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r functional and aesthetic symmetrization purposes. These include fat injection to the face, botulinum toxin injection, oculoplastic procedures and more. In this article we describe our patient population with facial nerve paralysis, common facial reanimation procedures, considerations in choosing the appropriate reconstruction procedure and the general approach for treatment of facial paralysis in our multidisciplinary facial paralysis clinic.

Obesity has become one of the most challenging diseases in the modern world due to its high prevalence, its metabolic pathways and its medical impacts. Although bariatric surgeries have become the main treatment for obesity, a new issue is being created – loose skin. Massive weight loss patients undergo body contouring plastic surgery (BCPS) to remove the excess skin and improve their quality of life. Patients’ age, physical and medical status, amount of redundant skin and patients’ personal preferences dictate the number of anatomical areas contoured at every surgical stage. Recent studies have shown that BCPS are a significant protective factor against long-term weight regain following bariatric surgery. Specifically, the number of operated areas have a direct influence on weight control BCPS in three or more anatomical areas following massive weight loss (MWL) is associated with a higher chance of long-term weight loss following body-contouring surgery in comparison to surgery in one area alone. In summae of long-term weight loss following body-contouring surgery in comparison to surgery in one area alone. In summary, BCPS have become a fundamental part of the holistic treatment recommended for patients suffering from obesity.

Implant based breast augmentation and reconstruction are highly prevalent surgeries performed worldwide. Despite the high level of safety associated with these surgeries, surgical intervention is often associated with post-operative complications, some of which have been directly related to the soft tissue biomechanics and the response to compression and loading forces exerted by the weight of the implant, and not necessarily its volume. Here we discuss the issue of weight, based upon the fundamental laws of physics, and present a solution with the development of a novel breast implant technology. The B-Lite® lightweight breast implant (G&G Biotechnology Ltd., Haifa, Israel) enables the surgeon to achieve the patient’s desired breast size and shape while reducing both the risk of damage to the integrity and stability of the breast tissue as well as the risk of long-term breast tissue deformity. Such avoidance of tissue compromise and deformation as well as, ultimately, reoperation improves both patient e B-Lite® lightweight breast implant (G&G Biotechnology Ltd., Haifa, Israel) enables the surgeon to achieve the patient’s desired breast size and shape while reducing both the risk of damage to the integrity and stability of the breast tissue as well as the risk of long-term breast tissue deformity. Such avoidance of tissue compromise and deformation as well as, ultimately, reoperation improves both patient safety and satisfaction. The lightweight implant, considered the world’s first and only implant of its kind, represents a pioneering and meaningful innovation in plastic surgery, and may further improve the clinical outcomes of implant based breast augmentation and breast reconstruction. Disclosure The authors are the sons of Dr. Jacky Govrin Yehudain, the inventor of the B-Lite® implant discussed in the article.

We present our experience in mastectomies for masculine chest contouring, including discussion of techniques, complications and decision-making processes.

Creating a masculine chest is an important component in the process of gender reassignment, in female to male transgenders. This surgery may be performed using various techniques and the main complication is acute hematoma requiring surgical revision.

The study population included all the patients operated on during 2013-2018. Data was collected from the medical files and clinical photos.

A total of 180 mastectomies were performed on 90 patients, 67 of which were performed in the past 5 years; average age was 22.4 years; average tissue weight was 467 grams per breast and operation length was 2.5 hours; 13 (14%) were operated on with the periareolar approach, 3 (3.3%) using a Nipple Areolar Complex (NAC) on scar approach, 37 (41.1%) using a dermal NAC flap approach and 37 (41.1%) using a free NAC graft (41.1%). Complications included two hypertrophic scars, five hematomas requiring revision surgery, three wound dehiscence and two cases of nipple necrosis.

We will present a series of 90 cases of female to male transgenders operated on by the senior author over the past two decades.

The choice of technique changed over the years as did the operation length. The two main approaches are dermal NAC flap and a free NAC graft. Future studies will compare these techniques. There is a need for a clinical classification for choosing the tailored type of operation according to the characteristics of the breast.

The choice of technique changed over the years as did the operation length. The two main approaches are dermal NAC flap and a free NAC graft. MEK inhibitor review Future studies will compare these techniques. There is a need for a clinical classification for choosing the tailored type of operation according to the characteristics of the breast.

We present our experience of direct to implant breast reconstruction with total musculofascial coverage, without the use of ADM.

The prevalence of one-stage breast reconstruction with silicone implants has increased markedly in recent years. This is attributed to advances in the surgical technique of mastectomy and to the increased rate of preventive mastectomy. The use of Acellular Dermal Matrix (ADM) became a common practice. Notwithstanding, ADM utilization may lead to higher postoperative complication rates.

Between 2015 to 2018, a prospective study was conducted at the Sheba Medical Center including all patients undergoing mastectomy and immediate breast reconstruction. In this study, we included patients who underwent direct to implant reconstruction with total musculofascial coverage, without the use of ADM. We gathered demographic, oncologic and surgical features, including post-operative complications, along with aesthetic outcome.

A total of 20 patients (25 breasts) underwent direct to implant breast reconstruction with total musculofascial coverage.