Daekwan Chi, S. Lee, Jae-Hee Kim, T. Kim, J. Jeong, Sunje Kim, Sang-Ha Oh
{"title":"Surgical importance of the posterior auricular ligament when harvesting ear cartilage in rhinoplasty","authors":"Daekwan Chi, S. Lee, Jae-Hee Kim, T. Kim, J. Jeong, Sunje Kim, Sang-Ha Oh","doi":"10.14730/AAPS.2020.02313","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02313","url":null,"abstract":"Rhinoplasty in Asian patients has been greatly advanced overall and in terms of specific associated techniques over the past few decades [1]. In most Asian patients, autologous graft materials are necessary to augment or change the shape of the nose [2,3]. Among autologous graft materials, ear cartilage is most frequently used due to its efficiency and safety. However, instability of the auricular framework may arise as a form of donor site morbidity after the harvest of ear cartilage. This instability makes it difficult for patients to wear face masks or insert earphones [4,5]. Of the parts of the ear cartilage, the cymba, cavum, and tragus are generally used, and these are perceived to be the main components that account for auricular stability. The harvest of additional ear cartilage is sometimes unavoidable, even in patients with histories of multiple ear Daekwan Chi, Seokui Lee, Jae-Hee Kim, Taek-Kyun Kim, Jae-Yong Jeong, Sunje Kim, Sang-Ha Oh","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"12-17"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41652859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dual-pedicled conjoined abdominal flap for breast reconstruction in a patient with previous radiation therapy","authors":"Jun Hyeok Kim, Na Rim Kim, Ye Sol Kim, D. Oh","doi":"10.14730/AAPS.2020.02306","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02306","url":null,"abstract":"Breast reconstruction continues to evolve on both the artistic and scientific fronts. The deep inferior epigastric artery perforator (DIEP) flap is considered the gold standard for breast reconstruction and results in patient satisfaction, aesthetically satisfactory outcomes, and favorable donor site morbidity [1]. For delayed reconstruction of the breast, a dual-pedicled DIEP flap is indicated to overcome insufficient hemi-abdominal tissue and extensive radiation effects on the chest wall [2]. The dual-pedicled DIEP flap provides a sufficient skin envelope and subcutaneous fat tissue for the creation of a natural-looking breast with adequate volume to match the contralateral breast [3]. The dual-pedicled DIEP flap requires microvascular augmentation, including turbocharging or supercharging; however, radiation therapy can damage candidate recipient vessels [4], resulting in uncertain patency that may lead to flap failure. Thus, the present report suggests a novel and effective surgical method, a dual-pedicled conjoined abdominal flap that uses a free DIEP flap combined with a pedicled transverse rectus abdominis muscle (TRAM) flap for volume-demanding, unilateral breast reconstruction, even in patients who have undergone radiotherapy. Jun Hyeok Kim, Na Rim Kim, Ye Sol Kim, Deuk Young Oh","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"31-34"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44540932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daiwon Jun, Na Rim Kim, Y. Suh, Y. J. Kim, K. Cho, J. H. Lee
{"title":"Penicillamine-induced virginal mammary hypertrophy","authors":"Daiwon Jun, Na Rim Kim, Y. Suh, Y. J. Kim, K. Cho, J. H. Lee","doi":"10.14730/AAPS.2020.02376","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02376","url":null,"abstract":"Wilson disease is an autosomal recessive genetic disorder caused by the accumulation of copper within the human body. It is the most common inherited liver disease, and its symptoms may vary depending on the affected organs. In general, liver related symptoms such as fatigue, nausea and vomiting or jaundice develop in childhood whereas central nervous system related symptoms such as personality change or psychosis develop in late adulthood. Failure to excrete copper leads to various symptoms such as vomiting, weakness, itching, tremor, muscle stiffness, and psychosis, as the brain and liver are the most commonly involved organs. Penicillamine is a metal antagonist that increases urinary copper excretion by chelation. The adverse effects of penicillamine are known to include irreversible neurologic deficits, hypersensitivity, marrow suppression, proteinuria, and teratogenic syndrome [1]. Although rare, virginal mammary hypertrophy (VMH) induced by penicillamine has been reported [2]. In this report, we would like to share our experience of the diagnosis and treatment of penicillamine-induced VMH that developed in a patient with Wilson disease.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"35-38"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45086641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment of delayed venous congestion of the nipple-areolar complex after reduction mammoplasty","authors":"J. Park, Y. Myung","doi":"10.14730/AAPS.2020.02369","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02369","url":null,"abstract":"Reduction mammoplasty is a widely performed operation with excellent patient satisfaction [1]. The early complications of reduction mammoplasty include bleeding, infection, and wound dehiscence [2]. One of the most devastating complications is tissue necrosis, especially of the nipple-areolar complex (NAC). Although uncommon, NAC ischemia can lead to partial or total necrosis of the NAC [3]. Edema, blue discoloration, and dark sanguineous bleeding upon pinprick are suggestive of venous congestion of the NAC [4]. In most cases, NAC congestion is recognized intraoperatively after inset of the pedicle and the NAC or within a few hours after the completion of the operation [3,5]. Here, we present a case of delayed venous congestion of the NAC identified 48 hours after the completion of bilateral reduction mammoplasty.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"39-42"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46906578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The role of peer-reviewed journals in esthetic surgery","authors":"Eun-Sang Dhong, Ha-Yoon Chung","doi":"10.14730/AAPS.2020.02418","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02418","url":null,"abstract":"Why should we write scientific papers? It is often thought that research manuscripts are written by scholars and professors at universities. Cosmetic surgeons in private practice often feel no need to publish papers. However, as doctors, we are scientists who practice medicine. Furthermore, the internet is flooded with medical information—and, all too often, misinformation. In this piece, as editors, we would like to discuss the importance of writing articles on esthetic plastic surgery to be published in peer-reviewed journals, with a focus on two perspectives.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"1-2"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47811931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mandibular angle reduction combined with facelift via the premasseter space","authors":"Y. Lee, Il Seok Lee, Ho Jik Yang","doi":"10.14730/aaps.2020.02201","DOIUrl":"https://doi.org/10.14730/aaps.2020.02201","url":null,"abstract":"The demand for facial rejuvenation surgery is increasing with the increase in the elderly population. Facelift surgery is widely used to lift the soft tissue, thereby weakening the nasolabial groove and providing volumetric fullness to the face [1]. However, owing to differences in anatomical structures between Asian and Caucasian faces, this method does not always result in satisfying outcomes for all Asian women. Asian faces differ from Caucasian faces with respect to the skull structure and distribution of facial fat. Compared with Caucasians, Asians generally have wider and shorter faces. Facial fat descends with age, and Asian faces become more rectangular and boxy [2,3]. For the aforementioned reasons, some old Asian women have a prominent mandibular angle and a face with a rectangular appearance. In these patients, performing only a soft tissue facelift will cause the face to look more rectangular and the mandibular angle to appear more protruded. In Asian cultures, an overly prominent mandible and rectangular face are undesirable because they suggest a harsh and masculine appearance. Instead, facial beauty is characterized by an oval appearance. Patients with a prominent mandibular angle often complain that their face looks more rectangular after surgery when only a facelift is performed without consideration of this cultural difference. Therefore, in light of the cultural and anatomical differences between Asians and Caucasians, lifting soft tissue alone does not proYoon Joo Lee, Il Seok Lee, Ho Jik Yang","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"26 1","pages":"132-137"},"PeriodicalIF":0.3,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41403948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reduction malarplasty combined with facelift via the prezygomatic space","authors":"Y. Lee, Il Seok Lee, Ho Jik Yang","doi":"10.14730/aaps.2020.02215","DOIUrl":"https://doi.org/10.14730/aaps.2020.02215","url":null,"abstract":"The demand for facial rejuvenation surgery is increasing with the increase in the elderly population. Among surgical treatments, facelift is widely used to lift the soft tissue, weaken the nasolabial groove, and provide volumetric fullness to the face [1]. However, due to differences in the anatomical structures of the faces of Asians and Caucasians, this method currently does not yield satisfactory outcomes for all Asian women. The faces of Asians differ from those of Caucasians with respect to the skull structure and facial fat. Relative to Caucasians, Asians generally have a wider and flatter face, a greater bizygomatic distance, and a less developed premaxilla. Moreover, the facial fat is fully distributed in the malar and submalar regions in Asians. As Asian individual ages, the facial fat descends, and the face becomes more rectangular and boxy [2,3]. For these reasons, some older Asian women exhibit zygomatic protrusion and wide faces. In these patients, performing only a soft tissue facelift will cause the face to look wider and the zygoma to appear more protruded. In Asian culture, an overly protruded zygoma and wide face are undesirable because they suggest an unaesthetic and harsh appearance. When facelift is performed in isolation, without consideration of this cultural feature, patients with zygomatic protrusion often complain that their face looks wider after surgery. Therefore, it can be concluded that without considering the cultural and anatomical differences between Asians and Caucasians, Yoon Joo Lee, Il Seok Lee, Ho Jik Yang","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"26 1","pages":"138-143"},"PeriodicalIF":0.3,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48378513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patient satisfaction following benign forehead mass excision through a direct or remote approach","authors":"W. Do, Y. Choi","doi":"10.14730/aaps.2020.02278","DOIUrl":"https://doi.org/10.14730/aaps.2020.02278","url":null,"abstract":"The forehead is the most prominent facial region due to its convexity. Therefore, asymmetry and scarring of the forehead cause patients more concern than cosmetic issues in other regions. Depressed facial scars can occur on any part of the face, but their presence on the forehead often results in psychological and aesthetic effects [1]. The forehead is a common site of benign tumors, such as osteoma and lipoma [2]. The most common site of cranial osteomas is the frontal sinus; however, osteomas that involve only the frontal bone periosteum are occasionally observed [3]. Lipomas also frequently occur in the forehead region; superficial subcutaneous lipomas are likely underreported, and they have been depicted on the faces of kings minted onto coins as far back as 32–37 BC [4]. The increased interest over recent years in these forehead tumors and excisional scars has led to the development of various surgical methods for their removal. The gold standard for removing tumors of the forehead is direct incision over the mass. However, the diWon Hyuck Do, Young Woong Choi","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"26 1","pages":"157-162"},"PeriodicalIF":0.3,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42860277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dong Chul Kim, Chi Ho Shin, S. Yu, Ji Hoon Kim, Chong Kun Lee, Chang En Chung, B. Min
{"title":"Keyhole vertical mini-abdominoplasty for correction of lower abdominal striae","authors":"Dong Chul Kim, Chi Ho Shin, S. Yu, Ji Hoon Kim, Chong Kun Lee, Chang En Chung, B. Min","doi":"10.14730/aaps.2020.02124","DOIUrl":"https://doi.org/10.14730/aaps.2020.02124","url":null,"abstract":"The abdomen is the one of the most common areas treated in plastic surgery procedures. In recent years, abdominoplasty has been increasingly used to manage abdominal hypertrophy, laxity, and striae [1,2]. After pregnancy or weight changes, patients often desire improvement of abdominal striae and laxity, including the repair of additional ventral hernias. It is reasonable for postpartum middle-aged women to request some extent of lower abdominal tightening without major surgery, along with the removal of multiple striae on the mid lower abdomen and periumbilical area. Many modalities have been used to correct unsightly striae of the lower abdomen, including laser treatments, intense pulsed light, micro-dermabrasion, and some homemade cream regimens. However, the results of those methods are generally unpredictable [3]. For patients who would like to achieve favorable cosmetic outcomes of unsightly visible multiple postpartum striae on the lower mid-abdomen, and to improve their protruding belly contour by tightening of the lower abdomen, we designed the keyhole-shaped vertical mini-abdominoplasty, and herein we report our initial clinical experience. This novel abdominoplasty technique was performed in a patient with multiple postpartum striae on the lower mid-abdomen and periumbilical area. The keyhole-shaped vertical mini-abdominoplasty was designed as follows. First, the striated skin expected Dong Chul Kim, Chi Ho Shin, Sung Hoon Yu, Ji Hoon Kim, Chong Kun Lee, Chang En Chung, Byung Duk Min","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"26 1","pages":"173-177"},"PeriodicalIF":0.3,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44117527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ryeolwoo Kim, Y. Suh, S. Ryu, Mikyung Kim, Daegu Son
{"title":"After bariatric surgery, do superficial fat and deep fat decrease differently?","authors":"Ryeolwoo Kim, Y. Suh, S. Ryu, Mikyung Kim, Daegu Son","doi":"10.14730/aaps.2020.02173","DOIUrl":"https://doi.org/10.14730/aaps.2020.02173","url":null,"abstract":"Bariatric surgery has recently become popular for treatment of morbidly obese patients, and post-bariatric body contouring surgery has also become more common. Post-bariatric body contouring surgery, from conventional abdominoplasty to lowerand upper-limb contouring, focuses on reducing redundant tissues and reshaping the body. Most body contouring procedures are performed due to a decreased volume of subcutaneous fat and increased skin laxity after massive weight loss. The abdominal area is the most common area for body contouring surgery in massive weight loss patients; therefore, our study focused on abdominal subcutaneous adipose tissue (SAT). Adipose tissue is an active endocrine and immune organ. In an obese state, adipocyte metabolism is impaired and cell homeostasis is broken [1,2]. For this reason, obesity is considered to be an independent risk factor for mortality and a causative factor of several major diseases, including coronary heart disease, hypertension, and various metabolic diseases [3]. Current treatments for obesity range from dietary modifications to surgical treatment. Ryeolwoo Kim, Youngsung Suh, Seungwan Ryu, Mikyung Kim, Daegu Son","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"26 1","pages":"144-149"},"PeriodicalIF":0.3,"publicationDate":"2020-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42245753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}