1 The Plastic Surgery Clinic, Mississauga, Ontario, and Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland The Plastic Surgery Clinic, Mississauga, Ontario, and Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.