Plastic surgeryPub Date : 2026-02-23DOI: 10.1177/22925503261416934
Terence Kwan-Wong
{"title":"Commentary: Facial Reanimation Surgery: An Investigation on the Role of Online Information Sharing in Patient Education and Decision-Making.","authors":"Terence Kwan-Wong","doi":"10.1177/22925503261416934","DOIUrl":"10.1177/22925503261416934","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261416934"},"PeriodicalIF":0.6,"publicationDate":"2026-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12929071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147309349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Plastic surgeryPub Date : 2026-02-19DOI: 10.1177/22925503261423548
Subhas Gupta
{"title":"Past Performance as a Predictor of Future Success: Deciphering the Research \"Arms Race\" in Plastic Surgery Applicants.","authors":"Subhas Gupta","doi":"10.1177/22925503261423548","DOIUrl":"10.1177/22925503261423548","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261423548"},"PeriodicalIF":1.2,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12920154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Plastic surgeryPub Date : 2026-02-19DOI: 10.1177/22925503261423545
Federica Tomaselli, Roberta Albanese, Damiano Tambasco
{"title":"Body Contouring in the Era of GLP-1 Therapy: Are We Ignoring Tissue Biology?","authors":"Federica Tomaselli, Roberta Albanese, Damiano Tambasco","doi":"10.1177/22925503261423545","DOIUrl":"10.1177/22925503261423545","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261423545"},"PeriodicalIF":1.2,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12920158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Plastic surgeryPub Date : 2026-02-18DOI: 10.1177/22925503261419806
Ellen Z Wei, Derek B Asserson, Devra B Becker
{"title":"The Utilization and Influence of Online Review Websites in Plastic Surgery.","authors":"Ellen Z Wei, Derek B Asserson, Devra B Becker","doi":"10.1177/22925503261419806","DOIUrl":"10.1177/22925503261419806","url":null,"abstract":"<p><p><b>Introduction:</b> Online reviews have become an influential factor in shaping patient perceptions and patient-physician engagement. Prior studies have demonstrated that a single positive review on RealSelf.com was associated with a 30% increase in aesthetic surgery volume, and that review quantity more strongly affects patient perceptions and behaviors than average rating. <b>Methods:</b> This study aimed to evaluate the utilization and influence of online reviews among plastic surgery patients. A cross-sectional survey of 111 adult plastic surgery patients was conducted to assess the role of online reviews in surgeon selection and patient perceptions. <b>Results:</b> Among respondents, 8.3% identified their surgeon through online reviews, while 45% researched their surgeon prior to their visit. Overall, 77% of patients regarded online reviews as both accurate and important. A significant difference in perceived accuracy was observed between patients referred, recommended, or influenced by advertisement and those who used the internet to find their surgeon (<i>P</i> = .043, n = 84). Elective and nontrauma patients were significantly more likely to research their surgeon than cancer and reconstructive patients (<i>P</i> = .004, n = 97). The most valued review characteristics were a high overall rating (60%), reviews with the presence of text (23%), and a large number of reviews (17%). <b>Conclusion:</b> Online reviews represent an influential resource for patients considering plastic surgery. Understanding how patients utilize this resource raises surgeon awareness of patient perceptions and this relatively new phenomenon.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261419806"},"PeriodicalIF":1.2,"publicationDate":"2026-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12916335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147271690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Plastic surgeryPub Date : 2026-02-17DOI: 10.1177/22925503261419807
Leah E Thomas, James Tran, Kylie McMath, Subhas Gupta
{"title":"The Impact of Irrigating Solutions on the Tensile Strength of Silicone Breast Implants: A Comparative In Vitro Analysis for Intraoperative use.","authors":"Leah E Thomas, James Tran, Kylie McMath, Subhas Gupta","doi":"10.1177/22925503261419807","DOIUrl":"10.1177/22925503261419807","url":null,"abstract":"<p><p><b>Introduction:</b> The durability of silicone breast implants is critical for successful aesthetic and reconstructive outcomes. Intraoperative breast pocket irrigation is routinely performed to reduce infection and capsular contracture, but the effect of commonly used irrigants on implant shell integrity remains unclear. <b>Methods:</b> Silicone breast implant shells from Mentor and Allergan Natrelle were sectioned into 2.5 × 2.5 cm samples and randomly allocated to 5 irrigant groups: 0.9% normal saline, triple antibiotic solution (clindamycin, cefazolin, gentamicin), 0.05% chlorhexidine gluconate (Irrisept<sup>®</sup>), 10% povidone-iodine (Betadine<sup>®</sup>), and Poloxamer 188 (SAF-Clens<sup>®</sup> AF). Each sample was immersed in its respective irrigant for 60 s then tested for tensile strength using a commercial tensiometer with a 1.0 cm displacement. Data were analyzed using one-way ANOVA with Tukey's HSD post hoc testing. <b>Results:</b> Average preimmersion tensile strength was 8.58 N. Postimmersion tensile strengths were 8.25 N (saline), 8.94 (triple antibiotic), 8.84 N (chlorhexidine gluconate), 8.08 N (povidone-iodine), and 7.41 N (Poloxamer 188). No statistically significant differences were found among groups (ANOVA, <i>P</i> = .085), though a trend toward reduced tensile strength following Poloxamer exposure was observed. <b>Conclusions:</b> Normal saline, triple antibiotic solution, chlorhexidine gluconate, and povidone-iodine did not significantly affect the tensile strength of silicone breast implant shells. Poloxamer 188, however, showed a trend toward greater reduction in tensile strength and should be thoroughly rinsed prior to implant placement. These findings support the safe use of conventional antiseptic and antibiotic irrigants with minimal impact on implant mechanical integrity.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261419807"},"PeriodicalIF":1.2,"publicationDate":"2026-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12913038/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146228215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Plastic surgeryPub Date : 2026-02-15DOI: 10.1177/22925503261419791
Akhil Nair, Calandra Li, Basma Bamakhrama, Matthew McRae, Blake Murphy, Mark McRae
{"title":"Perioperative Takotsubo Syndrome Following Breast Prosthesis Explantation and Capsulectomy: A Case Report.","authors":"Akhil Nair, Calandra Li, Basma Bamakhrama, Matthew McRae, Blake Murphy, Mark McRae","doi":"10.1177/22925503261419791","DOIUrl":"10.1177/22925503261419791","url":null,"abstract":"<p><p>Takotsubo syndrome (TS), a transient cardiomyopathy characterized by left ventricular wall motion abnormalities often mimics presentation of acute coronary syndrome. Although the pathophysiology is not completely clear, it is thought to occur as a result of catecholamine-induced myocardial toxicity. Here we report a case of a 38-year-old female patient who developed perioperative atypical TS during capsulectomy, breast implant explantation, and auto-augmentation. The lessons from management of the severe acute onset event in a rather routine procedure is valuable for raising awareness and should assist with prompt recognition and effective management.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261419791"},"PeriodicalIF":1.2,"publicationDate":"2026-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12909134/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146220863","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Plastic surgeryPub Date : 2026-02-12DOI: 10.1177/22925503261419778
Carolyn Wang, Kimberley Yuen, Taylor Incze, Evan Fang, Josephine A D'Abbondanza
{"title":"Transparency of Wellness Programming Across Canadian Plastic Surgery Residency Programs.","authors":"Carolyn Wang, Kimberley Yuen, Taylor Incze, Evan Fang, Josephine A D'Abbondanza","doi":"10.1177/22925503261419778","DOIUrl":"10.1177/22925503261419778","url":null,"abstract":"<p><p><b>Introduction:</b> Accrediting bodies and institutions in Canada have emphasized the importance of integrating wellness into training programs. However, the transparency of wellness initiatives in residency programs to applicants remains uncertain. This study evaluated the visibility of wellness across Canadian plastic surgery residency programs. <b>Methods:</b> A cross-sectional content analysis was conducted in September 2025 of all 12 Canadian plastic surgery residency programs. Program websites, Canadian Resident Matching Service (CaRMS) 2026 R-1 match descriptions, and official Instagram accounts were reviewed for explicit mentions of \"wellness\" or related terms. Instagram posts were categorized as wellness, social, academic, or other. Descriptive statistics and nonparametric tests were used to summarize findings and assess variation between programs. <b>Results:</b> Six programs (50%) mentioned wellness on their program websites, with only one program providing a dedicated tab and another linking to a formal wellness policy. Eight programs (67%) referenced wellness in their CaRMS website descriptions, though content was generally brief. Across Instagram accounts, 1603 posts were analyzed: 62 (3.9%) were wellness-related, 225 (14.0%) were social, 571 (35.6%) were academic, and 745 (46.5%) were categorized as other. No consistent national trend was observed over time. <b>Conclusion:</b> Canadian plastic surgery residency programs demonstrate variable transparency regarding wellness initiatives across digital platforms. As accreditation standards evolve, improving the accessibility and clarity of wellness information may better inform applicants and reinforce institutional commitment to resident well-being.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261419778"},"PeriodicalIF":0.6,"publicationDate":"2026-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12900658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146202386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Plastic surgeryPub Date : 2026-02-05DOI: 10.1177/22925503251414393
Emily L M Dalton, Thomas R Cawthorn, Yoga Dhanapala, Frankie O G Fraulin, A Robertson Harrop, Karen Hulin, Rebecca L Hartley
{"title":"Parents Appreciate Streamlined Care From Occupational Therapists for Their Child's Simple Hand Fracture: A Qualitative Study.","authors":"Emily L M Dalton, Thomas R Cawthorn, Yoga Dhanapala, Frankie O G Fraulin, A Robertson Harrop, Karen Hulin, Rebecca L Hartley","doi":"10.1177/22925503251414393","DOIUrl":"10.1177/22925503251414393","url":null,"abstract":"<p><p><b>Introduction:</b> Most pediatric hand fractures are treated nonoperatively, yet the majority of these children are managed by plastic surgeons. Our institution developed a protocol, deemed the Simple Fracture Protocol (SFP), which streamlines pediatric hand fracture care by redirecting patients with simple fractures to occupational therapists for management. This qualitative study evaluated parental satisfaction with the SFP. <b>Methods:</b> A semistructured telephone interview was administered to parents of children with hand fractures treated under the SFP between March 1, 2024, and May 31, 2024. Interviews were audio recorded, anonymized, and transcribed. Interviews were completed until data saturation was reached. Inductive content analysis was performed and reviewed by the research team to confirm key themes. <b>Results:</b> Of the 78 families contacted, 40 parents participated in the study. Parents reported high satisfaction with the care provided; 100% felt their care expectations were met. Four key themes were identified (1) communicating clearly, (2) creating a calm and comfortable environment, (3) setting expectations, and (4) streamlining clinical processes. Most patients, 67.5%, recovered within the expected 6 weeks. Delays in healing were often due to early return to sports or nonadherence to recovery guidelines. <b>Conclusions:</b> The SFP has been well-received by parents. Adjustments in the care instructions provided to patients partaking in high contact sports may further enhance the patient/family experience. This model offers a valuable framework for other institutions seeking to optimize pediatric fracture care.</p>","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503251414393"},"PeriodicalIF":0.6,"publicationDate":"2026-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12875891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146143230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Plastic surgeryPub Date : 2026-02-03DOI: 10.1177/22925503261416933
Alan D Rogers
{"title":"The Need for Choosing Wisely Canada Recommendations in Plastic Surgery.","authors":"Alan D Rogers","doi":"10.1177/22925503261416933","DOIUrl":"10.1177/22925503261416933","url":null,"abstract":"","PeriodicalId":20206,"journal":{"name":"Plastic surgery","volume":" ","pages":"22925503261416933"},"PeriodicalIF":1.2,"publicationDate":"2026-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12867723/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}