Advances in Reconstructive and Plastic Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Surgery".

Deadline for manuscript submissions: 15 June 2026 | Viewed by 1595

Special Issue Editors


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Guest Editor
Division of Plastic and Reconstructive Surgery, Taipei Veterans General Hospital, Taipei 112, Taiwan
Interests: craniofacial surgery; microsurgery; hand surgery; 3D printing

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Guest Editor
Division of Plastic Surgery, Department of Surgery, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan
Interests: wound care; microsurgery; evidence-based medicine; breast reconstruction

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Guest Editor Assistant
Division of Plastic and Reconstructive Surgery, Department of Surgery, Far Eastern Memorial Hospital, New Taipei, Taiwan
Interests: wound care; hand surgery; microsurgery

Special Issue Information

Dear Colleagues,

Reconstructive and plastic surgery have a long tradition of innovation aimed at restoring form and function following trauma, congenital anomalies, oncologic resections, and other challenging conditions. From the early principles of tissue transfer and flap design to the advent of microsurgery, the field has consistently evolved to address increasingly complex clinical problems. In recent decades, advances in surgical techniques, biomaterials, and imaging technologies have expanded the scope of reconstructive possibilities, transforming patient care and outcomes worldwide

This Special Issue, Advances in Reconstructive and Plastic Surgery, seeks to provide a comprehensive platform for sharing current progress, clinical experiences, and future directions in the field. The goal is to highlight both the refinement of traditional methods and the integration of novel approaches that enhance patient-centred outcomes. By bringing together contributions from diverse subspecialties, this Special Issue aims to promote interdisciplinary dialogue and broaden the understanding of reconstructive surgery’s role in modern medicine.

The field is rapidly moving toward innovations such as 3D surgical planning, regenerative medicine, stem cell-based therapies, and the use of bioengineered tissues. Microsurgical supercomplex reconstructions, perforator flap advancements, and robotic-assisted surgery are redefining the boundaries of technical feasibility. Furthermore, new insights into wound healing biology, vascularized composite allotransplantation, and patient-reported outcome measures are reshaping how surgical success is defined and evaluated.

We invite original research articles and comprehensive reviews that reflect recent advancements and future perspectives in reconstructive and plastic surgery. Topics of interest include—but are not limited to—microsurgery, craniofacial reconstruction, breast reconstruction, wound healing and diabetic limb salvage, tissue engineering, surgical oncology reconstruction, aesthetic surgery innovations, and interdisciplinary collaborations. Contributions that present novel techniques, report meaningful clinical outcomes, or provide critical appraisals of emerging technologies are especially encouraged.

Dr. Tien-Hsiang Wang
Dr. Wen‐Kuan Chiu
Guest Editors

Dr. Dun-Hao Chang
Guest Editor Assistant

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Keywords

  • reconstructive surgery
  • plastic surgery
  • microsurgery
  • tissue engineering
  • regenerative medicine
  • wound healing
  • flap surgery
  • 3D surgical planning
  • limb salvage
  • craniofacial reconstruction
  • breast reconstruction
  • surgical innovation

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Published Papers (2 papers)

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Research

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12 pages, 3274 KB  
Article
Effect of Adjuvant Treatments on Recipient Vessel Diameter for Free Flap Breast Reconstruction Using Computed Tomographic Angiography Analysis
by Jong Yun Choi, Ahran Kim, Junhyeok Lee, Daiwon Jun, Jiyoung Rhu, Pill Sun Paik and Jung Ho Lee
Medicina 2026, 62(2), 265; https://doi.org/10.3390/medicina62020265 - 27 Jan 2026
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Abstract
Background and Objectives: The quality of recipient vessels is critical for successful microsurgical breast reconstruction, and iatrogenic damage should be minimized. Adjuvant radiotherapy (RTx) and chemotherapy (CTx) are widely used for breast cancer and may induce structural changes in recipient vessels. This [...] Read more.
Background and Objectives: The quality of recipient vessels is critical for successful microsurgical breast reconstruction, and iatrogenic damage should be minimized. Adjuvant radiotherapy (RTx) and chemotherapy (CTx) are widely used for breast cancer and may induce structural changes in recipient vessels. This study aimed to evaluate changes in recipient vessel diameters for breast reconstruction after adjuvant treatment in patients with breast cancer. Materials and Methods: A total of 167 patients with unilateral breast cancer who underwent surgical resection between 2017 and 2021 were retrospectively reviewed. Patients were classified into four groups: mastectomy only without adjuvant treatment (group A, n = 33), adjuvant RTx only (group B, n = 44), adjuvant CTx only (group C, n = 43), and combined adjuvant CTx and RTx (group D, n = 47). Preoperative and postoperative computed tomography angiography was used to measure the diameters of the thoracodorsal artery (TDA) and internal mammary artery (IMA) on the affected and unaffected sides. Differences in vessel diameters between sides and among groups were analyzed. Results: In groups B and D, the diameters of the affected TDA and IMA were significantly decreased compared with the changes observed on the unaffected side (p < 0.001). In contrast, there were no significant differences in vessel diameters between the affected and unaffected sides in groups A and C (group A: p = 0.644; group C: p = 0.367). Conclusions: Recipient vessel diameters for microsurgical breast reconstruction significantly decreased in patients who received postoperative RTx, with or without CTx. Plastic surgeons planning delayed breast reconstruction should be aware of these adjuvant therapy-related changes in recipient vessels and consider preoperative imaging assessment to accurately counsel patients regarding surgical risks and to support informed decision-making. Full article
(This article belongs to the Special Issue Advances in Reconstructive and Plastic Surgery)
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Review

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19 pages, 436 KB  
Review
Artificial Intelligence and Esthetics: Redefining Precision and Beauty in Plastic Surgery
by Dinu Iuliu Dumitrascu, Stefan Lucian Popa, Victor Incze, Darius-Stefan Amarie, Leo Gaspari, Paul Aluas, Abdulrahman Ismaiel, Daniel Corneliu Leucuta, Liliana David, Florin Vasile Mihaileanu, Claudia Diana Gherman, Vlad Dumitru Brata and Irina Dora Magurean
Medicina 2026, 62(4), 633; https://doi.org/10.3390/medicina62040633 - 26 Mar 2026
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Abstract
Artificial intelligence (AI) is increasingly reshaping esthetic and reconstructive plastic surgery by improving measurement accuracy, treatment planning, and prediction of surgical outcomes. This article provides a scientific overview of current AI applications, including automated image analysis, machine-learning-based outcome forecasting, and generative models for [...] Read more.
Artificial intelligence (AI) is increasingly reshaping esthetic and reconstructive plastic surgery by improving measurement accuracy, treatment planning, and prediction of surgical outcomes. This article provides a scientific overview of current AI applications, including automated image analysis, machine-learning-based outcome forecasting, and generative models for preoperative simulation. AI-driven three-dimensional morphometrics allow precise, reproducible quantification of facial and body structures, supporting more objective assessments of symmetry, proportion, and contour. Predictive algorithms trained on large clinical datasets can estimate postoperative results and complication risks with higher consistency than traditional subjective evaluation. Intraoperative AI tools, such as real-time image guidance and robotic assistance, show potential to increase procedural precision and reduce variability. Despite these advances, important limitations persist. Algorithmic bias, restricted data diversity, opaque model architectures, and unresolved ethical concerns regarding data privacy and esthetic standardization challenge widespread clinical adoption. Overall, AI offers a powerful framework for enhancing precision and reproducibility in esthetic surgery, but its safe and responsible integration will require rigorous validation, transparent methodology, and continued human oversight. Full article
(This article belongs to the Special Issue Advances in Reconstructive and Plastic Surgery)
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