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Бесплатный силиконовый грануломатоз и гиперкальцемия в трансгендерной женщине.

ВВЕДЕНИЕ: Недуг витамина D является редкой, но важной причиной гиперкальцемии. Грануломатное заболевание является одной из основных причин расстройств витамина D и часто ассоциируется с саркоидозом, туберкулезом, а в данном случае с грануломатозом иностранного тела. Жидкий или инъекционный силикон используется в качестве наполнителя косметического контура тела. Трансгендерные пациенты могут обращаться за инъекцией силикона в рамках операций по утверждению пола. Формирование грануломы является редким, но хорошо описываемым осложнением инъекционного силикона.ОПИСАНИЕ СЛУЧАЙ: А 40-year-old, получ

Совпадение в аннотации оригинала
INTRODUCTION: Vitamin D derangements are a rare but important cause of hypercalcemia. Granulomatous disease is a primary cause of vitamin D derangements and is frequently associated with sarcoidosis, tuberculosis, and in the present case, foreign body granulomatosis. Liquid or injectable silicone is used as a filler for cosmetic body contouring. Transgender …

Comparative Accuracy of Clinical and Formula-Based Estimation of Resection Weight in Reduction Mammoplasty and Implications for Insurance Preapproval and Payment.

INTRODUCTION: Insurance companies use minimum resection weight, sometimes based on body surface area (Schnur sliding scale), as a criterion for preapproval and ultimately coverage of reduction mammoplasty. The purpose of this study is to compare the accuracy of subjective resection estimates and estimates calculated by published formulae versus measured resection weights, and to explore the impact of these estimates on insurance preauthorization and payment. METHODS: A retrospective chart review of bilateral reduction mammaplasties performed at a single academic medical center by seven plasti

Does thighplasty for upper thigh laxity after massive weight loss require a vertical incision?

BACKGROUND: After massive weight loss (MWL), many patients present with concerns about skin excess and laxity. The thigh is one of the more complex regions to address in MWL patients because of the differing degree, location, and quality of skin excess and fatty tissue, as well as surgical risk factors. OBJECTIVE: The authors describe a technique called the anterior proximal extended (APEX) thighlift to effectively treat upper thigh skin excess with a hidden scar while also enhancing adjacent body regions. METHODS: A review was performed of 97 MWL patients who underwent thighlift surgery bet

Rapid Wound Healing Observed Following Oral LathMized NAD+ Supplementation: A Case Study.

Postoperative wound infections after common body contouring procedures are a key contributor to chronic open wounds, placing major burdens on patients and presenting serious challenges to plastic surgeons. Patients may experience consequent serial infections, prolonged treatment plans, readmissions, high medical costs, and decreased quality of life. An aging population and rising prevalence of obesity and metabolic syndrome contribute to growing risks of developing postoperative wound infections and chronic wounds. We present the case of a 59-year-old woman with hypertension, hyperlipidemia, a…

Impact of intravenous tranexamic acid administration on reduction mammoplasty outcomes.

BACKGROUND: The growing use of tranexamic acid (TXA) in plastic surgery warrants an accurate analysis of efficacy for body contouring indications. We offer the largest cohort evaluation of intravenous TXA use in minimizing postoperative complications following reduction mammoplasty. METHODS: A single-institution retrospective analysis was conducted on consecutive reduction mammoplasty procedures performed between February 2023-August 2024. Patient demographics, intraoperative factors, and postoperative complications were collected and summarized using descriptive statistics. Groups were strat…

Litigating Filler Complications: Five Decades of Legal Outcomes in the United States.

Injectable fillers are increasingly used in aesthetic medicine, yet the medicolegal factors driving liability remain poorly defined. We cond … al sites were the face, head, or neck (n=31, 67.4%), followed by breast (n=5, 10.9%) and buttock or body contouring (n=4, 8.7%). Neither physician credentialing, filler type, nor complication severity was significantly associated with legal outcome. Med-spa procedures had a 100% plaintiff verdict rate versus 47% in private clinic or hospital settings (p=0.024), a …

Global Disparities and Trends in Radiotherapy for Early-Stage Glottic Cancer.

We evaluated global radiotherapy practices in the management of early-stage (AJCC/UICC 8th edition stages I-II) glottic cancer (ESGC). A cross-sectional online survey was conducted in March 2025 across centers worldwide. Data was collected on clinical practices, including staging, CT simulation, target volumes delineation, organs-at-risk contouring, radiotherapy techniques, dose and fractionation schedules, treatment delivery techniques, and image guidance practices. A total of 181 responses were received, primarily from Asia (41.4%) and Europe (24.3%). Most respondents were from non-academic

Complete Pathological Response of Human Papillomavirus (HPV)-Related Oropharyngeal Carcinoma After Primary Treatment With Stereotactic Radiotherapy: A Case Report.

Human papillomavirus (HPV)-related oropharyngeal squamous cell carcinomas (OPSCCs) with locally advanced progression are generally treated with curative intent concurrent chemoradiation. This case report of a 51-year-old female highlights the potential for locoregional control with complete pathologic response following primary stereotactic body radiotherapy (SBRT). Previous studies on SBRT for head and neck cancers report variable dose fractionation schemes and inconsistent volume contouring techniques, with most SBRT applications focused on recurrent or post-operative settings rather than de

Urethral and bladder dosimetry and urinary toxicity in prostate cancer patients undergoing SBRT with and without intra-prostatic boost.

BACKGROUND AND PURPOSE: To evaluate the dosimetric and toxicity profiles of stereotactic body radiotherapy (SBRT) for prostate cancer, comparing cohorts with and without intraprostatic boost (IPB) to assess feasibility and safety of IPB, with particular attention to urethral and bladder dose and toxicity. MATERIALS AND METHODS: This retrospective cohort study analyzed 349 patients with localized prostate cancer treated between 2018 and 2023. Of these, 266 received SBRT with IPB, and 83 received SBRT without IPB. Patients were treated using a robotic SBRT platform with fiducial tracking. Dosim

Rib Remodeling Without Rib Resection: A Systematic Review and Meta-analysis.

PURPOSE: Interest in body contouring has led to developing techniques for waistline reduction. Rib remodeling is one such method. Traditional rib resection is invasive, limiting its cosmetic use. This review and meta-analysis evaluate the efficacy and safety of a novel rib remodeling technique that avoids rib removal. METHODS: A systematic search of PubMed, Cochrane Central, and Embase was performed up to August 2024. Outcomes included patient satisfaction, waistline reduction, pneumothorax, hemothorax, infection, skin burns, and asymmetry. The Freeman-Tukey Double Arcsine Transformation was …

Complications arising from aesthetic surgery procedures in foreign countries and Switzerland.

BACKGROUND: Cosmetic surgery tourism has increased in popularity in recent years, with arising complications and post-operative follow-up ca … taken in Switzerland. Breast surgery was the most frequently performed procedure (60%), followed by body contouring (17%) and facial surgery (12%). The most common complications occurring after surgeries abroad were pain and discomfort (19%) as well as aesthetic dissatisfaction (18%), followed by wound breakdown (14%) and infection (11%). Most patients (76%) were …

Aesthetic Preferences of the Anterior Thigh as a Beauty Factor in Women.

BACKGROUND: In body contouring surgery, some regions, such as the abdomen, thorax, upper limbs, and glutes, are prioritized over others, including the lower limbs, particularly the anterior thighs. This study aimed to identify anterior thigh preferences by age, sex, ethnicity, and region and assess their importance as a factor of female beauty by conducting an online survey. METHODS: Photographs of a 24-year-old female model were modified in two front-view and side-view panels. Through a survey on the Amazon Mechanical Turk platform, participants were asked to order the images from the most b…

Surgical Anatomy for Asian facial Contouring: A Personal Perspective.

This paper introduces my personal perspective on anatomic structures for reduction malarplasty, mandibular contouring surgery, and masseter muscle resection. The zygomaticofacial nerve innervates a rectangular area, and each side measures 18.8±4 and 15.8±3.4 mm. The center of the rectangle is located laterally, at 17.3±5.5 mm from the lateral canthus, and then inferiorly, at 18.1±3.1 mm. The point of the zygomaticotemporal nerve appears at the margin of the zygomatic bone, 11.29±2.65 mm below the zygomaticofrontal suture and 21.76±2.76 mm from the superior border of the zygomatic arch. The inf

An Update on the Cosmetic Use of Botulinum Toxin: The Pattern of Practice among Korean Dermatologists.

The efficacy and safety of botulinum toxin injection have made it a popular aesthetic procedure worldwide. A cross-sectional survey was perf … d, and crow's line, in decreasing order) was the most favored area of injection (51%). In contrast, body contouring (i.e., shoulder, calf) and treatment for benign masseter hypertrophy were significantly more popular in the 20-30 years age group than their older counterparts. For wrinkle effacement, the most preferred dilution was 100 units/2.5 mL with isotonic s …

Injectable poly-L-lactic acid (Sculptra): technical considerations in soft-tissue contouring.

BACKGROUND: Poly-L-lactic acid gained U.S. Food and Drug Administration approval for use in human immunodeficiency virus-related facial lipoatrophy in August of 2004. Since that time, it has become available for use in the United States for human immunodeficiency virus facial lipoatrophy patients and for off-label uses in other areas for soft-tissue contouring. This article is intended to enumerate reconstitution, injection techniques, management, and avoidance of complications. METHODS: The authors have pooled their experiences to arrive at a consensus opinion for recommendations on treatmen

Restoring the incisal edge.

Restorative dentistry evolves with each development of new material and innovative technique. Selection of improved restorative materials that simulate the physical properties and other characteristics of natural teeth, in combination with restorative techniques such as the proximal adaptation and incremental layering, provide the framework that ensures the optimal development of an esthetic restoration. These advanced placement techniques offer benefits such as enhanced chromatic integration, polychromatism, ideal anatomical form and function, optimal proximal contact, improved marginal integ

Sensory changes after traditional and ultrasound-assisted liposuction using computer-assisted analysis.

Postoperative sensory changes (i.e., hypesthesias) that occur after suction-assisted lipoplasty (SAL) are expected clinical sequelae. These disturbances usually return to normal within several weeks to months postoperatively. The presumed mechanism of injury is direct trauma to the peripheral nerves from the suction cannula. In addition, the potential for demyelination of peripheral nerves secondary to cavitation during ultrasound-assisted liposuction (UAL) is well known. Quantitative data describing hypesthesia after both procedures are limited. The purpose of this study was to objectively ev

Lower-extremity Deep Vein Thrombosis after Plastic Surgery: Clinical Characteristics and Outcomes in a Retrospective Case Series.

BACKGROUND: Deep vein thrombosis (DVT) is a significant complication in plastic surgery, particularly affecting the lower extremities. Under … cally heterogeneous and involved complex perioperative settings, including post-massive weight loss body contouring, craniofacial reconstruction with implant use, neurosurgical-related reconstruction, extensive head and neck lesion surgery, and posttraumatic facial reconstruction. All DVTs were confirmed by duplex Doppler ultrasonography, with thrombi involving t …

The "Y technique": Redefining the Surgical Approach to Combined Labia Minora and Clitoral Prepuce Reduction.

INTRODUCTION: Labiaplasty is the most frequently performed female genital cosmetic surgery worldwide, with indications extending beyond aesthetics to functional and psychosocial concerns. Labia minora elongation is frequently accompanied by clitoral prepuce prominence, yet this remains overlooked in surgical planning. This study describes a surgical technique integrating labia minora reduction with clitoral prepuce contouring and reports outcomes in a retrospective cohort. METHODS: Women who underwent labiaplasty between 2018 and 2023 were contacted, and 132 of 185 (71.3%) returned anonymous

Outcomes of the Goldilocks Technique in High-Risk Breast Reconstruction Patients.

BACKGROUND: The Goldilocks technique seeks to provide a safe alternative for patients who are otherwise at risk of adverse complications during reconstruction. The technique involves deepithelializing and locally contouring mastectomy skin flaps to create a breast mound. The purpose of this study was to analyze outcomes in this cohort of patients. METHODS: A review was performed on a prospective database of all patients who underwent postmastectomy Goldilocks reconstruction between June of 2017 and January of 2021 at a tertiary care center. Data queried included patient demographics, comorbid