{"title":"Changes in the length and area of congenital nevi involving the face and extremities after two serial excisions","authors":"J. Choi, Daegu Son","doi":"10.14730/AAPS.2020.02362","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02362","url":null,"abstract":"Serial excision or staged excision is a well-established method in plastic surgery. It is widely used to remove congenital nevi, wide scars, and confined tattoos. The technique itself is very simple because it only involves excision and suturing. However, the operator must decide how many resections to perform, how much tissue to excise during the first resection, and which shape is appropriate. The most commonly used excision method is elliptical or fusiform excision. The length of this shape of resection should be 3–4.5 times its width to obtain good results without leaving a dog ear [14]. Reducing this ratio as much as possible is the goal of staged resection. However, it is difficult to predict the final length after staged resection. Accurate descriptions of this issue in textbooks are difficult to find, and most studies have only dealt with length. Changes in area have not been published yet. In addition, the results of geometric studies cannot be directly applied to patients in clinical practice [5]. Factors affecting the number of stages of resection and the final length include lesion size and shape, anatomical location, and the elasticity of surrounding tissues [6]. Jae Il Choi, Daegu Son","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"61-68"},"PeriodicalIF":0.3,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44263398","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":"Experimentally induced fat embolism syndrome: shift from obstruction to toxic effects","authors":"Hong-Il Kim, S. In, H. Yi, H. Kim, Y. Kim","doi":"10.14730/AAPS.2020.02355","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02355","url":null,"abstract":"Liposuction, which is widely performed in the field of plastic surgery, was recently identified as a necessary process for the harvesting of adipose-derived stem cells [1]. In liposuction, fat tissue is crushed and removed using physical force. An inevitable consequence of liposuction is damage to the small vessels, through which shredded pieces of fat (fat emboli) can then flow; this phenomenon is known as fat embolism. If a pathologic state results, it is called fat embolism syndrome (FES) [2]. In FES, fat emboli are not fat tissue fragments or fat cells; rather, they are lipid drops floating in the circulation [3]. FES was first reported by Zenker [4] in 1862. Both fulminantacute and sub-acute FES, which are caused by an abnormal influx of fat into the blood vessels, are associated with characteristic clinical symptoms, including petechiae, confusion, and acute respiratory failure. FES can have fatal complications. Fortunately, most instances of fat embolism are subclinical [5]. Fat, the causative agent of FES, can be divided into two types: transported fat, which is present in the blood; and stored fat, which is located outside the blood vessels. Transported fat is in the form of chylomicrons bound to apolipoprotein, whereas stored fat accumulates within adipocytes as triglycerides (TGs). TGs can be hydrolyzed to free fatty acids (FFAs) by lipase, and FFAs bound to alHong Il Kim, Seok Kyung In, Hyung Suk Yi, Hyo Young Kim, Yoon Soo Kim","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"47-55"},"PeriodicalIF":0.3,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42720116","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}
P. Eo, Joon Seok Lee, J. W. Lee, K. Choi, H. Chung, B. Cho, Jeeyeon Lee, H. Park, J. Yang
{"title":"Usefulness of meshed SurgiMend in direct-to-implant breast reconstruction","authors":"P. Eo, Joon Seok Lee, J. W. Lee, K. Choi, H. Chung, B. Cho, Jeeyeon Lee, H. Park, J. Yang","doi":"10.14730/AAPS.2020.02383","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02383","url":null,"abstract":"Implant-based breast reconstruction after mastectomy is becoming more common because it has several advantages. It is a simpler surgical procedure than other methods, such as breast reconstruction using flaps, and it allows faster patient recovery with no additional scars [1]. However, implants are placed below the pectoralis major muscle because complications such as infection, capsular contracture, and explantation are likely to occur when implants are directly exposed [2-5]. After acellular dermal matrix (ADM) was developed in 2005, surgery with inferolateral tissue support has been performed to compensate for the disadvantages of total muscle coverage [6-8]. Despite the advantages of ADM such as good cosmetic outcomes, additional reinforcement, improved implant positioning, and a reduced risk of capsular contracture [9], seroma, infection, and inflammation are possible when ADM is used, and ADM also has the disadvantage of a high cost [10]. Surgery using ADM fenestration is widely performed because previous studies have reported that this technique leads to better cosmetic outcomes, results in fewer complications such as seroma, and stimulates biointegration [11-15]. However, fenestrating ADM during surgery can be cumbersome because the surgeon has to make pores one by Pil Seon Eo, Joon Seok Lee, Jeong Woo Lee, Kang Young Choi, Ho Yun Chung, Byung Chae Cho, Jeeyeon Lee, Ho Yong Park, Jung Dug Yang","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"69-75"},"PeriodicalIF":0.3,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47818400","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":"A split-face study of moisturizer containing Centella asiatica extract after ablative fractional carbon dioxide laser resurfacing","authors":"M. Kang, Kyong Chan Park, S. Nam","doi":"10.14730/AAPS.2021.00052","DOIUrl":"https://doi.org/10.14730/AAPS.2021.00052","url":null,"abstract":"Ablative fractional 10,600 nm CO2 laser resurfacing is a popular method of treating photoaging, skin laxity, and atrophic scars [1-5]. The mechanism of the ablative fractional CO2 laser is fractional photothermolysis with an ablative 10,600 nm wavelength. It delivers microthermal zones, which are microscopic columns of thermal injury, to a specific fraction of epidermal and dermal tissue [6,7]. The microthermal zones are surrounded by healthy, intact skin, and rapid reepithelization occurs via the migration of cells from the adjacent epidermis and follicular units [1,6,7]. This rapid reepithelization leads to decreased recovery time, side effects, and complications compared to traditional non-fractional laser resurfacing, but recovery time and downtime following ablative fractional CO2 laser resurfacing are often unavoidable [8,9]. Moreover, post-inflammatory hyperpigmentation (PIH) commonly occurs in Asian patients [8,10]. Numerous methods have been introduced to shorten the downtime and the incidence of PIH, such as early sun protection, topical Moon Seok Kang, Kyong Chan Park, Seung Min Nam","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"56-60"},"PeriodicalIF":0.3,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46103425","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":"Comments on “Reduction malarplasty combined with facelift via the prezygomatic space”","authors":"K. Hwang","doi":"10.14730/AAPS.2021.00038","DOIUrl":"https://doi.org/10.14730/AAPS.2021.00038","url":null,"abstract":"","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"80-80"},"PeriodicalIF":0.3,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43709898","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":"Knee joint reconstruction using regional flaps: an aesthetic approach to extensive defects following fourth-degree contact burns","authors":"S. Oh, Jong Cheol Kang","doi":"10.14730/AAPS.2020.02404","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02404","url":null,"abstract":"The reconstruction of complex and extensive defects involving the knee joint represents an aesthetic and functional challenge. The knee joint is one of the most complex structures of the body in terms of dimensional architecture, thickness, reliability, and its functional role. Defects affecting the total thickness of the knee joint have negative effects on patients’ social function, quality of life, physical health, and satisfaction with their appearance when wearing shorts. Therefore, aesthetic outcomes after the coverage of soft tissue defects for reconstruction are important. Soft tissue coverage for defects around the knee joint has been performed using different types of pedicled flaps and free flaps [1]. Gastrocnemius muscle flaps have been used for decades to reconstruct defects of the proximal tibia and knee caused by trauma, tumors, and infections around the knee, and to reconstruct extensor mechanism discontinuities with and without total joint arthroplasty [2]. Furthermore, antegrade peroneal fasciocutaneous flaps may be useful for reconstruction of the inferior knee joint. Herein, the authors report a case of a fourth-degree contact burn on the knee joint that was reconstructed using medial and lateral gastrocnemius muscle flaps, pedicled anterolateral thigh flap, peroneal fasciocutaneous flap, and split-thickness skin grafts (SSGs) harvested from the scalp and thigh. Four types of pedicled flaps were needed because this patient had an extensive, deep defect in the right knee joint, which is an exceedingly rare condition.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"76-79"},"PeriodicalIF":0.3,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41622841","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":"A solution for revision rhinoplasty with thinned nasal tip skin: An extended dermofat graft","authors":"Daiwon Jun, Na Rim Kim, Y. Suh, J. H. Lee","doi":"10.14730/AAPS.2020.02341","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02341","url":null,"abstract":"With the ever-increasing demand for a higher nasal tip in Asian rhinoplasty, numerous surgical techniques have been introduced [1]. Consequently, complications involving the nasal tip are encountered more often [2]. Especially in revision rhinoplasty where the skin envelope covering the nasal tip has been compromised, surgeons are hesitant to retain the previous projection. Therefore, it would be ideal to identify a technique for retaining the previously achieved nasal projection and providing adequate coverage. The authors propose a method for achieving this goal utilizing a dermofat graft.","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"43-45"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42616955","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 analgesic efficacy of preoperative ultrasound-guided transversus abdominis plane block in fat harvesting from the lower abdomen under local anesthesia: A preliminary case series","authors":"S. M. Kim, Hyokyung Yoo, Byung Jun Kim","doi":"10.14730/AAPS.2020.02292","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02292","url":null,"abstract":"Liposuction is one of the most commonly performed aesthetic surgical procedures, and it can be classified into four types according to the volume of infiltration: dry, wet, superwet, and the tumescent technique. In the tumescent technique, a large volume of diluted local anesthetic solution is infiltrated into the fat layer to facilitate anesthesia and reduce blood loss. Unlike high-volume liposuction, which usually requires general anesthesia or monitored anesthesia care (MAC), liposuction of a relatively small volume, such as a fat graft for sunken eyelids or minor correction of deformed breasts after major reconstructions, can be performed under local anesthesia [1]. No single anesthetic technique has been proven to be superior over another in liposuction. Avoiding general anesthesia or MAC helps to reduce possible morbidities of the respiratory or circulatoSeung Min Kim, Hyokyung Yoo, Byung Jun Kim","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"18-22"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44977666","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}
Y. Kim, Ho Sung Kim, Eon Ju Park, H. Kim, Hong-Il Kim, J. Park, C. Jeon, H. Yi
{"title":"Predictive factors of drainage volume and drain duration after the inframammary approach to nipple-areolar-complex sparing mastectomy and implant-based breast reconstruction","authors":"Y. Kim, Ho Sung Kim, Eon Ju Park, H. Kim, Hong-Il Kim, J. Park, C. Jeon, H. Yi","doi":"10.14730/AAPS.2020.02348","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02348","url":null,"abstract":"According to the U.S. National Cancer Institute, breast cancer is the most common cancer among women, accounting for approximately 33% of all cancers and 20% of cancer-related deaths in women in 2019 [1]. Mastectomy is the basis for the standard treatment of breast cancer. Therefore, with the increasing incidence of breast cancer, the rates of mastectomy and breast reconstruction surgery after mastectomy are also rapidly increasing [2]. Two main Yoon Soo Kim, Ho Sung Kim, Eon Ju Park, Hyo Young Kim, Hong Il Kim, Jin Hyung Park, Chang Wan Jeon , Hyung Suk Yi","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"23-30"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47222018","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 strategy for skin and soft tissue infections caused by nontuberculous mycobacteria following various procedures","authors":"Jae Young Bae, I. Yun, T. Roh, Y. Kim","doi":"10.14730/AAPS.2020.02327","DOIUrl":"https://doi.org/10.14730/AAPS.2020.02327","url":null,"abstract":"Nontuberculous mycobacteria (NTM) are defined as mycobacteria that do not cause tuberculosis or leprosy. More than 170 species have been classified as NTM based on genetic analyses [1]. They have traditionally been categorized into rapidly growing mycobacteria (RGM) or slowly growing mycobacteria based on their growth rate. Based on the Runyon classification system, RGM include Mycobacterium fortuitum, Mycobacterium chelonae, Mycobacterium abscessus, Mycobacterium peregrinum, Mycobacterium smegmatis, Jae Young Bae, In Sik Yun, Tai Suk Roh, Young Seok Kim","PeriodicalId":41514,"journal":{"name":"Archives of Aesthetic Plastic Surgery","volume":"27 1","pages":"3-11"},"PeriodicalIF":0.3,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48682122","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}