W. Grant Stevens

W. Grant Stevens
University of Southern California | USC · Keck School of Medicine

About

88
Publications
59,659
Reads
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2,247
Citations
Citations since 2016
26 Research Items
1440 Citations
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2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250

Publications

Publications (88)
Article
Full-text available
Background Facelift continues to be one of the most common aesthetic procedures performed in the United States. Although there exist many techniques and variations, superficial musculoaponeurotic system (SMAS) manipulation, by way of plication, overlap, or SMASectomy, is common and has been shown to result in favorable cosmesis and durability. Howe...
Article
Full-text available
Background In addition to body contouring, there is anecdotal and supportive clinical evidence of reduced laxity and skin tightening after cryolipolysis. 10,11 Objectives The nature by which cryolipolysis triggers dermal changes has not been established. This study investigated fundamental mechanisms behind clinically observed dermal changes using...
Chapter
Mastopexy and mastopexy-augmentation are challenging operations that beautify and rejuvenate the breast. Mastopexy reshapes the breast and elevates the nipple-areola complex into a more youthful position, most commonly addressing ptosis seen with aging, weight loss, or postpartum changes. Without an implant, volumization of the breast and the abili...
Article
Background What constitutes adequate information for decision-making and informed consent is a practical question appropriately answered with deference to expertise. Objectives The specific objectives were to (1) establish consensus on a procedure-specific core information set of essential informed consent information by relevant medical experts f...
Chapter
Augmentation-mastopexy in a single stage is a challenging operation in patients with mammary ptosis due to the simultaneous opposing forces of volume expansion with implants and skin envelope tightening. Augmentation-mastopexy is defined as “secondary” when the patient has undergone previous breast surgery (e.g. augmentation alone, mastopexy alone,...
Article
Background Recent evidence shows accelerating worldwide adoption of social media and suggests a commensurate increase in social media use by integrated plastic surgery residency programs in the United States. Programs nationwide are now making strides to include a longitudinal social media component in their plastic surgery curriculum. Objective T...
Article
Full-text available
Background There were almost 12 million nonsurgical cosmetic procedures performed in the United States in 2016, which represented a 12% increase from the previous year, and popularity is expected to continue rising. Furthermore, nonsurgical fat reduction and body contouring have experienced a dramatic increase in popularity among both men and women...
Article
Background The decision of surgical approach for hair restoration often involves evaluation of the type of alopecia; however, the impact of surgical hair restoration from existing techniques in specific population subsets has not been comprehensively investigated. Objectives The authors sought to systematically review the literature on micrografts...
Article
Full-text available
Background: Best practice for informed consent in aesthetic plastic surgery is a process of shared decision-making (SDM), yet evidence strongly suggests this is not commonly reflected in practice nor is it supported by traditional informed consent documents (ICD). Falsely held beliefs by clinicians about SDM may contribute to its lack of adoption....
Article
This article discusses the various nonsurgical treatments that can be performed in combination with facelift surgery to provide patients with a more complete facial rejuvenation. Nonsurgical adjuncts focus on facial volume enhancement, skin resurfacing, intense pulsed light for pigmentary changes, neuromodulators, and skin care in addition to the s...
Article
Full-text available
Background Cosmetic tourism is an expanding industry with increasing scrutiny in the public domain of complications and patient safety issues. The health and financial implications for patients are large and deserve further investigation. Objectives The aim of this study was to understand the experience of the American Society for Aesthetic Plasti...
Chapter
Nipple inversion is common, occurring in 2–10% of the female population. It can be congenital or acquired, and patients report difficulty breastfeeding and interference with their sexuality when seeking treatment. This deformity can cause significant psychological trauma, and though surgical repair has been developed over the years, little data exi...
Article
Background: Despite the increased understanding of surgical best practices, capsular contracture remains the most commonly reported complication and reason for reoperation following breast implant surgery. This study provides a long-term update to a previous investigation of potential contributing risk factors for capsular contracture in primary a...
Article
Background: In March 2012, the United States Food and Drug Administration approved Sientra's application for premarket approval of its portfolio of round and shaped silicone gel breast implants based on data from the largest silicone gel breast implant study to date. This article presents the results of Sientra's Core Study at the conclusion of 10...
Article
Background Recent studies demonstrate that board-certified plastic surgeons are underrepresented amongst individuals posting public-directed marketing plastic surgery-related content on Instagram. However, peer-to-peer and education-based social media influence has not been studied. Twitter is a social media platform has been suggested to be useful...
Article
Background Ethical guidelines for appropriate use of social media are beginning to be delineated. As social media becomes ingrained in plastic surgery culture, education of residents on appropriate use of social media is increasingly important. Recently, plastic surgery residency programs have begun to utilize social media. Objectives This study c...
Article
Background As the popularity of aesthetic gluteoplasty continues to grow, there is renewed focus on defining the ideal buttocks. However, the literature lacks studies characterizing an ideal thigh, despite the impact of thigh contour on overall gluteal aesthetic. Objectives The authors performed the first population analysis of the characteristics...
Article
Background Several studies have demonstrated that progressive tension sutures (PTS) reduce seroma. Many fear that adding liposuction to abdominoplasty will increase seroma rates and avoid drainless abdominoplasty when performing concomitant liposuction. Objectives We sought to identify whether liposuction increases seroma in PTS and non-PTS abdomi...
Article
In this review, the authors provide a 20-year review and comparison of implant options and describe the evolution of breast implant surface textures; compare available implant surfaces; present long-term safety data from the 10-year US-based Core clinical studies; list the key benefits and risks associated with smooth and textured implants; and pro...
Article
Social media has changed the way plastic surgeons interact with their colleagues, patients, and friends. Social media is a rapidly changing phenomenon that it is critical to plastic surgeons and their practice. Plastic surgery can be marketed directly to consumers and therefore social media can provide a valuable platform to interact with potential...
Article
Full-text available
Background: Since approval in March 2012, data on Sientra's (Santa Barbara, CA) silicone gel implants have been updated and published regularly to provide immediate visibility to the continued safety and performance of these devices. The 9 year follow-up data support the previously published data confirming the ongoing safety and efficacy of Sient...
Article
Background: Implant malposition is a complication of breast augmentation that adversely affects aesthetic outcomes. It is one of the most common reasons for revisionary aesthetic breast surgery yet there is a lack of peer reviewed literature dedicated to the management of this complication. Objectives: The purpose of this article was to summariz...
Article
Background: Abdominoplasty is a common aesthetic procedure in the United States. Pollock and Pollock described their progressive tension technique in 2000 and published a series of 597 patients in 2012 of their experience. The reported seroma rate in the literature ranges from 2% to 26% with drains and 0.1% to 4% with progressive tension sutures (...
Article
Males have become more interested in cosmetic procedures in recent years. Given this, the authors undertook an internet query of plastic surgeon websites within the United States, searching for the promotion of male procedures.1 They identified websites to study using a Google (Mountain View, CA) search for the plastic surgery practices which appea...
Article
Background: Objective measures of research productivity depend on how frequently a publication is cited. Metrics such as the Hirsch index (h-index; total number of publications h that have at least h citations) allow for an objective measurement of the scientific impact of an author's publications. Objectives: The purpose of this study was to as...
Article
Simultaneous breast augmentation and mastopexy is a common procedure often considered to be one of the most difficult cosmetic breast surgeries. One-stage augmentation mastopexy was initially described more than 50 years ago. The challenge lies in the fact that the surgery has multiple opposing goals: to increasing the volume of a breast, enhance t...
Article
Full-text available
: A panel of board-certified plastic surgeons chaired by Dr Grant Stevens convened to discuss their respective experiences with the Sientra High-Strength Cohesive (HSC) Textured Round silicone gel breast implants. The authors have implanted a combined total of approximately 2100 patients. Surgical pearls, complication avoidance, and practice integr...
Article
Full-text available
On March 9, 2012, the Food and Drug Administration (FDA) approved Sientra's premarket approval application for its portfolio of silicone gel breast implants based on their review of Sientra's 3-year study data from the largest pivotal silicone gel breast implant study to date. This included the first approval of shaped breast implants in the United...
Article
Nipple inversion in females can be congenital or acquired. Women who desire treatment for this condition often report difficulty with breastfeeding and interference with their sexuality. However, data are limited on the demographics of patients who undergo surgery to repair inverted nipples and the associated recurrence rates and complications. The...
Article
Full-text available
Vacuum applicators have been effective for cryolipolysis of the abdomen, flanks, inner thighs, back, chest, and arms. However, the lateral thighs have not been easily treated because fat from this area cannot be easily drawn into a vacuum cup. The authors investigated the safety and efficacy of a prototype applicator for treatment of "nonpinchable"...
Article
Full-text available
Numerous surgical options for breast reduction have been described, but in the current healthcare environment, efficiency is of the utmost importance. In this Featured Operative Technique, the authors describe an efficient, reproducible, and simple method for minimal to moderate reduction mammaplasty that utilizes a superior pedicle. The surgical m...
Article
Anecdotally, there have been reports of skin tightening after cryolipolysis, but this has not been studied or reported in the literature. This clinical evaluation of patients treated with cryolipolysis in the thighs, abdomen, arms, and back assesses changes to skin texture, laxity, and cellulite at 2 study centers. From the Vancouver site, a compre...
Article
Increasing the volume of the breast while simultaneously decreasing the skin envelope equates to surgery involving opposing forces. Increasing patient demand and the evolving perceptions of surgeons have led to the growing popularity of the combined augmentation-mastopexy operation. In turn, secondary augmentation-mastopexies and revisional surgeri...
Article
Full-text available
DESCRIPTION A pleasant 50-year-old woman presented to the plastic surgery clinic with complaints of persistent localized excess fat in her lower abdomen despite improved diet and exercise. Cryolipolysis of her abdomen was performed, and she returned to clinic for her 8-week follow-up.
Article
Skin laxity occurs over time as collagen and elastin fibers break down. The breakdown is exacerbated by environmental factors, such as ultraviolet radiation, pollution, and stress. The rate of collagen and elastin degradation accelerates with time, while the rate of new collagen and elastin formation slows. For facial and neck laxity, several treat...
Article
Background: Despite the increasing popularity of the combined augmentation mastopexy procedure among patients, the safety and efficacy of this surgery have been questioned by many surgeons. Objective: The authors investigated the safety and efficacy of the combined augmentation mastopexy procedure. Methods: The authors retrospectively reviewed the...
Conference Paper
Goals/Purpose: Form-stable silicone gel breast implants represent the fifth generation of silicone gel augmentation devices. The combination of the additional silicone crosslinking combined with surface texturing may provide other advantages. The purpose of the study is to compare the surgical outcomes of a consecutive series of breast augmentation...
Conference Paper
Goals/Purpose: The authors performed a retrospective study to determine perioperative and long term outcomes for superior pedicle breast reduction in the outpatient setting. Methods/Technique: A review of 62 total patients who underwent superior pedicle breast reduction from 1990 to 2013 in a single outpatient center was performed. In these c...
Article
Savvy Internet and e-mail marketers often tempt physicians with “best price” promotional offers to purchase medical devices that are “just like hot-selling models” of name-brand devices. Featured technologies run the gamut and include cold lipolysis, laser lipolysis, fractional radiofrequency microneedles, fractional CO2 laser, intense pulsed light...
Conference Paper
Background: Dermal fillers are effective for temporary volume augmentation, especially for deep features like NLFs. This is due to volume expansion, with relatively little precision in placement. Neurotoxins are effective at treating rhytids, but can have undesirable effects on facial expression. Available fillers and neurotoxins are not always opt...
Article
Although there are a few broadly agreed upon contributory factors, the multifaceted etiologies of capsular contracture have remained unresolved for decades. This study investigates a variety of potential risk factors that contribute to capsular contracture in primary augmentation patients. The data used for this analysis includes 5109 implants in 2...
Article
Full-text available
Background: Cryolipolysis has been shown to be a safe and effective noninvasive procedure for the reduction of localized subcutaneous fat. Objectives: The authors examine the safety, efficacy, and procedural growth of cryolipolysis (via the CoolSculpting device; Zeltiq, Pleasanton, California) in a single plastic surgery practice. Methods: A retros...
Article
Background: In March of 2012, the U.S. Food and Drug Administration approved Sientra's application for premarket approval for its Silimed brand silicone gel implants, based on data from the largest silicone gel breast implant study to date. This was the first approval for shaped silicone gel breast implants. This article presents the results of Si...
Article
Full-text available
Form-stable silicone gel breast implants represent the fifth generation of silicone gel augmentation devices. Additional crosslinking between the silicone molecules allows these implants to retain their shape, especially in the vertical position. The authors evaluate the efficacy of Silimed form-stable silicone gel breast implants. A total of 355 p...
Article
Combined cosmetic procedures have become increasingly popular. One of the most common combinations of cosmetic procedures includes abdominoplasty and cosmetic breast surgery. The shortened recovery and financial savings associated with combined surgery contribute to the increased demand for these combined surgeries. The goal of this study was to ev...
Article
Since the introduction of fourth- and fifth-generation silicone gel implants, manufacturers have conducted several prospective, multicenter trials to examine their safety and efficacy. However, these studies were not standardized with regard to surgeon skill, pocket placement, operative technique, adjunct therapies, or postoperative management. The...
Article
This study aimed to examine serial operative trends with patients who have experienced surgical implant deflation. In addition, the economic impact of deflation on practice caseload was analyzed. A retrospective review was conducted to examine patients who experienced deflation from 2000 to 2007. Patient demographics, implant data, and the presence...
Article
In the last 15 years, reduction mammaplasty has been increasingly performed on an outpatient basis. Despite this evolution, few outcome studies have been published regarding outpatient breast reduction surgery. The authors documented clinical outcomes of reduction mammaplasty performed in an outpatient setting over an 11-year period and compared th...
Article
One-stage mastopexy with breast augmentation is an increasingly popular procedure among patients. In the past 9 years, there has been a 506 percent increase in mastopexy procedures alone. Although some recommend a staged mastopexy and breast augmentation, there are currently no large studies evaluating the safety and efficacy of a one-stage procedu...
Article
Simultaneous breast augmentation and mastopexy has historically been a controversial topic, and it has been considered by some to be a difficult and unpredictable procedure. Secondary breast augmentation and mastopexy after previous breast surgery is rarely discussed in the literature, and little is known about the outcomes of these secondary proce...
Article
Abdominoplasty has traditionally been described in the literature as an operation that is performed in a hospital setting, although more recently it is likely that most procedures are performed on an outpatient basis. To date, there have been very few large series illustrating the safety and efficacy of abdominoplasty performed in outpatient surger...
Article
Full-text available
Office-based plastic surgery with general anesthesia has several benefits compared with hospital-based surgery. Office-based procedures can be done in a safe, cost- and time-efficient manner, with improved convenience for both the surgeon and the patient. A review and discussion of outpatient plastic surgery procedures at the Marina Outpatient Surg...
Article
Although there is an abundance of data in the literature regarding the safety of breast reduction and augmentation, nearly all of the literature concerning mastopexy describes techniques. There are few studies regarding revision and complication rates for mastopexy procedures. A retrospective review was performed on a series of 150 consecutive pati...
Article
Although some authors have reported that 1-stage breast augmentation with mastopexy does not increase the risks of surgery, recent literature has raised the question of whether better results might be achieved by staging the procedures. The authors evaluated the safety and efficacy of 1-stage breast augmentation with mastopexy in their own patients...
Article
The purpose of this study was to determine whether or not prefilled breast implants retain their volume in packaging. This study examined 32 Poly Implant Prosthesis prefilled textured saline breast implants. All of these implants were within the manufacturer's expiration date at the time of weighing. No holes were visible on any of the implants. Al...
Article
This study was designed to evaluate and compare the complication rates of patients having abdominoplasty without breast surgery with the rates of those having abdominoplasty with various types of elective breast surgery, including breast augmentation, breast reduction, mastopexy, and mastopexy combined with simultaneous augmentation. The data colle...
Article
Although several studies have been published documenting the safety of laser-assisted breast reduction, they have involved only small numbers of patients. The authors conducted a retrospective chart review of a series of 367 consecutive patients who underwent inferior pedicle laser-assisted breast reduction surgery at a single outpatient facility f...
Article
This study provides the first large-volume (1000 implant) comparison of the deflation rates of Poly Implant Prosthesis prefilled textured saline breast implants versus a control group of Mentor Siltex textured saline implants. A consecutive series of 500 Poly Implant Prosthesis prefilled textured saline breast implants was compared with a consecuti...
Article
The popularity of plastic surgery "makeover" television programs has increased interest among the public and the medical community in both the positive and negative aspects of combined surgery procedures. In particular, the safety of combining abdominoplasty with lipoplasty became a matter of concern following multiple deaths in Florida and the con...
Article
Although inflatable saline implants have been in use since 1965, few studies have examined their deflation rates over time. We conducted a retrospective study to analyze the deflation rate for Mentor inflatable Siltex saline implants (Mentor Corp., Santa Barbara, CA) for a period of 5 years following implantation. The study group included 645 Silte...
Article
It is increasingly common for patients to request that multiple cosmetic procedures be performed during a single operation. The advantages of combined procedures include a single recovery period, reduced surgery costs, and faster patient gratification. Traditional surgical thinking, however, has favored the performance of some procedures individual...
Article
Many methods for the correction of the inverted nipple have been described, but no consensus has been reached as to which is the best approach. We describe an integrated approach to the correction of nipple inversion that minimizes ductal disruption. We performed initial nipple eversion using gentle traction with a skin hook. The nipple base was ap...