Umbilical Float Mini-Abdominoplasty: Patient Selection and Surgical Technique

Wan, Dinah; Hubbard, Bradley A.; Byrd, H. Steve

Plastic and Reconstructive Surgery. 143(3):722-732, March 2019.

Ideas and Innovations



The Urogenital Epithelium and Corporal Tissues Are the Primary Targets of Rejection in Penile Vascularized Composite Allotransplantation: A New Real-Time Tissue-Based Monitoring System

Lough, Denver M.; Sopko, Nikolai A.; Matsui, Hotaka; More

Plastic and Reconstructive Surgery. 143(3):534e-544e, March 2019.


Original Articles



Original Articles



Head and Neck: Original Articles


Trunk: Original Article


Can a Cohesive Silicone Bandage Outperform an Adhesive Silicone Gel Sheet in the Treatment of Scars? A Randomized Comparative Trial

Moortgat, Peter; Meirte, Jill; Maertens, Koen; More

Plastic and Reconstructive Surgery. 143(3):902-911, March 2019.

Lower Extremity: Original Articles




Special Topics


Opioid Prescribing and Consumption Patterns following Outpatient Plastic Surgery Procedures

Rose, Katherine R.; Christie, Brian M.; Block, Lisa M.; More

Plastic and Reconstructive Surgery. 143(3):929-938, March 2019.

From “Coordinated” to “Integrated” Residency Training: Evaluating Changes and the Current State of Plastic Surgery Programs

Rifkin, William J.; Cammarata, Michael J.; Kantar, Rami S.; More

Plastic and Reconstructive Surgery. 143(3):644e-654e, March 2019.

Ideas and Innovations








Creator: PRS Journal
Duration: 48:10
Plastic and Reconstructive Surgery March 2019, Volume 143, Issue 3;
In this episode of the Award-winning PRS Journal Club Podcast, 2019 Resident Ambassadors to the PRS Editorial Board – Raj Parikh, Lily Mundy, and Kyle Sanniec- and special guest Ash Patel, MD, discuss the following articles from the March 2019 issue:

“Introducing BREAST-Q Computerized Adaptive Testing: Short and Individualized Patient-Reported Outcome Assessment following Reconstructive Breast Surgery” by Young Afat, Gibbons, Klassen, et al.

“Barriers of Access to Breast Reconstruction: A Systematic Review” by Retrouvey, Solaja, Gagliardi, et al.

“Achieving Aesthetic Results in the Umbilical Float Mini-Abdominoplasty: Patient Selection and Surgical Technique” by Wan, Hubbard, and Byrd.

Special Guest Summer E. Hanson, MD, PhD, FACS, Assistant Professor and Director of Translational Research within the Department of Plastic Surgery at The University of Texas MD Anderson Cancer Center.

#PRSJournalClub #PlasticSurgery

Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 15:02
Journal: Plastic and Reconstructive Surgery March 2019, Volume 143, Issue 3;

This surgical video outlines the markings, technical details, and results for a patient undergoing a short scar periareolar inferior pedicle reduction mammoplasty. There is a particular emphasis on the detailed surgical maneuvers required for success.

Part 2 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; breast reduction; breast surgery; macromastia; mammaplasty; gigantomastia; breast; hypertrophy

Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 17:03
Journal: Plastic and Reconstructive Surgery March 2019, Volume 143, Issue 3;

This surgical video outlines the markings, technical details, and results for a patient undergoing a short scar periareolar inferior pedicle reduction mammoplasty. There is a particular emphasis on the detailed surgical maneuvers required for success.

Part 1 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; breast reduction; breast surgery; macromastia; mammaplasty; gigantomastia; breast; hypertrophy

Creator: Baker Gordon Symposium on Cosmetic Surgery
Duration: 25:50
Journal: Plastic and Reconstructive Surgery March 2019, Volume 143, Issue 3;

Many techniques have been described for treating macromastia. This lecture focuses on the technical details related to several commonly utilized methods including the inverted-T Wise pattern technique, the vertical mammoplasty, and the SPAIR procedure. Technical details and results are presented, including a technique for the prevention of "bottoming out."

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; breast reduction; breast surgery; macromastia; mammaplasty; gigantomastia; breast; hypertrophy

Creator: Rod J. Rohrich, MD
Duration: 2:06

Less than a quarter of women know about available breast reconstruction options following cancer.

In this video, Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses how plastic surgery researchers are helping identify barriers of access and ways to break through.

Read the March 2019 PRS #PlasticSurgery article, "Barriers of Access to Breast Reconstruction: A Systematic Review" by Retrouvey, Solaja, Gagliardi, Webster, and Zhong.

For consumer information on plastic surgery, and to find a board-certified plastic surgeon in your area visit http://plasticsurgery.org

Keywords: plastic surgery; #PRSHotTopic; Breast; breast reconstruction; systematic review; breast cancer; diagnosis of breast cancer; plastic surgeons; private healthcare; tumor; women; charities; Bra Day; mastectomy; breast cancer awareness;

Creator: Rod J. Rohrich, MD
Duration: 2:02
In this video, Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses an experiment with stem-cell-enriched fat injections to cure migraine headaches.

Read the March 2019 PRS #PlasticSurgery article, "Therapeutic Role of Fat Injection in the Treatment of Recalcitrant Migraine Headaches" by Guyuron, and Pourtaheri.

For consumer information on plastic surgery, and to find a board-certified plastic surgeon in your area visit http://plasticsurgery.org

Keywords: plastic surgery; #PRSHotTopic; fat injections; migraine; headache; treatments; women; fat; stem cells; patients; head; cure; migraine treatment; frequency; duration; botox injections; botox; medication; therapeutic; migraine headache; surgery; reconstructive surgery; surgical decompression; nervous system;

Creator: Rod J. Rohrich, MD
Duration: 2:32

In this video, Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses how patients and plastic surgeons can work together to combat the opioid epidemic.

Read the March 2019 PRS #PlasticSurgery article, "Opioid Prescribing and Consumption Patterns Following Outpatient Plastic Surgery Procedures" by Rose, Christie, Block, Rao, and Michelotti.

For consumer information on plastic surgery, and to find a board-certified plastic surgeon in your area visit http://plasticsurgery.org

Keywords: plastic surgery; #PRSHotTopic; opioid; opioid epidemic; pain killers; prescriptions; pain medication; post-cancer breast reconstruction; pills; death; post-op; pain control; surgery; recovery; safety; caretaker; patient care; American; mammoplasty; abdominoplasty;

Creator: Thomas Mustoe, MD
Duration: 3:44

In this video, Dr. Thomas Mustoe discusses article, "Can a Cohesive Silicone Bandage Outperform an Adhesive Silicone Gel Sheet in the Treatment of Scars? A Randomized Comparative Trial " by Moortgat, Meirte, Maertens, Lafaire, De Cuyper, and Anthonissen, which appears in the March 2019 issue of Plastic and Reconstructive Surgery, Volume 143 Issue 3.

Keywords: plastic surgery; #plasticsurgery; wound healing; scars; scar treatment; silicone; Gel; burns; bandages; silicone bandage; treatments; trauma; skin; epidermis; dermis; gel sheet; technology; reconstructive; randomized comparative trial; dermal; Gecko Nanoplast;

Subscriber Access Only
Creator: Nicholas Haddock, MD; Min-Jeong Cho, MD; Andrew Gassman, MD; Sumeet Teotia, MD
Duration: 4:09

Video demonstrates Stacked Profunda Artery Perforator Flap for Breast Reconstruction in Failed or Unavailable Deep Inferior Epigastric Perforator Flap. From "Stacked Profunda Artery Perforator Flap for Breast Reconstruction in Failed or Unavailable Deep Inferior Epigastric Perforator Flap." Plastic and Reconstructive Surgery: March 2019 - 143 (3).

Keywords: Profunda artery perforator flaps; stacked PAP flaps; breast reconstruction; failed DIEP

Subscriber Access Only
Creator: Rafael Denadai, MD; Cesar Augusto Raposo-Amaral, MD; Simone Alves da Silva; Celso Luiz Buzzo, MD, Msc; Cassio Eduardo Raposo-Amaral, MD, PhD
Duration: 2:04

Video demonstrates the fat placements according to the Coleman technique principles. From Complementary Fat Graft Retention Rates are Superior to Initial Rates in Craniofacial Contour Reconstruction. Plastic and Reconstructive Surgery: March 2019- 143 (3).

Keywords: Craniofacial contour asymmetry; fat grafting; outcomes; retention

Subscriber Access Only
Creator: Rafael Denadai, MD; Cesar Augusto Raposo-Amaral, MD; Simone Alves da Silva; Celso Luiz Buzzo, MD, Msc; Cassio Eduardo Raposo-Amaral, MD, PhD
Duration: 3:07

Video demonstrates the preoperative marking in a patient with craniofacial microsomia. From Complementary Fat Graft Retention Rates are Superior to Initial Rates in Craniofacial Contour Reconstruction. Plastic and Reconstructive Surgery: March 2019- 143 (3).

Keywords: Craniofacial contour asymmetry; fat grafting; outcomes; retention

Subscriber Access Only
Creator: Michel Saint-Cyr, MD
Duration: 2:14

Video demonstrates the Free-style approach to knee coverage demonstrating intraoperative perforator assessment and selection based on size and signal quality, and re-adjustment of flap design based on musculocutaneous perforator through Vastus Medialis, that commonly originates from the descending genicular artery. From "Perforasomes of the Superficial Femoral Artery, Descending Genicular and Saphenous Artery and Clinical Applications to Loco-Regional Reconstruction in the Lower Limb." Plastic and Reconstructive Surgery: March 2019 - 143 (3).

Keywords: Perforasome; Vascular Terrirtory; perforator flaps; Superficial Femoral Artery; Saphenous Artery; descending genicular artery; perfusion; pedicled flaps; Loco-regional reconstruction

Subscriber Access Only
Creator: Michel Saint-Cyr, MD
Duration: 0:40

Video demonstrates the potential range of rotation and advancement of a harvested mid-thigh superficial femoral artery pedicled perforator flap for loco-regional coverage. From "Perforasomes of the Superficial Femoral Artery, Descending Genicular and Saphenous Artery and Clinical Applications to Loco-Regional Reconstruction in the Lower Limb." Plastic and Reconstructive Surgery: March 2019 - 143 (3).

Keywords: Perforasome; Vascular Terrirtory; perforator flaps; Superficial Femoral Artery; Saphenous Artery; descending genicular artery; perfusion; pedicled flaps; Loco-regional reconstruction