Surgery duration is an independent predictor of complications, with a significantly increased risk above 3 hours. Although procedural complexity undoubtedly affects morbidity, operative time should factor into surgical decision making.

Based on univariate and multivariate models in our study, mild perioperative hypothermia appears to be independent of wound complications. LEVEL OF EVIDENCE 4: Risk.

Barbed sutures were associated with significantly higher rates of minor wound complications, specifically when the 2-layer closure technique was performed. Significantly higher rates of erythema were associated with Quill barbed sutures than with V-Loc barbed sutures. LEVEL OF EVIDENCE 4: Risk.

No abstract

The goal of this article is to present a brief background of biofilms and how they pertain to plastic surgery. Of particular interest are how biofilms affect breast prosthesis and their subsequent complications. The authors also present information on how biofilms are involved in soft-tissue filler complications. After a brief review of the pathophysiology of biofilms and their effect on plastic surgery, the authors propose a revised algorithm to assist in guiding the plastic surgeon when faced with complications that involve biofilms that involves more rapid diagnosis and treatment using polymerase chain reaction technology. This article is a review of recent literature.