Topics include: Defining the problem/proof of concept; The reconstructive model; Do ADM’s change the rationale for immediate vs. delayed?; Direct to implant reconstruction; Capsular contracture and ADM’s; Pocket reinforcement/bottoming out; ADM’s in the irradiated breast; Emerging applications; Comparison of different ADM materials; Tips and pearls; Economic considerations

This issue of Clinics in Plastic Surgery, Guest Edited by Drs. Stefan Hofer, Jian Farhadi and Jaume Masia, is devoted to Contemporary Indications in Breast Reconstruction. Articles in this comprehensive issue include: Modern approaches to surgical management of malignant breast disease and the role of breast conservation, complete mastectomy, skin and nipple sparing mastectomy; Radiation therapy and immediate breast reconstruction: Novel approaches and evidence base for radiation effects on the reconstructed breast; Current chemotherapy for breast cancer treatment and the evidence based interaction with autologous and implant based breast reconstruction; Indications and controversies in partial mastectomy defect reconstruction; Indications and controversies for implant-only based breast reconstruction; Indications and controversies for implant-based breast reconstruction utilizing biological meshes; Indications and controversies for implant-based breast reconstruction utilizing artificial meshes; Indications and controversies for complete and implant-enhanced latissimus dorsi breast reconstructions; Indications and controversies for abdominally-based complete autologous tissue breast reconstruction; Indications and controversies for non-abdominally-based complete autologous tissue breast reconstruction; Indications and controversies in partial lipofilling for breast reconstruction; Indications and controversies in complete breast reconstruction with lipofilling; Immediate versus delayed breast reconstruction: Evolving concepts and evidence base; Risk reducing mastectomy and breast reconstruction: Indications and evidence for current management strategies; and Patient-centered breast reconstruction by treating health-related quality of life in an evidence-based fashion.

In this issue of Clinics in Plastic Surgery, guest editor Dr. Neil Tanna brings his considerable expertise to the topic of Breast Reconstruction. Top experts in the field cover key topics such as modern approaches to oncoplastic surgical treatment; modern approaches to implant-based breast reconstruction; pre-pectoral breast reconstruction; breast implant-associated anaplastic large cell lymphoma; operative efficiency; and more. - Contains 18 relevant, practice-oriented topics including preoperative assessment of the breast reconstruction patient; revision of implant-based breast reconstruction; modern approaches to abdominal flap-based breast reconstruction; the hybrid breast reconstruction; robotic breast surgery and robotic breast reconstruction; and more. - Provides in-depth clinical reviews on breast reconstruction, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

With breast augmentation and tumor removal the #1 procedures in cosmetic surgery and reconstructive surgery, respectively, according to latest ASPS information, this issue on breast augmentation presents discussion of procedures for cosmetic enhancement and for breast reconstruction. The first section includes topics such as: Evolution and Future Development of Breast Implants; Standardization of the Bra Cup; Process of Breast Augmentation with Special Focus on Patient Education, Patient Selection and Implant Selection; Etiology & Prevention of Capsular Contracture; 3-D Imaging and Simulation in Breast Augmentation: What is the Current State of the Art?; Fresh Look at the Anatomy of the Chest Wall with Special Attention to the Pectoralis Major and Infra-Mammary Fold with Implications to Breast Surgery; Differences between Saline & Silicone Implants that Most Plastic Surgeons Don't Know; Shapes, Sizes, Shells and Surface and the Selection Process of Breast Implants; Shapes, Proportions and Variations in Breast Aesthetic Ideals - definition of breast beauty: analysis and surgical practice. The next section presents surgical approaches and techniques for breast implant surgery: Teaching Breast Augmentation What are the Critical Intra Operative Steps & Decision Making: Maximizing Results and Minimizing Revisions; Mastering the Nuances of Highly Cohesive Shaped Breast Implants; Strategies, Challenges and Solutions in Augmentation Mastopexy Patients: The Most Difficult Primary Breast Procedure; Use of Scaffold Support of the Breast in Primary Augmentation Mastopexy; Considerations and Improvement of Breast Asymmetry in Primary Augmentation; Surgical Strategies in the Correction of the Tuberous Breast; Subfascial Apprach to Breast Augmentation with Lipofilling of the Breast; Surgical Approaches to Breast Augmentation: Surgical Options for Incisions & Planes; Fat Grafting / Fat Transfer to the Breast; Use of Barbed Sutures in Primary Augmentation and Mastopexy. The final section presents special situations in surgical procedures: High Resolution Ultrasound and the Detection of Breast Implant Shell Failure; Breast Implant Associated ALCL.

Plastic Surgery's pre-eminence in the field of surgical wound management is enhanced with clinical information in this publication. A surgeon involved with an international team training surgeons throughout the world in wound technology leads this issue, presenting advances in wound technology. Wound technology has enabled plastic surgeons to treat a wide variety of wounds successfully and has transformed wound surgery to a thriving, cutting edge specialty. Topics include: Debridement; Microbial Barrier Protection; Harnessing Growth Factors to Influence Wound Healing; Regenerative Materials that Facilitate Wound Healing; Compression and Venous surgery to treat VLUs; Early Experience with Stem Cells in treating Chronic Wounds; Hyperbaric Oxygen, Topical Oxygen and Nasal Oxygen in Wound Management; Negative Pressure Wound Therapy: An Algorithm; Sophisticated Surgical Solutions for Complex Wound Problems; An Algorithm for Limb Salvage for Chronic Ulcers; Outcome Assessment for Chronic Wound Management with Serial Debridement, and Topical Surface Manipulation.

In this issue of Clinics in Plastic Surgery, guest editors Drs. Kevin C. Chung and Brian Starr bring their considerable expertise to the topic of Hand and Upper Extremity Surgery. Top experts in the field discuss key topics such as principles for achieving predictable outcomes in flexor tendon repair; nerve vs. tendon transfers in the management of isolated upper extremity peripheral nerve injuries; free functional muscle transfer; current and future directions for upper extremity amputations: TMR vs. RPNI; and more. - Contains 13 relevant, practice-oriented topics including optimizing outcomes in revision peripheral nerve surgery; the mangled upper extremity: algorithm for salvage/my workhorse flaps; bone grafts and flaps in the management of complex upper extremity defects; optimizing outcomes in the management of the burned hand; preserving and reconstructing the traumatized thumb; and more. - Provides in-depth clinical reviews on hand and upper extremity surgery, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This issue of Clinics in Plastic Surgery, guest edited by Drs. Michael W. Neumeister and Reuben A. Bueno Jr., is devoted to Pain Management in Plastic Surgery. Articles in this important issue include: Pain Pathways and Management in Plastic Surgery; The Opioid Epidemic; Principles of Pain Management in Plastic Surgery; Epidemiology and Treatment of Chronic Generalized Musculoskeletal Pain; Pediatric Pain Management in Plastic Surgery; Enhanced Recovery After Surgery (ERAS); Imaging of Damaged Nerves; Ischemic Pain; Nerve Entrapments; Neuromas; Targeted Muscle Reinnervation; Migraine Surgery; Complex Regional Pain Syndrome; Regenerative Peripheral Nerve Interfaces; and Postoperative Pain Management in Hand and Upper Extremity Surgeries.