{"title":"Relentless Reflection.","authors":"S Raja Sabapathy","doi":"10.1055/s-0045-1809700","DOIUrl":"https://doi.org/10.1055/s-0045-1809700","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 3","pages":"155-156"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555334","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":"Indar Kumar Dhawan: A Versatile Master Surgeon and a Gentleman.","authors":"Rakesh Kumar Khazanchi","doi":"10.1055/s-0045-1809705","DOIUrl":"10.1055/s-0045-1809705","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 3","pages":"157-160"},"PeriodicalIF":0.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555330","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":"Indian Journal of Plastic Surgery in 2024.","authors":"Maneesh Singhal, Shivangi Saha","doi":"10.1055/s-0045-1808251","DOIUrl":"10.1055/s-0045-1808251","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 2","pages":"83-84"},"PeriodicalIF":0.7,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095168","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}
Uday Bhat, Amit Peswani, Ishita Katyal, Anudeep T C, Mangesh Pawar, Suparna P N, Richa Goel
{"title":"Postage Stamp Precision Technique of Dorsal Hump Reduction.","authors":"Uday Bhat, Amit Peswani, Ishita Katyal, Anudeep T C, Mangesh Pawar, Suparna P N, Richa Goel","doi":"10.1055/s-0045-1802642","DOIUrl":"10.1055/s-0045-1802642","url":null,"abstract":"<p><p><b>Background</b> The conventional methods of dorsal hump reduction planning and execution are prone to errors. The amount to be lowered is usually subject to surgeon's judgment and errors are possible due to differential skin thickness of envelope. <b>Objectives</b> We propose a hump reduction technique that includes a method to precisely plan the amount of excision based on real surface measurements and our postage stamp technique of hump reduction. <b>Materials and Methods</b> A prospective study was done in 25 patients requiring dorsal hump reduction. The planning of hump reduction includes precisely plotting the extent of the hump from fixed landmarks on the skin and recreating these distances on the framework after raising the envelope. In contrast to the traditional continuous bony cut in caudocranial direction, we used serial perforations along the proposed profile line. These postage stamp cuts are made using 2 mm osteotome and are converted into a continuous cut using the double-guarded osteotome. <b>Results</b> All 20 patients were followed till 1 year. There was no major complication and all patients were satisfied with the appearance. <b>Conclusion</b> Our technique negates the errors in planning and execution. It also helps in reducing the learning curve associated with the control of osteotome making it beneficial for a novice plastic surgeon. It is particularly useful for small humps, and can be used both in open and closed rhinoplasty making it a very good alternative to conventional hump reduction techniques.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 3","pages":"161-169"},"PeriodicalIF":0.7,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555333","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":"Shaping Tomorrow: The Vision Ahead for <i>IJPS</i>.","authors":"Maneesh Singhal","doi":"10.1055/s-0045-1804534","DOIUrl":"10.1055/s-0045-1804534","url":null,"abstract":"","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 1","pages":"1-2"},"PeriodicalIF":0.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11896673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617509","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":"Addressing the Challenging Problem of High-Riding NAC after Breast Reduction: A Novel Solution and Review of Techniques.","authors":"Rajat Gupta, Priya Bansal, Neharika Neeraj","doi":"10.1055/s-0045-1804926","DOIUrl":"10.1055/s-0045-1804926","url":null,"abstract":"<p><p>High-riding nipple-areolar complex (NAC) due to postoperative malposition following breast reduction surgery is a very serious aesthetic problem for the patients and a very difficult one for surgeons to correct. Reduction surgeries aim to elevate the NAC, and the best course of action for avoiding a high-riding NAC is prevention of over-elevation, taking care of marking the appropriate distance between the NAC and the inferior mammary fold. Its correction poses a very difficult challenge due to the limited skin between the upper edge of the NAC and the sternal notch and the concern for avoiding scars that lie above the nipple in the superior pole of the breast. There are various techniques described for repositioning the NAC to an acceptable position, but most of them come with the drawback of unsatisfactory correction of bottoming out, additional scars, and multiple stages. A technique of mastopexy called \"two-flap technique\" including repositioning of the NAC as well as elevation of inferior breast mound (or correction of bottoming out), without any additional scars, is described in this article.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 3","pages":"233-236"},"PeriodicalIF":0.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555321","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}
Chandrashekhar Subhash Chalwade, Vidhi M Mehta, Senthil Kumar R M, Vinita Puri
{"title":"Anteverted Concha: Case Series, Proposed Classification, Novel Management Technique, and Literature Review.","authors":"Chandrashekhar Subhash Chalwade, Vidhi M Mehta, Senthil Kumar R M, Vinita Puri","doi":"10.1055/s-0044-1801807","DOIUrl":"10.1055/s-0044-1801807","url":null,"abstract":"<p><p><b>Background</b> An anteverted concha is an uncommon ear anomaly that causes anterior ear deformity and falls under auricular deformation. Treatments vary from conservative to surgical. Limited global case reports may be due to under-recognition, prompting a proposed classification. Patients with an anteverted concha were evaluated in our department and a classification system was formulated. <b>Materials and Methods</b> This study was conducted in a plastic surgery department at a tertiary care teaching hospital over a period of 2 years, from January 2021 to December 2022. This study included 22 ears of 16 patients. One patient underwent surgical correction, and two patients underwent molding therapy with excellent outcomes. In addition to reporting these patients' outcomes, we reviewed their cases to propose a classification system. Additionally, an in-depth review of the literature on the reported cases was performed. <b>Results</b> Molding therapy during the early neonatal period and surgical correction later in life yielded excellent outcomes. <b>Conclusion</b> An anteverted concha may be underdiagnosed. Correction is typically straightforward and may not necessitate surgery if it is diagnosed early. Surgical correction leads to excellent outcomes in symptomatic anteverted conchae in adulthood.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 3","pages":"170-182"},"PeriodicalIF":0.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555323","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":"Microvascular Anastomosis of Calcified Vessels in a Patient with Hyperlipidemia: Meeting the Challenges and Dealing with <b>Y</b> -Shaped Vein Graft.","authors":"Raj Kumar Manas, Karthick Ganesan","doi":"10.1055/s-0044-1801790","DOIUrl":"10.1055/s-0044-1801790","url":null,"abstract":"<p><p>Hyperlipidemia is one of the causes of atherosclerotic calcified vessels. Anastomosis of such vessels during surgery may offer various challenges. It is twice as challenging when the limb's and flap's vascularity is compromised together. We present a case of microvascular anastomosis of calcified vessels with compromised limb vascularity (due to an inadvertent injury to the brachial artery, which created a gap between two ends) and low ischemia time for flap (free functioning muscle transfer) that dealt with a <b>Y</b> -shaped vein graft. Using a <b>Y</b> -shaped vein graft in atherosclerotic vessels allowed us to anastomosis with ease and deal with challenges encountered during anastomosis. The <b>Y</b> -shaped vein graft was used to reconstruct the brachial artery and at the same time, another limb of the <b>Y</b> -shaped vein graft was used to anastomose the flap's vessel. Postoperatively vascularity of the limb and flap were restored and computed tomography angiography confirmed patent anastomosis of the <b>Y</b> -shaped vein graft. The <b>Y</b> -shaped vein graft is a novel and simple technique that can be utilized when dealing with calcified vessel anastomosis and can help in restoring the blood supply of the flap and limb together.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 3","pages":"211-214"},"PeriodicalIF":0.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555331","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":"Fascialage: A Refined Technique of Dorsal Augmentation in Rhinoplasty.","authors":"Prashantha Kesari, Sameer Halageri, Pradeep Kumar","doi":"10.1055/s-0045-1802554","DOIUrl":"10.1055/s-0045-1802554","url":null,"abstract":"<p><p><b>Introduction</b> The primary aim of this paper is to describe an original technique for dorsal augmentation in rhinoplasty. The use of a carved block of costal cartilage or layers of septal cartilage is a well-known technique for dorsal augmentation. However, this is accompanied by the risks of cartilage warping and a hard, unnatural feel to the dorsum. On the other hand, the use of diced cartilage wrapped in the fascia, which has been another popular technique in the last decade, often does not give the structural stability of a solid cartilage. \"Fascialage,\" as innovated by the authors, is a combined construct that incorporates all the advantages of these techniques eliminates the disadvantages of the previous techniques. <b>Materials and Methods</b> Our technique involves the creation of a construct with three components and three parts. Radix augmentation is done with the cranial part, which consists of mostly rolled-up fascia; augmentation of the mid-dorsum is done with the central part, which has a solid cartilage platform, an overlay of diced cartilage with both being wrapped in the fascia, while the lower dorsum and supra-tip area also have all the same three components but with less diced cartilage. We can plan and alter the composition and dimensions as required for the individual case. <b>Results</b> As a result of this, we believe that \"fascialage\" has the advantages of the other two techniques and consistent long-term results. <b>Conclusion</b> This technique was used in 55 rhinoplasties needing considerable dorsal augmentation in which a postoperative follow-up of 2 to 5 years revealed that this technique yields reliable and sustainable results.</p>","PeriodicalId":47204,"journal":{"name":"Indian Journal of Plastic Surgery","volume":"58 3","pages":"183-190"},"PeriodicalIF":0.7,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12213024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555326","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}