1
|
Rodriguez AM, Savetsky IL, Cohen JM, Avashia YJ, Rohrich RJ, Rodriguez ED. Gender Considerations in Rhinoplasty. Plast Reconstr Surg 2023; 152:438e-445e. [PMID: 36728547 DOI: 10.1097/prs.0000000000010159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
SUMMARY Precise nasofacial analysis ahead of rhinoplasty is imperative. Features common to the White masculine nose are reviewed in a stepwise fashion and contrasted with those of the White feminine nose. A solid understanding of the cisgender male, masculine nose enables the plastic surgeon to determine the changes required for a successful facial feminizing rhinoplasty as a part of facial gender confirmation surgery.
Collapse
Affiliation(s)
| | | | - Joshua M Cohen
- Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center
| | | | | | - Eduardo D Rodriguez
- Hansjörg Wyss Department of Plastic Surgery, New York University Langone Medical Center
| |
Collapse
|
2
|
Abstract
SUMMARY Social media have triggered a buccal fat pad excision frenzy. Not surprisingly, there is tremendous appeal of having a slimmer lower face and more defined jawline after undergoing a small intraoral procedure under local anesthesia. Although this procedure is great for social media and seemingly beneficial for jawline aesthetics, the evidence remains limited as to whether or not this is an effective long-term solution. How much the buccal fat pad persists or diminishes as we age is an area of debate. However, the possibility of causing premature aging and midface distortion in the long run is disconcerting.
Collapse
Affiliation(s)
- Rod J Rohrich
- From the Dallas Plastic Surgery Institute; the Institute of Aesthetic Medicine; the Division of Plastic Surgery, Department of General Surgery, Baylor College of Medicine; and Pontificia Universidad Javeriana
| | - James M Stuzin
- From the Dallas Plastic Surgery Institute; the Institute of Aesthetic Medicine; the Division of Plastic Surgery, Department of General Surgery, Baylor College of Medicine; and Pontificia Universidad Javeriana
| | - Ira L Savetsky
- From the Dallas Plastic Surgery Institute; the Institute of Aesthetic Medicine; the Division of Plastic Surgery, Department of General Surgery, Baylor College of Medicine; and Pontificia Universidad Javeriana
| | - Yash J Avashia
- From the Dallas Plastic Surgery Institute; the Institute of Aesthetic Medicine; the Division of Plastic Surgery, Department of General Surgery, Baylor College of Medicine; and Pontificia Universidad Javeriana
| | - Nikhil A Agrawal
- From the Dallas Plastic Surgery Institute; the Institute of Aesthetic Medicine; the Division of Plastic Surgery, Department of General Surgery, Baylor College of Medicine; and Pontificia Universidad Javeriana
| | - Margarita Prada
- From the Dallas Plastic Surgery Institute; the Institute of Aesthetic Medicine; the Division of Plastic Surgery, Department of General Surgery, Baylor College of Medicine; and Pontificia Universidad Javeriana
| |
Collapse
|
3
|
Hamilton KL, Kim R, Savetsky IL, Avashia YJ, Maricevich R, Rohrich RJ. Social Media Guidelines for Young Plastic Surgeons and Plastic Surgery Training Programs. Plast Reconstr Surg 2021; 148:459-465. [PMID: 34398100 DOI: 10.1097/prs.0000000000008170] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
SUMMARY Social media are a powerful tool that creates a unique opportunity for the young plastic surgeon and trainee to share content, brand oneself, educate the public, and develop one's own professional voice early. The majority of all plastic surgery programs and particularly those that are highly ranked have social media opportunities for their residents, yet clear rules to guide implementation of social media programming in residency have remained unspecified. These guidelines and pitfalls can be used to inform a productive and professional entry into plastic surgery social media use for the resident and young plastic surgeon. Details regarding specific platform use to maximize exposure are provided. The core principles of patient safety and privacy, authentic photography, plastic surgery education and advocacy, and professionalism inform these guidelines. Pitfalls include establishment of an online physician-patient relationship, engaging in debate by means of online reviews, providing medical entertainment, and engaging in non-plastic surgery politics. Use of these guidelines will allow the young plastic surgeon and trainee to succeed by means of social media platforms in an ethical and professional manner.
Collapse
Affiliation(s)
- Kristy L Hamilton
- From private practice; the Dallas Plastic Surgery Institute; and the Division of Plastic Surgery, Baylor College of Medicine
| | - Roy Kim
- From private practice; the Dallas Plastic Surgery Institute; and the Division of Plastic Surgery, Baylor College of Medicine
| | - Ira L Savetsky
- From private practice; the Dallas Plastic Surgery Institute; and the Division of Plastic Surgery, Baylor College of Medicine
| | - Yash J Avashia
- From private practice; the Dallas Plastic Surgery Institute; and the Division of Plastic Surgery, Baylor College of Medicine
| | - Renata Maricevich
- From private practice; the Dallas Plastic Surgery Institute; and the Division of Plastic Surgery, Baylor College of Medicine
| | - Rod J Rohrich
- From private practice; the Dallas Plastic Surgery Institute; and the Division of Plastic Surgery, Baylor College of Medicine
| |
Collapse
|
4
|
Abstract
SUMMARY Prominent ears and other ear deformities are some of the most common congenital deformities of the head, affecting over 10 percent of the general population. In 2018, more than 10,000 otoplasties were performed in the United States, with over one-third performed on men. The goal of primary otoplasty is creation of a normal-appearing ear without evidence of surgical intervention. This article and video detail the authors' preferred technique for the treatment of prominent ears. This novel method allows for reduction of a hypertrophic concha and obtuse conchoscaphal angle, as well as creation of an adequate antihelical fold.
Collapse
Affiliation(s)
- Ira L Savetsky
- From the Dallas Plastic Surgery Institute and the Hansjorg Wyss Department of Plastic Surgery, New York University Langone Health
| | - Joshua M Cohen
- From the Dallas Plastic Surgery Institute and the Hansjorg Wyss Department of Plastic Surgery, New York University Langone Health
| | - Yash J Avashia
- From the Dallas Plastic Surgery Institute and the Hansjorg Wyss Department of Plastic Surgery, New York University Langone Health
| | - H Steve Byrd
- From the Dallas Plastic Surgery Institute and the Hansjorg Wyss Department of Plastic Surgery, New York University Langone Health
| |
Collapse
|
5
|
Abstract
In an era with smartphone photography and social media (specifically, "selfies"), basal view aesthetics is becoming increasingly important. Achieving balance between the nasal base and the remainder of the nose and face while preserving or restoring external valve function are essential to a successful rhinoplasty. Without a systematic approach to the nasal base, it is more difficult to achieve an ideal outcome from both aesthetic and functional standpoints. This article outlines an organized and systematic approach to the nasal base, beginning with comprehensive nasofacial analysis. The authors continue by describing idealized basal view aesthetics and provide a treatment algorithm for common deformities that include alar flaring and a wide nasal base. The authors attempt to provide a comprehensive approach to the treatment of the nasal base by discussing the implications of treating columellar deformities, tip positioning, or alar-columellar discrepancies on the overall aesthetics of the lower third of the nose. Furthermore, technical considerations are given for common surgical maneuvers addressing the alar base to help guide treatment and prevent complications such as poor scarring, notching, nostril asymmetry or stenosis (external valve obstruction), and alar deformities ("parenthesis" or "bowling pin"), to name a few.
Collapse
Affiliation(s)
- Rod J Rohrich
- From the Dallas Plastic Surgery Institute; and the Department of Plastic Surgery, University of Texas Southwestern
| | - Ira L Savetsky
- From the Dallas Plastic Surgery Institute; and the Department of Plastic Surgery, University of Texas Southwestern
| | - Thomas M Suszynski
- From the Dallas Plastic Surgery Institute; and the Department of Plastic Surgery, University of Texas Southwestern
| | - Raja Mohan
- From the Dallas Plastic Surgery Institute; and the Department of Plastic Surgery, University of Texas Southwestern
| | - Yash J Avashia
- From the Dallas Plastic Surgery Institute; and the Department of Plastic Surgery, University of Texas Southwestern
| |
Collapse
|
6
|
Savetsky IL, Cammarata MJ, Kantar RS, Diaz-Siso JR, Avashia YJ, Rohrich RJ, Saadeh PB. The Left-handed Plastic Surgery Trainee: Perspectives and Recommendations. Plast Reconstr Surg Glob Open 2020; 8:e2686. [PMID: 33133882 PMCID: PMC7572112 DOI: 10.1097/gox.0000000000002686] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2019] [Accepted: 01/15/2020] [Indexed: 12/04/2022]
Abstract
Left-handed surgeons experience difficulty with tools designed for use in the right hand. The purpose of this study was to examine instrument laterality and to survey the experiences of left-handed plastic surgery trainees.
Collapse
Affiliation(s)
- Ira L Savetsky
- Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, N.Y
| | - Michael J Cammarata
- Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, N.Y
| | - Rami S Kantar
- Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, N.Y
| | - J Rodrigo Diaz-Siso
- Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, N.Y
| | | | | | - Pierre B Saadeh
- Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, N.Y
| |
Collapse
|
7
|
Affiliation(s)
- Rod J Rohrich
- Dallas Plastic Surgery Institute, Dallas, Texas, United States
| | - Ira L Savetsky
- Dallas Plastic Surgery Institute, Dallas, Texas, United States
| | | | - Yash J Avashia
- Dallas Plastic Surgery Institute, Dallas, Texas, United States
| |
Collapse
|
8
|
Erdmann D, Atia A, Phillips BT, Mithani SK, Avashia YJ, Hollister BA, Cendales LC, Ravindra KV, Sudan DL. Small bowel and abdominal wall transplantation: A novel technique for synchronous revascularization. Am J Transplant 2019; 19:2122-2126. [PMID: 30913367 DOI: 10.1111/ajt.15370] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2018] [Revised: 02/13/2019] [Accepted: 03/17/2019] [Indexed: 01/25/2023]
Abstract
Abdominal wall transplantation (AWT) was introduced in 1999 in the context of reconstruction of complex abdominal wall defects in conjunction with visceral organ transplantation. As of recently, 38 cases of total AWT have been performed worldwide, about half of which were performed in the United States. While AWT is technically feasible, one of the major challenges presenting to the reconstructive surgeon is time to revascularization of the donor abdominal wall (AW), given the immediate proximity of the visceral organ and AWT. The authors report a novel AW revascularization technique during a synchronous small bowel and AWT in a 37-year-old man.
Collapse
Affiliation(s)
- Detlev Erdmann
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| | - Andrew Atia
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| | - Brett T Phillips
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| | - Suhail K Mithani
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| | - Yash J Avashia
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| | - Beth A Hollister
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| | - Linda C Cendales
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| | - Kadiyala V Ravindra
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| | - Debra L Sudan
- Department of Surgery, Duke University Medical Center, Durham, North Carolina
| |
Collapse
|
9
|
Abstract
Wound complications following total ankle replacement are common. A team approach, including plastic surgeons, should be utilized to manage these wound issues. The handling of the wound, from the index procedure, to a variety of flaps, can be utilized to provide a successful outcome following an ankle replacement.
Collapse
Affiliation(s)
- Yash J Avashia
- Division of Plastic Surgery, Duke University, Room 135, Brown Zone, Duke South, Durham, NC 27710, USA
| | - Ronnie L Shammas
- Division of Plastic Surgery, Duke University, Room 135, Brown Zone, Duke South, Durham, NC 27710, USA
| | - Suhail K Mithani
- Division of Plastic Surgery, Department of Orthopaedic Surgery, Duke University, 3609 Southwest Durham Drive, Durham, NC 27707, USA
| | - Selene G Parekh
- North Carolina Orthopaedic Clinic, Department of Orthopaedic Surgery, Fuqua Business School, Duke University, 3609 Southwest Durham Drive, Durham, NC 27707, USA.
| |
Collapse
|
10
|
Kokosis G, Sun Z, Avashia YJ, Adam MA, Levinson H, Erdmann D, Mantyh CR, Migaly J. V-Y fasciocutaneous flap closure technique is a safe and efficacious alternative to primary closure of the perineal wound following abdominoperineal resection. Am J Surg 2017; 213:371-376. [DOI: 10.1016/j.amjsurg.2016.04.018] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2016] [Revised: 04/17/2016] [Accepted: 04/26/2016] [Indexed: 11/26/2022]
|
11
|
Blau JA, Shammas RL, Buretta KJ, Anolik RA, Avashia YJ, Zenn MR. Synthetic Skin vs Human Tissue for Medical Student Suture Education: A Randomized Controlled Trial. J Am Coll Surg 2016. [DOI: 10.1016/j.jamcollsurg.2016.06.283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
12
|
DeFazio MV, Fan KL, Avashia YJ, Tashiro J, Ovadia S, Husain T, Camison L, Panthaki ZJ, Salgado CJ, Thaller SR. Inferior pedicle breast reduction: a retrospective review of technical modifications influencing patient safety, operative efficiency, and postoperative outcomes. Am J Surg 2012; 204:e7-14. [DOI: 10.1016/j.amjsurg.2012.07.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2012] [Revised: 07/08/2012] [Accepted: 07/10/2012] [Indexed: 11/16/2022]
|
13
|
Yegiyants SS, Avashia YJ, Panthaki ZJ. Reconstruction of the Hand. Dermatol Surg 2012. [DOI: 10.1002/9781118412633.ch24] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
|
14
|
Avashia YJ, Desrosiers AE, Flores JI. A second superior gluteal artery perforator flap with previous liposuction to the same breast after resection of initial SGAP breast reconstruction due to cancer recurrence. Microsurgery 2012; 32:482-4. [DOI: 10.1002/micr.21989] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2011] [Revised: 03/03/2012] [Accepted: 03/07/2012] [Indexed: 11/05/2022]
|