Aesthetic > Skin

Random-Pattern versus Perforator-Based Adipocutaneous Skin Paddles for Postoperative Monitoring of Free Muscle Flaps - a Comparative Retrospective Cohort Study

5 monthes ago   |   By Journal of Plastic, Reconstructive & Aesthetic Surgery

Free microvascular muscle flaps represent well-established reconstructive options for complex soft tissue defects. However, due to their lack of cutaneous capillary beds, they are difficult to monitor postoperatively. To this end, random and axial-pattern adipocutaneous skin paddles are often included. The objective of the study was to compare the impact of random-pattern versus perforator-based adipocutaneous skin paddles on operative efficacy and muscle flap safety.
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Contralateral prophylactic mastectomy at the time of delayed microvascular breast reconstruction adversely affects patient reported outcomes: A retrospective cohort study

5 monthes ago   |   By Journal of Plastic, Reconstructive & Aesthetic Surgery

An increasing number of women with unilateral breast cancer are seeking bilateral mastectomies and reconstruction. At our centre many women who have undergone previous unilateral therapeutic mastectomy request contralateral prophylactic mastectomy at the time of delayed reconstruction. These mixed timing reconstructions are particularly challenging as patients have an immediate reconstruction on one side and delayed reconstruction on the other, which may result in asymmetry. This retrospective cohort study evaluates patient reported satisfaction following mixed timing breast reconstruction...
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