Journal of Plastic Reconstructive and Aesthetic Surgery最新文献

{"title":"Mastectomy and breast augmentation outcomes among nonbinary, transgender, and cisgender adults","authors":"Amitai S. Miller ,&nbsp;Maria J. Escobar-Domingo ,&nbsp;Avital M. Miller ,&nbsp;James E. Fanning ,&nbsp;Bernard T. Lee ,&nbsp;Oren Ganor ,&nbsp;Samuel J. Lin ,&nbsp;Sophia Hu ,&nbsp;Andrea L. Pusic ,&nbsp;Manraj N. Kaur","doi":"10.1016/j.bjps.2025.08.023","DOIUrl":"10.1016/j.bjps.2025.08.023","url":null,"abstract":"<div><div>The purpose of this study was to evaluate epidemiologic characteristics and postoperative complications among nonbinary, transgender, and cisgender adults undergoing mastectomy or breast augmentation. Comparable postoperative complication rates were observed between gender modality cohorts undergoing breast augmentation, but higher complication rates were observed among cisgender patients following mastectomy, likely due to variations in clinical indications and technique. These results underscore the safety of chest surgery for gender-diverse patients.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 209-212"},"PeriodicalIF":2.4,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bacteriology of non-oncologic post-operative breast infections: A retrospective cross-sectional study to guide empiric antibiotic coverage","authors":"Erin N. Abbott,&nbsp;Andrew J. James,&nbsp;Christopher L. Kalmar,&nbsp;Anvith P. Reddy,&nbsp;Sara C. Chaker,&nbsp;Ricardo A. Torres-Guzman,&nbsp;Ronald M. Cornely,&nbsp;Barite Gutama,&nbsp;Benjamin L. Savitz,&nbsp;Noah Alter,&nbsp;Galen Perdikis,&nbsp;William C. Lineaweaver","doi":"10.1016/j.bjps.2025.08.021","DOIUrl":"10.1016/j.bjps.2025.08.021","url":null,"abstract":"<div><h3>Background</h3><div>Antibiotic prophylaxis for non-oncologic breast surgeries is not well described by procedure type. This study identified the underlying microbiological etiologies and antibiotic sensitivities of culture-positive infections from non-oncologic breast surgeries that were performed at a major medical center to guide specific empiric antibiotic coverage.</div></div><div><h3>Methods</h3><div>A retrospective cohort study was conducted at a tertiary hospital from November 2018 to January 2024. Patients aged ≥18 years who underwent non-oncologic breast surgery with culture-confirmed infections were included. Procedures analyzed included mastopexy, augmentation, reduction, gender-affirming surgery, and prophylactic mastectomies with and without reconstruction. Organism profiles from the procedures with &gt;1 culture-positive infection were compared with their antibiogram to guide empiric treatment.</div></div><div><h3>Results</h3><div>Among the 3457 non-oncologic breast procedures, 37 resulted in culture-positive infections (1.07%). Infected patients were older (mean age 44 vs 37 years, p&lt;0.05), but no significant differences in sex, body mass index, tobacco use, or comorbidities were noted. Infection rates were similar between prosthetic (1.04%) and non-prosthetic (1.08%) procedures (p=0.94) but were significantly higher in the risk-reducing mastectomy cohort (3.65% vs 0.92%, p&lt;0.01). Organism profiles varied with the procedure<strong>.</strong> Organisms isolated from all procedures were sensitive to vancomycin. Empiric treatment recommendations included vancomycin plus ciprofloxacin, piperacillin-tazobactam, levofloxacin, or ceftazidime depending on the procedure type.</div></div><div><h3>Conclusions</h3><div>Microbial etiologies of surgical site infections following non-oncologic breast surgery differed with the procedure. Procedure-specific empiric antibiotic regimens may improve infection management. Institutional and regional antibiotic susceptibility should be investigated to inform clinical guidelines on antibiotic use.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"110 ","pages":"Pages 27-34"},"PeriodicalIF":2.4,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145190007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Thermal versus tactile sensory recovery following alloplastic and neurotized autologous breast reconstruction","authors":"Nancy Qin ,&nbsp;Carson Gundlach ,&nbsp;Makayla Kochheiser ,&nbsp;Annie B. McVeigh ,&nbsp;Anna M. Vaeth ,&nbsp;Lucy Wei ,&nbsp;Ashley Zhang ,&nbsp;Sophia Arbuiso ,&nbsp;Malini Chinta ,&nbsp;Marcos Lu Wang ,&nbsp;Hao Huang ,&nbsp;David M. Otterburn","doi":"10.1016/j.bjps.2025.08.020","DOIUrl":"10.1016/j.bjps.2025.08.020","url":null,"abstract":"<div><h3>Background</h3><div>Loss of sensation after mastectomy impacts long-term satisfaction, yet thermal sensory outcomes remain understudied. This study compares tactile and thermal recovery following two-stage alloplastic versus neurotized autologous breast reconstruction.</div></div><div><h3>Methods</h3><div>In this prospective single-institution study, patients underwent mastectomy with either two-stage alloplastic or immediate neurotized DIEP flap reconstruction. Tactile sensation was assessed in nine regions using a pressure-specified device, and thermal sensation was tested in five regions using standardized hot (52 °C) and cold (12 °C) stimuli across four postoperative intervals (1–6, 6–12, 12–24, and 24–48 months).</div></div><div><h3>Results</h3><div>269 patients (440 breasts) underwent tactile testing, consisting of 123 DIEP patients (209 breasts) and 146 alloplastic patients (231 breasts). A subset of 105 patients (174 breasts) underwent thermal testing. Preoperative scores were similar between groups (<em>p</em> &gt; 0.05). DIEP patients demonstrated significantly higher tactile sensation scores at every postoperative interval: 1–6 (35.7 vs. 25.7, <em>p</em> = 0.001), 6–12 (43.4 vs. 33.9, <em>p</em> = 0.015), 12–24 (46.3 vs. 35.2, <em>p</em> = 0.039), and 24–48 months (56.5 vs. 46.4, <em>p</em> = 0.048). Alloplastic patients showed significantly better cold perception at 12–24 (65.0% vs. 48.6%, <em>p</em> = 0.040) and 24–48 months (83.3% vs. 57.1%, <em>p</em> = 0.001<em>)</em>, and heat perception at 12–24 months (77.3% vs. 54.3%, <em>p</em> = 0.014).</div></div><div><h3>Conclusion</h3><div>Neurotized DIEP reconstruction yielded superior tactile recovery, while alloplastic was associated with better thermal perception. This discrepancy may reflect the enhanced thermal conduction properties of breast implants and the limited influence of neurotization on thermal sensory fibers.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 160-170"},"PeriodicalIF":2.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter Re: Use of antibiotic-impregnated discs in breast reconstruction among the obese population: A retrospective propensity score-matched analysis","authors":"Eric Swanson","doi":"10.1016/j.bjps.2025.08.006","DOIUrl":"10.1016/j.bjps.2025.08.006","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 245-246"},"PeriodicalIF":2.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative study of cooling techniques for perforator detection in DIEP flap reconstruction using dynamic infrared thermography","authors":"W. Clarys ,&nbsp;S. Verspeek ,&nbsp;J. Verstockt ,&nbsp;S. Hummelink ,&nbsp;G. Steenackers ,&nbsp;F. Thiessen","doi":"10.1016/j.bjps.2025.08.018","DOIUrl":"10.1016/j.bjps.2025.08.018","url":null,"abstract":"<div><div>Dynamic infrared thermography (DIRT) is a non-invasive technique for perforator mapping in Deep Inferior Epigastric artery Perforator (DIEP) flap breast reconstruction. Its accuracy is highly dependent on the cooling technique used to enhance thermal contrast. This study compares eleven cooling techniques based on cooling uniformity, artifact minimization, and usability. Techniques included both conductive and convective approaches and were evaluated using a Pugh Decision Matrix. The top three techniques, including the standard technique, were further assessed in a pilot clinical study. Water-based cooling with neoprene insulation and intensive pre-cooled pad cooling demonstrated the highest uniformity (mean standard deviations of 0.79 and 0.82 °C, respectively) and minimal artifact formation. Pilot clinical validation supported these findings. These techniques offer reliable and practical solutions for enhancing thermal contrast and image clarity in DIRT-based preoperative planning in DIEP flap surgery.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 144-151"},"PeriodicalIF":2.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Skeletal and endocrine manifestations of McCune-Albright syndrome in patients with fibrous dysplasia","authors":"Alexandre Meira Pazelli ,&nbsp;Jainaha K. Srikumar ,&nbsp;Aidin Gharavi ,&nbsp;Gregory J. Griepentrog ,&nbsp;Ethylin Wang Jabs ,&nbsp;Steven Moran ,&nbsp;Todd Milbrandt ,&nbsp;Samir Mardini ,&nbsp;Waleed Gibreel","doi":"10.1016/j.bjps.2025.08.013","DOIUrl":"10.1016/j.bjps.2025.08.013","url":null,"abstract":"<div><div>McCune-Albright syndrome (MAS) is defined by a triad of fibrous dysplasia (FD), hyperfunctioning endocrinopathies, and café-au-lait spots. FD, characterized by the fibrous replacement of healthy bone, is a major source of morbidity in MAS. To characterize skeletal involvement and associated endocrinopathies in patients with MAS/FD, we conducted a retrospective review of patients with the diagnosis of both MAS and FD treated at our center between 1989 and 2024. Forty-three patients (29 female; median diagnosis age: 13.1 years) were included, with 41 presenting with polyostotic FD. Among these, 19 had both craniofacial and extracraniofacial involvement, 4 had craniofacial-only, and 18 had extracraniofacial-only disease. The lower extremities were most commonly affected (n=32), followed by the skull (n=25). All patients with lower extremity FD had femoral involvement; 10 had bilateral disease. Chronic pain was reported by 23 patients. Among those with lower extremity FD, 16 had deformities—most commonly leg length discrepancies (n=10) and shepherd’s crook deformities (n=6). Femoral fractures occurred in 21 patients, with higher risk in those with deformities (p=0.006). Precocious puberty occurred at a median age of 4.8 years. Hyperfunctioning endocrinopathies were observed in 17 patients: cortisol excess (n=2), hyperthyroidism (n=8), elevated GH/IGF-1 (n=10), and phosphate wasting (n=6). Hormone levels, age at puberty, and age at diagnosis were not associated with fracture or deformity risk (p&gt;0.05). One patient developed osteosarcoma requiring above-knee amputation. In conclusion, extracraniofacial skeletal disease and endocrinopathies are common in MAS. Coordinated interdisciplinary care is vital to manage deformities and systemic complications.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 137-143"},"PeriodicalIF":2.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144890022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Temporal satisfaction patterns in body image after aesthetic surgery: A systematic review and meta-analysis","authors":"Or Friedman ,&nbsp;Daniel Tal","doi":"10.1016/j.bjps.2025.07.044","DOIUrl":"10.1016/j.bjps.2025.07.044","url":null,"abstract":"<div><h3>Background</h3><div>Understanding how body image satisfaction evolves following aesthetic surgery is crucial for psychological adaptation and clinical practice. We systematically reviewed and meta-analyzed satisfaction trends over time following aesthetic surgery to elucidate the psychological adaptation process.</div></div><div><h3>Methods</h3><div>We searched PubMed, Web of Science, and PsycINFO (2010–2024) for studies reporting satisfaction at multiple post-operative time points. This review was registered on PROSPERO CRD420251054218. Random-effects meta-analysis synthesized satisfaction rates, with subgroup analyses by procedure type. Meta-regression explored psychological and demographic predictors.</div></div><div><h3>Results</h3><div>Twenty-seven studies (N=4823 patients) demonstrated satisfaction that increased rapidly then plateaued over time: 71.4% at 1 month, 82.6% at 3 months, 87.2% at 6 months, 91.5% at 12 months, and 93.8% at 24 months. Psychological screening (β=0.134, p&lt;0.001) and age (β=0.012/year, p&lt;0.001) positively predicted satisfaction, while body mass index (β=−0.024/unit, p=0.001) and revision surgery (β=−0.187, p&lt;0.001) negatively predicted outcomes. Breast procedures showed the highest satisfaction (93.2% at 12 months), while rhinoplasty showed the lowest (86.3% at 12 months).</div></div><div><h3>Conclusions</h3><div>Body image satisfaction following aesthetic surgery follows predictable adaptation patterns consistent with hedonic adaptation theory. The initial rapid increase reflects immediate post-operative relief, while subsequent stabilization represents integration into self-concept. Results support psychological screening and realistic expectation-setting for optimal outcomes. Limitations include heterogeneous measurement tools, publication bias, and limited long-term follow-up beyond 24 months.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 195-204"},"PeriodicalIF":2.4,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144932700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Venous outflow augmentation protects against fat necrosis in the DIEP flap breast reconstruction: A retrospective analysis","authors":"Petko Shtarbanov ,&nbsp;Punn Tannirandorn ,&nbsp;Nianhe Luo ,&nbsp;Stephen Hamilton ,&nbsp;Afshin Mosahebi ,&nbsp;Dariush Nikkhah ,&nbsp;Shadi Ghali","doi":"10.1016/j.bjps.2025.08.019","DOIUrl":"10.1016/j.bjps.2025.08.019","url":null,"abstract":"<div><h3>Background</h3><div>In the deep inferior epigastric perforator (DIEP) flap breast reconstruction, fat necrosis is a common and distressing complication for patients. While venous outflow augmentation using the superficial inferior epigastric vein (SIEV) has been suggested to improve some perfusion-related outcomes, its effect on fat necrosis remains insufficiently substantiated.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted of unilateral, unipedicled DIEP flap breast reconstructions performed between 2012 and 2023 at a tertiary centre in London, United Kingdom. Patients were categorised based on SIEV venous augmentation status, and the incidence of postoperative clinical fat necrosis was recorded. Univariable and multivariable logistic regression models assessed the relationship between fat necrosis and SIEV augmentation, as well as patient, surgical and perfusion-related factors.</div></div><div><h3>Results</h3><div>The total cohort included 119 patients (119 flaps). Of the total flaps, 58.8% received venous augmentation with the SIEV. Fat necrosis occurred in 16.8% of the total cases. Patients in the SIEV-augmented group experienced significantly lower fat necrosis rates compared to controls (10.0% vs. 26.5%, respectively; <em>P</em> = 0.025). Multivariable analysis further demonstrated a protective effect from SIEV augmentation against fat necrosis (adjusted odds ratio 0.33, 95% confidence interval 0.12–0.95; <em>P</em> = 0.039).</div></div><div><h3>Conclusions</h3><div>In the present cohort of DIEP flap breast reconstructions, venous augmentation using SIEV was a significant independent protective factor against fat necrosis. While prospective studies are necessary to validate this relationship, this technique may be considered as part of routine surgical practice in eligible cases.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 181-186"},"PeriodicalIF":2.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144911810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FACE-Q craniofacial module: Normative data from a Dutch population in adolescence and young adulthood","authors":"P.A.E. Tio,&nbsp;V.L. van Roey,&nbsp;P.A.J. van der Goes,&nbsp;C.E.E. de Vries,&nbsp;S.L. Versnel,&nbsp;I.M.J. Mathijssen","doi":"10.1016/j.bjps.2025.08.017","DOIUrl":"10.1016/j.bjps.2025.08.017","url":null,"abstract":"<div><h3>Background</h3><div>The FACE-Q Craniofacial Module is a patient-reported outcome measure (PROM) that has undergone rigorous psychometric validation in patients with visible or functional facial differences, including patients with craniosynostosis. Normative data for the FACE-Q Craniofacial Module scales are currently unavailable for unaffected controls. This study aims to collect and analyze normative FACE-Q Craniofacial Module data from a Dutch population sample.</div></div><div><h3>Method</h3><div>Dutch nationals aged 16–24 years without visible or functional facial differences were recruited by a third-party company for the online survey. Respondents completed FACE-Q Craniofacial Module scales from the appearance and health-related quality of life domains. Normative data were calculated as means and standard deviations and weighted based on national data.</div></div><div><h3>Results</h3><div>A total of 870 individuals responded to the survey, of which 160 were excluded from the analysis because of possible visible or functional facial differences. Women had significantly lower scores on many scales. Age influenced the scores for the face, forehead, head shape, and appearance distress scales significantly, with higher scores as age increases. Participants with a practical background only had significantly lower scores on the school functioning scale.</div></div><div><h3>Conclusion</h3><div>Normative values for FACE-Q Craniofacial Module scales are provided derived from a Dutch sample of adolescents and young adults. This study demonstrates that sex and age had a significant influence on multiple FACE-Q scales. These normative values provide more context when interpreting FACE-Q scores in patients with visible or functional facial differences.</div></div>","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 152-159"},"PeriodicalIF":2.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144911830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trapeziectomy vs. carpometacarpal prosthesis: Two techniques in an \"in vivo\" side-by-side comparison","authors":"L.G. Dietrich ,&nbsp;K. Kasparkova ,&nbsp;K. Silins ,&nbsp;I. Berner ,&nbsp;U. Genewein ,&nbsp;E. Vögelin","doi":"10.1016/j.bjps.2025.07.043","DOIUrl":"10.1016/j.bjps.2025.07.043","url":null,"abstract":"","PeriodicalId":50084,"journal":{"name":"Journal of Plastic Reconstructive and Aesthetic Surgery","volume":"109 ","pages":"Pages 249-251"},"PeriodicalIF":2.4,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144984139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}