Abstract:
BACKGROUND:"Medical tourism" has gained popularity over the past few decades. This is particularly common with patients seeking elective cosmetic surgery in the developing world. However, the risk of severe and unusual infectious complications appears to be higher than for patients undergoing similar procedures in the United States. OBJECTIVES:The authors describe their experience with atypical mycobacterial infections in cosmetic surgical patients returning to the United States postoperatively. METHODS:A review of patient medical records presenting with infectious complications after cosmetic surgery between January 2010 and July 2015 was performed. Patients presenting with mycobacterial infections following cosmetic surgery were reviewed in detail. An extensive literature review was performed for rapid-growing mycobacteria (RGM) related to cosmetic procedures. RESULTS:Between January 2010 and July 2015, three patients presented to our institution with culture-proven Mycobacterium abscessus at the sites of recent cosmetic surgery. All had surgery performed in the developing world. The mean age of these patients was 36 years (range, 29-44 years). There was a delay of up to 16 weeks between the initial presentation and correct diagnosis. All patients were treated with surgical drainage and combination antibiotics with complete resolution. CONCLUSIONS:We present series of patients with mycobacterial infections after cosmetic surgery in the developing world. This may be related to the endemic nature of these bacteria and/or inadequate sterilization or sterile technique. Due to low domestic incidence of these infections, diagnosis may be difficult and/or delayed. Consulting physicians should have a low threshold to consider atypical etiologies in such scenarios. LEVEL OF EVIDENCE:5 Therapeutic.
journal_name
Aesthet Surg Jjournal_title
Aesthetic surgery journalauthors
Singh M,Dugdale CM,Solomon IH,Huang A,Montgomery MW,Pomahac B,Yawetz S,Maguire JH,Talbot SGdoi
10.1093/asj/sjw047subject
Has Abstractpub_date
2016-09-01 00:00:00pages
NP246-53issue
8eissn
1090-820Xissn
1527-330Xpii
sjw047journal_volume
36pub_type
杂志文章,评审abstract::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 s...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sju011
更新日期:2015-01-01 00:00:00
abstract:Background:Achieving aesthetic results with forehead augmentation procedures remains challenging. We have developed a method of integrated forehead and temporal augmentation using a three-dimensional (3D) printing-assisted methyl methacrylate implant. Objectives:The study objective was to assess the importance of comb...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjy075
更新日期:2018-10-15 00:00:00
abstract:BACKGROUND:The efficacy of adipose-derived stem cells (ASCs) to improve wound healing has been extensively investigated. Unfortunately, no consistent reports have described significant improvements in healing time or outcomes in large-scale clinical trials utilizing human ASCs. Primarily, these studies examined undiffe...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjz071
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abstract:Background:The nipple-areola complex (NAC) is important aesthetically and functionally for both sexes. Methods for positioning the NAC in males are less well established in the literature compared to females but are just as important. Objectives:This study aims to determine the normal parameters for the male NAC, to r...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjx245
更新日期:2018-06-13 00:00:00
abstract:BACKGROUND:The popularity of genital cosmetic procedures in women is increasing. These procedures are often assumed and promoted as having a positive effect on women's psychological well-being, particularly their self-esteem. Empirical support for these claims is lacking. OBJECTIVES:The aim of this study was to conduc...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析
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abstract:BACKGROUND:A number of randomized controlled trials (RCTs) have investigated the role of perioperative corticosteroids in rhinoplasty. Each of these trials however has an insufficient sample sizes to reach definitive conclusions and detect harms. Three recent reviews have analyzed edema and ecchymosis outcomes followin...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析,评审
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更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Knowledge of topographic skin thickness is important to plastic surgery of the face as it may guide resection and restoration in oncologic, aesthetic, and reconstructive procedures. OBJECTIVE:The purpose of this study is to report the relative thickness of the face throughout 39 distinct subunits. METHODS:...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1093/asj/sjv079
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abstract::The increasing prevalence of laser use, particularly in plastic surgery, demands the need for education of both practitioners and trainees to ensure patient safety and efficacy. The purpose of this continuing medical education module is to provide the learner with a detailed outline for laser training education for pl...
journal_title:Aesthetic surgery journal
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更新日期:2021-01-28 00:00:00
abstract:BACKGROUND:The development of effective antiretroviral therapy for the treatment of human immunodeficiency virus (HIV) has allowed for prolonged and healthier lives for affected patients. However, significant side effects from the drugs have been well documented, including syndromes of abnormal fat distribution. Cervic...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2007.12.003
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abstract::Fat grafting is a common procedure in aesthetic and reconstructive plastic surgery, but variable graft retention limits its utility. Unpredictable clinical outcomes with fat grafting can be explained in part by the lack of standardized protocols for harvesting, processing, and transplanting adipose tissue (AT). Histor...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
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更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Large-volume lipoplasty is becoming more common and has been proven to be safe and effective. Large-volume lipoplasty is normally performed with the patient under general anesthesia. Techniques of general anesthesia and fluid management are important factors in improving the safety of large-volume lipoplasty...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
doi:10.1016/j.asj.2007.08.006
更新日期:2007-11-01 00:00:00
abstract:BACKGROUND:The number of facelifts performed in the United States has steadily increased over the past decade. Moreover, the risk of venous thromboembolism in plastic surgery has been established in recent studies. OBJECTIVES:The authors investigate the overall complication rate in a single-center series to identify r...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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更新日期:2012-05-01 00:00:00
abstract:Background:Congenital, traumatic, or developmental bony vault deformities may require additional interventions rather than classical osteotomies to correct the surface structure or angulations of the nasal bones in rhinoplasty. Objectives:The aim of the study was to determine the effects of the additional osteotomies ...
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abstract:BACKGROUND:Upper eyelid ectropion occurs as a post-blepharoplasty complication or involution change, and it causes dry eye symptoms that cannot be resolved with conservative management. OBJECTIVES:The aim of this study is to describe the authors' surgical technique of anatomical correction of upper eyelid ectropion, i...
journal_title:Aesthetic surgery journal
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更新日期:2021-01-01 00:00:00
abstract::The superior pedicle reduction mammaplasty allows most premenopausal women to maintain lactational capabilities and nipple sensation. It is a relatively simple breast reduction technique which, according to the author, achieves an aesthetically pleasing breast shape with no "bottoming out" and a high level of patient ...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章
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journal_title:Aesthetic surgery journal
pub_type: 临床试验,杂志文章
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更新日期:2011-02-01 00:00:00
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
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更新日期:2014-09-01 00:00:00
abstract:Background:Multiple processing and handling methods of autologous fat yield to variations in graft retention and viability, which results in unpredictable clinical outcomes. Objectives:This study aims to understand the skin effects of fat graft preparations that contain a varying ratio of free-lipid and stem-cell-bear...
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abstract::As injectable products have been introduced and as clinicians have gained experience with them, applications and techniques for injection have evolved, with better cosmetic results, enhanced patient safety, and greatly improved patient satisfaction. Within the past four years, several consensus recommendation panels h...
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abstract:BACKGROUND:Although interest in penile augmentation procedures is increasing, there is a significant lack of research into the psychological and psychosexual outcomes of these procedures. OBJECTIVES:To investigate the psychological and psychosexual outcomes of nonsurgical medical penile girth augmentation. METHODS:Th...
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abstract:BACKGROUND:Facial aging is a complicated process that includes volume loss and soft tissue descent. This study provides quantitative 3-dimensional (3D) data on the long-term effect of vertical vector deep-plane rhytidectomy on restoring volume to the midface. OBJECTIVE:To determine if primary vertical vector deep-plan...
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,meta分析
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
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journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
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abstract:BACKGROUND:Techniques for augmentation mammaplasty commonly involve incisions through at least a portion of the pectoralis major muscle. The effects of implant position and surgical release of the muscle origin have not been thoroughly addressed. OBJECTIVE:In this study the authors report on a group of female athletes...
journal_title:Aesthetic surgery journal
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journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
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abstract::Approximately 1.3 million people in the United States and an estimated 33.2 million worldwide are infected with HIV. In the past, HIV/AIDS was considered to be uniformly fatal. With the introduction of highly active antiretroviral therapy (HAART), HIV has become a chronic, manageable disease in countries that are able...
journal_title:Aesthetic surgery journal
pub_type: 杂志文章,评审
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更新日期:2008-07-01 00:00:00