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

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

In this video Drs. Rod Rohrich and Steve Fagien demonstrate and discuss the finesse and precaution needed for safe and effective combined use of neuro-modulators and hyaluronic acid reversible fillers in the nose, cheeks, lips, mid-face, brow, and temple areas.

The roles of proper lighting, sterile technique, and use of conservative volumes in all areas -especially the lips and cheeks- are emphasized to allow for a natural, not-overdone outcome.

Part 1 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; injectable fillers; hyaluronic acid neuro-modulator; neuromodulator; safety; non-invasive; face; live demonstration; injections

In this video, augmentation mastopexy using the tissue-based triad is presented. Part 1 of 4.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; breast; augmentation; mastopexy; tissue; patient education; assessment; nipple; laxity; implant; measurements; markings; pre-operative; consultation; 3D imaging

In this video, Dr. Daniel C. Baker demonstrates the technique of Lateral Smasectomy, Platysmaplasty and Chin Implant to contour the midface and neck. Considerations regarding utilizing both the SMAS and platysma to restore facial shape and cervical contour in face lifting are demonstrated. Pertinent technical points regarding prevention of facial nerve injury during SMAS manipulation are discussed.

Part 1 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; rhytidoplasty; platysmaplasty; facelift; face lift; platysma; SMAS

In this video, augmentation mastopexy using the tissue-based triad is presented. Part 2 of 4.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; breast; augmentation; mastopexy; tissue; nipple; laxity; implant; operative; operation; incision; breast augmentation;

Video demonstrates a five Step Upper Blepharoplasty. From "Refinements in Upper Blepharoplasty: The Five-Step Technique." Plastic and Reconstructive Surgery: May 2018- 141(5).

Keywords: blepharoplasty; fractofat; fat grafting; upper eyelid; periorbital rejuvenation

In this video, Dr. Daniel C. Baker demonstrates the technique of Lateral Smasectomy, Platysmaplasty and Chin Implant to contour the midface and neck. Considerations regarding utilizing both the SMAS and platysma to restore facial shape and cervical contour in face lifting are demonstrated. Pertinent technical points regarding prevention of facial nerve injury during SMAS manipulation are discussed.

Part 2 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; rhytidoplasty; platysmaplasty; facelift; face lift; platysma; SMAS

No matter how hard they work out or how well they eat, some fitness buffs just can’t get that classic "6-pack" physique. In this video, Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses the safety and effectiveness of "abdominal etching," a plastic surgery procedure that uses targeted liposuction to create highly-defined abs.

Read the April 2019 PRS #PlasticSurgery article, "Abdominal Etching: Surgical Technique and Outcomes" by Husain, Salgado, Mundra, Perez, AlQattan, Bustillo, Perez, and Garri.

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; abs; abdominal wall; six pack; abdominal aesthetics; liposuction; abdominal etching; aesthetics; cosmetic; body contour; muscle; patient satisfaction; diet; exercise; muscular physique; etching; post-op; six-pack abs;

In this video, Dr. James M. Stuzin discusses the article, "Nanofat Needling: A Novel Method for Uniform Delivery of Adipose-Derived Stromal Vascular Fraction into the Skin" by Verpaele, Tonnard, Jeganathan, and Ramaut, which appears in the April 2019 issue of Plastic and Reconstructive Surgery, Volume 143 Issue 4.

Keywords: plastic surgery; #plasticsurgery; nanofat; fat; youth; microneedling adipose; adipose tissue; skin; epidermis; dermis; pigmentation; collagen; microchannels; hormones; adipocytes; healing; wrinkles; needling technique; skin rejuvenation; cosmetic; facial rejuvenation; nanofat injection; fat injection; liposuction; fatty tissue;

The tumescent facelift provides ease of dissection, improved visualization, and hemostasis. It is ideally suited for lipodissection (tunneling) and an extended SMAS dissection to adequately tighten the platysma and elevate the facial soft tissues. The video describes the technique through a series of interdependent maneuvers and details the subtle, but necessary, superior/anterior rotation of the SMAS in order to achieve an excellent outcome without midline platysma plication. Part 1 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; face lift; SMAS, platysma; facial soft tissue; plication; dissection; hemostasis; pre-operative; marking; intraoperative;

Subpectoral placement of implants and the use of textured implants, while having definite advantages, also have drawbacks which, on occasion, can be detrimental to the patient. This video describes the problems seen with these choices and alternatives that may be implemented to ameliorate these problems.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; breast implants; subpectoral; breast; patient; breast augmentation; capsular contracture; texture; ALCL;

In this video, Dr. Daniel C. Baker demonstrates a technique of upper and lower lid blepharoplasty utilizing a minimally invasive approach for periorbital rejuvenation. In this demonstration, lower lid skin laxity is treated via a skin pinch, not requiring a lateral canthoplasty to maintain lower lid shape or support.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; blepharoplasty; eye; eyelid; eyelids; skin; face; skin pinch; rejuvenation;

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

A large number of patients were not good candidates for the lipoabdominoplasty protocol, because many of them have mild skin flaccidity in the abdomen, partial rectus diastasis and high position of belly button. For these patients, Novaes and Ribeiro, created a new classification, as shown in this video. This personal evolution can reduce flap necrosis, seromas, and hematomas, with faster recovery time.

The tumescent facelift provides ease of dissection, improved visualization, and hemostasis. It is ideally suited for lipodissection (tunneling) and an extended SMAS dissection to adequately tighten the platysma and elevate the facial soft tissues. The video describes the technique through a series of interdependent maneuvers and details the subtle, but necessary, superior/anterior rotation of the SMAS in order to achieve an excellent outcome without midline platysma plication. Part 2 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; face lift; SMAS, platysma; facial soft tissue; plication; dissection; hemostasis; intraoperative;

In his open approach to a primary rhinoplasty patient with complex mid-vault and tip projection and shaping problems, Rod J. Rohrich, MD demonstrates how plastic surgeons can develop specific management pathways or algorithms for treating mid-vault problems, tip projection, and shaping issues in a methodical manner to obtain more consistent, good results in this complex procedure in plastic surgery.

Part 1 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; rhinoplasty; primary rhinoplasty; tip projection; mid-vault; plastic surgery;

In this video, augmentation mastopexy using the tissue-based triad is presented. Part 4 of 4.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; breast; augmentation; mastopexy; tissue; nipple; implant; operative; incision; augmentation mastopexy; flap; post-operative; scar therapy;

In his open approach to a primary rhinoplasty patient with complex mid-vault and tip projection and shaping problems, Rod J. Rohrich, MD demonstrates how plastic surgeons can develop specific management pathways or algorithms for treating mid-vault problems, tip projection, and shaping issues in a methodical manner to obtain more consistent, good results in this complex procedure in plastic surgery.

Part 2 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; rhinoplasty; primary rhinoplasty; tip projection; mid-vault; plastic surgery;

When taking photographs, changing the lighting, positioning, or patient expression can dramatically affect the apparent results. These manipulations can create more striking results than the surgery or procedure itself. This lecture highlights the way that photographic images can give false impressions about clinical results and showcases ways to identify manipulated photos.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; photography; photo; ethics; clinical; pre-operative; post-operative; patient; lighting; positioning; facial expression; photo manipulation;

In this video, augmentation mastopexy using the tissue-based triad is presented. Part 3 of 4.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; breast; augmentation; mastopexy; tissue; nipple; implant; operative; operation; incision; augmentation mastopexy; flap

Video demonstrates the APEX conversion technique. From "Mythbusting the DIEP Flap and An Introduction to the Abdominal Perforator Exchange (APEX) Breast Reconstruction Technique: A Single-Surgeon Retrospective Review." Plastic and Reconstructive Surgery: April 2019 - 143 (4).

Keywords: DIEP flap; breast reconstruction; mastectomy; breast cancer; autologous breast reconstruction; microsurgery; free flap breast reconstruction; TRAM; TRAM flap; APEX flap; APEX algorithm; SIEA flap, deep inferior epigastric perforator flap; abdominal perforator exchange flap; perforator; Perforator flap; perforator flap breast reconstruction; fat necrosis; innervation; motor nerve; DIEP; flap; algorithm; Myotomy; Hernia; bulge; muscle sparing TRAM; MS-TRAM; superficial inferior epigastric; Deep Inferior Epigastric Perforator; fascia; classification system

In this video the MACS-lift is presented as the cornerstone of our current concept of comprehensive facial rejuvenation. It effectively and safely treats the aging of the lower half of the face and the upper neck in the majority of aging men and women. The addition of microfat grafting to treat the age-related centrofacial deflation adds to the power and longevity of the rejuvenation, and also allows treatment of non-age-related features such as the tear trough and the nasolabial fold. To treat the category of patients with a more demanding neck laxity, platysmal bands and submental fat deposition we can add a subplatysmal fat resection via a submental incision, and/or a posterior subplatysmal neck plasty with posterior platysma suspension. All of these techniques are included in detail in this video, together with some theoretical considerations.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; facelift; facial rejuvenation; face; rejuvenation; nasolabial fold; platysmal bands; neck; face; longevity; male; female

This 4-part video highlights the markings and surgical technique involved in using the circumvertical pattern for management of the residual breast parenchyma and skin left over after explantation. Operative steps and tips for success are presented including the use of the interlocking PTFE suture technique for management of the periareolar closure.

Baker Gordon Symposium on Cosmetic Surgery.

This lecture discusses the indications and contraindications for augmentation-mastopexy. It presents technical pearls for circumareolar, circumvertical, vertical, and inverted-T methods. Part 2 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; female; breast; augmentation; breast implants; ptosis; mastopexy; circumareolar; circumvertical; vertical; inverted-T; surgical techniques;

In this video Drs. Steve Fagien and Rod Rohrich demonstrate and discuss the finesse and precaution needed for safe and effective combined use of neuro-modulators and hyaluronic acid reversible fillers in the nose, cheeks, lips, mid-face, brow, and temple areas.

The roles of proper lighting, sterile technique, and use of conservative volumes in all areas -especially the lips and cheeks- are emphasized to allow for a natural, not-overdone outcome.

Part 2 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; injectable fillers; hyaluronic acid neuro-modulator; neuromodulator; safety; non-invasive; face; live demonstration; injections

Video is demonstrating technique of extended transconjunctival lower eyelid blepharoplasty with release of the tear trough ligament and fat redistribution. From “Extended Transconjunctival Lower Eyelid Blepharoplasty with Release of the Tear Trough Ligament and Fat Redistribution” Plastic and Reconstructive Surgery August 2017 - 140 (2)

Keywords: Transconjunctival; tear trough; aging; lower eyelid; lower lids; eye bags; tired look; rejuvenation; tear trough ligament; orbicularis retaining ligament; premaxillary space.

This lecture discusses the indications and contraindications for augmentation-mastopexy. It presents technical pearls for circumareolar, circumvertical, vertical, and inverted-T methods. Part 1 of 2.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; female; breast; augmentation; breast implants; ptosis; mastopexy; circumareolar; circumvertical; vertical; inverted-T; surgical techniques;

This lecture discusses long term results achieved from dual plane mastopexy augmentation. This video demonstrates the indications and surgical technique for performing sub glandular augmentation with mastopexy. Strategies to reduce complications and optimize cosmetic results will be discussed.

Baker Gordon Symposium on Cosmetic Surgery.

Keywords: Cosmetic; aesthetic; plastic surgery; mammaplasty; breast; patient; augmentation; mastopexy; nipple position; ptosis; implant; patient misconceptions; NAC; planning; procedure

Video demonstrates the Abdominal flap nomenclature and classification system review. From "Mythbusting the DIEP Flap and An Introduction to the Abdominal Perforator Exchange (APEX) Breast Reconstruction Technique: A Single-Surgeon Retrospective Review." Plastic and Reconstructive Surgery: April 2019 - 143 (4).

Keywords: DIEP flap; breast reconstruction; mastectomy; breast cancer; autologous breast reconstruction; microsurgery; free flap breast reconstruction; TRAM; TRAM flap; APEX flap; APEX algorithm; SIEA flap, deep inferior epigastric perforator flap; abdominal perforator exchange flap; perforator; Perforator flap; perforator flap breast reconstruction; fat necrosis; innervation; motor nerve; DIEP; flap; algorithm; Myotomy; Hernia; bulge; muscle sparing TRAM; MS-TRAM; superficial inferior epigastric; Deep Inferior Epigastric Perforator; fascia; classification system

Video is a demonstration of the labiaplasty technique. From "Female Cosmetic Genital Surgery." Plastic and Reconstructive Surgery. April 2018 - 141 (4).

Keywords: Female; Cosmetic; genital; surgery; plastic surgery; female cosmetic genital surgery

1 in 600 babies are born with cleft lips or palates across the world, and in low-to-middle-income countries, medical infrastructure can lead to a great number of patients with untreated cleft lips or palates. In this video, Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses the overall impact of cleft care missions and clinics, and if they really help patients long term.

Read the April 2019 PRS #PlasticSurgery article, "Foundation-Based Cleft Care in Developing Countries" by Kantar, Cammarata, Rifkin, Diaz-Siso, Hamdan, and Flores.

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; cleft; cleft lip; cleft palate; cleft deformities; lip; children; global; global health; foundations; surgical mission; cleft care centers; morbidity; international; surgery education; poor countries; outcomes; disease; Caring for Kids; Plastic Surgery Foundation; organizations; surgery;

This 4-part video highlights the markings and surgical technique involved in using the circumvertical pattern for management of the residual breast parenchyma and skin left over after explantation. Operative steps and tips for success are presented including the use of the interlocking PTFE suture technique for management of the periareolar closure.

Baker Gordon Symposium on Cosmetic Surgery.

Read the urgent safety advisory issued by the Multi-Society Task Force for Safety in Gluteal Fat Grafting for crucial information on the procedure.
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 sub muscular 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.
Baker Gordon Symposium on Cosmetic Surgery.

This month Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses 3 different hot topic articles from the February 2016 issue. The first Hot Topic article studied the menstrual cycle’s impact on plasticsurgery. The second article examines patient satisfaction after full facial feminization surgery.  The final hot topic from February’s issue discusses Body Dysmorphic Disorder rates in patients undergoing nose jobs, facelifts and tummy tucks. Volume 137, Issue 6.

“Surgical Timing and the Menstrual Cycle Affect Wound Healing in Young Breast Reduction Patients” by Lopez et al; “Full Facial Feminization Surgery: Patient Satisfaction Assessment Based on 180 Procedures Involving 33 Consecutive Patients” by Raffaini et al; Body Dysmorphic Disorder in Patients Seeking Abdominoplasty, Rhinoplasty and Rhytidectomy” Jose Azevedo de Brito et al.

All content is available at http://prsjournal.com

Rod J. Rohrich, MD, Editor-in-Chief of "Plastic and Reconstructive Surgery," discusses two Hot Topic articles on perfecting the Face Lift procedure. The first article describes the 42-year history that went into the development of his composite Face Lift procedure. The author of the second Hot Topic article uses his 25 years of Face Lift experience to help us understand specific key factors which have been the keys to durability and consistency in facial rejuvenation. Volume 138, Issue 1.
“Building the Composite Face Lift: A Personal Odyssey,” by Hamra.

“Long-Term Results in Face Lifting: Observational Results and Evolution of Technique,” by Rohrich, et al.
All content is available at http://prsjournal.com

Keywords: DIEP flap; breast reconstruction; mastectomy; breast cancer; autologous breast reconstruction; microsurgery; free flap breast reconstruction; TRAM; TRAM flap; APEX flap; APEX algorithm; SIEA flap, deep inferior epigastric perforator flap; abdominal perforator exchange flap; perforator; Perforator flap; perforator flap breast reconstruction; fat necrosis; innervation; motor nerve; DIEP; flap; algorithm; Myotomy; Hernia; bulge; muscle sparing TRAM; MS-TRAM; superficial inferior epigastric; Deep Inferior Epigastric Perforator; fascia; classification system