Journal Detail Information

1

Cite

Share

Four Limb Shaped Auricular Chondrocutaneous Composite Graft for the Alar and the Columellar Defects.

Seok Min YOON ; Da Woon LEE ; Seung Min NAM ; Syeo Young WEE ; Hyun Gyo JEONG ; Chang Yong CHOI

Archives of Aesthetic Plastic Surgery.2017;23(3):149-154. doi:10.14730/aaps.2017.23.3.149

BACKGROUND: Composite grafts have advantages for small nasal defect coverage. However, if the the outer skin defect and the inner skin defect have a different location, conventional composite grafts encounter considerable limitations. Therefore, we devised a 4-limbed graft to overcome this limitation by use of soft tissue transposition. METHODS: Over the course of 5 years, this auricular composite graft was used in 10 cases of reconstruction. We harvested skin and cartilage from the helix. The composite graft had 2 limbs of soft tissue to cover the nasal defect and another 2 limbs of cartilage to support nasal framework. The cartilage limbs extended 3 to 5 mm beyond the margin of the skin. The direction of each limb was modified according to defect position. RESULTS: All 10 composite grafts survived completely. All composite grafts shrank by a small percentage of their bulk. Nonetheless, the nasal framework was maintained to an acceptable extent because of the cartilage limbs. CONCLUSIONS: This technique was capable not only of covering defects in the alar and columellar area, but also of maintaining a satisfactory external appearance, because the 2 limbs of cartilage included in the graft strengthened the nasal framework and provided modest support to the nostril margin. The 2 limbs of soft tissue covered the defect area. Our 4-limbed auricular chondrocutaneous composite graft is reliable option for the reconstruction of alar and columellar defects in a single-stage procedure.
Cartilage ; Extremities* ; Reconstructive Surgical Procedures ; Skin ; Transplants*

2

Cite

Share

Use of Botulinum Toxin Type A Injection Under Ultrasonographic Guidance for Management of Parotid Sialocele: A Case Report and Literature Review.

Byung Yeun KWON ; Hak Soo KIM ; Dong Hwi KIM ; Jung Ho LEE ; Young Joon JUN ; Young Jin KIM

Archives of Aesthetic Plastic Surgery.2017;23(3):146-148. doi:10.14730/aaps.2017.23.3.146

Sialocele formation is a recognised complication of parotid surgery. Most cases resolve after conservative therapy consisting of pressure dressing, fasting, and repeated aspiration. However, some cases are resistent to such treatment and require further intervention. In this report, we present the method of botulinum toxin (BTX) injection into the parotid gland under ultrasonographic guidance along with atropine injection. A 63-year-old female underwent excision of a pleomorphic adenoma abutting an accessory parotid gland. Sialocele formation persisted after almost 3 weeks of conservative therapy. BTX A was given under ultrasonographic guidance and the sialocele disappeared after two doses of treatment. BTX injection under ultrasonographic guidance was thus a safe and effective method for treating persistent sialocele.
Adenoma, Pleomorphic ; Atropine ; Bandages ; Botulinum Toxins* ; Botulinum Toxins, Type A* ; Fasting ; Female ; Humans ; Methods ; Middle Aged ; Parotid Diseases ; Parotid Gland

3

Cite

Share

Methicillin-Resistant Staphylococcus Aureus Following Leech Application at a Congested Flap after a Mastectomy.

Kun HWANG ; Hyung Mook KIM ; Yeon Soo KIM

Archives of Aesthetic Plastic Surgery.2017;23(3):143-145. doi:10.14730/aaps.2017.23.3.143

Medical leech therapy is a treatment for the venous congestion of tissue flaps, grafts, and replants. We report a case of methicillin-resistant Staphylococcus aureus (MRSA) following leech application at a congested flap after mastectomy. A 45-year-old woman had an invasive ductal carcinoma. Modified radical mastectomy was performed. The chest wall defect was reconstructed with a local rotation flap. On postoperative day (POD) 1, congestion and color change were observed, and 10 medical leeches were applied to the congested area. On POD 4, another 10 medical leeches were applied. On POD 12, wound necrosis progressed and a pus-like discharge appeared. A wound swab culture revealed MRSA. Debridement was carried out on POD 15. From POD 16, vancomycin and piperacillin/tazobactam were injected for 18 days. The wound culture on POD 18 also revealed MRSA. A split-thickness skin graft was performed on POD 28. MRSA has not been clearly identified in the literature as a leech enteric bacterium. Although MRSA may have come from another source, the present case raises the possibility of MRSA infections following leech application at congested flaps. When medical leeches are applied at the congestion site of a flap, an aseptic cradle will be helpful. Vancomycin irrigation may be needed if infection occurs.
Carcinoma, Ductal ; Debridement ; Estrogens, Conjugated (USP)* ; Female ; Humans ; Hyperemia ; Leeches ; Leeching ; Mastectomy* ; Mastectomy, Modified Radical ; Methicillin Resistance* ; Methicillin-Resistant Staphylococcus aureus* ; Middle Aged ; Necrosis ; Skin ; Surgical Wound Infection ; Thoracic Wall ; Transplants ; Vancomycin ; Wounds and Injuries

4

Cite

Share

The Feasibility of Platelet-Rich Fibrin Matrix Filler in a Nude Mouse Model.

Hyeon Jun JEON ; Dong Kyu KIM ; Jeong Woo LEE ; Kang Young CHOI ; Ho Yun CHUNG ; Byung Chae CHO ; Jun Ho SHIN ; Seung Ryul LEE ; Jung Dug YANG

Archives of Aesthetic Plastic Surgery.2017;23(3):135-142. doi:10.14730/aaps.2017.23.3.135

BACKGROUND: In contrast to fillers made from artificial substances, platelet-rich fibrin matrix (PRFM) filler does not cause hypersensitivity reactions or foreign body reactions. PRFM is also highly accessible in terms of cost. Hence, in this study, the efficacy of PRFM for soft tissue augmentation and volume maintenance was evaluated in an animal experiment. METHODS: Twenty nude mice were injected with hyaluronic acid filler, fibrin glue, PRFM filler, and normal saline (control). The remaining volume was measured 4 times over the course of 8 weeks using the volumetric taping bowl method and magnetic resonance imaging. RESULTS: All nude mice survived and showed no signs of infection, such as erythema or edematous changes, during the study period. Migration of the injected substance was not detected at 2, 4, or 8 weeks after the procedure. The remaining volumes of normal saline at 2, 4, and 8 weeks were 10.50%, 2.00%, and 0.00%; fibrin glue, 20.50%, 9.00%, and 2.50%; hyaluronic acid filler, 82.00%, 35.00%, and 17.33%; and PRFM filler, 70.31%, 26.75%, and 14.37%, respectively. CONCLUSIONS: PRFM filler had a high soft-tissue filling capacity compared with the control. It also showed a similar effect to hyaluronic acid filler. Thus, PRFM filler could be a good alternative for correcting soft-tissue deficits.
Animal Experimentation ; Animals ; Cosmetic Techniques ; Erythema ; Fibrin Tissue Adhesive ; Fibrin* ; Foreign Bodies ; Hyaluronic Acid ; Hypersensitivity ; Magnetic Resonance Imaging ; Methods ; Mice ; Mice, Nude* ; Platelet-Rich Plasma

5

Cite

Share

Feasibility and Aesthetic Results of Small Bilateral V-Y Advancement Flaps in the Extremities and Back.

Dong Yeon KIM ; Jong Hyun CHOI ; Suk Ho MOON ; Deuk Young OH

Archives of Aesthetic Plastic Surgery.2017;23(3):127-134. doi:10.14730/aaps.2017.23.3.127

BACKGROUND: Random type small V-Y advancement flap is widely used for facial reconstruction with advantages including good color and texture match. However, the flap is not as widely used in the extremities and back as in the face because of apprehension of the relatively poor vascularity as a risk factor of flap necrosis. We used a small bilateral V-Y advancement flap for the repair of extremity and back defects from various causes. Competent clinical outcomes are described. METHODS: Between 2007 and 2014, 24 patients (48 flaps) with skin defects in the upper or lower extremities and back were enrolled. The site of the defect was on back (n=6), forearm (n=7), upper arm (n=2), lower leg (n=5), thigh (n=3), and axilla (n=1). RESULTS: Among the 48 flaps, 47 survived (no event: 42 flaps, total necrosis: 1 flap, partial necrosis: 5 flaps). All partial necrotized flaps healed in 3–4 weeks with conservative care. However, debridement and skin grafting was required for the total necrosis flap. One total necrosis and two partial necroses occurred on the anterolateral side of the lower leg. Two partial necroses occurred on the paraspinal area. CONCLUSIONS: Contour deformities including central depression and the dog-ear deformity were not observed. Small bilateral V-Y advancement in the extremity and back could be a safe and useful flap, if thick subcutaneous fat and subcutaneous plexus were saved. But areas with thin subcutaneous fat layer, such as the anterolateral lower leg, are poor candidates and carry the increased risk of improper subcutaneous pedicle circulation.
Arm ; Axilla ; Congenital Abnormalities ; Debridement ; Depression ; Extremities* ; Forearm ; Humans ; Leg ; Lower Extremity ; Necrosis ; Reconstructive Surgical Procedures ; Risk Factors ; Skin ; Skin Transplantation ; Subcutaneous Fat ; Surgical Flaps ; Thigh

6

Cite

Share

Double-Fold Operation with a Partial Incision and Continuous Buried Suture.

In Sook KANG ; Ji Seon CHOI ; Jeong Geun HONG

Archives of Aesthetic Plastic Surgery.2017;23(3):122-126. doi:10.14730/aaps.2017.23.3.122

BACKGROUND: The double fold operation is one of the most common aesthetic surgeries in Korea. There are many methods to make double fold using non-incision, incision and partial incision. Patients seeking double folds prefer natural appearance, less downtime, minimal scarring technique. The most favorable method is the minimal invasive but long-lasting fold formation technique. METHODS: From October 2003 to September 2016, this procedure was applied in 7,963 patients who worried about surgical scar or preferred non-incision method with puffy eyelids. Five stab incisions including two small incisions were taken in the upper eyelid. Through the small incision lines, the pretarsal muscle and the orbital fat were removed to facilitate tissue adhesion. The double fold line was made with the continuous buried suture. The suture was tied in the fifth stab incision site and the knot was placed deeply to prevent granuloma formation. RESULTS: This method was performed in all patients. The complications were asymmetry (52 cases), fold loosening (43 cases), granuloma (12 cases), conjunctival hemorrhage (5 cases), and scar (4 cases). Especially 74% of fold loosening cases were developed in mild ptotic patients. CONCLUSIONS: This method achieves good cosmetic result, shorter operation time, less morbidity, faster recovery in puffy eyelids than the other method.
Blepharoplasty ; Cicatrix ; Eyelids ; Granuloma ; Hemorrhage ; Humans ; Korea ; Methods ; Orbit ; Suture Techniques ; Sutures* ; Tissue Adhesions

7

Cite

Share

Nipple Reconstruction with a C-V Flap Overgrafted with AlloDerm®.

Ui Geon KIM ; Euna HWANG

Archives of Aesthetic Plastic Surgery.2017;23(3):117-121. doi:10.14730/aaps.2017.23.3.117

BACKGROUND: Breast reconstruction involves several steps, culminating in the creation of the nipple-areolar complex. Numerous methods of nipple reconstruction have been attempted, and have all proven somewhat successful in providing tissue for projection. In this clinical study, we evaluated a new technique using an acellular dermal matrix (ADM; AlloDerm®) adjunct to a skin flap (C-V flap technique) in nipple reconstruction. METHODS: In 2016, 13 nipple reconstructions were performed using this technique. We designed the C-V flap in the proper position on the breast. After the skin flap was elevated, a 1.5 × 1.5-cm AlloDerm® section was grafted to the inner surface of the elevated C-V flap; the grafted area was then folded into a cylindrical shape. Nipple projection was measured with an electronic caliper at the time of surgery and at 3 weeks and 3 months postoperatively. RESULTS: Immediately postoperatively, nipple projection ranged from 5 to 11 mm (mean, 8.1 mm). The mean maintenance of nipple projection at 3 months postoperatively was 73.14% ± 16.39% (82% and 58% in the breast implant and autologous tissue flap groups, respectively), as compared with the immediate postoperative measurements. CONCLUSIONS: Our results demonstrated a good maintenance rate of ADM retention. Our method is easy to implement and focuses on the maximal retention of ADM to provide long-term projection of the reconstructed nipple.
Acellular Dermis ; Breast ; Breast Implants ; Clinical Study ; Female ; Mammaplasty ; Methods ; Nipples* ; Reconstructive Surgical Procedures ; Skin ; Transplants

8

Cite

Share

Digital 2-Dimensional Photogrammetry Simplified by Using a Marker of a Known Size.

Jeong Woo LEE ; Dong Kyu KIM ; Seung Gyun CHU ; Byung Chae CHO ; Kyung Young LEE

Archives of Aesthetic Plastic Surgery.2017;23(3):109-116. doi:10.14730/aaps.2017.23.3.109

BACKGROUND: A quantitative, rather than visual, assessment of the outcomes of facial surgery has recently become increasingly important, and this is best accomplished using anthropometry. However, most anthropometric methods have limited applicability in office settings. METHODS: We conducted preliminary studies on images of a 30-cm straight edge ruler with various camera-to-object distances (OD) and aperture sizes, and identified a convenient range of ODs and the most reliable aperture size of our camera for photogrammetry. Subsequently, we measured various lengths circumjacent to the center of the ruler in the images of different ODs with a graphics viewer program and calibrated the raw data using the central 20-mm length. We obtained a reliable circle in our camera's viewfinder from a chart of percentage differences between the calibrated data and coupled real ruler lengths. Following this, we replaced the concept of the central 20-mm length with a geometric sphere 20-mm in diameter, and applied it to clinical photogrammetry. RESULTS: The percentage differences were almost directly proportional to the real lengths. This value was below 0.48% in the central 160-mm of all images within an OD range of 50 to 125 cm. In clinical applications, the greatest difference compared to direct measurements was 0.97 mm. CONCLUSIONS: Using a graphics viewer program, we performed anthropometric measurements of images that included a sphere of known size, without printing the images; the difference between these and direct measurements was <1 mm. This method is simple enough for use in an office setting.
Anthropometry ; Methods ; Photogrammetry*

9

Cite

Share

Letter: Correcting Shape and Size Using Temporary Filler after Breast Augmentation with Silicone Implants.

Nak Kwan SUNG ; Eun Soo PARK

Archives of Aesthetic Plastic Surgery.2016;22(1):47-48. doi:10.14730/aaps.2016.22.1.47

No abstract available.
Breast* ; Silicon* ; Silicones*

10

Cite

Share

Letter: Position Statement of Korean Academic Society of Aesthetic and Reconstructive Breast Surgery: Concerning the Use of Aquafilling(R) for Breast Augmentation.

Tai Suk ROH

Archives of Aesthetic Plastic Surgery.2016;22(1):45-46. doi:10.14730/aaps.2016.22.1.45

No abstract available.
Breast*

DISPLAY OPTIONS

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share

Cite

Share