Roger K. Khouri Archives

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Total breast reconstruction by external vacuum expansion (EVE) and autologous fat transfer (AFT)

Introduction Breast reconstruction continues to evolve and has come a long way from having prosthetic implants as the sole option. Since the early 1980s, the pedicled transverse rectus abdominis muscle (TRAM) flap and its microvascular free flap refinement gave patients…

Percutaneous Aponeurotomy and Lipofilling (PALF): A Regenerative Alternative to the Flap

Introduction “Don't cut what you don't see!” This rule mandates large incisions and wide open surgical exposure to safely dissect aponeurotomic fibers and release restrictive scars or fascial structures. “Borrow from Peter to pay Paul.” This fundamental principle of flap…