Safety of oral sedation and local anesthetics tops aesthetics reads for week

Study findings that facial aesthetic surgical procedures performed under oral sedation combined with local anesthetics were safe and well-tolerated was among the most-read articles of the past week on Healio.com/Aesthetics.

Other widely read articles included research on the safety of the inverted-T pattern mastectomy approach, and Lara Devgan, MD, MPH’s blog item on “a systematic approach for superb labiaplasty results”:

Facial aesthetic surgery safely performed under oral sedation, local anesthetics

Facial aesthetic surgical procedures performed under oral sedation combined with local anesthetics were safe and tolerated by patients, according to study results.

Researchers conducted a retrospective chart review on 199 patients (mean age, 49.8 years; 176 women) who underwent office-based plastic surgery procedure between July 2008 and July 2014. The patients received oral sedation combined with local anesthesia. Read more

Inverted-T pattern mastectomy safe for patients with large or ptotic breasts

The inverted-T pattern mastectomy approach was performed safely and had acceptable complication rates when compared with traditional horizontal elliptical mastectomy, according to study results.

“Patients with large or ptotic breasts undergoing mastectomy followed by tissue expander/implant-based reconstruction may benefit from a Wise (inverted-T) pattern reduction mammoplasty incision compared with the traditional horizontal elliptical incision,” the researchers wrote. Read more

Early treatment may prevent skin necrosis related to nose augmentation with hyaluronic acid

Augmentation of the nose and nasolabial fold with hyaluronic acid may lead to impending nasal skin necrosis, according to study results.

Researchers in China reviewed medical records from between 2008 and 2014 to identify 20 patients (age range, 21 to 52 years; 90% women) who experienced skin necrosis associated with nose and or nasolabial fold augmentation with only hyaluronic acid fillers. Read more

BLOG: A systematic approach for superb labiaplasty results

Lara Devgan, MD, MPH, reports that labiaplasty, or cosmetic rejuvenation of the female genitalia, is the fastest growing plastic surgery procedure in America.

Lara Devgan

The most recent set of statistics published by the American Society of Plastic Surgeons reveals that the number of labiaplasties performed has nearly doubled over the past year, with a 44% increase compared with the previous year. Read more

Implant failure risk greater in direct-to-implant vs two-stage breast reconstruction

There was a greater risk for skin flap necrosis and implant failure in direct-to-implant breast reconstruction compared with two-stage tissue expander/implant reconstruction, according to study results.

Researchers conducted a literature search for articles published after 1999 involving a two-stage tissue expander/implant or using a direct-to-implant technique for prosthetic-based breast reconstruction. Read more