October 13, 2016
2 min read

Hot topics in aesthetic agumentation, reconstruction this week

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The "no-touch" lip augmentation technique, in which a needle or cannula is inserted on the outside of the lip's white line to spar the mucosa barrier, offers optimal outcomes for a natural appearance, as reported on Healio.com/Aesthetics.

Additional news includes recently published data on the benefits of immediate autologous breast reconstruction and fat grafting for gluteal augmentation:

‘No-touch’ injection technique for lip augmentation yields good outcomes, less trauma

Assessment of a patient’s full lip profile and adjacent facial features offers optimal outcomes for a natural appearance using the “no-touch” lip augmentation technique, according to data published in Plastic and Reconstructive Surgery.

With the “no-touch” technique, the needle or cannula is inserted on the outside of the white line, sparing the mucosa barrier from being violated and minimizing trauma to the mucosa, according to the researchers. Read more

Immediate autologous breast reconstruction may reduce poor body image, improve QOL

Patients undergoing immediate autologous breast reconstruction showed a shorter period of psychosocial distress, poor body image, and decreased sexuality compared with patients undergoing delayed reconstruction, according to study data published in Plastic and Reconstructive Surgery.

Researchers recruited 106 women aged 18 years or older who were diagnosed with breast cancer and undergoing mastectomy from June 1, 2009, to December 21, 2010. The patients were given four questionnaires to complete before surgery and at 6, 12 and 18 months after surgery. The questionnaires were completed by 75% of patients at 6 months, 82% at 12 months, and 69% at 18 months. Read more

Fat grafting effective for gluteal augmentation, but carries risk

Major complications may arise from gluteal augmentation using fat grafting if care is not taken to avoid gluteal vessel damage, according to a review of case reports and studies published in Plastic and Reconstructive Surgery.

To evaluate the fat grafting technique for gluteal augmentation, Alexandra Condé-Green, MD, and colleagues conducted a systematic review and meta-analysis of 17 case series and two retrospective studies. The data included 4,105 patients with a mean age of 33.63 ± 5.94 years (range, 16 to 72 years). Mean BMI was 24.3 ± 3.72 kg/m2 (range, 17 to 32 kg/m2). A majority of the patients were female (98.2%). Read more

Complete platysma transection in anterior neck rejuvenation has several downsides

Despite initial satisfaction results, invasive procedures for correction of platysma bands and skin excess over the anterior neck require long recovery time and recurrence of deficiencies may surface, according to study data published in Plastic and Reconstructive Surgery.

For more than 25 years, Mario Pelle-Ceravolo, MD, and colleagues have used a technique based on complete neck undermining and full-width plastyma transection. Read more

Laparoscopic intestinal revision vaginoplasty presents certain advantages over full-thickness skin graft revision

Laparoscopic intestinal revision vaginoplasty showed a moderately higher success rate in reconstruction over perineal full-thickness skin graft revision, depending on patient goals, according to a review published in Plastic and Reconstructive Surgery.

Wouter B. Van der Sluis, MD, PhD, and colleagues, performed a retrospective chart review of all patients who underwent secondary vaginoplasty at their center between 1995 and 2015. Patients included 50 transgender women and three biological women, of which there were 21 laparoscopic intestinal revisions and 32 perineal full-thickness skin graft procedures. The groups did not differ demographically. Read more