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            <p>For Consumer Information on Plastic Surgery, please visit the <a rel="noopener noreferrer" href="http://www.plasticsurgery.org/" target="_blank">American Society of Plastic Surgeons</a></p>
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src=\"https://assets.contenthub.wolterskluwer.com/api/public/content/3210663-prs-go-keynotes-podcast-e62f352f06?v=b0440199\" style=\"margin: 0px 10px 0px 0px; max-width: 150px; float: left; border-width: 0px; border-style: solid;\" /\u003e\u003c/a\u003e\n\u003cp style=\"margin-top: 20px;\"\u003eAvailable on: \u003ca href=\"https://podcasts.apple.com/us/podcast/prs-global-open-keynotes/id1449182291\" target=\"_blank\" rel=\"noopener noreferrer\"\u003e\u003cstrong\u003eApple Podcasts\u003c/strong\u003e\u003c/a\u003e\u0026nbsp;|\u0026nbsp;  \u003ca href=\"https://open.spotify.com/show/0kNakLsA59cUFVbFM8duq9\" target=\"_blank\" rel=\"noopener noreferrer\"\u003e\u003cstrong\u003eSpotify\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\n\u003cp style=\"clear:both;\"\u003e\u003ca class=\"more\" href=\"/prsgo/podcasts/1\" style=\"background-color: rgb(255, 255, 255); font-size: 1rem;\"\u003e\u003cstrong\u003eView All\u003c/strong\u003e\u003c/a\u003e\u003c/p\u003e\u003cp 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reviewing\u003c/a\u003e\u003c/li\u003e\n\u003c/ul\u003e\u003c/div\u003e\n"}}}],"column-4-{*}":[],"column-5-{*}":[],"column-6-{*}":[],"column-7-{*}":[],"column-8-{*}":[]}},{"uid":"c97eaff2-3983-4114-ba96-6e570c279865","componentName":"LayoutRow","dataSource":"","params":{"Layout":"12"},"placeholders":{"column-1-{*}":[{"uid":"24f06f83-e926-42db-91ee-8f0cf5df7309","componentName":"RichText","dataSource":"/sitecore/content/lww/t2-journals/p/prsgo/Home/Data/Text 11","params":{"FieldNames":"Default","CacheClearingBehavior":"Clear on publish","UseHeaderTextAsPageHeading":"0","DynamicPlaceholderId":"9","HeaderText":"Additional Resources"},"fields":{"Text":{"value":"\u003cdiv class=\"content-box-body html-contents\"\u003e\n\u003cstyle\u003e\n    #ej-collections-home-web-part {\n    display:flex;\n    flex-wrap:wrap;\n    margin:0 -16px;\n    }\n    #ej-collections-home-web-part .ej-collections-home-web-part-item {\n    padding:5px 16px;\n    min-height:80px;\n    width:100%;\n    }\n    @media 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Collection:\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003ePractical Plastic Surgery Reviews\u003c/strong\u003e\u003c/p\u003e\n\u003c/a\u003e \u003c/div\u003e\n\u003cdiv class=\"ej-collections-home-web-part-item\"\u003e\n\u003ca href=\"/prsgo/collections/55\" target=\"_blank\"\u003e\u003cimg alt=\"\" src=\"https://assets.contenthub.wolterskluwer.com/api/public/content/3211619-infographics-5eb57f6881?v=39a5dc6a\" style=\"width:115px;\" /\u003e\n\u003cp\u003eArticle Collection:\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eInfographics\u003c/strong\u003e\u003c/p\u003e\n\u003c/a\u003e\u003c/div\u003e\n\u003cdiv class=\"ej-collections-home-web-part-item\"\u003e\n\u003ca href=\"/prsgo/collections/67\" target=\"_blank\"\u003e\u003cimg alt=\"\" src=\"https://assets.contenthub.wolterskluwer.com/api/public/content/3211617-fingerprint-e33b1bc8c1?v=0d773a37\" style=\"width:60px;\" /\u003e\n\u003cp\u003eArticle Collection:\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eRace \u0026amp; Ethnicity as Factors in Plastic Surgery Practices, Procedures, and Careers\u003c/strong\u003e\u003c/p\u003e\n\u003c/a\u003e\u003c/div\u003e\n\u003cdiv class=\"ej-collections-home-web-part-item\"\u003e\n\u003ca href=\"/prsgo/collections/107\" target=\"_blank\" style=\"color:#7e7e7e;display:block;font-family:arial, 'helvetica neue', helvetica, sans-serif;\"\u003e\n\u003cp style=\"margin-bottom:0px;font-style:italic;padding-top:12px;\"\u003e\n\u003cimg src=\"https://assets.contenthub.wolterskluwer.com/api/public/content/3211616-surgeons-in-humanitarian-alliance-for-reconstructive-research-and-education-share--1a8041fde4?v=9c167ccd\" alt=\"SHARE_logo_final - web.png\" style=\"max-height:50px;float:left;margin:5px;width:125px;height:38px;\" /\u003eArticle Collection:\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003ePSF's SHARE Studies\u003c/strong\u003e\u003c/p\u003e\n\u003c/a\u003e \u003c/div\u003e\n\u003c/div\u003e\n\u003c/div\u003e\n\u003cbr class=\"t-last-br\" 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\u0026copy; ##YEAR## Wolters Kluwer N.V. and/or its subsidiaries or third-party licensors. All rights reserved, including those for text and data mining and artificial intelligence training. For all open access content, the relevant licensing terms apply.","customerService":"[{\"label\":\"Live Chat\",\"url\":\"https://wkhlrp.my.site.com/LippincottOnlineHelpCenter/MIAW_Journals_Experience_Page\",\"type\":\"live-chat\"},{\"label\":\"Submit a Support Request\",\"url\":\"https://wltrsklwr.com/4966570\",\"type\":\"link\"},{\"label\":\"Browse our Frequently Asked Questions\",\"url\":\"https://wkhlrp.my.site.com/LippincottOnlineHelpCenter/s/\",\"type\":\"link\"},{\"label\":\"Visit our Online Support Center\",\"url\":\"https://shop.lww.com/support\",\"type\":\"link\"}]"}}}]}}}},"headLinks":[],"componentProps":{"ec2e860c-804e-46f9-8213-518df904f516":{"pageResults":{"paging":{"page":1,"pageSize":5,"totalItems":7,"totalPages":2},"parent":{"title":"Homepage Carousel","itemCount":7,"authors":[],"createdDate":"June 10, 2026","updatedDate":"July 24, 2026","url":"https://journals.lww.com/prsgo/collections/13146"},"items":[{"accessionNumber":"01720096-202609000-00012","doi":"10.1097/GOX.0000000000008055","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00012/root/v/2026-09-01T171456Z/r/text-xml","indicators":[{"type":"sdc"},{"type":"open"},{"type":"inline-video"},{"type":"country","text":"japan"}],"actions":["abstract","pls"],"section":"Cosmetic","urlTitle":"ultrasound-guided-minimally-invasive-correction-of","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":true,"hasFulltext":true,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Ultrasound-guided Minimally Invasive Correction of Postblepharoplasty Lower Eyelid Hollowing Using Hyaluronic Acid: A 5-case Series"]},"authors":["Kikuno Onchi","Chihiro Matsui"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Summary:"},{"nodeName":"paragraph","plainText":"Lower eyelid hollowing is a challenging complication following transconjunctival blepharoplasty, particularly in Asian patients with limited midface projection. Surgical revision is often unpredictable due to fibrosis, thin skin, and compromised vascularity. Minimally invasive alternatives that provide reliable contour restoration with minimal downtime are desirable. This case series includes 5 female patients presenting with persistent lower eyelid hollowing at least 3 months after transconjunctival fat removal. All patients underwent ultrasound-guided hyaluronic acid (HA) injection using a blunt cannula, with selective adhesiolysis when indicated. HA fillers were chosen based on rheological properties: VYC-17.5L for sub–orbicularis oculi fat and periosteal augmentation, and VYC-15L for periosteal and sub–orbicularis oculi muscle tear trough correction. One patient with extremely thin skin and vascular dark circles received adjunctive subcutaneous human-derived collagen. Outcomes were assessed clinically and via standardized photography at 1 and 3 months, with patient satisfaction measured using a 5-point Likert scale. All patients demonstrated visible improvement in lower eyelid contour at both follow-up visits. Patient satisfaction was high, with 4 of 5 patients reporting being very satisfied and 1 reporting being satisfied at the 3-month follow-up. Transient edema and ecchymosis occurred in 2 patients each and resolved spontaneously. No Tyndall phenomenon, vascular complications, nodules, or contour irregularities were observed. Ultrasound-guided HA injection may represent a safe and minimally invasive option for selected patients with postblepharoplasty lower eyelid hollowing, achieving favorable short-term aesthetic outcomes with high patient satisfaction."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"https://assets.contenthub.wolterskluwer.com/api/public/content/original%2F3852760?v=aac7c260","type":"custom","orientation":"landscape"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008055~ultrasound-guided-minimally-invasive-correction-of","itemKey":"10.1097/GOX.0000000000008055"},{"accessionNumber":"01720096-202609000-00022","doi":"10.1097/GOX.0000000000008108","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00022/root/v/2026-09-01T171502Z/r/text-xml","indicators":[{"type":"open"},{"type":"country","text":"japan"}],"actions":["abstract","pls"],"section":"Breast","urlTitle":"the-fujiyama-procedure-a-triangular-skin-paddle-design-for","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":true,"hasFulltext":true,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["The Fujiyama Procedure: A Triangular Skin Paddle Design for Restoring Natural Ptosis in Implant-to-autologous Breast Reconstruction"]},"authors":["Hajime Matsumine","Hiroyuki Sakurai"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Summary:"},{"nodeName":"paragraph","plainText":"The Fujiyama procedure is a surgical technique designed for patients undergoing conversion from implant-based breast reconstruction to autologous tissue reconstruction. Conventional implant-to-flap conversion often fails to reproduce natural breast ptosis and lower pole projection because of biomechanical differences between implants and autologous tissue and an insufficient lower pole skin envelope after long-term implant placement. This technique applies the inverted-T mastopexy concept in reverse and introduces a geometric redesign strategy, in which a triangular skin paddle is intentionally exposed at the lower pole. This design allows redistribution of the skin envelope while providing adequate lower pole volume and skin supply, both of which are essential for restoring a natural ptotic contour. Following implant and capsule removal, the pectoralis major muscle is repositioned to the chest wall, and a prepectoral pocket is created to optimize softness and contour. The transferred flap is inserted into this plane, and the exposed skin paddle forms the “Fujiyama-shaped” lower pole. Intraoperative assessment in sitting position under negative pressure enables contour adjustment. When necessary, the inframammary fold is reinforced using multiple tacking sutures. Seven patients (9 breasts) underwent reconstruction using pedicled or free abdominal flaps and profunda artery perforator flaps. Complete flap survival without major or minor complications was achieved in all cases. Stable inframammary fold reconstruction, natural breast ptosis, and lower pole projection were achieved without secondary revisions. The Fujiyama design represents a structural lower pole redesign rather than simple implant replacement and offers an option for restoring natural breast morphology in secondary autologous reconstruction."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"https://assets.contenthub.wolterskluwer.com/api/public/content/original%2F3852660?v=6f71a507","type":"custom","orientation":"landscape"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008108~the-fujiyama-procedure-a-triangular-skin-paddle-design-for","itemKey":"10.1097/GOX.0000000000008108"},{"accessionNumber":"01720096-202609000-00023","doi":"10.1097/GOX.0000000000008038","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00023/root/v/2026-09-02T160834Z/r/text-xml","indicators":[{"type":"sdc"},{"type":"open"},{"type":"country","text":"united states"}],"actions":["abstract","pls"],"section":"Business","urlTitle":"financing-a-private-practice-a-practical-framework-for","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":true,"hasFulltext":true,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Financing a Private Practice: A Practical Framework for Plastic Surgeons"]},"authors":["Nicholas Mosca","Ferris Zeitouni","Madeline Tierney","Ellen C. Via","Peter J. Wirth","Pradeep K. Attaluri","Venkat K. Rao"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Summary:"},{"nodeName":"paragraph","plainText":"Many plastic surgery trainees enter private or group practice, yet there is little guidance on financing strategies when starting or joining a practice. The aim of this article is to provide physicians starting or joining a private practice with a clear, evidence-based resource on financing options. Common funding avenues are described, ranging from traditional bank and Small Business Administration loans to equipment leasing, hospital joint ventures, and equity-based investments. Comparisons are made to characterize differences in control, cash flow burden, regulatory considerations, and long-term sustainability and to provide an overview of the advantages, limitations, and situational appropriateness of each option. Specific loan requirements, guarantees, and regulatory considerations are outlined, with an additional focus on legal guardrails and trade-offs associated with hospital partnerships and private equity. Physicians entering private practice face a critical early decision: how to secure the capital needed to launch and sustain their business. A wide range of financing options exist, and each comes with distinct advantages, limitations, and implications for autonomy and long-term growth. Ultimately, the right solution depends on factors such as capital needs, tolerance for risk, desired level of control, and future growth strategy."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"https://assets.contenthub.wolterskluwer.com/api/public/content/original%2F3852668?v=b64738ee","type":"custom","orientation":"landscape"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008038~financing-a-private-practice-a-practical-framework-for","itemKey":"10.1097/GOX.0000000000008038"},{"accessionNumber":"01720096-202609000-00018","doi":"10.1097/GOX.0000000000008056","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00018/root/v/2026-09-01T171455Z/r/text-xml","indicators":[{"type":"open"},{"type":"country","text":"united states"}],"actions":["abstract","pls"],"section":"Craniofacial","urlTitle":"evolution-and-hotspots-in-autologous-ear-reconstruction-a","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":true,"hasFulltext":true,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Evolution and Hotspots in Autologous Ear Reconstruction: A Bibliometric Analysis of the 100 Most-cited Studies"]},"authors":["Charbel G. Saad","Laurentia Fidella Setia Santoso","Rola Mahdi","Soumiya Nadar","Thenuli Tamasha Hitihamilage","Nancy Emmanuel","Juan Pablo Menendez","Gregory Nicolas"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Autologous auricular reconstruction has evolved from cartilage-carving techniques that established modern microtia repair to an expanding regenerative and biofabrication literature. However, the field has not been mapped bibliometrically using an autologous-only lens that separates the clinical literature from emerging tissue-engineering hotspots."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"A Scopus search in January 2026 identified publications on autologous auricular reconstruction. Records were sorted by citation count, screened for eligibility, and the 100 most-cited studies were included. Data extracted included citations, citations per year, year, journal, country, and evidence category. Studies were classified into 4 domains: surgical technique, tissue engineering/basic science, complications/management, and outcomes/quality of life. VOSviewer was used for coauthorship and keyword co-occurrence mapping. Temporal shifts were assessed by comparing the older versus newer halves."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","fullText":["The 100 most-cited studies (1971–2023) accrued a mean of 82.97 citations (range, 27–510) with a median of 3.46 citations per year. Most studies were clinical (71%), followed by preclinical (19%) and evidence synthesis (10%). Surgical technique predominated overall (53%), but decreased from 66% in the older half to 40% in the newer half, whereas tissue engineering increased from 16% to 28%. The most-cited article was the description by Nagata of a 2-stage, 3-dimensional costal cartilage framework (1993, ",{"nodeName":"emphasis","plainText":"Plastic and Reconstructive Surgery","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.1"},"). Keyword clustering revealed a temporally newer regenerative cluster centered on chondrocytes, tissue engineering, and biomechanics."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"The citation canon of autologous auricular reconstruction is built on the late 20th-century technique classics, whereas contemporary influence is increasingly driven by regenerative medicine and biofabrication. Future high-impact work will likely be defined by durable, shape-stable engineered constructs validated in clinically relevant models."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"https://assets.contenthub.wolterskluwer.com/api/public/content/original%2F3852684?v=3b430f05","type":"custom","orientation":"landscape"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008056~evolution-and-hotspots-in-autologous-ear-reconstruction-a","itemKey":"10.1097/GOX.0000000000008056"},{"accessionNumber":"01720096-202609000-00013","doi":"10.1097/GOX.0000000000008044","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00013/root/v/2026-09-01T171449Z/r/text-xml","indicators":[{"type":"sdc"},{"type":"open"},{"type":"country","text":"taiwan"}],"actions":["abstract","pls"],"section":"Hand","urlTitle":"dynamic-external-distraction-device-for-proximal-phalangeal","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":true,"hasFulltext":true,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Dynamic External Distraction Device for Proximal Phalangeal Head Intra-articular Fracture"]},"authors":["Tzu-Chi Tseng","Kun-Han Lee","Jung-Pan Wang"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header"},{"nodeName":"paragraph","plainText":"Dynamic distraction external fixation (DDEF) is commonly used for proximal interphalangeal joint fractures based on the principle of ligamentotaxis. However, this mechanism may be limited when fracture fragments lack soft tissue attachment. We present a 14-year-old girl with a depressed intra-articular fracture of the proximal phalanx head and joint stiffness, treated 5 weeks after injury using DDEF. Despite delayed treatment and minimal ligamentous connection, the fragment was successfully elevated and healed. We propose the so-called “vacuum phenomenon” as a hypothesis-generating concept that may represent a supplementary mechanism in fracture reduction under distraction. This effect may be particularly relevant in cases where ligamentotaxis alone does not fully explain fragment repositioning, and may help broaden the understanding of DDEF in managing such injuries."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"https://assets.contenthub.wolterskluwer.com/api/public/content/original%2F3852676?v=983a28bf","type":"custom","orientation":"landscape"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008044~dynamic-external-distraction-device-for-proximal-phalangeal","itemKey":"10.1097/GOX.0000000000008044"}]}},"b440dec1-5cfd-4f80-9d22-93110613af03":{"tocResults":{"journal":{"title":"Plastic and Reconstructive Surgery – Global Open","desc":"Plastic and Reconstructive Surgery—Global Open is an open access, peer reviewed, international journal focusing on global plastic and reconstructive surgery.Plastic and Reconstructive Surgery—Global Open publishes on all areas of plastic and reconstructive surgery, including basic science/experimental studies pertinent to the field and also clinical articles on such topics as: breast reconstruction, head and neck surgery, pediatric and craniofacial surgery, hand and microsurgery, wound healing, and cosmetic and aesthetic surgery. Clinical studies, experimental articles, ideas and innovations, and techniques and case reports are all welcome article types.","frequency":"","editorInChief":"Jeffrey E. Janis, M.D., F.A.C.S.","ranking":"SURGERY: 147/321","impactFactor":"1.9","coverImageId":"","pissn":"","eissn":"2169-7574","citeScore":"","type":"journal","image":[{"id":"https://assets.contenthub.wolterskluwer.com/api/public/content/original%2F3774490?v=0621b10f","type":"custom","orientation":"landscape"}]},"issue":{"issueId":"09000","year":"2026","number":"9","isSupplement":false,"volume":"14","pageRange":"e8088-e8088","next":{"id":2026,"url":"https://journals.lww.com/prsgo/toc/2026/09004"},"prev":{"id":2026,"url":"https://journals.lww.com/prsgo/toc/2026/08000"},"type":"issue","pubDate":"September 2026","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00000/cover/v/2026-09-30T185425Z/r/image-png","type":"wkmrid"}],"url":"https://journals.lww.com/prsgo/toc/2026/09000","itemKey":null},"article":{"paging":{"page":1,"pageSize":20,"totalItems":76,"totalPages":4},"sections":[{"id":"885035459","name":"Artificial Intelligence: Original Article","items":[{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00056","doi":"10.1097/GOX.0000000000008113","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00056/root/v/2026-09-21T195018Z/r/text-xml","pageRange":"e8113","indicators":[{"type":"open"},{"type":"country","text":"united states"}],"actions":["abstract","pls"],"section":"Artificial Intelligence: Original Article","urlTitle":"comparing-deep-plane-and-superficial-musculoaponeurotic","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Comparing Deep Plane and Superficial Musculoaponeurotic System Facelifts Using Artificial Intelligence–Based Age Estimation"]},"authors":["Shu Juet Tan","Kian Steppe","Mark M. Mims"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Although artificial intelligence (AI) is implemented in diagnostic medicine, few modalities exist to evaluate aesthetic outcomes. The literature demonstrates AI’s ability to predict patient age mainly from frontal views, despite the importance of profile views in age perception. It is also uncertain how the predominant facelift techniques (deep plane versus SMAS) and adjunct procedures affect AI estimation. We aimed to investigate AI’s ability to estimate age pre- and postoperatively using frontal and profile views, comparing outcomes across techniques and adjuncts."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"For each facelift technique in this retrospective study, Face++ AI age estimation software evaluated pre- and postoperative photographs of 100 female patients, identified from plastic surgery websites. Patients (N = 200) were grouped by facelift technique and adjunct procedures, and Microsoft Excel was implemented for data analysis."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"Two hundred patients (100 deep plane, 100 SMAS; mean age 59.97 y) were analyzed using Face++ AI. Frontal images showed modest apparent age reduction (~2.5–2.8 y) with moderate accuracy, whereas profile images demonstrated substantial underestimation and high variability with a mean absolute error of 16–23 years. No significant differences in AI-estimated age reduction were detected between surgical approaches, and adjunct procedures did not significantly affect age estimates."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"This study uniquely evaluates Face ++ AI age estimation for SMAS and deep plane facelifts using both frontal and profile views within a single dataset. AI detected modest age reduction in frontal views but was inaccurate in profiles, and adjuncts had no significant effect, highlighting current AI limitations."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008113~comparing-deep-plane-and-superficial-musculoaponeurotic","itemKey":"01720096-202609000-00056"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00057","doi":"10.1097/GOX.0000000000008120","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00057/root/v/2026-09-21T195023Z/r/text-xml","pageRange":"e8120","indicators":[{"type":"sdc"},{"type":"open"},{"type":"country","text":"france"}],"actions":["abstract","pls"],"section":"Artificial Intelligence: Original Article","urlTitle":"artificial-intelligence-in-plastic-and-reconstructive","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Artificial Intelligence in Plastic and Reconstructive Surgery: A Bibliometric Study of the 50 Most-cited Articles"]},"authors":["Pharel Njessi","Olivier Camuzard","Elise Lupon"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Artificial intelligence (AI) has gained increasing attention in the surgical literature, including plastic and reconstructive surgery (PRS). However, the characteristics and trends of the most influential publications on AI in PRS remain poorly defined."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"The online Web of Science Core Collection was searched on November 18, 2025, to identify articles on AI applications in PRS. Title, authorship information, publication year, journal, funding, and citation count were recorded. Studies were further classified based on application domain and PRS subspecialty."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"The 50 most-cited articles on AI in PRS were published between 2001 and 2024, with citation counts ranging from 45 to 124. Most articles originated from the United States (n = 18; 1166 citations) and were published by plastic surgeons (n = 17; 1332 citations). Imaging assessment (n = 21; 1564 citations) represented the most common application of AI, whereas the predominant PRS subspecialty was craniofacial surgery (n = 32; 2364 citations)."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"This bibliometric analysis highlights the most influential publications and emerging applications of AI in plastic surgery, revealing that image-based approaches predominate, particularly in craniofacial surgery, whereas adoption remains uneven across PRS subspecialties. These findings underscore current research priorities and identify areas where AI development remains limited, offering a foundation to guide future work in this rapidly evolving field."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00057/figure1/v/2026-09-21T195023Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008120~artificial-intelligence-in-plastic-and-reconstructive","itemKey":"01720096-202609000-00057"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00004","doi":"10.1097/GOX.0000000000008029","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00004/root/v/2026-08-31T185030Z/r/text-xml","pageRange":"e8029","indicators":[{"type":"sdc"},{"type":"open"},{"type":"country","text":"united states"}],"actions":["abstract","pls"],"section":"Artificial Intelligence: Original Article","urlTitle":"artificial-intelligencepredicted-outcomes-of-breast","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Artificial Intelligence–predicted Outcomes of Breast Reconstruction: Progress, Pitfalls, and Path Forward"]},"authors":["Rijul S. Maini","Jesse C. Selber","Jeffrey E. Janis"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Artificial intelligence (AI) is increasingly being applied across medical disciplines to enhance clinical decision-making. However, its use in plastic and reconstructive surgery remains early in development. This review consolidates existing literature to evaluate how AI is specifically being implemented to predict breast reconstruction (BR) outcomes, identify current limitations, and outline priorities for clinical translation."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"A literature search was conducted using PubMed and Scopus databases to identify studies published between 2015 and 2025 that applied AI or machine learning to predict outcomes after BR. Eligible studies were categorized into surgical, aesthetic, and patient-reported outcomes domains and synthesized using a conceptual framework of “progress, pitfalls, and path forward.”"}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"Of 442 studies identified, 25 met the inclusion criteria. Ten studies demonstrated progress in applying AI to predict complications, donor-site morbidity, tissue-expander loss, and patient-reported satisfaction. Three studies highlighted key pitfalls, including limited generalizability due to small, single-center datasets and technical barriers to clinical implementation. Twelve studies focused on future directions, including the prediction of postoperative complications, perfusion-related events, tissue expansion dynamics, and automated aesthetic assessment. Collectively, these findings suggest that AI can model complex, nonlinear relationships among patient, procedural, and aesthetic variables in BR."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"AI applications in BR are evolving from proof-of-concept toward clinical relevance. Broader validation using multicenter datasets and standardized methodologies will be essential. Collaboration between surgeons and AI engineers will be critical to develop robust, generalizable tools that enhance preoperative planning, intraoperative decision-making, and postoperative outcomes."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00004/figure1/v/2026-08-31T185030Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008029~artificial-intelligencepredicted-outcomes-of-breast","itemKey":"01720096-202609000-00004"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00017","doi":"10.1097/GOX.0000000000008082","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00017/root/v/2026-09-01T171455Z/r/text-xml","pageRange":"e8082","indicators":[{"type":"open"},{"type":"country","text":"switzerland"}],"actions":["abstract","pls"],"section":"Artificial Intelligence: Original Article","urlTitle":"artificial-intelligence-and-robotic-surgery-in-lymphedema-a","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Artificial Intelligence and Robotic Surgery in Lymphedema: A Scoping Review of Current Applications, Clinical Translation, and Evidence Gaps"]},"authors":["Adriano Fabi","Séverin R. Wendelspiess","Felix J. Klimitz","Aliyar Zahedi Vafa","Matteo Meroni","André S. Alves","Yvonne Haas","Christoph Wallner","Siba Haykal","Elisabeth A. Kappos"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Lymphedema is a debilitating disease, in which timely diagnosis and standardized monitoring are essential to prevent progression. Artificial intelligence (AI) has increasingly been applied in other surgical disciplines. Therefore, this review summarizes current AI applications in lymphedema management and explores their potential for clinical translation."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"The PubMed/MEDLINE database was searched from inception to June 2025 for studies on lymphedema and AI. Peer-reviewed primary studies were included; editorials, reviews, and commentaries were excluded. All reference lists were screened for additional studies. Findings were synthesized qualitatively and grouped by clinical task."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"Existing studies primarily evaluate AI for risk prediction, symptom- or image-based screening, automated volumetry, and lymphatic imaging interpretation. Reported performance is frequently high in single-center retrospective datasets; however, external validation and prospective workflow evaluation remain uncommon. Consequently, current applications are largely experimental and rarely used in clinical practice."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"The integration of AI-assisted systems into the surgical management of chronic lymphedema has the potential to reduce diagnostic delays and to enable early therapeutic intervention. Additionally, it may improve surgical simulation, training, and real-time support in robotic (super-)microsurgery, thereby enhancing personalized patient care. However, translation to routine practice will require multicenter validation, transparent reporting, and demonstration of clinical utility, cost-effectiveness, and safety."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00017/figure1/v/2026-09-01T171455Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008082~artificial-intelligence-and-robotic-surgery-in-lymphedema-a","itemKey":"01720096-202609000-00017"}],"page":0},{"id":"95935975","name":"Breast: Original Article","items":[{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00065","doi":"10.1097/GOX.0000000000008074","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00065/root/v/2026-09-22T165531Z/r/text-xml","pageRange":"e8074","indicators":[{"type":"sdc"},{"type":"open"},{"type":"country","text":"united states"}],"customIndicators":[{"desc":"This is part of series of articles that takes a deep-dive on a hot topic in plastic surgery, all from the same world-class institution ","url":"https://www.ovid.com/jnls/prsgo/collections/13536","openLinkInNewWindow":true,"text":"Mini-Series","type":"custom"}],"actions":["abstract","pls"],"section":"Breast: Original Article","urlTitle":"prehabilitation-for-patients-undergoing-breast-reduction","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Prehabilitation for Patients Undergoing Breast Reduction Surgery: A Scoping Review"]},"authors":["Layne N. Raborn Macdonald","Anne Claire Kim","Jeffrey E. Janis"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Reduction mammoplasty (RM) is one of the most common plastic surgery procedures, with close to 76,000 performed annually. Between 14% and 53% of patients may experience a complication after RM. Medically optimizing patients preoperatively is essential to mitigate these risks and provide the best surgical outcome. This scoping review aims to identify the efficacy of prehabilitation for cosmetic RM and identify mutable patient characteristics that could reasonably be targeted with prehabilitation to improve surgical outcomes."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"A comprehensive PubMed review was performed in April 2025 to identify cosmetic RM–related articles that discussed risks associated with mutable patient characteristics and outcomes following prehabilitation. Data collected included article type, topic, participant information, and study outcome."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"A total of 123 articles met inclusion criteria. Most articles addressed the effects of body mass index (n = 61, 50%), age (n = 55, 45%), or mental health (n = 19, 15%). High-risk mutable characteristics identified included obesity, malnourishment, frailty, diabetes, smoking, poverty, cardiovascular and hematologic issues, vitamin D deficiency, history of bariatric surgery, and chronic steroid use. Only 1 article directly reported the effects of prehabilitation regimens on RM outcomes, showing that a weight loss intervention reduced complications."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"Although RM prehabilitation with a focus on weight loss demonstrated quantifiable improvement in surgical outcomes, prehabilitation programs for other mutable characteristics have not been directly studied. However, risk-increasing characteristics should be optimized before surgery. Further evidence is needed to provide quantifiable data on the effectiveness of prehabilitation."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00065/figure1/v/2026-09-22T165531Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008074~prehabilitation-for-patients-undergoing-breast-reduction","itemKey":"01720096-202609000-00065"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00008","doi":"10.1097/GOX.0000000000008076","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00008/root/v/2026-08-31T185030Z/r/text-xml","pageRange":"e8076","indicators":[{"type":"open"},{"type":"country","text":"israel"}],"actions":["abstract","pls"],"section":"Breast: Original Article","urlTitle":"temporal-trends-in-autologous-breast-reconstruction-among","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Temporal Trends in Autologous Breast Reconstruction Among Patients With Psychiatric Diagnoses: From Disparity to Equity"]},"authors":["Ron Skorochod","Yitzhak Skorochod","Yoav Gronovich"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"During the last decades, advances in microsurgical techniques and equipment, alongside improvements in the perioperative care, have contributed to a steady rise in the use of autologous breast reconstruction (ABR). However, access to advanced reconstruction procedures has not been uniform across the patient population, exhibiting significant disparities related to race, ethnicity, comorbidity burden, insurance status, and socioeconomic status. Prior studies examining the relationship between psychiatric diagnoses and breast reconstruction have largely focused on short-term outcomes. The present study addresses this gap by leveraging the TriNetX Global Collaborative Network to examine 25-year temporal trends in the incidence of ABR among women with documented psychiatric diagnoses."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"This retrospective cohort study used TriNetX data (2000–2024) to evaluate temporal trends in ABR among women with and without preexisting psychiatric diagnoses. Incidence rates were analyzed across predefined periods using Poisson and negative binomial regression, reporting incidence rate ratios with 95% confidence intervals."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"Among 6412 ABRs, 1877 occurred in women with psychiatric diagnoses, and 4535 in those without. Incidence rates rose from 33.5 to 895.1 per 100,000 person-years in psychiatric cohorts and from 108.1 to 700.9 in nonpsychiatric cohorts. Early incidence rate ratios favored nonpsychiatric patients, attenuating to near unity over time, with persistent lower rates observed in schizophrenia."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"Women with psychiatric diagnoses historically underwent ABR at significantly lower rates. These disparities progressively attenuated over the years, until reaching a near-equitable access to ABR irrespective of psychiatric status."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008076~temporal-trends-in-autologous-breast-reconstruction-among","itemKey":"01720096-202609000-00008"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00028","doi":"10.1097/GOX.0000000000008036","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00028/root/v/2026-09-02T160842Z/r/text-xml","pageRange":"e8036","indicators":[{"type":"open"},{"type":"country","text":"united states"}],"actions":["abstract","pls"],"section":"Breast: Original Article","urlTitle":"optimizing-pain-management-in-autologous-breast","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Optimizing Pain Management in Autologous Breast Reconstruction: Intravenous Ketorolac in the Enhanced Recovery After Surgery Pathway"]},"authors":["Ayushi D. Sharma","Reuben A. Falola","Nicholas Lombana","Brogan G.A. Evans","Matthew King","Edward M. Gronet","Michel H. Saint-Cyr"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Enhanced recovery after surgery (ERAS) pathways can decrease hospital length of stay (LOS) and oral morphine equivalent (OME) use after autologous breast reconstruction. Ketorolac is a powerful nonsteroidal anti-inflammatory drug used in our ERAS pathway. The purpose of this study was to analyze the safety and efficacy of scheduled low- versus high-dose intravenous (IV) ketorolac."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"A retrospective study of patients who underwent abdominally based breast reconstruction with our ERAS protocol was conducted from July 2015 to June 2020. Controls (group A) received no IV ketorolac, whereas cases received at least 3 doses of either low-dose (15 mg, group B) or high-dose (30 mg, group C) IV ketorolac. Outcomes of interest included LOS, OME use, acute kidney injury, 30-day return to operating room, and blood transfusion."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","fullText":["A total of 159 patients were included (group A = 62, group B = 43, group C = 54). The 3 groups differed only in mean age (group A = 52.6 y, group B = 50.9 y, group C = 46 y; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.1"}," = 0.0018). Compared with controls (group A = 297.6 mg, 5.16 d), the administration of scheduled low- and high-dose ketorolac was associated with a significant reduction in mean OME use (group B = 120.3 mg, ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.2"}," = 0.0003; group C = 176.9 mg, ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.3"}," = 0.0415) and LOS (group B = 4.21 d, ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.4"}," \u003c 0.0004; group C = 4.22 d, ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.5"}," = 0.001). Ketorolac use was not associated with a significant increase in complications."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"Scheduled postoperative ketorolac administration significantly reduces opioid consumption and LOS, without adverse effects, in patients undergoing abdominally based breast reconstruction."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00028/figure1/v/2026-09-02T160842Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008036~optimizing-pain-management-in-autologous-breast","itemKey":"01720096-202609000-00028"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00061","doi":"10.1097/GOX.0000000000008072","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00061/root/v/2026-09-22T165532Z/r/text-xml","pageRange":"e8072","indicators":[{"type":"sdc"},{"type":"open"},{"type":"country","text":"united states"}],"customIndicators":[{"desc":"This is part of series of articles that takes a deep-dive on a hot topic in plastic surgery, all from the same world-class institution ","url":"https://www.ovid.com/jnls/prsgo/collections/13536","openLinkInNewWindow":true,"text":"Mini-Series","type":"custom"}],"actions":["abstract","pls"],"section":"Breast: Original Article","urlTitle":"prehabilitation-for-breast-reconstruction-surgery-a","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Prehabilitation for Breast Reconstruction Surgery: A Practical and Evidence-based Guide"]},"authors":["Kristen Rezak","Ash Patel","Rebecca Knackstedt"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Prehabilitation, the systematic optimization of physical, nutritional, and psychosocial health before surgery, is well established in other surgical specialties but remains underused and inconsistently defined in breast reconstruction. Patients pursuing reconstruction frequently have modifiable vulnerabilities, including malnutrition, sarcopenia, impaired glycemic control, chronic pain, sleep disturbance, anxiety, and depression, which are associated with higher complication rates, delayed functional recovery, and worse quality of life."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"This review summarizes evidence-supported prehabilitation and perioperative optimization strategies from breast surgery and broader surgical populations and evaluates their relevance to breast reconstruction. We emphasize practical, multidisciplinary screening and targeted intervention across nutrition/metabolism, functional status, pain, sleep, and psychosocial health."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"Multiple interventions have demonstrated benefit across surgical populations and are readily adaptable to breast reconstruction, including high-protein supplementation and micronutrient optimization, immunonutrition, carbohydrate loading with perioperative glycemic control, resistance training, multimodal pain management, stress-reduction techniques, and sleep hygiene. Implementation requires systematic assessment of nutritional, functional, psychological, and social risk factors and collaboration with dietitians, physical therapists, pain specialists, behavioral health clinicians, and social workers to deliver individualized optimization."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"Prehabilitation offers a feasible pathway to improve outcomes and patient experience in breast reconstruction. Prospective studies are needed to define the optimal content, timing, and intensity of multimodal programs and to tailor approaches for implant-based and autologous reconstruction."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008072~prehabilitation-for-breast-reconstruction-surgery-a","itemKey":"01720096-202609000-00061"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00007","doi":"10.1097/GOX.0000000000008040","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00007/root/v/2026-08-31T185031Z/r/text-xml","pageRange":"e8040","indicators":[{"type":"open"},{"type":"country","text":"united states"}],"actions":["abstract","pls"],"section":"Breast: Original Article","urlTitle":"addressing-congenital-breast-asymmetry-using-2-stage-breast","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Addressing Congenital Breast Asymmetry Using 2-stage Breast Reconstruction With Tissue Expanders: A 22-year Single Institution Experience"]},"authors":["Caleb Haley","Alexandra E. Herman","Imani Elliott","Geoffrey E. Hespe","Steven J. Kasten","Paul S. Cederna"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Congenital breast asymmetry can have significant adverse psychosocial sequelae for adolescent and young adult women. Although early surgical intervention is beneficial, commonly described techniques include immediate implant and autologous tissue transfer reconstruction. We describe and evaluate outcomes of our 22-year experience using tissue expanders before implant placement to maintain symmetry throughout breast development."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"A retrospective chart review analyzed patients with congenital breast asymmetry who completed 2-stage breast reconstruction from January 2000 to November 2022. Patients’ demographic, clinical, surgical, and complication data are reported."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"Thirty patients completed 2-stage breast reconstruction for congenital breast asymmetry. The most common diagnosis was Poland syndrome. Median age at initial presentation was 17 years. About 47% of patients received tissue expanders before 18 years of age, and 30% of patients received implants before 18 years of age. The median interval between tissue expander placement and implant placement was 351.5 days, with a median interval of 223 days between final tissue expander fill and implant placement. Median follow-up time after implant placement was 731.5 days. Adjunctive procedures were performed in 87% of patients and included contralateral mastopexy, contralateral augmentation, fat grafting, ipsilateral latissimus dorsi flap, and free nipple grafting. Major and minor complication rates were 27% and 43%, respectively."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"Two-stage breast reconstruction with tissue expansion is a viable option for patients with congenital breast asymmetry of various phenotypes. Complication rates were similar to those of other forms of breast reconstruction. Through serial expansion, this technique enables maintenance of breast symmetry throughout development."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00007/figure1/v/2026-08-31T185031Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008040~addressing-congenital-breast-asymmetry-using-2-stage-breast","itemKey":"01720096-202609000-00007"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00035","doi":"10.1097/GOX.0000000000008064","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00035/root/v/2026-09-04T154101Z/r/text-xml","pageRange":"e8064","indicators":[{"type":"open"},{"type":"country","text":"united kingdom"}],"actions":["abstract","pls"],"section":"Breast: Original Article","urlTitle":"comparison-of-secondary-procedures-and-complications-between","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Comparison of Secondary Procedures and Complications Between Subpectoral and Prepectoral Direct-to-implant–based Breast Reconstruction: 5-year Retrospective Analysis"]},"authors":["Samantha Muktar","Quratul Ain","Mae Lace Concepcion","Abeera Abbas","Marios Konstantinos Tasoulis","Gerald Gui"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Implant-based breast reconstruction (IBR) remains the most widely used method for breast reconstruction following mastectomy. There is significant variability in the choice between subpectoral and prepectoral approaches. This study compares the frequency of secondary procedures required to improve the aesthetic outcome between subpectoral and prepectoral IBR approaches."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"A retrospective cohort study was conducted on patients undergoing single-stage subpectoral IBR between January 2014 and June 2017 or prepectoral IBR between November 2016 and December 2019 by a single surgeon at a tertiary breast unit. The primary outcome was the number of secondary procedures performed within 5 years to improve aesthetic outcomes. Secondary outcomes included postoperative complications."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","fullText":["A total of 388 single-stage IBRs were analyzed (194 subpectoral and 194 prepectoral). Median age was 43.0 years in both groups, with similar body mass index (22.4 kg/m",{"nodeName":"emphasis","plainText":"2","style":"superscript"}," [interquartile range 3.1] versus 22.0 kg/m",{"nodeName":"emphasis","plainText":"2","style":"superscript"}," [interquartile range 3.5]; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.3"}," = 0.795). The overall frequency of secondary procedures at 5 years was comparable (53.1% versus 53.6%; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.4"}," = 0.650). Pocket revisions were significantly more common following subpectoral reconstruction (9.3% versus 2.6%; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.5"}," = 0.005), whereas implant exchange rates were not significantly different (7.7% versus 3.1%; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.6"}," = 0.216). Fat grafting rates were similar (32.5% versus 37.6%; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.7"}," = 0.338). Overall complication rates did not differ significantly (20.1% versus 22.2%; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.8"}," = 0.709), and implant loss was low at 5.2% in both groups."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"At 5-year follow-up, prepectoral and subpectoral IBR were shown to have comparable rates of secondary aesthetic procedures and postoperative complications. These findings support prepectoral IBR as a safe and effective alternative to subpectoral reconstruction."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008064~comparison-of-secondary-procedures-and-complications-between","itemKey":"01720096-202609000-00035"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00044","doi":"10.1097/GOX.0000000000008106","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00044/root/v/2026-09-09T051839Z/r/text-xml","pageRange":"e8106","indicators":[{"type":"sdc"},{"type":"open"},{"type":"country","text":"switzerland"}],"actions":["abstract","pls"],"section":"Breast: Original Article","urlTitle":"donor-site-seroma-in-deep-inferior-epigastric-perforator","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Donor-site Seroma in Deep Inferior Epigastric Perforator Flap Breast Reconstruction: A Pooled Analysis"]},"authors":["André S. Alves","Jérôme Martineau","Matteo Scampa","Boran Tekdogan","Adriano Fabi","Gaëtan Kellerhals","Daniel F. Kalbermatten","Axelle Serre"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Seroma at the abdominal donor site is a recognized complication following deep inferior epigastric perforator (DIEP) flap breast reconstruction. Reported incidences vary widely, reflecting differences in surgical technique, patient characteristics, and outcome reporting. Consequently, this proportional meta-analysis aims to estimate the pooled incidence of abdominal donor-site seroma and evaluate potential risk factors associated with its occurrence."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","fullText":["A systematic literature review of PubMed, Web of Science, and the Cochrane Library was performed up to June 2025. Studies reporting abdominal donor-site seroma rates following DIEP flap reconstruction were included. Data were pooled using a random-effects model (DerSimonian–Laird), and heterogeneity was assessed using ",{"nodeName":"emphasis","plainText":"I","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.2.2.1"},{"nodeName":"emphasis","plainText":"2","style":"superscript"}," and τ",{"nodeName":"emphasis","plainText":"2","style":"superscript"}," statistics. Univariable meta-regression analyses explored associations of smoking status and diabetes with seroma occurrence."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","fullText":["The search identified 1345 unique records, of which 71 studies met the inclusion criteria, comprising 12,739 patients and 16,915 DIEP flaps. A total of 736 seromas were reported, yielding a pooled incidence of 6% (95% confidence interval, 4%–7%). Heterogeneity was substantial (",{"nodeName":"emphasis","plainText":"I","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.1"},{"nodeName":"emphasis","plainText":"2","style":"superscript"}," = 85.3%, τ",{"nodeName":"emphasis","plainText":"2","style":"superscript"}," = 0.05, ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.4"}," \u003c 0.001). The mean body mass index and age were 27.2 kg/m",{"nodeName":"emphasis","plainText":"2","style":"superscript"}," and 50.4 years, respectively. Meta-regression showed no significant association between seroma occurrence and smoking (",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.6"}," = 0.57) or diabetes (",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.7"}," = 0.07)."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"Donor-site seroma occurs in 6% of DIEP flap reconstructions. The absence of associations with smoking or diabetes in meta-regression suggests that seroma formation may be influenced by technical and perioperative factors rather than by comorbidities."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00044/figure1/v/2026-09-09T051839Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008106~donor-site-seroma-in-deep-inferior-epigastric-perforator","itemKey":"01720096-202609000-00044"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00039","doi":"10.1097/GOX.0000000000008097","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00039/root/v/2026-09-04T154107Z/r/text-xml","pageRange":"e8097","indicators":[{"type":"sdc"},{"type":"open"},{"type":"country","text":"italy"}],"actions":["abstract","pls"],"section":"Breast: Original Article","urlTitle":"changing-paradigms-in-polyurethane-coated-breast-implant","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Changing Paradigms in Polyurethane-coated Breast Implant Surgery: A Bibliometric Analysis of 4 Decades of Clinical Practice"]},"authors":["Emanuele Mark Ghetti","Edoardo Caimi","Carmine Scarlato","Gianmaria Ceglia","Federico Giovagnoli","Stefano Vaccari","Riccardo Di Giuli","Barbara Catania","Valeriano Vinci"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Polyurethane-coated breast implants were developed to reduce capsular contracture through enhanced implant–tissue interaction. After fluctuating clinical adoption driven by regulatory and safety concerns, renewed interest has emerged, particularly in immediate and prepectoral implant-based breast reconstruction. However, the structure and thematic evolution of the literature have not been systematically quantified."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"A bibliometric analysis of the Web of Science Core Collection was performed, including articles and reviews published up to January 2026. Studies on polyurethane-coated breast implants in aesthetic or reconstructive surgery were included. Bibliometric indicators were analyzed using VOSviewer and Bibliometrix to evaluate publication trends, citation patterns, and research networks."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"A total of 136 publications (1978–2026) were identified. Output remained limited until the mid-2000s, followed by rapid growth after 2017, with publication volume peaking in 2025. Italy, the United States, and Brazil accounted for more than 60% of publications, with research concentrated in a few centers and core journals. Keyword analyses showed a shift from capsular contracture and surface biology toward prepectoral and direct-to-implant reconstruction. Breast implant–associated anaplastic large cell lymphoma emerged as a key recent topic."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"The literature has undergone a marked thematic shift toward contemporary reconstructive strategies. Despite increasing output, evidence remains dominated by small retrospective studies with limited comparative data. Prospective multicenter studies are needed to clarify long-term safety, including breast implant–associated anaplastic large cell lymphoma risk, and to define durable clinical and patient-reported outcomes."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00039/figure1/v/2026-09-04T154107Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008097~changing-paradigms-in-polyurethane-coated-breast-implant","itemKey":"01720096-202609000-00039"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00041","doi":"10.1097/GOX.0000000000008065","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00041/root/v/2026-09-07T141447Z/r/text-xml","pageRange":"e8065","indicators":[{"type":"open"},{"type":"country","text":"united states"}],"actions":["abstract","pls"],"section":"Breast: Original Article","urlTitle":"analysis-of-essence-human-acellular-dermal-matrix-compared","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Analysis of Essence Human Acellular Dermal Matrix Compared With Other Products in Prepectoral Direct-to-implant Reconstruction"]},"authors":["Alexandra Boric","Ravi Dhawan","Nicole Semaan","Orr Shauly","Gabriela García Nores","Albert Losken"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Acellular dermal matrices (ADMs) are widely used in implant-based breast reconstruction, with outcomes potentially varying across human-derived products. With the availability of newer ADMs, this study compares outcomes among different ADMs used in direct-to-implant (DTI) reconstruction."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"We prospectively reviewed patients undergoing immediate prepectoral DTI at a single institution (February 2020–September 2025). We compared early postoperative outcomes (within 90 d) among 3 human ADM products (Essence, AlloDerm, and Cortiva). Analyses were performed per patient. Cohorts were compared using univariate tests; multivariable logistic regression adjusted for age, body mass index, smoking, diabetes, radiation exposure, chemotherapy exposure, mastectomy type, and total resection weight."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","fullText":["A total of 487 patients were included (Essence, n = 68; AlloDerm, n = 201; Cortiva, n = 218), with similar mean age across groups (~52–54 y). Mean implant size differed across cohorts (",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.1"}," = 0.044), with no significant adjusted pairwise differences. The Essence cohort had higher body mass index, more prior radiation and chemotherapy exposure, higher rates of smoking, and greater total resection weight than the other cohorts (all ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.13.1.1.3.2.2"}," ≤ 0.02). Overall noninfectious complication rates (13.2%, 13.9%, and 17.4%) and infection rates (11.8%, 11.0%, and 13.3%) were similar across Essence, AlloDerm, and Cortiva groups, respectively. Seroma, mastectomy skin necrosis, drain duration, and reconstructive failure did not differ significantly. On adjusted analysis, there were no significant differences among the cohorts for any modeled postoperative outcome."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"Essence ADM demonstrates comparable safety and outcomes compared with other human ADMs for immediate prepectoral DTI reconstruction despite its use in higher risk patients."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008065~analysis-of-essence-human-acellular-dermal-matrix-compared","itemKey":"01720096-202609000-00041"}],"page":0},{"id":"1218689247","name":"Breast: Ideas and Innovations","items":[{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00022","doi":"10.1097/GOX.0000000000008108","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00022/root/v/2026-09-01T171502Z/r/text-xml","pageRange":"e8108","indicators":[{"type":"open"},{"type":"country","text":"japan"}],"actions":["abstract","pls"],"section":"Breast: Ideas and Innovations","urlTitle":"the-fujiyama-procedure-a-triangular-skin-paddle-design-for","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["The Fujiyama Procedure: A Triangular Skin Paddle Design for Restoring Natural Ptosis in Implant-to-autologous Breast Reconstruction"]},"authors":["Hajime Matsumine","Hiroyuki Sakurai"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Summary:"},{"nodeName":"paragraph","plainText":"The Fujiyama procedure is a surgical technique designed for patients undergoing conversion from implant-based breast reconstruction to autologous tissue reconstruction. Conventional implant-to-flap conversion often fails to reproduce natural breast ptosis and lower pole projection because of biomechanical differences between implants and autologous tissue and an insufficient lower pole skin envelope after long-term implant placement. This technique applies the inverted-T mastopexy concept in reverse and introduces a geometric redesign strategy, in which a triangular skin paddle is intentionally exposed at the lower pole. This design allows redistribution of the skin envelope while providing adequate lower pole volume and skin supply, both of which are essential for restoring a natural ptotic contour. Following implant and capsule removal, the pectoralis major muscle is repositioned to the chest wall, and a prepectoral pocket is created to optimize softness and contour. The transferred flap is inserted into this plane, and the exposed skin paddle forms the “Fujiyama-shaped” lower pole. Intraoperative assessment in sitting position under negative pressure enables contour adjustment. When necessary, the inframammary fold is reinforced using multiple tacking sutures. Seven patients (9 breasts) underwent reconstruction using pedicled or free abdominal flaps and profunda artery perforator flaps. Complete flap survival without major or minor complications was achieved in all cases. Stable inframammary fold reconstruction, natural breast ptosis, and lower pole projection were achieved without secondary revisions. The Fujiyama design represents a structural lower pole redesign rather than simple implant replacement and offers an option for restoring natural breast morphology in secondary autologous reconstruction."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"https://assets.contenthub.wolterskluwer.com/api/public/content/original%2F3852660?v=6f71a507","type":"custom","orientation":"landscape"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008108~the-fujiyama-procedure-a-triangular-skin-paddle-design-for","itemKey":"01720096-202609000-00022"}],"page":0},{"id":"1229485228","name":"Breast: Case Report","items":[{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00071","doi":"10.1097/GOX.0000000000008138","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00071/root/v/2026-09-25T141531Z/r/text-xml","pageRange":"e8138","indicators":[{"type":"open"},{"type":"inline-video"},{"type":"country","text":"united states"}],"actions":["abstract","pls"],"section":"Breast: Case Report","urlTitle":"breast-reduction-in-a-patient-with-prepectoral-deep-brain","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Breast Reduction in a Patient With Prepectoral Deep Brain Stimulator"]},"authors":["Brooke E. Willborg","Sara M. Hussein","Kendall H. Lee","Basel A. Sharaf"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Summary:"},{"nodeName":"paragraph","plainText":"Deep brain stimulation (DBS) is an increasingly common neurosurgical intervention for drug-resistant epilepsy, Parkinson disease, essential tremor, and other neuropsychiatric diseases. The pulse generator is commonly placed infraclavicularly, but prepectoral pockets have been reported due to improved cosmesis with less prominent devices and scars. Reduction mammoplasty surgery has not been reported in patients with prepectoral DBS devices. We present the case of a 56-year-old woman with symptomatic macromastia and subglandular DBS device who underwent pocket exchange to the subfascial plane during routine generator exchange. She subsequently underwent bilateral breast reduction in the setting of a subfascial DBS. Successful reduction mammoplasty was performed without complication. DBS device perioperative management, intraoperative electrocautery, and careful dissection to preserve device pocket are discussed. Breast reduction for symptomatic macromastia can safely be performed in patients with deep brain stimulators with proper preoperative planning and coordination with neurosurgical colleagues."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00071/figure1/v/2026-09-25T141531Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008138~breast-reduction-in-a-patient-with-prepectoral-deep-brain","itemKey":"01720096-202609000-00071"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00037","doi":"10.1097/GOX.0000000000008125","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00037/root/v/2026-09-04T154125Z/r/text-xml","pageRange":"e8125","indicators":[{"type":"sdc"},{"type":"open"},{"type":"inline-video"},{"type":"country","text":"thailand"}],"actions":["abstract","pls"],"section":"Breast: Case Report","urlTitle":"galactocele-rupture-causing-milk-contamination-of-a","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Galactocele Rupture Causing Milk Contamination of a Prepectoral Implant Pocket: Diagnostic Pitfall and Implant Salvage"]},"authors":["Pattana Ongkasuwan"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Summary:"},{"nodeName":"paragraph","plainText":"Galactocele is a benign milk retention cyst that may develop during or after lactation. In patients with breast implants, ruptured galactoceles can cause peri-implant fluid collections that mimic implant rupture or infection, creating a diagnostic challenge. This report describes a 37-year-old Asian woman, G1P1, with bilateral prepectoral smooth-surface silicone breast implants who presented 2 months postpartum with progressive left breast swelling that was initially diagnosed as mastitis. After noticing a palpable mass, the patient performed vigorous self-massage and increased breast pumping in an attempt to relieve presumed milk stasis, which precipitated acute breast enlargement. Despite antibiotic therapy, symptoms worsened, and evaluation by a radiologist and a general surgeon resulted in a diagnosis of implant rupture with infection and abscess; galactocele rupture was not considered. Surgical exploration revealed an intact implant with milk contamination of the implant pocket due to galactocele rupture and duct-capsule communication. No mature capsule was identified; the pocket was lined with granulation tissue. Fluid analysis demonstrated elevated triglyceride levels consistent with milk content, whereas bacterial cultures remained negative. Management included closure of the ductal communication, sequential antiseptic irrigation, drain placement, and lactation suppression with cabergoline. The implant was successfully salvaged, and the patient remained asymptomatic at 3-month follow-up without capsular contracture. Galactocele rupture should be considered in the differential diagnosis of peri-implant fluid collections in postpartum patients with breast implants. Vigorous manipulation over a palpable mass should be avoided, and timely lactation suppression is critical for implant salvage regardless of closure integrity."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00037/figure1/v/2026-09-04T154125Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008125~galactocele-rupture-causing-milk-contamination-of-a","itemKey":"01720096-202609000-00037"}],"page":0},{"id":"430230485","name":"Breast: Video","items":[{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00070","doi":"10.1097/GOX.0000000000008009","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00070/root/v/2026-09-25T141527Z/r/text-xml","pageRange":"e8009","indicators":[{"type":"open"},{"type":"inline-video"},{"type":"country","text":"united kingdom"}],"actions":[],"section":"Breast: Video","urlTitle":"utilizing-negative-pressure-wound-therapy-with-instillation","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Utilizing Negative Pressure Wound Therapy with Instillation in the Management of Infected Implant-based Breast Reconstruction"]},"authors":["Mohammed Farid","Kareem Alsharkawy","Sherif Youssif","Haitham Khalil"],"pubDate":"September 2026","journalTitle":"Plastic and Reconstructive Surgery – Global Open","specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008009~utilizing-negative-pressure-wound-therapy-with-instillation","itemKey":"01720096-202609000-00070"}],"page":0},{"id":"524338787","name":"Burns: Case Report","items":[{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00072","doi":"10.1097/GOX.0000000000008129","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00072/root/v/2026-09-25T141521Z/r/text-xml","pageRange":"e8129","indicators":[{"type":"sdc"},{"type":"open"},{"type":"inline-video"},{"type":"country","text":"japan"}],"actions":["abstract","pls"],"section":"Burns: Case Report","urlTitle":"progressive-tissue-loss-and-arterial-degeneration-suggesting","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Progressive Tissue Loss and Arterial Degeneration Suggesting a Delayed Muscle–Vascular Injury Pattern After Electrical Burn"]},"authors":["Yoshimoto Okada","Shinyo Ishi","Hiromu Matsunaga","Toshiro Imai","Masanobu Hayashi","Miki Shoji","Koreyuki Kurosawa","Tsuyoshi Miura","Yoshimichi Imai"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Summary:"},{"nodeName":"paragraph","plainText":"High-voltage electrical injuries are associated with severe deep tissue damage that is often difficult to assess based on cutaneous findings alone. Vascular injury may contribute to delayed tissue necrosis and complicate reconstruction, but its clinical significance remains incompletely understood. We report a case of progressive soft-tissue loss with histopathologically confirmed arterial wall degeneration following 275-kV electrical injury and discuss its reconstructive implications. A 50-year-old electrical maintenance worker sustained a 275-kV electrical injury involving the left upper extremity. Despite repeated debridement and skin grafting, progressive deep muscle necrosis developed, requiring additional excisions. During one of the subsequent debridements, the brachial artery, which was encased in necrotic tissue, was injured and required reconstruction with an interposition vein graft. Histopathological examination later demonstrated arterial degeneration, including intimal thickening, medial fibrosis, and elastic lamina fragmentation, despite the absence of major arterial abnormalities on preoperative imaging. Reconstruction was further complicated by re-occlusion of the reconstructed brachial artery, limiting functional restoration. Elbow flexion was ultimately reconstructed using a pedicled flap, although overall functional recovery remained limited. This case suggests the possibility of a delayed muscle–vascular injury pattern following severe electrical injury, characterized by progressive tissue loss and arterial wall degeneration. Such changes may complicate assessment of tissue viability and reconstructive planning. Awareness of potential vascular involvement within the vicinity of injury may be important when planning reconstruction after high-voltage electrical burns."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00072/figure1/v/2026-09-25T141521Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008129~progressive-tissue-loss-and-arterial-degeneration-suggesting","itemKey":"01720096-202609000-00072"}],"page":0},{"id":"1911359003","name":"Business: Special Topic","items":[{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00025","doi":"10.1097/GOX.0000000000008039","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00025/root/v/2026-09-02T160840Z/r/text-xml","pageRange":"e8039","indicators":[{"type":"open"},{"type":"country","text":"united states"}],"customIndicators":[{"desc":"This is part of series of articles that takes a deep-dive on a hot topic in plastic surgery, all from the same world-class institution ","url":"https://www.ovid.com/jnls/prsgo/collections/13537","openLinkInNewWindow":true,"text":"Mini-Series","type":"custom"}],"actions":["abstract","pls"],"section":"Business: Special Topic","urlTitle":"from-residency-to-retirement-an-overview-of-personal-finance","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["From Residency to Retirement: An Overview of Personal Finance for Plastic Surgery Trainees"]},"authors":["Ferris Zeitouni","Myiah P. Quach","Madeline Tierney","Jasmine N. Craig","Pradeep K. Attaluri","Venkat K. Rao"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Summary:"},{"nodeName":"paragraph","plainText":"Plastic surgeons, particularly those in residency and early career, face unique situations that require financial literacy to navigate. Yet, most residency programs lack personal finance education, leaving trainees inadequately prepared to manage student loans, negotiate employment contracts, or participate in long-term financial planning. This article aims to bridge this educational gap by providing a concise overview of essential financial principles tailored to plastic surgery trainees and early practice surgeons. Key topics addressed include student loan and debt management, early saving and investment strategies, insurance and risk protection, and retirement planning. Practical considerations for career transitions include implications of different employment models, insurance considerations, and contract negotiation. Additional focus is placed on career-stage considerations, such as financial advisor selection. Improving financial literacy at the trainee level is critical for physician well-being and professional development. By offering actionable recommendations, trainees and early-career surgeons will be better equipped with the skills necessary to build a financially secure and successful future."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00025/figure1/v/2026-09-02T160840Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008039~from-residency-to-retirement-an-overview-of-personal-finance","itemKey":"01720096-202609000-00025"},{"issue":"9","volume":"14","accessionNumber":"01720096-202609000-00024","doi":"10.1097/GOX.0000000000008037","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202609000-00024/root/v/2026-09-02T160835Z/r/text-xml","pageRange":"e8037","indicators":[{"type":"open"},{"type":"country","text":"united states"}],"customIndicators":[{"desc":"This is part of series of articles that takes a deep-dive on a hot topic in plastic surgery, all from the same world-class institution ","url":"https://www.ovid.com/jnls/prsgo/collections/13537","openLinkInNewWindow":true,"text":"Mini-Series","type":"custom"}],"actions":["abstract","pls"],"section":"Business: Special Topic","urlTitle":"marketing-a-plastic-surgery-practice-strategies-insights-and","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/09000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Marketing a Plastic Surgery Practice: Strategies, Insights, and Practical Considerations"]},"authors":["Alisha S. Khosla","Ferris Zeitouni","Elizabeth K. Laning","Madeline Tierney","Pradeep K. Attaluri","Venkat K. Rao"],"pubDate":"September 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Summary:"},{"nodeName":"paragraph","plainText":"The field of plastic surgery is increasingly influenced by consumer demand, digital media, and patient-driven decision-making, requiring practices to adopt strategic marketing approaches to remain competitive. This article highlights the expanding role of marketing in plastic surgery and presents a comprehensive framework for building an effective marketing strategy. Key components include defining SMART (specific, measurable, actionable, relevant, and time-bound) objectives, identifying target populations and stakeholders, assessing the competitive landscape (eg, through SWOT [strengths, weaknesses, opportunities, threats] analysis), and translating insights into a clear unique value proposition. We also discuss market-aware, value-consistent pricing considerations, structured budgeting, and performance measurement using analytics and conversion metrics to guide resource allocation. Finally, we provide practical considerations such as leveraging social media for patient engagement, evaluating the benefits and risks of partnering with specialized marketing firms, and maintaining ethical and legal compliance. By applying these evidence-based approaches, plastic surgery practices can enhance patient engagement, strengthen credibility, and achieve sustainable growth in a digitally driven, consumer-focused field."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202609000-00024/figure1/v/2026-09-02T160835Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008037~marketing-a-plastic-surgery-practice-strategies-insights-and","itemKey":"01720096-202609000-00024"}],"page":0}]}},"requestData":{"pageSize":20,"inclusionType":"IncludeAll","sectionNames":null,"maxSections":null,"maxItemsPerSection":null,"issueId":null,"year":"2026"}},"8713c1c0-2a35-4eeb-928e-8c4e27dfec54":{"pageResults":{"paging":{"page":1,"pageSize":4,"totalItems":4338,"totalPages":1085},"items":[{"issue":"10","volume":"14","accessionNumber":"01720096-202610000-00081","doi":"10.1097/GOX.0000000000008221","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202610000-00081/root/v/2026-10-26T132759Z/r/text-xml","pageRange":"e8221","indicators":[{"type":"open"},{"type":"country","text":"italy"}],"actions":["abstract","pls"],"section":"Artificial Intelligence","urlTitle":"artificial-intelligencegenerated-clinical-images-for-plastic","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/10000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Artificial Intelligence–generated Clinical Images for Plastic Surgery Education: A Prospective Randomized Double-blind Study"]},"authors":["Fabrizio Schonauer","Annachiara Cavaliere","Tatiana Zaporojan","Ludovica De Gregorio","Concetta Errico","Francesco D’Andrea","Simone La Padula"],"pubDate":"October 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"High-quality clinical images are essential for plastic surgery education and board examinations, but privacy concerns and limited case diversity constrain their use. The educational validity of generative artificial intelligence (AI) images remains uncertain."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","fullText":["In a prospective randomized double-blind study, 47 plastic surgeons (40 residents, 7 senior surgeons) each evaluated 60 randomized AI-generated and real clinical images depicting board-style scenarios. Participants rated realism and educational usefulness (0–10), suitability for replacing real photographs (yes/no), and artificial elements (yes/no). Participant-level means and proportions were compared using paired ",{"nodeName":"emphasis","plainText":"t","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.2.2.1"}," tests and Wilcoxon tests. Test–retest reliability at 1 month was assessed using intraclass correlation coefficients."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","fullText":["Realism ratings did not differ significantly between AI-generated and real images (8.46 versus 8.36; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.3.2.1"}," = 0.5044). AI-generated images received higher educational usefulness ratings (9.13 versus 8.75; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.3.2.2"}," = 0.0035). Replacement endorsement did not differ significantly (0.95 versus 0.93; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.3.2.3"}," = 0.4140). Artificial elements were reported less frequently in AI-generated images (0.02 versus 0.15; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.3.2.4"}," \u003c 0.0001). Findings were similar across experience levels. All aggregated measures showed good test–retest agreement (intraclass correlation coefficients \u003e 0.8)."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"AI-generated images received high realism ratings and slightly higher educational usefulness ratings than real photographs in this cohort. These findings support curated AI imagery as a potentially privacy-preserving educational resource. Diagnostic performance, learning outcomes, and demographic bias require evaluation before widespread curricular or examination use."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202610000-00081/figure1/v/2026-10-26T132759Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008221~artificial-intelligencegenerated-clinical-images-for-plastic","itemKey":"01720096-202610000-00081"},{"issue":"10","volume":"14","accessionNumber":"01720096-202610000-00082","doi":"10.1097/GOX.0000000000008214","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202610000-00082/root/v/2026-10-26T132817Z/r/text-xml","pageRange":"e8214","indicators":[{"type":"open"},{"type":"country","text":"united states"}],"actions":["abstract","pls"],"section":"Reconstructive","urlTitle":"soft-tissue-coverage-for-complex-knee-defects-the-role-of","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/10000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Soft-tissue Coverage for Complex Knee Defects: The Role of Microsurgery in Optimizing Functional Limb Salvage"]},"authors":["Elena Galvano","Grant M. Kleiber","Rajiv P. Parikh"],"pubDate":"October 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Soft-tissue defects of the knee pose unique reconstructive challenges, and inadequate coverage can have devastating sequelae, including amputation. The purpose of this study is to evaluate the indications and role of microsurgical free flaps, in comparison with pedicled gastrocnemius flaps, for soft-tissue reconstruction of the knee."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"Patients undergoing soft-tissue reconstruction of knee defects from 2018 to 2024 at a tertiary care center were analyzed. Patient characteristics and outcomes were compared for reconstructions using free flaps versus gastrocnemius flaps. The primary outcome was limb salvage with ambulation. Secondary outcomes included patient-reported outcomes and complications."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","fullText":["A total of 43 patients comprised the study population: 25 with pedicled gastrocnemius flap and 18 with free flap reconstructions. Limb salvage was achieved in 88.9% of patients with free flaps and 84.0% of patients with pedicled flaps (",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.3.2.1"}," = 0.67). Functional outcomes were similar between free and pedicled flaps (mean Lower Extremity Functional Scale scores of 51.2 ± 13.6 versus 47.5 ± 12.8, ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.3.2.2"}," = 0.40). Defect size was larger in the microsurgical versus pedicled cohort (88 ± 35 versus 65 ± 20 cm",{"nodeName":"emphasis","plainText":"2","style":"superscript"},", ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.3.2.4"}," = 0.019). Reoperations/secondary procedures were high in both cohorts: 55.6% of patients with free flaps versus 60.0% of patients with pedicled flaps (",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.3.2.5"}," = 0.62)."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"Although pedicled flaps remain a mainstay of treatment algorithms, microsurgical reconstruction offers a safe and versatile option for achieving functional limb salvage in select large, complex knee defects. We advocate for a patient-centered and defect-specific approach to soft-tissue reconstruction of the knee."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202610000-00082/figure1/v/2026-10-26T132817Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008214~soft-tissue-coverage-for-complex-knee-defects-the-role-of","itemKey":"01720096-202610000-00082"},{"issue":"10","volume":"14","accessionNumber":"01720096-202610000-00083","doi":"10.1097/GOX.0000000000008209","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202610000-00083/root/v/2026-10-26T132805Z/r/text-xml","pageRange":"e8209","indicators":[{"type":"sdc"},{"type":"open"},{"type":"inline-video"},{"type":"country","text":"japan"}],"actions":["abstract","pls"],"section":"Reconstructive","urlTitle":"recurrent-cellulitis-in-lymphedema-integrating-antibiotic","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/10000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["Recurrent Cellulitis in Lymphedema: Integrating Antibiotic Prophylaxis, Conservative Therapy, Local Disease Control, and Lymphaticovenular Anastomosis"]},"authors":["Makoto Mihara","Hisako Hara"],"pubDate":"October 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Recurrent cellulitis is a disabling complication of lymphedema, causing repeated antibiotic exposure, hospitalization, anxiety, activity restriction, and worsening edema. Although compression, skin care, early treatment, and antibiotic prophylaxis are established, recurrence may persist when lymphatic dysfunction, lymphorrhea, occult entry portals, or local lymphatic lesions remain unaddressed. This narrative review reframes recurrent cellulitis as chronic lymphatic vulnerability and proposes an integrated prevention framework."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"English-language literature from April 2000 to March 2026 was reviewed using PubMed/MEDLINE, reference lists, consensus documents, and clinical guidelines. Evidence was synthesized narratively across pathophysiology, conservative care, antibiotic prophylaxis, local disease control, lymphatic imaging, lymphaticovenular anastomosis (LVA), and patient education. No quantitative pooling was performed."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","plainText":"Compression therapy reduced recurrent cellulitis from 40% to 15% in chronic leg edema, supporting edema control as infection prevention. Antibiotic prophylaxis can reduce recurrence during active treatment but does not correct lymphatic stasis, skin-barrier failure, lymphorrhea, or persistent portals of entry. LVA reduced cellulitis from 1.46 to 0.18 episodes per year in one clinical study, and randomized evidence supports LVA combined with conservative therapy. Local excision combined with genital or lower-limb LVA reduced cellulitis from 2.8 to 0.31 episodes per year in patients with genital lymphatic vesicles."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"Durable prevention requires coordinated use of conservative care, antibiotic stabilization, local disease control, lymphatic imaging, selective LVA, and patient education. This multidisciplinary framework may help reduce recurrent febrile cellulitis while supporting safer antibiotic discontinuation, activity, confidence, and quality of life."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202610000-00083/figure1/v/2026-10-26T132805Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008209~recurrent-cellulitis-in-lymphedema-integrating-antibiotic","itemKey":"01720096-202610000-00083"},{"issue":"10","volume":"14","accessionNumber":"01720096-202610000-00084","doi":"10.1097/GOX.0000000000008191","wkmrid":"JOURNAL/prcsgo/04.03/01720096-202610000-00084/root/v/2026-10-26T132752Z/r/text-xml","pageRange":"e8191","indicators":[{"type":"open"},{"type":"inline-video"},{"type":"country","text":"china"}],"actions":["abstract","pls"],"section":"Craniofacial","urlTitle":"a-dual-parameter-3d-assessment-of-alveolar-cleft-bone-grafts","issueTocUrl":"https://journals.lww.com/prsgo/toc/2026/10000","isOpenAccess":true,"hasReadAlong":false,"hasAbstract":false,"hasFulltext":false,"hasPdf":false,"isFreeAccess":false,"isVersionOfRecord":true,"journalName":"prsgo","hasAssociatedMultimedia":false,"type":"article","title":{"fullText":["A Dual-parameter 3D Assessment of Alveolar Cleft Bone Grafts: Integrating Bone Density and Modified Volumetry"]},"authors":["Menghao Deng","Siqi Wei","Yongqian Wang"],"pubDate":"October 2026","desc":[{"valueType":"source","format":"full-text","fullText":[{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Background:"},{"nodeName":"paragraph","plainText":"Alveolar cleft is a discontinuity of the maxillary alveolar process commonly associated with cleft lip and palate, leading to functional and aesthetic impairments. Secondary alveolar bone grafting (SABG) is the standard treatment to restore continuity. However, conventional postoperative evaluation relies solely on volume measurement. Although 3D computed tomography is widely used for this purpose, it ignores the porous, trabecular nature of newly formed bone (NFB), resulting in systematic underestimation of graft volume and incomplete assessment of regeneration."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Methods:"},{"nodeName":"paragraph","plainText":"We developed a dual-parameter evaluation method that integrates bone density analysis with a modified 3D volumetric algorithm accounting for trabecular porosity. Preoperative and 6-month postoperative computed tomography scans from 37 patients with unilateral alveolar cleft who underwent autologous SABG were used to construct matched maxillary models. Bone quality was quantified by mean Hounsfield units (HUs), and volumetric accuracy was enhanced by correcting for the porous structure of NFB using Smart Fill technology."}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Results:"},{"nodeName":"paragraph","fullText":["The conventional Boolean subtraction method yielded a mean NFB ratio of 44.87%. With our Smart Fill–enhanced method, the NFB ratio significantly increased to 55.85% (absolute increase 10.98%, relative increase 24.47%; ",{"nodeName":"emphasis","plainText":"P","style":"italic","propertySetRefId":"propertySet_emphasis_1.3.14.1.1.3.2.1"}," \u003c 0.001). The mean bone density of the graft was 483.01 ± 78.11 HU (range: 358.77–614.64 HU), consistent with the quality of trabecular bone."]}],"ofType":"section"},{"nodeName":"content","fullText":[{"nodeName":"header","plainText":"Conclusions:"},{"nodeName":"paragraph","plainText":"By simultaneously assessing the quantity (modified volume) and quality (density) of regenerated bone, this dual-parameter method provides a more accurate postoperative evaluation of SABG outcomes and can assist surgeons in clinical decision-making for alveolar bone repair."}],"ofType":"section"}]}],"journalTitle":"Plastic and Reconstructive Surgery – Global Open","image":[{"id":"JOURNAL/prcsgo/04.03/01720096-202610000-00084/figure1/v/2026-10-26T132752Z/r/image-jpeg","type":"wkmrid"}],"specialty":"Plastic Surgery","url":"https://journals.lww.com/prsgo/fulltext/10.1097/gox.0000000000008191~a-dual-parameter-3d-assessment-of-alveolar-cleft-bone-grafts","itemKey":"01720096-202610000-00084"}]}}},"headerProps":{"ovidAuthSrcHeader":"Anonymous","gtmEnabled":true},"pageContext":{"kalturaProps":{"kalturaBaseUrl":"https://cdnapisec.kaltura.com","partnerId":"1315631","uiConfId":"52253872"},"isPreview":false,"isPreviewEnv":false,"isMobile":false,"pageName":"home","contextJournalId":"prsgo","domainBaseUrl":"https://journals.lww.com/","ovidBaseUrl":"https://www.ovid.com/","eeBaseUrl":"https://ee.lww.com/engagementengine-api/api/","clientId":"lww","captchaProps":{"cfTurnstileCaptchaScript":"https://challenges.cloudflare.com/turnstile/v0/api.js?render=explicit\u0026onload=onloadTurnstileCallback","cfTurnstileCaptchaSiteKey":"0x4AAAAAABeJ4SSYMdNFH7cG"},"isLoggedIn":false,"userName":"","hashedEmail":"","isOvidLoggedIn":false,"isOvidCounterTrackingEnabled":false,"journalTitle":"Plastic and Reconstructive Surgery – Global Open","journalSpecialty":"Plastic Surgery","enableCccRightsLink":true,"sitecorePageTitle":"##JournalTitle##","sitecoreMetaDescription":"Explore ##JournalTitle##, featuring peer‑reviewed articles, clinical studies, and the latest medical research.","currentPageUrl":"https://journals.lww.com/prsgo","imageDomainUrl":"https://journals.lww.com","authType":"","latestSocietyAcronym":"","ovidGroup":"","institutionId":"","accessOptions":[],"isRegistrationCompleted":false,"showEula":false,"platformCopyRight":"Copyright \u0026copy; ##YEAR## Wolters Kluwer N.V. and/or its subsidiaries or third-party licensors. 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