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128(2) CME — Rhinoplasty—Video 3 – Open Approach

Video Author: Rod J. Rohrich, MD; Jamil Ahmad, MD
Published on: 07.21.2011
Associated with: Plastic and Reconstructive Surgery. 128(2):49e-73e, August 2011

This video demonstrates open approach in primary rhinoplasty. From the “Rhinoplasty” CME, August 2011. Plastic and Reconstructive Surgery. Presented with Permission from UT Southwestern.

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Creator: Jamil Ahmad, MD
Duration: 3:30

In this video, Dr. Jamil Ahmad discusses the article, "Staying Safe during Gluteal Fat Transplantation" by Villanueva, Del Vecchio, Afrooz, Carboy, and Rohrich, which appears in the January 2018 issue of Plastic and Reconstructive Surgery, Volume 141 Issue 1.

Keywords: gluteal augmentation; fat transplantation; fat grafting; safety; cosmetic; aesthetic; safety; plastic surgery; #PRSHotTopic

Creator: Osman Akdag
Duration: 1:24

Video demonstrates animation of hair transplantation combined with autologous fat grafting. From "Camouflaging Cleft Lip Scar Using Follicular Unit Extraction Hair Transplantation Combined with Autologous Fat Grafting." Plastic and Reconstructive Surgery: January 2018 - 141 (1).

Keywords: cleft lip scar; hair transplant; moustache

Creator: Jong Woo Choi
Duration: 2:39

Video demonstrates the septal extension graft technique using double folded conchal cartilage and derotation graft. From "Septum-based nasal tip plasty : A comparative study between septal extension graft and double-layered conchal cartilage extension graft." Plastic and Reconstructive Surgery: January 2018 - 141(1).

Keywords: Septal extension graft; rhinoplasty; tip-plasty : conchal cartilage graft

Creator: Mikael Hivelin, Antoine Soprani, Nathaniel Schaffer, Stéphane Hans, Laurent Lantieri
Duration: 1:59

Video 1 demonstrates the principles of the laparoscopic preperitoneal retro-rectus abdominis muscle dissection of the deep inferior epigastric vessels. From "Minimally Invasive Laparoscopic Dissected - Deep Inferior Epigastric Artery Perforator Flap (MILD-DIEP): An Anatomic Feasibility Study and a First Clinical Case." Plastic and Reconstructive Surgery: January 2018 - 141 (1).

Keywords: DIEP flap; inferior epigastric artery; laparoscopy; totally extraperitoneal; bulge; rectus abdominis anterior sheath; morbidity.

Creator: Mikael Hivelin, Antoine Soprani, Nathaniel Schaffer, Stéphane Hans, Laurent Lantieri
Duration: 5:45

Video 2 demonstrates the anatomical subject study - Part 1: Dissection of the left DIE pedicle and left perforating vessels for a left DIEP flap harvest. From "Minimally Invasive Laparoscopic Dissected - Deep Inferior Epigastric Artery Perforator Flap (MILD-DIEP): An Anatomic Feasibility Study and a First Clinical Case." Plastic and Reconstructive Surgery: January 2018 - 141 (1).

Keywords: DIEP flap; inferior epigastric artery; laparoscopy; totally extraperitoneal; bulge; rectus abdominis anterior sheath; morbidity.

Creator: Mikael Hivelin, Antoine Soprani, Nathaniel Schaffer, Stéphane Hans, Laurent Lantieri
Duration: 5:54

Video 3 demonstrates the anatomical subject study – Part 2: Dissection of the right DIE pedicle for a right DIEP flap harvest. From "Minimally Invasive Laparoscopic Dissected - Deep Inferior Epigastric Artery Perforator Flap (MILD-DIEP): An Anatomic Feasibility Study and a First Clinical Case." Plastic and Reconstructive Surgery: January 2018 - 141 (1).

Keywords: DIEP flap; inferior epigastric artery; laparoscopy; totally extraperitoneal; bulge; rectus abdominis anterior sheath; morbidity.

Creator: Mikael Hivelin, Antoine Soprani, Nathaniel Schaffer, Stéphane Hans, Laurent Lantieri
Duration: 6:46

Video 4 demonstrates a clinical case: Right secondary breast reconstruction with a right DIEP flap harvested with laparoscopic assistance. From "Minimally Invasive Laparoscopic Dissected - Deep Inferior Epigastric Artery Perforator Flap (MILD-DIEP): An Anatomic Feasibility Study and a First Clinical Case." Plastic and Reconstructive Surgery: January 2018 - 141 (1).

Keywords: DIEP flap; inferior epigastric artery; laparoscopy; totally extraperitoneal; bulge; rectus abdominis anterior sheath; morbidity.

Creator: Mikael Hivelin, Antoine Soprani, Nathaniel Schaffer, Stéphane Hans, Laurent Lantieri
Duration: 0:30
Video 5 demonstrates a clinical case: Patient demonstrating rectus abdominis muscle function at postoperative day twelve. From "Minimally Invasive Laparoscopic Dissected - Deep Inferior Epigastric Artery Perforator Flap (MILD-DIEP): An Anatomic Feasibility Study and a First Clinical Case." Plastic and Reconstructive Surgery: January 2018 - 141 (1).

Keywords: DIEP flap; inferior epigastric artery; laparoscopy; totally extraperitoneal; bulge; rectus abdominis anterior sheath; morbidity.

Creator: Edwin Acevedo, Kumar S. Nadhan, Marc Everett, Alexander Moya, and James P. Bradley
Duration: 4:37

Video 1 shows Pre-operative markings including the vertical midline reference line, lower chest reference line, the pubic reference line, and the vertical resection markings are mapped out prior to incision. The dissection of the skin and supra-fascial subcutaneous tissue is completed around the ellipse, and the tissue is resected from the abdominal wall. From "Corset Trunkplasty: Recommended with Abdominal Skin Laxity and Subcostal Scar." Plastic and Reconstructive Surgery: January 2018 - 141 (1).

Keywords: abdominoplasty; trunkoplasty; cholecystectomy; scar; corset.

Creator: Edwin Acevedo, Kumar S. Nadhan, Marc Everett, Alexander Moya, and James P. Bradley
Duration: 2:56

Video 3 demonstrates closure of the lower chest defect. The lateral aspect of the tissue flap is secured in a deep layer using a running bidirectional Quill suture. The lower trunk resection markings are then performed with the patient in a flexed position. From "Corset Trunkplasty: Recommended with Abdominal Skin Laxity and Subcostal Scar." Plastic and Reconstructive Surgery: January 2018 - 141 (1).

Keywords: abdominoplasty; trunkoplasty; cholecystectomy; scar; corset.

Creator: Edwin Acevedo, Kumar S. Nadhan, Marc Everett, Alexander Moya, and James P. Bradley
Duration: 3:19

Video 4 demonstrates the lower trunk skin and soft tissue is resected down to fascia, again, in an oblique fashion away from the abdominal flaps to help preserve blood supply. The lateral aspects of the lower trunk defect are then closed with a running absorbable #2 barbed bidirectional Quill suture. From "Trunkplasty: Recommended with Abdominal Skin Laxity and Subcostal Scar." Plastic and Reconstructive Surgery: January 2018 - 141 (1).

Keywords: abdominoplasty; trunkoplasty; cholecystectomy; scar; corset.

Creator: Rod Rohrich
Duration: 3:59
Component dorsal hump reduction allows for the selective reduction of the septum proper. From "A Review of Current Practices in Rhinoplasty" January 2017 – 141 (1). MOC.
Creator: Neil Tanna
Duration: 2:07
Spreader flaps are performed to stabilize the middle nasal vault. From "A Review of Current Practices in Rhinoplasty" January 2017 – 141 (1). MOC.