Plastic and Reconstructive Surgery Global Open最新文献

{"title":"Newly Identified Developmental Delays in a Large Population of Children With Nonsyndromic Cleft Lip and Palate.","authors":"Jagmeet S Arora, Nima Khoshab, Melissa Kanack, Leah Chase, Nikita Kadakia, Sharon Vargas, Touran Zadeh, Raj M Vyas","doi":"10.1097/GOX.0000000000006655","DOIUrl":"10.1097/GOX.0000000000006655","url":null,"abstract":"<p><strong>Background: </strong>Nonsyndromic cleft lip and/or palate (NSCLP) is the most common congenital craniofacial anomaly. Early recognition of developmental delays associated with NSCLP is critical for counseling and management. This study investigates developmental delays in a large population of children with NSCLP.</p><p><strong>Methods: </strong>This is an institutional review board-approved, retrospective analysis of children 5-21 years of age with a diagnosis of NSCLP. Demographic and clinical variables were collected for patients and a control group without NSCLP from the 2018 National Survey of Children's Health (NSCH) database.</p><p><strong>Results: </strong>A total of 617 patients with NSCLP subjects and 29,147 NSCH participants were included. Among orofacial clefts, 45.2% were unilateral cleft lip and palate, followed by isolated cleft palate (30%), bilateral cleft lip and palate (16.4%), and isolated cleft lip (8.4%). NSCLP children with isolated cleft lip (odds ratio [OR]: 3.97), unilateral cleft lip and palate (OR: 2.17) and bilateral cleft lip and palate (OR: 2.91) had significantly higher odds of being diagnosed with attention-deficit hyperactivity disorder than the NSCH cohort. Rates of autism/pervasive developmental disorder were higher in children with isolated cleft lip than cleft lip and palate (11.5% versus 4.7%, <i>P</i> = 0.06), but this association was not significant. Children with isolated cleft palate had higher rates of intellectual disability, speech delay, global developmental delay, cerebral palsy, and hearing loss compared with the NSCH cohort (<i>P</i> < 0.05).</p><p><strong>Conclusions: </strong>Higher rates of attention disorders and developmental delays in children with NSCLP highlight the importance of proper risk assessment and multidisciplinary management for this population.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6655"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Iomeprol-400, Ultravist-370, and Omnipaque-350 in Preoperative Computed Tomography for Visualizing the Deep Inferior Epigastric Perforators.","authors":"Luisa Peress, Andres Kaitzberg, Eldad Silberstein, Ilan Shelef, Meir Retchkiman","doi":"10.1097/GOX.0000000000006670","DOIUrl":"10.1097/GOX.0000000000006670","url":null,"abstract":"<p><strong>Background: </strong>Breast reconstruction using the deep inferior epigastric perforator (DIEP) flap is considered the gold standard, due to its natural results and minimal damage to the donor site. Precise preoperative imaging to identify optimal perforators is essential for successful DIEP flap surgery, improving surgical outcomes and patient satisfaction. This study evaluates the efficacy of Iomeprol-400, a high iodine concentration contrast agent, against Ultravist-370 and Omnipaque-350 in enhancing visualization of DIEPs on preoperative computed tomography angiography (CTA).</p><p><strong>Methods: </strong>We performed a retrospective comparative study of 40 female patients who underwent preoperative CTA with contrast injection of Iomeprol-400 and 40 matched controls following the injection of either Ultravist-370 or Omnipaque-350. Arterial phase enhancement in Hounsfield units was measured at the abdominal aorta, proximal and distal deep inferior epigastric arteries (DIEAs), and DIEP. Although measurements were collected at the aorta, these were excluded from statistical analysis due to nonnormal distribution.</p><p><strong>Results: </strong>Significant differences in arterial enhancement were found between the groups. The Iomeprol-400 group showed higher enhancement at the proximal DIEA (<i>P</i> < 0.001), distal DIEA (<i>P</i> = 0.004), and at the DIEP (<i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>Iomeprol-400 significantly improves visualization of critical small-diameter vessels in preoperative CTA for DIEP flap surgery compared with Ultravist-370 and Omnipaque-350. These findings support incorporating higher iodine concentration agents such as Iomeprol-400 into preoperative imaging protocols for DIEP flap surgery.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6670"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of the Teaching Hospital Environment on Plastic Surgery Residents' Academic Interest and Career Aspirations: Insights from France.","authors":"Yanis Berkane, Haizam Oubari, Jonathan Cornacchini, Olivier Camuzard, Nicolas Bertheuil, Elise Lupon","doi":"10.1097/GOX.0000000000006652","DOIUrl":"10.1097/GOX.0000000000006652","url":null,"abstract":"<p><strong>Background: </strong>Plastic surgery residency training in France presents unique challenges and opportunities, with a highly competitive environment and a growing demand for academic plastic surgeons. Understanding the factors influencing residents' career decisions is essential for optimizing training programs and fostering academic interest.</p><p><strong>Methods: </strong>A cross-sectional study was conducted using a self-administered questionnaire comprising 14 questions distributed via RedCAP between January and June 2023. The study included all residents and young attendings in all 21 French University Hospital Centers nationwide, from year 1 to postgraduate year 2.</p><p><strong>Results: </strong>Among 204 contacted participants, 106 responses were obtained. All responses were complete. First-year residents represented 9.4% of respondents, whereas residents in the \"deepening\" and \"consolidation phases\" represented 41.5% and 25.6%, respectively. Senior residents such as \"junior doctors\" and young attendings represented 25.5% of survey respondents. Although most residents expressed interest in private practice, mentorship from academic surgeons emerged as a significant influencer toward academic pursuits. Despite the prevalence of academic mentors (38% of identified mentors), a discrepancy was found between perceived academic orientation and actual research opportunities, indicating a need for improved awareness and exposure to academic possibilities during residency. Financial considerations, including salary differentials and job security, also seemed to play a substantial role in career decision-making.</p><p><strong>Conclusions: </strong>Cultivating a deeper understanding of academic careers' multifaceted nature and enhancing the appeal of academic pursuits are essential for nurturing the next generation of academic plastic surgeons. It is hoped that this study will help enhance the appeal of academic vocations in plastic surgery residents.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6652"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Machine Learning-based Identification of Prognostic Factors for Surgical Management in Patients With NOS Sarcoma.","authors":"Christoph Wallner, Sonja V Schmidt, Felix Reinkemeier, Marius Drysch, Alexander Sogorski, Maxi von Glinski, Patrick Harenberg, Mustafa Becerikli, Marcus Lehnhardt, Ingo Stricker, Mehran Dadras, Flemming Puscz","doi":"10.1097/GOX.0000000000006653","DOIUrl":"10.1097/GOX.0000000000006653","url":null,"abstract":"<p><strong>Background: </strong>Non-otherwise specified (NOS) sarcomas, a diverse and diagnostically challenging group of mesenchymal malignancies, pose significant clinical dilemmas due to their variable clinical trajectories and therapeutic responses. This study utilizes advanced machine learning techniques, namely classification and regression trees and Shapley additive explanation (SHAP) values, to identify predictors of survival, metastatic progression, and recurrence within a well-defined patient cohort, aiming to improve risk stratification and individualized care strategies.</p><p><strong>Methods: </strong>Through the application of classification and regression trees and SHAP values to a cohort of 122 patients with NOS sarcoma, we identified critical factors impacting disease outcomes.</p><p><strong>Results: </strong>The study findings revealed that age and tumor diameter significantly influenced the development of metastasis, whereas body mass index and tumor grading were key predictors for relapse. Additionally, tumor size, location, and age were identified as influential factors for overall survival in patients with NOS sarcoma. These results have direct clinical relevance and can aid in risk stratification and surgical planning in this challenging patient population.</p><p><strong>Conclusions: </strong>Considering the comparatively small cohort with which the machine learning algorithm was trained, this study underscores the importance of considering age, tumor size, location, body mass index, and tumor grading in the management of NOS sarcomas, shedding light on factors that may impact clinical outcomes and guide personalized treatment strategies.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6653"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ventral Hernia Repair With Onlay Placement of Biosynthetic Ovine Rumen Is Noninferior to Retrorectus Placement.","authors":"Trudy S Kim, Dharshan Sivaraj, Devi Lakhlani, Thomas Johnstone, Paul Szotek, Dominic Henn, Rahim S Nazerali","doi":"10.1097/GOX.0000000000006666","DOIUrl":"10.1097/GOX.0000000000006666","url":null,"abstract":"<p><strong>Background: </strong>Mesh placement impacts postoperative outcomes in ventral hernia repair (VHR). The retrorectus technique is associated with lower recurrence rates than the onlay technique. Hybrid meshes, combining synthetic and biologic benefits, have been introduced, but the effect of placement location on outcomes remains unclear.</p><p><strong>Methods: </strong>We retrospectively analyzed 71 patients who underwent VHR with biosynthetic ovine rumen in either an onlay (n = 38) or retrorectus (n = 33) position. We compared demographics, comorbidities, complications, and recurrent rates. Multivariate logistic regression assessed associations between mesh placement and outcomes.</p><p><strong>Results: </strong>Onlay patients were older (mean 62.9 versus 57.4 y, <i>P</i> = 0.03) and had larger hernias (158 versus 73.8 cm², <i>P</i> < 0.001). Most patients had grade 2 or 1 hernias according to the modified ventral hernia working group classification, with no significant differences in postoperative complications. Hernia recurrence occurred in 5.41% of onlay patients and 0% of retrorectus patients.</p><p><strong>Conclusions: </strong>No significant differences in complications or recurrence rates were observed between placement techniques. These findings suggest that hybrid mesh placement in an onlay position is a safe and durable strategy for VHR.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6666"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biologic Response With and Without Acellular Dermal Matrix in Breast Reconstruction.","authors":"Hani Sbitany, Vivek Mukhatyar, Jason Hammer, Amardeep Hoonjan, Braden K Leung, Maryellen Gardocki-Sandor","doi":"10.1097/GOX.0000000000006671","DOIUrl":"10.1097/GOX.0000000000006671","url":null,"abstract":"<p><strong>Background: </strong>Acellular dermal matrices (ADMs) are biologic meshes commonly used in implant-based breast reconstruction (IBBR) procedures to provide implant support and coverage. Although the etiology is not well understood, increasing preclinical and clinical evidence suggest that ADMs may help prevent capsular contracture, a frequent complication of IBBR, by modulating the inflammatory response in the tissue surrounding breast implants. The objective of this narrative review is to discuss the evidence supporting the role of inflammation in capsular contracture following IBBR without ADM, and to characterize the potential mechanism(s) by which ADMs may reduce the incidence of capsular contracture in IBBR.</p><p><strong>Methods: </strong>Relevant studies in English published up to December 31, 2023, were identified from 4 databases (BIOSIS Previews, Embase, MEDLINE, and Northern Light Life Sciences Conference Abstracts) using search terms such as \"breast\" and \"capsular contracture.\"</p><p><strong>Results: </strong>This review discusses the potential factors (eg, expander-to-implant reconstruction, diminished collagen integrity, postmastectomy radiation therapy, surface of implant, plane of placement, incision type, hematoma, seroma, postoperative infection, and biofilm) and emerging biomarkers (eg, <i>NRG1</i>, <i>IL-8</i>, TIMP-1, TIMP-2, <i>TIMP-4</i>, MMP2, <i>MMP12</i>, <i>ACAN</i>, <i>SAA1</i>, <i>TNFSF11</i>, and hyaluronan) that may be able to predict capsular contracture. The available evidence that tissue integration of ADMs modulates the wound healing process and inflammation, and the available clinical evidence, which indicates that ADMs may decrease rates of capsular contracture following postmastectomy radiation therapy, are summarized.</p><p><strong>Conclusions: </strong>The studies summarized in this review suggest that ADMs may reduce the likelihood of capsular contracture in IBRR compared with no ADM use.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 4","pages":"e6671"},"PeriodicalIF":1.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11964387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143780686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Frailty and Age on Older Patients Undergoing Plastic Surgery at a Quaternary Center in Brazil.","authors":"Murilo Sgarbi Secanho, Rohan Rajaram, Paulo José Fortes Villas Boas, Aristides Augusto Palhares Neto, Pedro Tadao Hamamoto Filho","doi":"10.1097/GOX.0000000000006641","DOIUrl":"10.1097/GOX.0000000000006641","url":null,"abstract":"<p><strong>Background: </strong>An aging population brings with it an older cohort of patients undergoing plastic surgery. Identifying and understanding risk factors related to surgical outcomes is critical. The literature diverges regarding the impact of age. Associated with age is the modifiable condition of frailty. This is a retrospective case control study examining the effect of age and frailty on perioperative outcomes in the plastic surgery setting.</p><p><strong>Methods: </strong>A cohort of elderly patients undergoing plastic surgery at the Hospital das Clínicas da Faculdade de Medicina de Botucatu between 2013 and 2020 was collected to medical chart review. The independent variables analyzed were age, sex, comorbidities, surgery performed, and modified 5-item frailty index. The outcomes evaluated were perioperative and postoperative complications, rehospitalization within 1 month, and mortality within 1 month after surgery.</p><p><strong>Results: </strong>We identified 229 patients, with a mean age of 70.1 ± 8.8 years. The majority were women (54.6%). The most prevalent comorbidities were systemic arterial hypertension (62.4%) and smoking (27.5%). Frailty score (modified 5-item frailty index) of 2 or more impacted readmission at 30 days (<i>P</i> = 0.012). A total of 43 (18.8%) patients were 80 years of age or older, and 28 (65.1%) were women. There were no statistical differences among the surgical outcomes among octogenarians and the younger group.</p><p><strong>Conclusions: </strong>Frail elderly patients had higher readmission rate at 30 days of follow-up. In our cohort, frailty score was more effectively than age in predicting poorer postoperative outcomes.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6641"},"PeriodicalIF":1.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nipple Sensation and Nipple-Areolar Complex Outcomes After Oncoplastic Breast Surgery.","authors":"Austin Olano, John Chou, Emma Lampropoulos, Jeffrey Aalberg, Michael Jonczyk, Salvatore Nardello, Sarah Persing, Abhishek Chatterjee","doi":"10.1097/GOX.0000000000006603","DOIUrl":"10.1097/GOX.0000000000006603","url":null,"abstract":"<p><strong>Background: </strong>Oncoplastic breast surgery (OBS) is a form of breast conservation surgery that integrates cancer removal with the reconstruction of the breast and immediate contralateral symmetry surgery followed by adjuvant radiation. This study aimed to identify differences in nipple-areolar complex (NAC) outcomes by comparing the oncological breast (which also receives adjuvant radiation) to the contralateral breast following OBS.</p><p><strong>Methods: </strong>Interviews containing validated nipple-focused questions were conducted on 28 patients (encompassing 56 breasts) who had undergone OBS with immediate contralateral symmetry surgery followed by adjuvant radiation. Outcomes were ranked on Likert scales. A Wilcoxon signed-rank test was used to analyze the results for differences in rankings between the oncological breast and the contralateral symmetry breast.</p><p><strong>Results: </strong>There were no statistically significant differences in patient satisfaction with nipple height or NAC shape when comparing breasts having undergone oncological resection versus symmetry surgery. A majority of patients reported being satisfied with the look of the NAC on the oncological breast. There was less reported nipple sensation on the oncological breast compared with the symmetry breast; however, there was no statistically significant difference in patient satisfaction with nipple sensation.</p><p><strong>Conclusions: </strong>Nipple-areolar outcomes following OBS and adjuvant radiation are favorable in terms of patient sensation and appearance particularly when compared with the contralateral breast undergoing symmetry reduction surgery. These findings can enhance the preoperative counseling of patients in the breast cancer surgical decision-making process.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6603"},"PeriodicalIF":1.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11957658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Thoracoabdominal Flaps Following Bilateral Mastectomy for Locally Advanced Breast Cancer.","authors":"Ryohei Katsuragi, Norie Abe, Ayako Koki, Hisamitsu Zaha","doi":"10.1097/GOX.0000000000006637","DOIUrl":"10.1097/GOX.0000000000006637","url":null,"abstract":"<p><p>Skin grafting is typically used to close large skin defects that may occur after mastectomy when the patient does not desire breast reconstruction. Herein, we present the case of a 49-year-old woman who underwent bilateral mastectomy for locally advanced breast cancer and had large skin defects on both sides of the chest that were closed using bilateral thoracoabdominal flaps. The flaps were designed in a hatchet shape to minimize the amount of flap dissection; after the flaps were elevated, indocyanine green angiography was performed to trim the areas with poor blood flow, and the wounds were closed without tension. The patient was discharged 9 days after surgery and completed postmastectomy radiation therapy. Six months after the surgery, the color and texture matched well, and no recurrence was observed. This is the first report demonstrating the effectiveness and safety of using bilateral thoracoabdominal flaps for bilateral mastectomy defects.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6637"},"PeriodicalIF":1.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11939947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative Markings and Incisions in Body Contouring Surgery.","authors":"Mijke J Boers, Daan Geerards, Maarten M Hoogbergen","doi":"10.1097/GOX.0000000000006651","DOIUrl":"10.1097/GOX.0000000000006651","url":null,"abstract":"<p><strong>Background: </strong>The number of patients with obesity is rising, along with the desire for bariatric and postbariatric surgery. Applying a single surgical technique to all patients is challenging due to the body deformities that result from massive weight loss and the variety in body shape.</p><p><strong>Methods: </strong>Due to the large number of postbariatric patients who wish to have body contouring surgery, the Catharina Hospital in Eindhoven has been perfecting its techniques for years.</p><p><strong>Results: </strong>This article describes standardized preoperative markings and techniques of the fleur-de-lis abdominoplasty, lower body lift, inner thigh lift, and brachioplasty.</p><p><strong>Conclusions: </strong>This article offers an overview of standardized techniques for body contouring surgery. These techniques save time and help to teach residents and colleagues.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 3","pages":"e6651"},"PeriodicalIF":1.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}