Editor's Choice: September/October 2013
I think of the September/October issue as our “back to school issue.” We are all back from vacation, those who completed residencies and fellowships are by now in their new positions, and those starting or continuing their training are settled. As such, this issue is full of clinically-relevant articles with research data and technique tips that can help us all as we strive daily to “school” ourselves about the most up-to-date information in our subspecialty. As always, although I encourage you to read the journal from cover to cover, I have selected few “must read” articles to highlight.
In the Rhinoplasty section, in a paper by Rollin Daniel and co-authors entitled “Rhinoplasty and Brow Modification: A Powerful Combination,” a concurrent browlift and rhinoplasty procedure is described. Through cadaver dissections, the authors delineate the relationship of the muscles in the glabellar radix region and present their clinical experience combining central or full endoscopic browlift with rhinoplasty. Their results clearly demonstrate marked improvement and an enhancement of the overall effect of the rhinoplasty.
In the Breast section, I have selected the international contribution from the Leon Berard Center in Lyon, which is well-recognized for its contributions to breast reconstruction and the role of fat grafting. In the paper entitled, “Percutaneous Fasciotomies and Fat Grafting: Indications for Breast Surgery,” by Dr. Ho Quoc and his colleagues, a 6-year experience with 1000 patients (the largest series to date) is described. The authors clearly define the role of fasciotomies to release scars prior to fat grafting, and the efficacy and minimal morbidity of this procedure is established through their results.
In the Body Contouring section, Drs. Levesque, Daniels, and Polynice – in a paper called “Outpatient Lipoabdominoplasty: Review of the Literature and Practical Considerations for Safe Practice” – document a published series and add their own abdominoplasty cases to evaluate the safety of the procedure on an outpatient basis. A total of 1316 patients were included. The seroma rate was 1.6%, hematoma rate was 0.5%, and of note, only 0.6% of patients had thromboembolic complications (0.3% with pulmonary embolism). Also of note, no patients required hospital admission. The authors also review their perioperative routine to enhance safety and minimize complications.
In the Cosmetic Medicine section, Drs. Farkas, Hoopman, and Kenkel present a special topic paper entitled “Five Parameters You Must Understand To Master Control Of Your Laser/Light Based Devices.” The 5 parameters - wavelength, power, spot size, pulse width, and cooling - are all defined in detail. This is an excellent article for those who may not be familiar with these terms and their clinical relevance, and a good refresher for the rest of us.
Finally, I have included a Special Topic by Dr. Eric Swanson entitled, “The Commercialization of Plastic Surgery” (and, for the first time, I am highlighting one of my own Editorials, “Commercialization: Defining Our Terms,” which is printed alongside it). I know that this is an issue of great concern to all of us who feel that what we do is a very specialized personal service and not a commodity where prospective patients shop for the best deal. Although the commercialization trend is here to stay and will continue to evolve in many directions, we should focus on providing value to our patients and assuring their safety.
I would also encourage you to read the Barbed Sutures Supplement printed alongside the main issue of ASJ, for clinical descriptions about practical applications for barbed sutures from many of your respected colleagues.
As a new academic year is now in full swing, I invite you to contact me with ideas and suggestions to better serve your aesthetic educational needs and make your journal more relevant to your day-to-day practice needs.
Dr. Foad Nahai
Editor-in-Chief, Aesthetic Surgery Journal