This issue of Clinics in Plastic Surgery, devoted to Complications in Breast Reduction, is guest edited by Dr. Dennis C. Hammond. Articles in this issue include: Assessing Risk and Avoiding Complications in Breast Reduction; Management of Shape Distortion After Vertical Breast Reduction; Management of Shape Distortion After Wise Pattern Breast Reduction; Management of Shape Distortion After SPAIR Mammaplasty; Management of the Ischemic NAC After Breast Reduction; Nipple Reconstruction After NAC Necrosis Following Breast Reduction; Management of Recurrent Macromastia; Management of Occult Cancer After Breast Reduction; Mammographic Management of the Post-reduction Breast; Management of Asymmetry After Breast Reduction; Management of the High Riding Nipple After Breast Reduction; Breast Reduction in the Burned Breast; Avoiding Complications in Gigantomastia; and Avoiding Medicolegal Risk in Breast Reduction.

In this issue of Clinics in Plastic Surgery, guest editor Dr. Neil Tanna brings his considerable expertise to the topic of Breast Reconstruction. Top experts in the field cover key topics such as modern approaches to oncoplastic surgical treatment; modern approaches to implant-based breast reconstruction; pre-pectoral breast reconstruction; breast implant-associated anaplastic large cell lymphoma; operative efficiency; and more. - Contains 18 relevant, practice-oriented topics including preoperative assessment of the breast reconstruction patient; revision of implant-based breast reconstruction; modern approaches to abdominal flap-based breast reconstruction; the hybrid breast reconstruction; robotic breast surgery and robotic breast reconstruction; and more. - Provides in-depth clinical reviews on breast reconstruction, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

With breast augmentation and tumor removal the #1 procedures in cosmetic surgery and reconstructive surgery, respectively, according to latest ASPS information, this issue on breast augmentation presents discussion of procedures for cosmetic enhancement and for breast reconstruction. The first section includes topics such as: Evolution and Future Development of Breast Implants; Standardization of the Bra Cup; Process of Breast Augmentation with Special Focus on Patient Education, Patient Selection and Implant Selection; Etiology & Prevention of Capsular Contracture; 3-D Imaging and Simulation in Breast Augmentation: What is the Current State of the Art?; Fresh Look at the Anatomy of the Chest Wall with Special Attention to the Pectoralis Major and Infra-Mammary Fold with Implications to Breast Surgery; Differences between Saline & Silicone Implants that Most Plastic Surgeons Don't Know; Shapes, Sizes, Shells and Surface and the Selection Process of Breast Implants; Shapes, Proportions and Variations in Breast Aesthetic Ideals - definition of breast beauty: analysis and surgical practice. The next section presents surgical approaches and techniques for breast implant surgery: Teaching Breast Augmentation What are the Critical Intra Operative Steps & Decision Making: Maximizing Results and Minimizing Revisions; Mastering the Nuances of Highly Cohesive Shaped Breast Implants; Strategies, Challenges and Solutions in Augmentation Mastopexy Patients: The Most Difficult Primary Breast Procedure; Use of Scaffold Support of the Breast in Primary Augmentation Mastopexy; Considerations and Improvement of Breast Asymmetry in Primary Augmentation; Surgical Strategies in the Correction of the Tuberous Breast; Subfascial Apprach to Breast Augmentation with Lipofilling of the Breast; Surgical Approaches to Breast Augmentation: Surgical Options for Incisions & Planes; Fat Grafting / Fat Transfer to the Breast; Use of Barbed Sutures in Primary Augmentation and Mastopexy. The final section presents special situations in surgical procedures: High Resolution Ultrasound and the Detection of Breast Implant Shell Failure; Breast Implant Associated ALCL.

Beauty, Aging and AntiAging covers novel and updated research and treatment options regarding the effects of aging on human physiology. Beauty perception and related molecular pathways are reviewed, along with current medical and surgical approaches to aging. The first part of the book focuses on beauty, youth, aging and its effects on the human body. In the second part, various restorative treatment approaches are reviewed in detail. Particularly, invasive treatment options and molecular pathophysiology of aging are covered in this book. - Presents current trends and developments in regenerative and restorative medicine in aging and antiaging - Includes recent reconstructive and restorative algorithms of various fields related to aging - Covers new treatment perspectives in degenerative diseases

This issue of Clinics in Plastic Surgery offers the surgeon information on the most recent approaches to body contouring, primarily focused on this procedure performed after massive weight loss. Gastric bypass surgery practically foretells abdominoplasty, with ~75% of patients undergoing plastic surgery following gastric bypass. A total of almost one-half million body contouring procedures are performed annually by plastic surgeons according to ASPS statistics. Topics in this issue include: Assessing outcomes in body contouring; Preoperative evaluation of the body contouring patient; What happens to the skin after weight loss; Effect of further weight loss following body contouring; Effect of weight gain following body contouring; Anesthesia considerations; Procedures for Brachioplasty; Bra line back lift; Breast contouring; Abdomen contouring; the Fleur Di Lis Abdominoplasty; Extended abdominoplasty; Medial thigh lift; Buttock contouring; Truncal contouring; Lower body lift; and Prevention and management of complications.

This issue of Clinics in Plastic Surgery, Guest Edited by Drs. Stefan Hofer, Jian Farhadi and Jaume Masia, is devoted to Contemporary Indications in Breast Reconstruction. Articles in this comprehensive issue include: Modern approaches to surgical management of malignant breast disease and the role of breast conservation, complete mastectomy, skin and nipple sparing mastectomy; Radiation therapy and immediate breast reconstruction: Novel approaches and evidence base for radiation effects on the reconstructed breast; Current chemotherapy for breast cancer treatment and the evidence based interaction with autologous and implant based breast reconstruction; Indications and controversies in partial mastectomy defect reconstruction; Indications and controversies for implant-only based breast reconstruction; Indications and controversies for implant-based breast reconstruction utilizing biological meshes; Indications and controversies for implant-based breast reconstruction utilizing artificial meshes; Indications and controversies for complete and implant-enhanced latissimus dorsi breast reconstructions; Indications and controversies for abdominally-based complete autologous tissue breast reconstruction; Indications and controversies for non-abdominally-based complete autologous tissue breast reconstruction; Indications and controversies in partial lipofilling for breast reconstruction; Indications and controversies in complete breast reconstruction with lipofilling; Immediate versus delayed breast reconstruction: Evolving concepts and evidence base; Risk reducing mastectomy and breast reconstruction: Indications and evidence for current management strategies; and Patient-centered breast reconstruction by treating health-related quality of life in an evidence-based fashion.

Outcomes . . .familiar in medicine fields, but only in recent decades becoming more of an issue for surgeons . . .the highly subspecialized nature of the surgical profession and breadth of procedures along with variance in patient population creates a challenge in achieving useful, informative outcomes. Here, in this issue of Clinics in Plastic Surgery, the focus is on evidence-based practice and outcomes in plastic surgery, spanning the major areas of cosmetic and reconstructive surgery. Outcomes as guidance for the surgeon’s decision regarding approaches and techniques for procedures is the approach. Some of the topics covered are: Measuring Outcomes in Aesthetic Surgery; Measuring Outcomes in Craniofacial and Pediatric Surgery; Measuring Outcomes in Hand Surgery; How to Link Outcomes Data to Quality Initiatives in Plastic Surgery; along with How to Use the Outcomes Questionnaire, Pearls and Pitfalls; among others. Guest Editors Kevin Chung and Andrea Pusic lead this review. Dr. Chung is involved with structuring evidence-based practice and research in hand surgery to derive the best evidence to guide treatment for upper extremity conditions and he developed the Michigan Hand Outcomes Questionnaire. Dr Pusic developed the BREAST-Q, which measures satisfaction and quality-of-life outcomes among breast reconstruction patients. Out of the BREAST-Q has come the FACE-Q, which provides a clinically useful patient-reported outcome measure of satisfaction and quality of life following elective surgical and non-surgical facial rejuvenation.

The scope of use of local anesthetics in procedures in plastic surgery is covered in this issue of Clinics in Plastic Surgery. Discussion centers on plastic surgeons in private practice in ambulatory facilities and those scheduling time for OR in hospital facilities using local anesthetics while accommodating patient comfort and absence of side-effects post general anesthesia. Presented in this publication are the most common plastic surgeries that can be done under local anesthesia, each with a discussion of the optimal anesthetic, method of administration, and dosage. Video of the procedure or portion of the procedure, as applicable, accompanies the techniques along with a surgical case. The goal of this issue is to provide a concise reference for surgeons’ planning surgeries to review and perhaps adapt currently used methods with this latest information on local anesthetics. Surgical Technique is provided in detail with full analysis of Patient Selection and Planning, Complications and Post-procedure Care. Contents include Complications; Basic Science of Locals; Skin Grafts and Flaps; Peripheral Nerve; Foot Surgery; Breast Surgery; Liposuction; Hand Trauma; Oculoplastic Surgery; Ear Surgery; Hair Transplantation; among others.

This issue of Clinics in Plastic Surgery offers the plastic surgeon (and facial plastic surgeon, reconstructive surgeon, burn surgeon, any surgeon working with face or body reconstruction or rejuvenation) an intensive review of all aspects of working with fat. The title succinctly sums it up that clinical applications, currently known concepts, and future expectations of working with fat for reconstructive or cosmetic surgery are presented here. The Editors and their selected are peerless in the field that focuses on biology of fat, adipose derived stem cells, and growth factors; harvesting, processing, and storage of harvested fat; how to maximize the results of fat grafting; and safety issues with fat grafting and growth factors. Practical clinical applications, currently known concepts, and future expectations of working with fat for reconstructive or cosmetic surgery are presented here. Because of the depth and comprehensiveness of the material presented by the experts in this field, this issues is presented in two parts; Part 1 topics include: Adipose Tissue and Stem/Progenitor Cells: Discovcery and Development; Cryopreservation of Adipose Tissue and Adipose Derived Stem Cells; Adipose Stem Cells: Biology, Safety, Regulation, and Regenerative Potential; History and Development of Fat Grafting: from Ram Fat to Stem Cells; Condensation of Tissue and Stem Cells for Fat Grafting; Can We STtandardize the Techniques for Fat Grafting; How Fat Survives and Remodels after Grafting; The Role of Fat Grafting in Facial Rejuvenation; Gluteal Augmentation with Fat Grafting-the "Brazilian Buttock Technique:" 30 Years' Experience; Fat Grafting for Treatment of Burns, Burn Scars, and other Difficult Wounds.

This issue of Clinics in Plastic Surgery, guest edited by Drs. Lee L.Q. Pu and Chunmei Wang, is devoted to Pre-Expanded Perforator Flaps. Articles in this outstanding issue include: Contemporary Concepts of Perforator Flaps; Pre-Expanded Perforator Flaps: An Overview (Concept, Anatomic Study, Development, Clinical Application); Imaging Studies for Perforator Flaps (Pre-Operative Planning and Flap Design); Pre-Expanded Super-Thin Skin Perforator Flaps; Pre-Expanded Transverse Cervical Perforator Flap; Pre-Expanded Internal Mammary Perforator Flap; Pre-Expanded Deep Inferior Epigastric Perforator Flap; Pre-Expanded Intercostal Perforator Flap; Pre-Expanded Thoracodorsal Perforator Flap; Pre-Expanded Paraumbilical Perforator Flap; Pre-Expanded Supraclavicular Perforator Flap; Pre-Expanded Free Perforator Flaps (IMAP, ICAP, LCFAP, TDAP, LAP); Pre-Expanded Perforator Flap for Total Nasal Resurfacing; Pre-Expanded, Pre-Fabricated Perforator Flap for Total Facial Resurfacing; Pre-Expanded, Pre-Fabricated Perforator Flap for Total Hand Resurfacing; and Future Perspective of Pre-Expanded Perforator Flaps (Theory, Clinical Application).