Background:Morbid obesity has become a common problem worldwide and as a result the demand for bariatric surgery has increased as well. Most patients develop skin redundancy and sagging at many body parts after major weight loss procedures which increased the demand for body contouring procedures.Aims:The study was to address the prevalence and patient's desire for body contouring procedures.Materials and Methods:A cross-sectional study targeting the postbariatric patients from April 2011 to October 2011 was conducted at our hospital. Questionnaire was administered in order to measure frequency and patients desire to undergo body contouring surgery after massive weight loss.Results:The total number of patients was 128 patients. The mean age of our patients was 37-year old (range 18-56 year). The percentage of the desire for body contouring surgery after bariatric surgery was 78.1%. There was very pronounced desire to body contouring surgery after those who underwent gastric bypass surgery with P-value 0.001. Only 18 patients (14%) have underwent body contouring surgery, with a total of 29 procedures, in which abdominoplasty considered the most commonly procedure performed (57%).Conclusion:With the increasing number of weight loss surgery, there is higher number of patients that desire a body contouring surgery, which create huge disparity between demand and accessibility.

Unicoronal craniosynostosis predisposes to ophthalmologic abnormalities such as strabismus, astigmatism, and amblyopia. The authors explored the ophthalmologic outcomes following fronto-orbital advancement (FOA). A systematic search of PubMed, Embase, and the Cochrane Library was conducted. Included studies reported postoperative rates of strabismus, astigmatism, and/or amblyopia. Two independent reviewers performed screening and extracted data including preoperative rates, laterality and severity of findings, need for ocular surgery, and timing of FOA. Methodologic quality was assessed using the Methodologic Index for Non-Randomized Studies scale and American Society of Plastic Surgeons Evidence Rating Scale for Therapeutic Studies. A total of 231 abstracts were screened. Sixteen articles were eligible for qualitative synthesis including 13 case series and 3 retrospective comparative studies. Nine studies contained both preoperative and postoperative data, but for strabismus only. Postoperative prevalence of strabismus was 19% to 100%. Rates increased in 4 studies and decreased in 3. Incidences of new and resolved cases of strabismus were 0% to 60% and 0% to 33%, respectively. Twenty-five percent to 100% of patients required strabismus surgery. Postoperative rates of astigmatism were 15% to 92%. Fourteen percent to 41% had clinically significant anisometropia, predisposing to amblyopia. The postoperative prevalence of amblyopia was 3% to 56%. In summary, FOA does not appear to reduce rates of strabismus, astigmatism, or amblyopia. In addition, surgery carries the risk of iatrogenic strabismus. Earlier intervention and endoscopic techniques may reduce prevalence and severity, but additional research is required.

Background: Social media have revolutionized the way we access information. Twitter is the most popular microblogging website and has become a tool for plastic surgery journals to connect with the greater academic community and public. The purpose of this study was to objectively assess the use of Twitter by plastic surgery journals. Methods: Twelve plastic surgery journals were searched on Twitter. The following data were collected: age of Twitter profile, number of followers and tweets posted, and whether the journal’s website had a link to Twitter or another social media website. All tweets were reviewed from May to July of 2017 inclusive, and the level of evidence of each original article posted in the tweets was recorded. Impact factor and Klout score (a social media influence score) were collected for all journals. Results: Six of 12 plastic journals had a Twitter profile. The most social media–influencing journal in plastic surgery was Plastic and Reconstructive Surgery. This was followed by the Aesthetic Surgery Journal and the Journal of Hand Surgery (American and European Volumes). The presence of a Twitter profile was not associated with a higher impact factor for the journal. The Klout score was correlated with impact factor. Since joining Twitter, five of the six journals with Twitter profiles experienced increases in their impact factor. Conclusion: Twitter can be a quick and easy-to-use tool to increase exposure to evidence-based information from academic journals in plastic surgery.