With technological advances in magnetic resonance angiography (MRA), spatial resolution of 1-mm perforating vessels can reliably be visualized and accurately located in reference to patients’ anatomic landmarks without exposing patients…
Perforator flaps are preferable for breast reconstruction after mastectomy in many patients. Preoperative imaging of the perforators and source vessels is desirable to reduce surgeon stress, limit donor and recipient…
There has been a move towards increasingly refined techniques for autologous breast reconstruction, and given the substantial inter-individual variability of perforator anatomy, the need for reliable, accurate methods of vascular…
Perforator-based free flaps rely on the appropriate dominant vessel supplying the vascular territory of the flap. Preoperative knowledge of the vascular anatomy can improve outcome and diminish surgical time. Several…
The handheld acoustic Doppler is commonly used in the setting of autologous reconstruction. Like the color duplex Doppler, it can be used preoperatively but has the advantage of being used…
The sine qua non to best ensure viability of any autogenous tissues used for breast reconstruction is to maximize the appropriate circulatory pattern to that tissue. This overview of tools…
Methods of studying vascular anatomy Flaps were harvested from fresh cadavers from the University of Texas Willed Body Program. Types of flaps included deep inferior epigastric artery perforator (DIEP), superior…
Breast reconstruction has become an important consideration for women after mastectomy. Over the past decade, there have been a variety of technological advancements that have facilitated the ability to deliver…
Maurice Y. Nahabedian, MD, Guest Editor During the era of pedicle musculocutaneous flaps, plastic surgeons performed operations such as the latissimus dorsi and the TRAM with confidence and regularity. We…
This article discusses the role of injectable soft-tissue fillers in the aging face, and their clinical and chemical behavior. Temporary and permanent fillers are discussed, namely hyaluronic acids, calcium hydroxylapatite,…
