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Reconstructive surgery is in its broadest sense the use of surgery to reconstruct damaged or malformed tissues or organs.

Although plastic surgery is involved in some aspects of reconstructive surgery there are other branches of surgery whose main aim is reconstruction of a more normal part of the body. This contrasts with the main alternative type of surgery in which something is removed - for example an inflammed appendix.

In orthopedic surgery, reconstructive surgery is the branch associated with hip replacement and other joint replacements, repair of tendons such as rotator cuff repair and osteotomy to straighten angulated bones. The common feature is that the surgery attempts to restore the anatomy or the function to normal.

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Permanent Plastic Surgery Job in Wilkes Barre Pennsylvania with Community Health Systems
Wilkes-Barre General Hospital is seeking a board eligible/board certified plastic surgeon. Contact: Joyce Y. McCuller Email: joyce_mcculler@chs.net Phone: 888-373-9600, x7451 Fax: 615-373-9798 Web:
Permanent Plastic Surgery Job in Temple Texas with Scott & White Health Clinic
CENTRAL TEXAS Plastic Surgery Scott & White and Texas A&M College of Medicine Department of Surgery are seeking BC/BE Plastic Surgeons to join our established Division at our main campus Temple. The
Permanent Plastic Surgery Job in Williamsport Pennsylvania with Susquehanna Health
Susquehanna Health is seeking a BC/BE fellowship trained Plastic Surgeon to join one (1) other in our practice and one (1) other that is in private practice here in Williamsport, Pennsylvania. Be part

Archives of Facial Plastic Surgery current issue

ABOUT THIS JOURNAL: About This Journal
Mon, 18 May 2009 00:00:00 -0000

HIGHLIGHTS OF ARCHIVES OF FACIAL PLASTIC SURGERY: Highlights of Archives of Facial Plastic Surgery
Mon, 18 May 2009 00:00:00 -0000

ORIGINAL ARTICLE: Effect of Midfacial Asymmetry on Nasal Axis Deviation: Indications for Use of the Subalar Graft
Yao, F., Lawson, W., Westreich, R. W. Mon, 18 May 2009 00:00:00 -0000
Objective  To test the hypothesis that midfacial asymmetry specifically relevant to nasal tip deviation will be reflected in the measured soft-tissue attachments of the ala to the face. Design  Retrospective photographic analysis of 35 consecutive patients seeking functional or aesthetic nasal surgery regardless of cause. Results  Nasal axis had a significant correlation with the alar-facial angle on base view photographs (P < .001) irrespective of cause (traumatic vs congenital). However, there was no significant correlation between alar facial angle on anteroposterior view (frontal) with nasal axis and no correlation between frontal and basal angles. Conclusion  Soft-tissue analysis demonstrates a relationship between nasal axis deviation and lower midfacial asymmetry or hypoplasia.
ORIGINAL ARTICLE: Facial Fractures in Motor Vehicle Collisions: Epidemiological Trends and Risk Factors
McMullin, B. T., Rhee, J. S., Pintar, F. A., Szabo, A., Yoganandan, N. Mon, 18 May 2009 00:00:00 -0000
Objectives  To analyze epidemiological trends in facial fractures sustained in motor vehicle collisions and to identify the effects of occupant and crash-specific characteristics on the likelihood of injury. Methods  A retrospective cohort analysis of vehicle occupants with facial fractures following a motor vehicle crash was performed using the population-based 1993-2005 National Automotive Sampling System Crashworthiness Data System database. Injury trends were analyzed by calendar year and vehicle model year. A multivariate analysis was performed on biomechanical, demographic, and safety restraint data, with the calculation of odds ratios (ORs) and 95% confidence intervals (CIs). Results  The incidence of facial fractures was found to be decreasing (P < .01), along with a declining probability of injury with newer car models (P < .01). Seat belts with frontal air bag use were associated with a significantly decreased probability of facial fracture (OR, 0.14; 95% CI, 0.09-0.22). Air bags alone were not associated with a reduced probability of injury (OR, 0.78; 95% CI, 0.58-1.06). Side impacts (OR, 1.81; 95% CI, 1.14-2.86) and mismatch in the sizes of the crash vehicles (OR, 1.99; 95% CI, 1.27-3.12) were associated with increased risk of facial fractures. Conclusions  The probability of facial fractures from motor vehicle collisions is decreasing. This finding may be due to design improvements implicitly related to vehicle model year. Restraint use continues to be important for injury prevention, while factors such as changes in vehicle fleet composition may alter injury trends.
ANNOUNCEMENT: References
Mon, 18 May 2009 00:00:00 -0000

ORIGINAL ARTICLE: Free Tissue Reconstruction Following Excision of Head and Neck Arteriovenous Malformations
Hartzell, L. D., Stack, B. C., Yuen, J., Vural, E., Suen, J. Y. Mon, 18 May 2009 00:00:00 -0000
Objective  To evaluate free tissue transfer (FTT) as a safe and effective reconstructive technique to treat arteriovenous malformations. Vascular lesions that present a significant clinical challenge to the head and neck reconstructive surgeon are often difficult to treat and can leave large, complex defects. Methods  Retrospective, single-institution case series. Results  We describe 8 patients treated for extensive lesions in various parts of the head and neck reconstructed with free flaps. These malformations have a tendency to recur, which was the case in 75% of our patients (6 of 8) during a mean follow-up period of 5 years. Revision procedures are expected at a mean rate of 6.75 per person in our series. Conclusions  Arteriovenous malformations are uncommon and challenging lesions. Use of FTT can ameliorate the large defects resulting from excision of these lesions.

Aesthetic Plastic Surgery

A Novel Nostril Retainer Designed by a Patient
Thu, 25 Jun 2009 07:15:09 -0000
A Novel Nostril Retainer Designed by a Patient Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00266-009-9385-1Authors Ömer Sağlam, İstanbul Kasımpaşa Military Hospital Department of Otolaryngology İstanbul TurkeySamet Vasfi Kuvat, İstanbul Kasımpaşa Military Hospital Department of Plastic and Reconstructive Surgery İstanbul Turkey Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Upper-Lip Augmentation by Graft of Preseptal Orbicularis Oculi Muscle Through Blepharoplasty
Thu, 25 Jun 2009 07:15:07 -0000
Abstract Background  Upper-lip augmentation is used to enhance a thin upper lip or correct lip deficiencies or senile hypotrophy. We describe an easy, effective, and reproducible technique. Methods  We use two preseptal orbicularis oculi muscle grafts that provide a reliable option for soft-tissue upper-lip augmentation, with improved vertical lip height and lateral lip projection and reappearance of the Cupid’s bow. Muscle grafts are harvested from a blepharoplasty done at the same time. Results  The advantages of this procedure include the creation of an anatomically natural upper lip through preserving the continuity and function of the labial structure, good augmentation, no donor-site morbidity, no visible scars on the vermilion, and successful rejuvenation with the associated blepharoplasty. Conclusion  Both patients and surgeons were satisfied with the results because the muscle grafts produce a youthful appearance by adding natural, soft roundness and fullness to the upper lip without an artificial look or the use of synthetic material, providing long-term augmentation. Content Type Journal ArticleCategory Innovative TechniqueDOI 10.1007/s00266-009-9383-3Authors Mauro Tarallo, La Sapienza University of Rome Department of Plastic and Reconstructive Surgery Rome ItalyCristiano Monarca, La Sapienza University of Rome Department of Plastic and Reconstructive Surgery Rome ItalyMaria Ida Rizzo, La Sapienza University of Rome Department of Plastic and Reconstructive Surgery Rome ItalyNicolò Scuderi, La Sapienza University of Rome Department of Plastic and Reconstructive Surgery Rome Italy Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
One-Stage Augmentation-Mastopexy with Wise Pattern and Inverted-T Scar
Sat, 20 Jun 2009 06:03:54 -0000
One-Stage Augmentation-Mastopexy with Wise Pattern and Inverted-T Scar Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00266-009-9352-xAuthors Ali Barutcu, Dokuz Eylul University Department of Plastic and Reconstructive Surgery Izmir TurkeyCaghan Baytekin, Adnan Menderes University Department of Plastic and Reconstructive Surgery ADU Týp Fak. Plastik cer. AD 09100 Aydin Turkey Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
A Double-Blind, Randomized, Placebo-Controlled, Two-Dose Comparative Study of Botulinum Toxin Type A for Treating Glabellar Lines in Japanese Subjects: What If Sample Size and Statistical Tests Mattered?
Sat, 20 Jun 2009 06:03:53 -0000
A Double-Blind, Randomized, Placebo-Controlled, Two-Dose Comparative Study of Botulinum Toxin Type A for Treating Glabellar Lines in Japanese Subjects: What If Sample Size and Statistical Tests Mattered? Content Type Journal ArticleCategory Letter to the EditorDOI 10.1007/s00266-009-9381-5Authors Alberto Mangano, Vita-Salute San Raffaele University School of Medicine - IRCCS San Raffaele Milan ItalyAndrea Albertin, IRCCS Multimedica, Sesto San Giovanni Department of Anesthesiology Milan ItalyLuca La Colla, Vita-Salute San Raffaele University School of Medicine - IRCCS San Raffaele Department of Anesthesiology Via Olgettina 60 20132 Milan Italy Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
A New Approach for Adipose Tissue Treatment and Body Contouring Using Radiofrequency-Assisted Liposuction
Fri, 19 Jun 2009 06:44:53 -0000
Abstract  A new liposuction technology for adipocyte lipolysis and uniform three-dimensional tissue heating and contraction is presented. The technology is based on bipolar radiofrequency energy applied to the subcutaneous adipose tissue and subdermal skin surface. Preliminary clinical results, thermal monitoring, and histologic biopsies of the treated tissue demonstrate rapid preaspiration liquefaction of adipose tissue, coagulation of subcutaneous blood vessels, and uniform sustained heating of tissue. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9342-zAuthors Malcolm Paul, Aesthetic Plastic Surgery Institute, University of California Irvine CA 92660 USARobert Stephen Mulholland, SpaMedica Canada Private Aesthetic Plastic Surgery Practice 66 Avenue Rd., Suite 4 Toronto ON M5R 3N8 Canada Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X
Treatment of Upper- and Lower-Extremity Vitiligo with Epidermal Grafts After CO2 Laser Resurfacing with Systemic and Topical Steroids
Wed, 17 Jun 2009 07:09:34 -0000
Abstract  Vitiligo is an acquired condition that presents as sharply demarcated white macules. It affects 1–2% of people of all races, regardless of gender or age. Although the disease does not have any systemic complications, it is of great concern, particularly in darker-skinned individuals. We treated 14 patients with vitiligo involving the upper and lower extremities. Surgical therapies were used in conjunction with medical therapy to achieve repigmentation after the disease was stabilized. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-009-9376-2Authors Safwat M. El Hoseny, Rashid Hospital Department of Health and Medical Service of Dubai Dubai United Arab Emirates Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X

pubmed: 1529-4242

Radiation diminishes stem cell function but does not cause ischemia.
Rudolph R Related Articles Radiation diminishes stem cell function but does not cause ischemia. Plast Reconstr Surg. 2009 Jul;124(1):343 Authors: Rudolph R PMID: 19568134 [PubMed - in process]
Aquilae non capiunt muscas (eagles don't catch flies).
Ilango N, Jacob J, Gupta AK Related Articles Aquilae non capiunt muscas (eagles don't catch flies). Plast Reconstr Surg. 2009 Jul;124(1):343-4 Authors: Ilango N, Jacob J, Gupta AK PMID: 19568133 [PubMed - in process]
Complications after polymethylmethacrylate injections.
Nácul AM, Valente DS Related Articles Complications after polymethylmethacrylate injections. Plast Reconstr Surg. 2009 Jul;124(1):342-3 Authors: Nácul AM, Valente DS PMID: 19568132 [PubMed - in process]
Povidone-iodine versus chlorhexidine in skin antisepsis before elective plastic surgery procedures: a randomized controlled trial. is statistical correctness always pursued?
Mangano A, Albertin A, La Colla L Related Articles Povidone-iodine versus chlorhexidine in skin antisepsis before elective plastic surgery procedures: a randomized controlled trial. is statistical correctness always pursued? Plast Reconstr Surg. 2009 Jul;124(1):340; author reply 340-2 Authors: Mangano A, Albertin A, La Colla L PMID: 19568131 [PubMed - in process]
Aesthetic and effective leech application.
Jagannathan M, Barthwal V, Devale M Related Articles Aesthetic and effective leech application. Plast Reconstr Surg. 2009 Jul;124(1):338; author reply 338-40 Authors: Jagannathan M, Barthwal V, Devale M PMID: 19568128 [PubMed - in process]
Aesthetic labia minora and clitoral hood reduction using extended central wedge resection.
Hamori CA Related Articles Aesthetic labia minora and clitoral hood reduction using extended central wedge resection. Plast Reconstr Surg. 2009 Jul;124(1):337; author reply 337-8 Authors: Hamori CA PMID: 19568126 [PubMed - in process]

 
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American Academy of Cosmetic Surgery - Not-for-profit organization providing information on cosmetic surgery for patients, physicians, and the media. Includes a physician search and procedural information.

American Academy of Facial Plastic and Reconstructive Surgery - Information on various surgical procedures as well as a searchable database of facial plastic surgeons.
Meta Description: [ American Academy of Facial Plastic and Reconstructive Surgery, A national medical specialty of the AMA is the worlds largest association of facial plastic and reconstructive surgeons. Those physicians performing cosmetic and reconstructive surgery of the face, head, and neck. ]

American Academy of Facial Plastic and Reconstructive Surgery - American Academy of Facial Plastic and Reconstructive Surgery, A national medical specialty of the AMA is the worlds largest association of facial plastic and reconstructive surgeons. Those physicians performing cosmetic and reconstructive surgery of the face, head, and neck.
Meta Description: [ American Academy of Facial Plastic and Reconstructive Surgery, A national medical specialty of the AMA is the worlds largest association of facial plastic and reconstructive surgeons. Those physicians performing cosmetic and reconstructive surgery of the face, head, and neck. ]

American Anaplastology Association - Organization with members in the field of prosthetic therapy and prosthetic surgery for patients with facial or somato disfigurements.

American Board of Facial Plastic and Reconstructive Surgery - American Board of Facial Plastic and Reconstructive Surgery certifies surgeons exclusively in facial plastic and reconstructive surgery.

American Society of Plastic Surgeons - Official site provides a searchable database of board-certified surgeons, as well as patient information and photograph gallery.
Meta Description: [ The American Society of Plastic Surgeons (ASPS) and Plastic Surgery Educational Foundation (PSEF) offer education on plastic surgery (cosmetic and reconstructive) and help patients find board-certified plastic surgeons., The American Society of Plastic Surgeons (ASPS) and Plastic Surgery Educatio... ]

Association of Plastic and Reconstructive Surgeons of Southern Africa - Includes about the APRSSA, find a surgeon in Southern Africa, events which include congresses and meetings, news and relevant links.

Austin Smiles - A non-profit organization providing free reconstructive plastic surgery, mainly cleft lip and palate, to the children of Austin,TX and Latin America.

California Society of Plastic Surgeons - Directory of board certified cosmetic and reconstructive plastic surgeons.
Meta Description: [ California Society of Plastic Surgeons - Surgeon directory of American Board certified plastic surgeons performing cosmetic plastic surgery and reconstructive plastic surgery ]

Canadian Association for Accreditation of Ambulatory Surgery Facilities, Inc. - About the Association, membership, meetings, public information and a member search.

Canadian Association for Facial , Plastic, and Reconstructive Surgery - Procedure information for patients, physician listing, contact information.

Canadian Laser Aesthetic Surgery Society - Procedure descriptions and contact information.
Meta Description: [ cosmetic laser surgery, cosmetic surgery, chirurgie esthétique au laser, chirurgie esthétique, cosmetic dermatology, dermatologie esthétique, Canadian Laser Aesthetic Surgery Society, CLASS, Quebec, Montreal, Toronto, Calgary, Edmonton, Winnipeg ]

Canadian Society for Aesthetic Plastic Surgery - Providing information about procedures and physician referrals.

International Alliance of Hair Restoration Surgeons - Trade organization lists member physicians specializing in state of the art hair transplant surgery. Review the code of ethics and read about each surgeon.
Meta Description: [ Hair restoration surgeons dedicated to performing state-of-the-art hair transplant surgery ]

500 International College of Surgeons - Membership and contact information, newsletter and mission statement.

Interplast - A nonprofit organization providing free reconstructive surgery to children around the world.
Meta Description: [ Interplast envisions a world in which no human being suffers physically or emotionally from a repairable congenital deformity or injury. To reach that vision, Interplast partners with volunteers and overseas medical colleagues to educate and empower local communities so that medical access is ava... ]

ISAPS - International Society of Aesthetic Plastic Surgery - Worldwide organization created at the United Nations. Information on board, professors, members, media center, ethics, membership, courses, and contacts.

New England Society of Plastic and Reconstructive Surgeons - Provides a history of the society, a membership directory, information regarding surgical procedures, and many links of interest.
Meta Description: [ New England Society of Plastic and Reconstructive Surgeons Homepage includes membership directory, history of the society, mission statement, information regarding surgical procedures, and relevant links ]

Operation Rainbow - Organizes, funds, and oversees volunteer surgical teams that provide free facial and orthopaedic reconstructive surgery to children in medically under-served countries.

Operation Smile - Information about this not-for-profit, volunteer medical services organization that provides reconstructive facial surgery to indigent children and young adults in 16 developing countries and the United States. Norfolk, Virginia.
Meta Description: [ Not-for-profit, volunteer medical services organization that provides reconstructive facial surgery to indigent children and young adults ]

Philippine Society for Cosmetic Surgery - Includes directory of active members and upcoming events.

Rotaplast International - Charitable organization sponsored by international Rotary clubs. Provides free reconstructive surgery to children, presently in South America.

Small World Foundation - A non-profit organization providing free reconstructive surgery for children and adults throughout the United States and the world.

The American Society for Aesthetic Plastic Surgery - ASAPS is a plastic surgeon directory with current information on the many types of cosmetic surgery procedures with pictures, performed by doctors certified by the American Board of Plastic Surgery.
Meta Description: [ The American Society for Aesthetic Plastic Surgery is a research, public, and educational organization that provides accurate information on all aspects of cosmetic plastic surgery. We are a professional organization of board certified plastic surgeons. ]

The Egyptian Society of Plastic and Reconstructive Surgeons - History, member list, and events. In English and Arabic.
Meta Description: [ Official Governing body of Plastic Surgery in Egypt ]

The Faculty of Medicine - Memorial University of Newfoundland - Information on how Vietnamese children benefit from Project Outreach's reconstructive surgery.

The International Confederation for Plastic Reconstructive and Aesthetic Surgery (IPRAS) - The purpose of the IPRAS is to promote plastic surgery both scientifically and clinically, to further education and to encourage friendship between physicians in all countries.

World Plastic Surgery - Official site for the International Confederation for Plastic, Reconstructive and Aesthetic Surgery, IPRAS and the International Plastic, Reconstructive and Aesthetic Foundation, IPRAF.

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