A Novel Approach to Surgical Markings Based on a Topographic Map and a Projected Three-Dimensional Image.
Surgical markings play a crucial role in the planning of plastic surgery procedures. However, despite their importance, they are often imprecise. For instance, when assessing patients in need of autologous fat grafting, surgeons often base markings on estimations of where volume deficiency exists and how much volume will correct the deficiency. In this article, the authors describe a novel approach to lipostructure, guided by a computer-based roadmap. A digital three-dimensional topographic surgical map is created using three-dimensional photography and analytic software and then projected as an image onto the patient in the operating room. This unique concept can be applied to most soft-tissue procedures in plastic surgery.



Therapeutic, V.
Bronx, N.Y.|From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine.
Jillian E
JE
Schreiber
Bronx, N.Y.|From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine.
Carrie S
CS
Stern
Bronx, N.Y.|From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine.
Evan S
ES
Garfein
Bronx, N.Y.|From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine.
Katie E
KE
Weichman
Bronx, N.Y.|From the Department of Surgery, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine.
Oren M
OM
Tepper
D000273:Adipose Tissue / Q000637:transplantation; D000066491:Clinical Decision-Making; D005146:Facial Asymmetry / Q000473:pathology / Q000601:surgery*; D057918:Fiducial Markers; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D007267:Injections; D007430:Intraoperative Care; D010781:Photography / Q000379:methods*; D011300:Preoperative Care; D000068997:Smartphone; D012984:Software; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013518:Surgery, Plastic / Q000379:methods*; D014182:Transplantation, Autologous / Q000379:methods