The science behind plastic surgery.
THE NIP TALK PODCAST
Dr. Orr Shauly
OTOPLASTY (EAR SURGERY)
This meta-analysis examines the outcomes of using biosynthetic mesh in implant-based breast reconstruction after mastectomy. Researchers reviewed studies on various mesh types, analyzing complication rates such as seroma, hematoma, infection, skin necrosis, and implant loss. The analysis, conducted according to PRISMA guidelines, found low overall complication rates, suggesting biosynthetic mesh is a safe and cost-effective alternative to acellular dermal matrices (ADM). However, significant heterogeneity across studies limits definitive conclusions, highlighting the need for future research with standardized methods and larger sample sizes. The cost-effectiveness and potential advantages of biosynthetic mesh over ADM are discussed.
LYMPHATIC MASSAGE
This meta-analysis examines the outcomes of using biosynthetic mesh in implant-based breast reconstruction after mastectomy. Researchers reviewed studies on various mesh types, analyzing complication rates such as seroma, hematoma, infection, skin necrosis, and implant loss. The analysis, conducted according to PRISMA guidelines, found low overall complication rates, suggesting biosynthetic mesh is a safe and cost-effective alternative to acellular dermal matrices (ADM). However, significant heterogeneity across studies limits definitive conclusions, highlighting the need for future research with standardized methods and larger sample sizes. The cost-effectiveness and potential advantages of biosynthetic mesh over ADM are discussed.
CELLULITE
This meta-analysis examines the outcomes of using biosynthetic mesh in implant-based breast reconstruction after mastectomy. Researchers reviewed studies on various mesh types, analyzing complication rates such as seroma, hematoma, infection, skin necrosis, and implant loss. The analysis, conducted according to PRISMA guidelines, found low overall complication rates, suggesting biosynthetic mesh is a safe and cost-effective alternative to acellular dermal matrices (ADM). However, significant heterogeneity across studies limits definitive conclusions, highlighting the need for future research with standardized methods and larger sample sizes. The cost-effectiveness and potential advantages of biosynthetic mesh over ADM are discussed.
MESH & BREAST RECON
This meta-analysis examines the outcomes of using biosynthetic mesh in implant-based breast reconstruction after mastectomy. Researchers reviewed studies on various mesh types, analyzing complication rates such as seroma, hematoma, infection, skin necrosis, and implant loss. The analysis, conducted according to PRISMA guidelines, found low overall complication rates, suggesting biosynthetic mesh is a safe and cost-effective alternative to acellular dermal matrices (ADM). However, significant heterogeneity across studies limits definitive conclusions, highlighting the need for future research with standardized methods and larger sample sizes. The cost-effectiveness and potential advantages of biosynthetic mesh over ADM are discussed.
FAT GRAFTING BASICS
Fat grafting, also known as autologous fat transfer, is a popular procedure for soft tissue augmentation and volume replacement. The technique involves harvesting fat from a donor site, processing it to remove impurities, and injecting it into a recipient site. Fat can be harvested from various sites, including the abdomen, buttocks, and thighs. The Coleman technique, which uses a blunt cannula and syringe, is a common harvesting method that minimizes trauma to the fat cells. Processing techniques aim to remove unwanted components like blood, oil, and debris. Common processing methods include sedimentation, filtration, and centrifugation. While centrifugation is considered the gold standard, studies haven't shown significant differences in graft viability between the various processing techniques. Graft survival depends on the viability of the transplanted fat cells and the recipient site's ability to support them. Injecting small aliquots of fat in a crosshatch pattern maximizes oxygenation and perfusion, promoting graft retention. Maintaining adequate nutrition and oxygen tension at the recipient site, potentially through methods like hyperbaric oxygen therapy, is crucial for graft survival.
DEEP PLANE FACELIFT
The deep plane facelift is a surgical technique that involves releasing and redraping the soft tissues of the face and neck rather than simply pulling and tightening them. The procedure focuses on elevating the superficial musculoaponeurotic system (SMAS), a layer of connective tissue that lies beneath the skin and fat, off of the underlying mimetic muscles. This allows for a more natural-looking result, as it avoids distortion of the patient's facial expressions. In the deep plane facelift, the surgeon creates a contiguous sub-SMAS pocket that extends from the midface down into the neck, connecting these areas and treating them as a single unit. This approach helps to achieve a more uniform and long-lasting lift. The deep plane facelift also prioritizes minimizing skin dissection, which helps to reduce the risk of complications such as ischemia.