Abstract：
UNLABELLED:Borderline personality disorder (BPD) is a common axis II disorder associated with a high risk of impulsivity and self-injury. Several authors have suggested that individuals with BPD are poor candidates for plastic surgery. Recent changes in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria for BPD may be confusing to surgeons. This article reviews the literature on BPD and discusses how important it is to recognize this condition and how difficult it is to treat patients, highlighting features and signs of this condition in plastic surgery settings. Illustrative case examples from our experience are also described. Our careful search of the literature revealed that individuals with BPD may seek treatment from plastic surgeons in two different patterns: as treatment for self-injury or as insatiable requests for aesthetic procedures. Individuals with BPD tend to request corrections of multiple body parts to avoid abandonment by the surgeon or due to their impulsivity, but such preoccupation with appearance is less profound and shifts from one body part to another over time. While flexible and individualized psychological approaches are required to minimize the patient's impulsivity and abandonment fears, surgeons should be inflexible to any unrealistic requests. It is best to avoid surgery on patients with BPD. Surgeons should be aware of the nuances of this condition so as not to miss the proper timing for a psychiatric referral. LEVEL OF EVIDENCE V:This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
journal_name
Aesthetic Plast Surgjournal_title
Aesthetic plastic surgeryauthors
Morioka D,Ohkubo Fdoi
10.1007/s00266-014-0396-1subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1169-76issue
6eissn
0364-216Xissn
1432-5241journal_volume
38pub_type
杂志文章,评审abstract：:The surgical management of patients desiring removal of silicone mammary prostheses can be controversial. Patients fearful of implants may choose not to undergo implant exchange with saline implants. This fear is well documented and has been influenced by the media. Anecdotal reports attempting to link silicone mammar...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF00228462
更新日期：1996-07-01 00:00:00
abstract：INTRODUCTION:Infantile haemangioma is the most common childhood tumour. These tumours can cause significant functional and cosmetic problems. While there are many treatment modalities, propranolol is increasingly being recognised as the first-line treatment of problematic haemangiomas. This study investigates the use o...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-015-0557-x
更新日期：2015-12-01 00:00:00
abstract：BACKGROUND:Lipoinjection is a promising treatment but has some problems, such as unpredictability and a low rate of graft survival due to partial necrosis. METHODS:To overcome the problems with lipoinjection, the authors developed a novel strategy known as cellassisted lipotransfer (CAL). In CAL, autologous adiposeder...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-020-01819-7
更新日期：2020-08-01 00:00:00
abstract：:Aesthetic improvement of the lips is a problem that must be treated in a totally independent way from the rest of the face because degeneration of the lips is tied to genetic or acquired factors for which no long-term procedure is effective. The effectiveness of resurfacing of large and small wrinkles using chemical a...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900026
更新日期：1996-05-01 00:00:00
abstract：BACKGROUND:Chest reconstruction ('top surgery') is an important component of transition in the transmasculine population that can substantially improve gender incongruence. The aim of this study was to evaluate the demographic characteristics, surgical technique, and postoperative outcomes following transmasculine ches...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01479-2
更新日期：2019-12-01 00:00:00
abstract：BACKGROUND:Operative volume is a critical component of surgical resident education. This study compares reported breast surgery case volume between resident training pathways in plastic surgery. METHODS:This retrospective cohort study reviewed case logs of plastic surgery residents in the independent/combined and inte...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-019-01424-3
更新日期：2019-12-01 00:00:00
abstract：:Is aesthetic surgery a business guided by market structures aimed primarily at material gain and profit or a surgical intervention intended to benefit patients and an integral part of the health-care system? Is it a frivolous subspecialty or does it provide a real and much needed service to a wide range of patients? A...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章,评审
doi：10.1007/s00266-020-01821-z
更新日期：2020-08-01 00:00:00
abstract：:The resection of the columella and nasal depressor muscles is a simple operation to perform and one which allows an improvement in the facial physiognomy of many patients. This operation can be done alone or in conjunction with the classic rhinoplasty, thus achieving an improvement in the aesthetics of the smile. It h...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF00209315
更新日期：1995-01-01 00:00:00
abstract：OBJECT:To evaluate the effects, particularly the incidence of anastomotic fistula, of a pedicled dartos flap around the urethral orifice in the treatment of urethroplasty of mid-shaft hypospadias. METHODS:A total of 46 cases of congenital mid-shaft hypospadias were included in this study. The patients ranged in age fr...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-016-0659-0
更新日期：2016-08-01 00:00:00
abstract：BACKGROUND:Dorsal nasal augmentation plays an important role in cosmetic and reconstructive rhinoplasties performed to achieve an aesthetically pleasing result while creating facial harmony. Although it is known that the ideal implant should be biocompatible, biointegrated, nonabsorbable, and without inflammatory respo...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-012-9941-y
更新日期：2012-10-01 00:00:00
abstract：:The medicinal leech, Hirudo medicinalis, played a central role in the evolution of medieval and folk medicine. Today, for the first time in history, the leech actually has a real and valuable purpose in medicine as a useful adjunct for the plastic surgeon: It provides relief of venous congestion. For over 2000 years, ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570698
更新日期：1992-10-01 00:00:00
abstract：:Dermatofibrosarcoma protuberans is a rare soft tissue cancer of the skin with the potential for intermediate malignity, characterized by local invasion and recurrence. Presenting with local atrophic and sometimes erythematous plaques, these lesions are best treated with surgery in which large excisions are necessary t...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-003-0107-9
更新日期：2003-03-01 00:00:00
abstract：:It has been said about breast reconstruction with implants that a patient should not expect more than a mound that will fill out her brassiere or bathing suit. Autogenous tissue breast reconstruction has changed this. One of the great advantages of autogenous reconstruction over implants is that the breast remains sof...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01578361
更新日期：1990-10-01 00:00:00
abstract：:Platysma muscular bands are present during the aging period, generally starting in the second half of the fourth decade of life in both sexes. One or two bands along the anterior segment of the neck are the most frequent, with varied extensions and appearances. The literature records different techniques for solving t...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-011-9782-0
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Pseudoptosis (bottoming out) is a well-observed phenomenon occurring after all types of breast reduction surgery. The authors' team previously reported the use of three-dimensional (3D) imaging to demonstrate that significant morphologic changes occur in the breast during the first year after short-scar medi...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-010-9615-6
更新日期：2011-06-01 00:00:00
abstract：BACKGROUND:This study was designed to evaluate the structures, muscles, and fasciae of which the modiolus is composed. It can aid in the understanding and, therefore, the utilization of plastic surgery for the aesthetic or reconstructive treatment of that region, especially the angle of the mouth. METHODS:Dissections ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-008-9187-x
更新日期：2009-03-01 00:00:00
abstract：:Three disadvantages are frequent after parotidectomy: a scar affecting the neck, a deep hollow between the sternocleidomastoid muscle and the mandible (the larger the resection is, the deeper is the hollow), and a sweat secretion. These disadvantages can be prevented or reduced by using four simple procedures: (1) usi...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900234
更新日期：1999-01-01 00:00:00
abstract：UNLABELLED:In cosmetic clinical practice, many patients express the desire for removal of melanocytic nevi, especially those on the face. The carbon dioxide (CO2) laser currently is the preferred for treatment of such lesions because of less scar formation, less bleeding, and simplicity of the procedure. However, if th...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-014-0303-9
更新日期：2014-04-01 00:00:00
abstract：:This article presents an alternative method to correct the sagging neck with a local dermolipectomy and median platysma duplication. The technique is recommended mainly for the older patient with redundant skin and fat in that region and who, for some reason, does not want to undergo a facelift. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01570688
更新日期：1992-10-01 00:00:00
abstract：UNLABELLED:A 42-year-old primigravida woman of 20 weeks gestation was referred to the authors for the treatment of a suspected malignant melanoma of her left areola. She had undergone bilateral augmentation mammoplasty with periareolar mastopexy elsewhere 6 years previously. Her history included partial necrosis of her...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-013-0075-7
更新日期：2013-04-01 00:00:00
abstract：:A technique to facilitate correct preoperative marking for an en bloc resection in superiorly based mammaplasty is presented. A temporary triangular suture is placed to control the estimated resection lines for the removal of the medial and lateral tissue block. The described technique helps to avoid the formation of ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900233
更新日期：1998-11-01 00:00:00
abstract：:An alternative method of draping of the ears is presented in which a mesh gauze dressing is used as an adjunctive method for restraining hair from the surgical field. Its use is rapid and permits exposure and visibility of the ears bilaterally. ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01578364
更新日期：1990-10-01 00:00:00
abstract：BACKGROUND:Abdominoplasties carried out in patients previously underwent gastroplasty present high rates of complications, including increased bleeding in the intra- and postoperative periods. METHODS:This study evaluated bleeding, coagulation parameters (coagulogram, dosage of fibrinogen, FII, FV, FVII, FVIII, FIX, F...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-012-9976-0
更新日期：2012-12-01 00:00:00
abstract：BACKGROUND:Madelung's disease (MD) is a rare disease of unknown etiology that is characterized by massive fatty deposits distributed in a symmetrical pattern mainly in the head, neck, and upper trunk. Here, we sought to explore the pathogeny and treatment of MD. METHODS:We enrolled ten patients who underwent surgical ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-017-0920-1
更新日期：2017-10-01 00:00:00
abstract：:Liposuction is a widely used technique today and indications are that it is becoming even more popular due to new technical refinements. The use of cannulae with a smaller diameter allows suction of the fat immediately under the dermis. The cannula we use to perform this new kind of fat suction is straight and has an ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/BF01578339
更新日期：1990-04-01 00:00:00
abstract：:Botulinum toxin prevents acetylcholine release at motor nerve terminals. Group B vitamins (B-vit) are essential for proper nerve function. The present study addresses the question of whether B-vit accelerate recovery in rat skeletal muscle after botulinum toxin A (Btx-A) injection. Forty-four adult male Wistar albino ...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-012-9873-6
更新日期：2012-06-01 00:00:00
abstract：BACKGROUND:Cranioplasty using alternate alloplastic bone substitutes instead of autologous bone grafting is inevitable in the clinical field. The authors present their experiences with cranial reshaping using methyl methacrylate (MMA) and describe technical tips that are keys to a successful procedure. METHODS:A retro...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s00266-013-0110-8
更新日期：2013-06-01 00:00:00
abstract：:One of the advantages of polyurethane foam-covered prostheses has been that in the first 5 to 10 years after their use, the amount of capsular contraction was found much less than when similar "slick" prostheses were used. Another advance was their fixation to the surrounding tissue thus giving a more natural appearan...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900108
更新日期：1997-05-01 00:00:00
abstract：:A one-stage surgical correction of tuberous and tubular breast deformities is described. An intraareolar donut of pigmented skin is deepithelialized to correct the associated mega areola, allowing, at the same time, a port of entry for insertion of a retroglandular breast implant. The exposed areolar dermis is then te...
journal_title：Aesthetic plastic surgery
pub_type： 杂志文章
doi：10.1007/s002669900204
更新日期：1998-07-01 00:00:00
abstract：: ...
journal_title：Aesthetic plastic surgery
pub_type： 评论,信件
doi：10.1007/s00266-018-1220-0
更新日期：2019-02-01 00:00:00
