Munich, Germany; Alexandroupoli, Greece; and Houston, Texas

From the Departments of Plastic and Hand Surgery, and the Department of Psychosomatic Medicine and Psychotherapy, University Hospital Rechts der Isar, Munich Technical University; the Department of Plastic Surgery and Burns, Alexandroupoli University Hospital, Democritus University of Thrace, Greece; the Department of Plastic Surgery, University Teaching Hospital Rotkreuzklinikum München; the Roman-Herzog-Krebszentrum Comprehensive Cancer Center, University Hospital Rechts der Isar, Munich Technical University; and the Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine.

Received for publication November 1, 2016; accepted December 28, 2016.

The first two authors contributed equally to the article as a first author.

Presented in part at the 26th Annual Meeting of the European Association of Plastic Surgeons, in Edinburgh, United Kingdom, May 28 through May 30, 2015.

The work described in this article was approved by the authors’ university’s ethics committee (approval number 252/14 TUM).

Disclosure:The authors have no financial interest to declare in relation to the content of this article. No external funding was received for the work presented in this article.

A Video Discussion by Alexes Hazen, M.D., accompanies this article. Go to PRSJournal.com and click on “Video Discussions” in the “Digital Media” tab to watch.

Nikolaos A. Papadopulos, M.D., Ph.D., Department of Plastic and Hand Surgery, University Hospital Rechts der Isar, Munich Technical University, Ismaninger Strasse 22, 81675 Munich, Germany, nikolaos.papadopulos@mri.tum.de, Department of Plastic Surgery and Burns, Alexandroupoli University Hospital, Democritus University of Thrace, 68100 Alexandroupoli, Greece, npapado@med.duth.gr