Publications by authors named "Michelle A Spring"

Article Synopsis
  • Fluid accumulation is a common issue after abdominoplasty, usually managed by drains, but progressive tension sutures (PTS) and lysine-derived urethane surgical adhesive offer drain-free alternatives.
  • The study aimed to compare the effectiveness and efficiency of PTS versus tissue adhesive in abdominoplasty surgeries.
  • Results showed no significant differences in patient outcomes between the two methods, with tissue adhesive reducing surgery time, though both techniques had some complications like scars and suture abscesses.
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Background: Abdominoplasty is a common aesthetic procedure in the United States. Pollock and Pollock described their progressive tension technique in 2000 and published a series of 597 patients in 2012 of their experience. The reported seroma rate in the literature ranges from 2% to 26% with drains and 0.

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Simultaneous breast augmentation and mastopexy is a common procedure often considered to be one of the most difficult cosmetic breast surgeries. One-stage augmentation mastopexy was initially described more than 50 years ago. The challenge lies in the fact that the surgery has multiple opposing goals: to increasing the volume of a breast, enhance the shape, and simultaneously decrease the skin envelope.

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Numerous surgical options for breast reduction have been described, but in the current healthcare environment, efficiency is of the utmost importance. In this Featured Operative Technique, the authors describe an efficient, reproducible, and simple method for minimal to moderate reduction mammaplasty that utilizes a superior pedicle. The surgical maneuvers were developed and conveyed to the senior author (W.

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Article Synopsis
  • The article discusses the challenges of breast augmentation alongside skin tightening, highlighting the complexity of combining these procedures for better aesthetic results.
  • Increasing patient interest and new surgical approaches have made combined augmentation-mastopexy more popular, leading to a rise in follow-up surgeries for initial augmentations.
  • The authors outline the reasons for secondary augmentation-mastopexy, safe techniques for the procedure, additional supportive procedures, common issues that may arise, and ways to address complications.
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Background: Cryolipolysis has been shown to be a safe and effective noninvasive procedure for the reduction of localized subcutaneous fat.

Objectives: The authors examine the safety, efficacy, and procedural growth of cryolipolysis (via the CoolSculpting device; Zeltiq, Pleasanton, California) in a single plastic surgery practice.

Methods: A retrospective chart review was conducted for 528 consecutive patients who underwent cryolipolysis treatment from January 2010 to December 2012.

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Background: Breast reconstruction rates remain low, at 5%-15% of mastectomy patients, despite the safety and high patient satisfaction of these procedures. Reasons for this are multifactorial, including the attitudes and biases of the referring breast surgeon, as well as patient factors. The purpose of this study was to explore attitudes of general surgeons towards breast reconstruction.

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Article Synopsis
  • Office-based plastic surgery allows for safer and more cost-effective procedures compared to traditional hospital settings.
  • It offers increased convenience for both the surgeon and the patient, making the process more efficient.
  • A review of outpatient plastic surgery practices was conducted at the Marina Outpatient Surgery Center in California.
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Background: Abdominoplasty has traditionally been described in the literature as an operation that is performed in a hospital setting, although more recently it is likely that most procedures are performed on an outpatient basis. To date, there have been very few large series illustrating the safety and efficacy of abdominoplasty performed in outpatient surgery centers.

Objective: This study reports the complications and revisions of outpatient abdominoplasties in a large patient population.

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Article Synopsis
  • The study aimed to assess the incidence of venous thromboembolism (VTE) among plastic surgery patients, identify high-risk procedures, and evaluate the adherence to existing VTE prophylaxis guidelines among surgeons.
  • Out of 3,797 surveyed plastic surgeons in the U.S., 1,106 (29%) responded, reporting a total of 329 VTE events, with abdominoplasty being the procedure most commonly linked to these occurrences.
  • Results showed that abdominoplasty, whether performed alone or with other procedures, had a similar VTE rate; however, many surgeons (38%) were not aware of the published guidelines for VTE prevention, indicating inconsistency in prophylaxis methods used.
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Background: Mandibular distraction osteogenesis has proven to be an effective treatment for upper airway obstruction related to micrognathia. Changes in the aerodigestive space can help facilitate tracheostomy removal in children and prevent tracheostomy in newborns. However, this may also precipitate changes in the ability to orally feed.

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Vascular anomalies are lesions seen in all surgical disciplines, particularly in pediatric patients. Specialization in vascular anomalies involves a team effort, with the team consisting of plastic surgeons, general surgeons, neurosurgeons, pediatricians, interventional radiologists, dermatologists, ophthalmologists, otolaryngologists, hematologists, and pathologists. Inconsistent nomenclature in the literature has historically resulted in confusion about classification, diagnosis, and treatment.

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