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Trends in Plastic and Reconstructive Surgery
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Trends in Plastic and Reconstructive Surgery

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine".

Deadline for manuscript submissions: 30 May 2025 | Viewed by 5324

Special Issue Editors

Dr. Eduardo D. Rodriguez

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Guest Editor
Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, NY, USA
Interests: vascularized composite allotransplantation; face transplant; microsurgery; facial trauma; craniofacial abnormalities; facial feminization
Dr. Carter J. Boyd

E-Mail
Guest Editor
Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, NY, USA
Interests: plastic surgery; innovation; aesthetics; aesthetic breast surgery; breast reconstruction; facial aesthetics; body contouring
Dr. Oriana D. Cohen

E-Mail Website
Guest Editor
Hansjörg Wyss Department of Plastic Surgery, New York University Langone Health, New York, NY, USA
Interests: breast reconstruction; microsurgery; autologous breast reconstruction; implant-based breast reconstruction; gender-affirming surgery

Special Issue Information

Dear Colleagues,

The field of plastic and reconstructive surgery has perpetually been on the cusp of innovation. Persisently presented with complex problems, the role of plastic and reconstructive surgeons remains two-fold. This objective invovles restoration or improvement in function while simultaneously optimizing the aesthetic form. The pursuit of these dual goals has propelled researchers within the field to think critically and develop creative solutions that foster continual improvement. An improved understanding of anatomy and technological advancements has equipped plastic and reconstructive surgeons with a diverse toolbox. As new techniques and devices emerge, a critical scientific inquiry into surgical outcomes remains an important tenent of the field in order to assess for complications and the longevity of outcomes. In this Special Issue, we welcome authors to submit manuscripts that deal with recent trends within various focus areas of plastic and reconstructive surgery.   

Dr. Eduardo D. Rodriguez
Dr. Carter J. Boyd
Dr. Oriana D. Cohen
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • plastic surgery
  • innovation
  • breast surgery
  • microsurgery
  • craniofacial surgery
  • hand surgery
  • body contouring

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Further information on MDPI's Special Issue policies can be found here.

Published Papers (2 papers)

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Review

10 pages, 228 KiB  
Review
The Evolution of Implant-Based Breast Reconstruction: Innovations, Trends, and Future Directions
by Chris Amro, Thomas J. Sorenson, Carter J. Boyd, Kshipra Hemal, Nicholas A. Vernice, Jenn J. Park, Oriana D. Cohen, Mihye Choi and Nolan S. Karp
J. Clin. Med. 2024, 13(23), 7407; https://doi.org/10.3390/jcm13237407 - 5 Dec 2024
Viewed by 1970
Abstract
Background/Objectives: Implant-based breast reconstruction has been essential since the 1960s, offering a faster and less invasive alternative to autologous reconstruction. Recent innovations—including direct-to-implant (DTI) reconstruction, advancements in surgical planes, synthetic meshes, and nipple-areolar complex (NAC) neurotization—have improved patient outcomes. This review explores these [...] Read more.
Background/Objectives: Implant-based breast reconstruction has been essential since the 1960s, offering a faster and less invasive alternative to autologous reconstruction. Recent innovations—including direct-to-implant (DTI) reconstruction, advancements in surgical planes, synthetic meshes, and nipple-areolar complex (NAC) neurotization—have improved patient outcomes. This review explores these developments, analyzing their impact on breast reconstruction over the past two decades. Methods: A comprehensive literature review was conducted using PubMed, Google Scholar, and Cochrane Library databases, focusing on peer-reviewed studies published up to 2024. Articles were selected based on relevance, quality, and documentation of clinical outcomes and patient satisfaction. Results: Findings indicate that DTI reconstruction reduces the need for multiple surgeries, especially in cases with sufficient mastectomy flap quality. Prepectoral placement showed benefits in postoperative comfort and recovery speed compared to subpectoral placement, but had specific risks, such as implant rippling. Synthetic meshes improved implant support and reduced complication rates, while neurotization has shown potential in restoring sensation to the nipple-areolar complex (NAC), addressing quality-of-life concerns. Conclusions: Innovations like DTI, prepectoral techniques, and adjunctive mesh and neurotization strategies are advancing patient outcomes. Future research should refine these methods, aiming to expand applicability and further improve aesthetic and sensory outcomes for breast cancer survivors. Full article
(This article belongs to the Special Issue Trends in Plastic and Reconstructive Surgery)
21 pages, 20030 KiB  
Review
Ultrasound in Microsurgery: Current Applications and New Frontiers
by Rachel Cowan, Gursimran Mann and Ara A. Salibian
J. Clin. Med. 2024, 13(12), 3412; https://doi.org/10.3390/jcm13123412 - 11 Jun 2024
Cited by 4 | Viewed by 2275
Abstract
Ultrasound has revolutionized reconstructive microsurgery, offering real-time imaging and enhanced precision allowing for preoperative flap planning, recipient vessel identification and selection, postoperative flap monitoring, and lymphatic surgery. This narrative review of the literature provides an updated evidence-based overlook on the current applications and [...] Read more.
Ultrasound has revolutionized reconstructive microsurgery, offering real-time imaging and enhanced precision allowing for preoperative flap planning, recipient vessel identification and selection, postoperative flap monitoring, and lymphatic surgery. This narrative review of the literature provides an updated evidence-based overlook on the current applications and emerging frontiers of ultrasound in microsurgery, focusing on free tissue transfer and lymphatic surgery. Color duplex ultrasound (CDU) plays a pivotal role in preoperative flap planning and design, providing real-time imaging that enables detailed perforator mapping, perforator suitability assessment, blood flow velocity measurement, and, ultimately, flap design optimization. Ultrasound also aids in recipient vessel selection by providing assessment of caliber, patency, location, and flow velocity of recipient vessels. Postoperatively, ultrasound enables real-time monitoring of flap perfusion, providing early detection of potential flap compromise and improved flap survival rates. In lymphatic surgery, ultra-high frequency ultrasound (UHFUS) offers precise mapping and evaluation of lymphatic vessels, improving efficacy and efficiency by targeting larger dilated vessels. Integrating ultrasound into reconstructive microsurgery represents a significant advancement in the utilization of imaging in the field. With growing accessibility of devices, improved training, and technological advancements, using ultrasound as a key imaging tool offers substantial potential for the evolution of reconstructive microsurgery. Full article
(This article belongs to the Special Issue Trends in Plastic and Reconstructive Surgery)
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