PRS Best Papers Awards 2020

Editor-in-Chief, Rod J. Rohrich, MD announces the 2020 awards for the Best Papers in "Plastic and Reconstructive Surgery."

The editorial and publishing PRS Best Paper Awardsstaff scoured data for all manuscripts published in 2019 to determine the number of times each article was read on Ovid and on PRSJournal.com (combined Full-Text and PDF usage) or the 16 months following article publication. This 16-month data was combined to create an average score for each manuscript, placing them on equal footing, independent of publication month. The articles were sorted by score, and selected based on pre-existing categories. This average data was combined to create a score for each manuscript, placing them on equal footing, independent of publication month. The articles were sorted by score, and selected based on pre-existing categories.

Best Reconstructive Breast Paper

A Matched-Pair Analysis of Prepectoral with Subpectoral Breast Reconstruction
Authors: Momeni, Arash; Remington, Austin; Wan, Derrick; Nguyen, Dung; Gurtner, Geoffrey

The reason for conducting this study was to try to provide an answer to questions pertaining to adequacy of soft tissue coverage and infectious complications in pre-pectoral breast reconstruction. It is fair to say that pre-pectoral reconstruction is the minimally invasive approach to implant-based breast reconstruction. Yet, the bulk of clinical studies at the time consisted of single technique retrospective analyses. Here, we investigated whether the plane of device insertion would impact complication rates. We were encouraged by our observation that in a matched patient population, immediate pre-pectoral tissue expander placement with less than 24 hours of antibiotic prophylaxis compared favorably to sub-pectoral device placement.

Best Cosmetic Breast Paper

Analysis of the Visual Perception of Female Breast Aesthetics and Symmetry(Norway)
Authors: Pietruski, Piotr; Paskal, Wiktor; Paskal, Adriana; Jaworowski, Janusz; Paluch, Łukasz; Noszczyk, Bartłomiej

Due to its subjective character, the term "breast attractiveness" is poorly defined, and hence, its reliable, standardized assessment remains a challenge both for clinicians and researchers. In our work, we decided to explore the process of visual perception of breast aesthetics and symmetry using eye-tracking technology so it can be understood better, which in turn, might help to improve or create new, more reliable evaluation methods of the breast.

Best Overall Cosmetic Paper

Topography of the Central Retinal Artery Relevant to Retrobulbar Reperfusion in Filler Complications
Authors: Lee, Shin-Hyo; Ha, Tae-Jun; Lee, Je-Sung;Koh, Ki-Seok; Song, Wu-Chul

Best Cosmetic Surgery Paper

Composite Buttock Augmentation - The Next Frontier in Gluteal Aesthetic Surgery
Authors: Aslani, Alex; Del Vecchio, Daniel

Best Cosmetic Medicine Paper

Aging of the upper lip, part II: Evidence Based Rejuvenation of the Upper Lip: a Review of 500 consecutive Cases
Authors: Tonnard, Patrick; Verpaele, Alexis; Ramaut, Lisa; Blondeel, Phillip

Best Special Topic Paper

Local Anesthetic Systemic Toxicity: A Narrative Literature Review and Clinical Update on Prevention, Diagnosis and Management
Authors: Gitman, Marina; Fettiplace, Michael; Weinberg, Guy; Neal, Joseph; Barrington, Michael

Best Hand Paper

Extreme Thumb Losses: Reconstructive Strategies
Author: del Piñal, Francisco
I was inspired to write this paper because I wanted share what has worked for me in the last 25 years for thumb reconstruction, which was a bit different than the gold-satndard.

Best Peripheral Nerve Paper

Outcomes, Challenges and Pitfalls After Targeted Muscle Reinnervation in High Level Amputees. Is It Worth The Effort?
Authors: Pietruski, Piotr; Paskal, Wiktor; Paskal, Adriana; Jaworowski, Janusz; Paluch, Łukasz; Noszczyk, Bartłomiej
As Albert Einstein says "The important thing is not to stop questioning.“ Patients’ needs and the spirit within our research group drives us to engage on new projects and critically think about the current approaches.

Best Pediatric/Craniofacial Paper

Unilateral Cleft Lip Nasal Deformity: Foundation-Based Approach to Primary Rhinoplasty
Authors: Tse, Raymond; Mercan, Ezgi; Fisher, David; Hopper, Richard; Birgfeld, Craig; Gruss, Joseph

Each year our fellows open their eyes to a different way to doing things and leave with some new tools. We wanted to share our approach with others so that they might also incorporate concepts and improve the care that they provide. While our paper describes this approach, the 3D image analysis revealed findings that were more profound and that changed our fundamental understanding of the cleft deformity. This has been a catalyst for subsequent studies that challenge dogma and clarify misperceptions that have propagated over decades. Joe Gruss spent much of his career challenging doctrines. Ironically, this was his last publication before retirement and passing away. If we could all be inspired by his legacy and continue to ask “why”, the world will continue to evolve into a better place to be.

Best Head and Neck Reconstruction Paper

Neurotized Platysma Graft: A New Technique for Functional Reanimation of the Eye Sphincter in Long-Standing Facial Paralysis
Authors: Nassif, Tomaz; Yung Chia, Chang

Facial palsy is a challenging state to surgeons like us dedicated to treat this kind of patients. Moreover, long standing paralysis need to have muscular substitution, by transposition or transplantation, being more difficult and letting to uncertain results. Indeed, the most used treatments for the orbicularis oculi were palliative and unsatisfactory. A demand for a simple, effective, and functional surgical treatment for this area inspired us to study new options, get started with this experimental technique 25 years ago and finally write this paper after having good and satisfactory results and a reproducible operation.

Best Trunk Reconstruction Paper

Surgical Treatment of Lymphedema
Authors: Schaverien, Mark; Coroneos, Christopher

Lymphedema is a debilitating, common, and chronic clinical condition affecting approximately 1 in 29 people worldwide. In the United States it predominantly results from the treatment of cancer, in particular breast cancer, where it is the greatest survivorship burden.

Lymphedema adversely affects patients' quality of life and results in substantial cost burdens to both patients and the healthcare system. Modern surgical techniques are effective in ameliorating the long-term disability and functional impairment inflicted by lymphedema on the lives of those affected. The surgical treatment of lymphedema is a rapidly developing field and our objective was to provide readers with a comprehensive review of the techniques and outcomes, as well as to provide an evidence-based approach for managing these patients.

Best Lower Extremity Reconstruction Paper

Strategies for Reconstruction of the Plantar Surface of the Foot: A Systematic Review of the Literature
Authors: Crowe, Christopher; Cho, Daniel; Kneib, Cameron; Morrison, Shane; Friedrich, Jeffrey; Keys, Kari

Reconstructing the plantar surface of the foot is often a difficult undertaking, owing to its unique ability to withstand compressive and shearing forces during stance and gait. As such, no single technique fits the specific needs of every individual defect. Instead, the plastic surgeon is tasked with knowing which options are available. Although there is an immense amount of published data related to plantar resurfacing, surgeons face the daunting task of deriving meaning from this growing body of literature. In our study, we systematically reviewed all available articles on the subject – not only to determine the outcomes of various reconstructive modalities, but also develop a practical guide to address these challenging plantar defects.

Best Experimental Paper

Extracellular Vesicles from Human Adipose Derived Stem Cells for the Improvement of Angiogenesis and Fat Grafting Application
Authors: Mou, Shan; Zhou, Muran; Li, Yuan; Wang, Jiecong; Yuan, Quan; Xiao, Peng; Sun, Jiaming; Wang, Zhenxing

Liposuction must be the most convenient operation to obtain adipose derived mesenchymal stem cells (ADSCs), especially for plastic surgeons. Nearly 500 liposuctions were performed in our department of plastic surgery in Wuhan Union Hospital each year. Therefore, we conducted lots of experiments associated with ADSCs in various aspects (tissue regeneration, biofabrication, fat transplantation). When expanding ADSCs, huge amount of culture medium was added , changed and discarded everyday. And recent reports have showed that there might exist lots of extracelluar vesicles(EV) in the discarded culture medium. Since ADSCs have been proven as a potential choice for CAL(cell-assisted lipotransfer) technique. It aroused our interests that whether ADSC-EVs have similar functions to ADSCs, so that the EVs from discarded medium might be cost-effective alternative to CAL. Fortunately, we succceed and we believe the upcoming ADSC-EV related technique will undoubtedly improve plastic & aesthetic surgery in future.

Best United States Paper

Timing of Microsurgical Reconstruction in Lower Extremity Trauma: An Update of the Godina Paradigm
Authors: Lee, Z-Hye; Stranix, John; Rifkin, William; Daar, David; Anzai, Lavinia; Ceradini, Daniel; Thanik, Vishal; Saadeh, Pierre; Levine, Jamie

The purpose of our study was to examine the relevance of the 72-hour cutoff set forth by Godina related to flap complication rates, as his landmark paper has long been cited as proof for worse flap outcomes for reconstructions performed after 72 hours of injury. By providing evidence for extending this “acute” phase of reconstruction to 10 days, we feel that this allows reconstructive surgeons to perform adequate serial debridements especially in injuries with large zones of injury and to arrange for triage to specialized limb salvage centers. We hope that our study encourages less experienced surgeons to transfer patients and also provides some flexibility for the accepting surgeon to plan and perform reconstruction beyond the initial 72 hours after injury without having to wait 3 months for definitive treatment as has been traditionally suggested according to the Godina paradigm.

Best International Paper

New Insights on Lipedema: The Enigmatic Disease of the Peripheral Fat
Authors: Bauer, Anna-Theresa; von Lukowicz, Dominik; Lossagk, Katrin; Aitzetmueller, Matthias; Moog, Philipp; Cerny, Michael; Erne, Holger; Schmauss, Daniel; Duscher, Dominik; Machens, Hans-Guenther

Lipedema research is a new and challenging field of science that is still full of mysteries. The pathogenesis of this disease is yet unclear and my aim is to unravel it's secrets. Being a board certified plastic surgeon working at the frontiers of lipedema research and surgery in Germany I will not rest until the situation of affected women worldwide can be improved.

Honorable Mention: Best Ideas & Innovations Paper

Gluteal Implant-Associated Anaplastic Large Cell Lymphoma
Authors: Mendes, José; Mendes Maykeh, Vinicius; Frascino, Luiz; Zacchi, Flavia F.

Best Emerging Author Paper

Subbrow Blepharoplasty Combined with Periorbital Muscle Manipulation for Periorbital Rejuvenation in Asian Women
Authors: Wang, Jianzhang; Su, Yingjun; Zhang, Juan; Guo, Peng; Song, Baoqiang

Best Video

Replantation Technique. Video 1 from "Practical Tips To Improve Efficiency and Success in Upper Limb Replantation" 144 (5) CME
Author: Woo, Sang Hyun

When the CME editor, Dr. Donald Lalonde asked me to write an article about replantation, I called patients who had replantation surgery long time ago through to check functional outcomes and to take pictures and videos. I was quite surprised that the patients expressed their sincere gratitude for the operation despite the severe deficit and inadequate functional recovery. They incited in me a sense of mission and pride as a plastic surgeon when I saw them using their hands while maintaining their original jobs or working with new ones. Personally I’ve been doing replantation surgery since 1989 and current our “W team” has been doing replantation every day for more than 10 years together. All 10 board-certified hand surgery specialists did more than 700 cases of replantation and revascularization every year. As the first author, I would like to thank and honor all the staff for their sleepless endeavor. And I would like to share my clinical experiences of replantation cases with all plastic surgeons in the world.

Authors were not allowed to win twice, even for different papers or different awards. The Editor-in-Chief, Co-Editor, Editor-in-Chief Designate, the ASPS Executive Committee, and members of the 2020 PRS Editorial Board were ineligible. Emerging Author paper- First author and others on a paper who have been authors on fewer than five PRS papers. Only Original articles, experimental, and special topics are considered. Best Special Topic Paper category includes special topic articles in any sub-section of the journal, including "Plastic Surgery Focus."