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Lower Eyelid Dark Circles (Tear Trough and Lid-Cheek Junction): A Stepwise Assessment Framework Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-03-15 Steven Liew, Simone Doreian, Wachira Kunathathorn, Stephanie Lam, Alvin Jorge, Lam Bee Lan, Ellen Selkon, Sean Arendse, Jodie Silleri, Tara Telfer
Background Despite increasing popularity, the use of hyaluronic acid (HA) fillers for the correction of dark under eye shadows remains challenging. Specific guidance on patient assessment is limited. Objectives To develop a stepwise assessment framework for lower eyelid dark shadows to help practitioners to classify patients based on their underlying problems and facilitate a more strategic approach
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The Oncological and Surgical Outcomes of Immediate Oncoplastic Breast Reconstruction With Contralateral Breast Adjustment Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-03-14 Ofir Sahar, Reut Har Zvi, Daphna Barsuk, Yoav Barnea, Or Gelbart Pridan, Keren Hod, Merav Akiva Ben-David
Background Oncoplastic surgery is an expanding approach for managing breast conservation because it offers improved cosmetic outcomes while maintaining oncological safety. Objectives This study aimed to assess the oncological and surgical outcomes of patients who underwent oncoplastic procedures at a single institution. Methods The study population includes all consecutive breast cancer patients who
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A 7-Year Retrospective Analysis of Hymenoplasty: Profiles From a Specialized Gynecological Cosmetic Surgery Practice Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-03-12 Ayşe Konaç
Background Hymenoplasty, the surgical hymen reconstruction, is on the rise in Turkey, reflecting the enduring importance of virginity rooted in sociocultural and religious beliefs. Demographic factors shape women's decisions for this procedure. A seven-year retrospective analysis of 4259 patient records at a private clinic explores motivations and societal pressures, emphasizing the need for understanding
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Long-term Insights: Histopathological Assessment in Polyurethane Implant Capsules up to 24 Years Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-03-12 Gisela H Pontes, Clara P W Ramos, Lucia de Noronha, Fernando Serra-Guimarães, Amanda S Cavalcanti, Ana Paula F Barbosa, Maria Eugenia L Duarte
Background Polyurethane (PU)-coated breast implants are known for their strong integration into breast tissue and the formation of capsules around them. However, capsular contracture can pose both aesthetic and clinical challenges. Objectives To analyze the biological and morphological characteristics of the capsular tissue surrounding PU-coated implants, irrespective of their contracture status, and
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A Novel Approach to Shaping the Lateral Abdomen: Simultaneous Application of High-Intensity Focused Electromagnetic (HIFEM) Therapy and Synchronized Radiofrequency at the Flanks: A Multicenter MRI Study Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-03-12 Joel Cohen, Suzanne L Kilmer, Barry DiBernardo, Carolyn Jacob, Stanley A Okoro, Young Cho
Background An accumulation of adipose tissue on the lateral abdomen (flanks) coupled with muscle deconditioning negatively affects core stability, muscular balance, and the intrinsic strength essential for maintaining optimal body mechanics and posture. This lateral fat accumulation and diminution of muscle result in an unfavorable abdominal profile and present challenges in finding appropriately fitting
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Direct-to-Implant vs Tissue Expander Placement in Immediate Breast Reconstruction: A Prospective Cohort Study Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-03-07 Sarah N Chiang, Alexandra M Keane, Joseph G Ribaudo, Yu Tao, Julie A Margenthaler, Marissa M Tenenbaum, Terence M Myckatyn
Background Direct-to-implant (DTI) breast reconstruction after mastectomy has gained increasing popularity. While concerns over ischemic complications related to tension on the mastectomy flap persist, newer techniques and technologies have enhanced safety of this technique. Objectives To compare clinical and patient-reported outcomes of DTI and two-stage tissue expander (TE) reconstruction. Methods
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Rhinoplasty Outcomes in Patients with Symptoms of Body Dysmorphia Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-03-07 Steven Losorelli, Kyle S Kimura, Eric X Wei, Ahmed S Abdelhamid, Ahmed El Abany, Allen Green, Sabin Karki, Brooke A Stephanian, Cherian K Kandathil, Sam P Most
Background Patients with symptoms of body dysmorphia often seek consultation for aesthetic rhinoplasty. While body dysmorphic disorder is a formal psychiatric diagnosis, recent evidence indicates that patients with symptoms of this condition who seek rhinoplasty may experience increased satisfaction with their appearance following surgery. Objectives To determine the psychological impact of rhinoplasty
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Development and Validation of a Diagnostic Histopathological Scoring System for Capsular Contracture Based on 720 Breast Implant Capsules Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-03-01 Andreas Larsen, Adam Mandrup Timmermann, Mikela Kring, Sif Birch Mathisen, Erik Eiler Frydshou Bak, Tim Kongsmark Weltz, Mathias Ørholt, Peter Vester-Glowinski, Jens Jørgen Elberg, Jesper Trillingsgaard, Louise Vennegaard Mielke, Lisbet Rosenkrantz Hölmich, Tine Engberg Damsgaard, Anne Roslind, Mikkel Herly
Background Capsular contracture is traditionally evaluated using the Baker classification. However, this classification has notable limitations in reproducibility and objectivity. Objectives To develop and validate procedure-specific histopathological scoring systems to assess capsular contracture severity. Methods Biopsies of breast implant capsules were used to develop histopathological scoring systems
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Fresh Frozen, In-Alcohol, or Autologous Costal Cartilage? Analysis of Complications in Over 650 Revision Rhinoplasties Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-03-01 Michele Pascali, Marco Gratteri, Luca Savani, Umberto Rega, Gloria Marchese, Paolo Persichetti
Background When autologous septal cartilage is not enough or even not disposable for graft sculpting in revision rhinoplasty, valid alternatives have to be found. Both autologous and homologous costal cartilage usage has been described in scientific literature. As there is no universally accepted consensus on the cartilage choice to use in these cases, the experiences with the different types of cartilage
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Racial Perspectives on Facelifts: Evaluating Techniques and Outcomes Across Diverse Populations Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-26 Sean P McCleary, Jain Nirbhay, Shahrzad Moghadam, Christina Le, Jason Roostaeian
Background Facial aesthetic surgery is one of plastic and reconstructive surgery’s most sought-after and evolving areas. The growing diversity in both local and worldwide populations compels us to reevaluate our previous approaches and underscores the significance of departing from a singular aesthetic standard. Thankfully, the historical practice of stereotypical racial profiling has become less prevalent
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Polyurethane Implants in Revision Breast Augmentation: A Prospective 5-Year Study Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-26 Moustapha Hamdi, Ayush Kapila, Ellen Peters, Lisa Ramaut, Karl Waked, Gabriele Giunta, Randy De Baerdemaeker, Assaf Zeltzer
Background Revision surgery for aesthetic breast augmentation remains a challenging procedure. Polyurethane (PU) implants have been found to avoid capsular contracture recurrence as well as prevent implant displacement by bio-integrating into the pocket. Objectives Our study aims to assess the use of PU in breast revision surgery and provides an algorithm. Methods Over a 5-year period, a prospective
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Efficacy and Pain Tolerance of Alexandrite Laser Hair Removal at Different Stages of the Menstrual Cycle Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-22 Ertuğrul Karanfil, Metin Görgü
Background Several different parameters play a role in the transition of hair follicles to the anagen phase, with the role of androgens, progesterone, estrogen hormones, and receptors being significant. Objectives The effectiveness of Laser Hair Removal (LHR) and pain tolerance during application were investigated during three different phases of the menstrual cycle. Methods 48 axillae were randomly
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Optimizing Implant Width Selection in Breast Augmentation: Insights from On-Patient Landmark Positioning in 3D Breast Simulation Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-20 Isil Akgun Demir
The VECTRA® XT 3D simulation program is a valuable tool for implant selection during the decision-making process of breast augmentations. The software allows for the assignment of automatically or manually positioned anatomical landmarks and provides accompanying measurements. This study aimed to present a strategy for standardizing landmark placement on Vectra® images during primary breast augmentations
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A Prospective, Multicenter, Evaluator-Blind, Randomized, Controlled Study of Belotero Balance (+), a Hyaluronic-Acid Filler with Lidocaine, for Correction of Infraorbital Hollowing in Adults Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-20 Brian S Biesman, Jose R Montes, Ross C Radusky, Sabine Mersmann, Virginia W Graul
Background The infraorbital hollow (IOH) is a concavity that interrupts the smooth transition between the lower eyelid and the cheek, resulting in a fatigued and aged appearance. Injectable fillers may be used to correct volume deficit in the under-eye area, restoring a more youthful appearance. Objectives To demonstrate the effectiveness and safety of a Cohesive Polydensified Matrix® (CPM) hyaluronic
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Revisiting Level of Evidence Ratings in Plastic Surgery: A Call To Action Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-20 Jason Covone, Hassan ElHawary, Shafic Abdulkarim, Jeffrey E Janis
Background Evidence-based medicine (EBM) underpins medical and surgical practice, with Level of Evidence (LOE) being a key aspect that allows clinicians and researchers to better discriminate the methodological context by which studies are conducted to appropriately interpret their conclusions and more specifically, the strength of their recommendations. Objectives The aim of this study was to reassess
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Comparison of Different Acellular Dermal Matrix in Breast Reconstruction: A Skin-to-Skin Study Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-20 Steven P Davison, Skylar Harbour, Eliana Fassihi
Background Since the early 2000s, Acellular Dermal Matrix has been a popular adjunct to prepectoral breast reconstruction to enhance outcomes. Objectives This study investigated the differences in the postoperative course of two standard acellular dermal matrix companies, AlloDerm SELECT Ready To Use and DermACELL. Methods A prospective, patient-blind study of patients undergoing bilateral nipple and/or
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Deciphering Depressor Anguli Oris for Lower Face Rejuvenation: A Prospective Ultrasound-Based Investigation Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-20 Mengyuan Zhang, Yuyan Yang, Ruijia Dong, Liquan Wang, Yixin Sun, Yunzhu Li, Zhaojian Wang, Ruichen Xu, Wenqian Yang, Lin Jin, Jiuzuo Huang, Nanze Yu, Xiao Long
Background The depressor anguli oris muscle (DAO) is a pivotal treatment target in creation of harmonic jawline. However, evidence of its live morphology remains scarce. Objectives This study aimed to reevaluate DAO by a facile ultrasound analysis and hereby guide safer and more effective botulinum toxin type A (BTX-A) injection. Methods A prospective ultrasound assessment was conducted in 41 patients
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Microbiologic Profile of Nipple Swab Culture and its Association With Postoperative Complications in Prosthetic Breast Reconstruction Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-17 Yi-Jun Moon, Jae-Ho Chung, Hyung-Chul Lee, Seung-Pil Jung, EulSik Yoon
Background In breast surgeries, lactiferous duct heading to lactic glands of breast parenchyma allows direct contamination of normal bacterial flora of nipple-areolar complex. Complete blockage of nipple flora to the intraoperative field is almost impossible. Objectives Therefore, we aimed to analyze the microbiological profile of nipple flora of breast cancer patients who underwent an implant-based
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Fibrosis Management Algorithm in Secondary Liposculpture Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-17 Giovanni Mera-Cruz, Héctor Durán, Natalia Murillo-Romero, Mauricio Pérez, Victoria Rubiano, Laura Camacho-Domínguez
Liposuction is considered one of the most common procedures in plastic surgery. However, major postoperative complications such as visceral injury, fluid overload, and necrotizing fasciitis still occur. Likewise, minor complications such as ecchymosis, seromas, infections, and contour irregularities that do not threaten the life of the patient do generate significant dissatisfaction. Current evidence
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Comparison of Functional and Cosmetic Outcomes Between Dorsal Preservation and Spreader Flap Rhinoplasty: A Randomized Trial Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-17 Rojan Zarei, Sam P Most, Amin Amali, Babak Saedi
Background Preservation rhinoplasty (PR) is a novel and growing method in nasal plastic surgery. Objectives The study aimed to compare the functional and aesthetic outcomes of dorsal preservation rhinoplasty, a new and interesting method, with conventional hump resection. Methods A total of 84 rhinoplasty applicants were randomly assigned to two groups. The first group underwent convention dorsal hump
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Artificial Intelligence-Generated Social Media Content Creation and Management Strategies for Plastic Surgeons Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-16 Jad Abi-Rafeh, Leila Cattelan, Hong Hao Xu, Brian Bassiri-Tehrani, Roy Kazan, Foad Nahai
Background Social media platforms have come to represent integral components of the professional marketing and advertising strategy for plastic surgeons. Effective and consistent content development, however, remains technically demanding and time consuming, prompting most to employ, at non-negligible costs, social media marketing specialists for content planning and development. Objectives The present
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Localization of the Submandibular Glands Using High-Frequency Ultrasound Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-16 Liya Jiang, Jintian Hu, Ying Jia, Ηοngru Zhou, Xueshang Su, Jun Zhuang, Li Yuan, Qiaoyuan Zheng, Hongli Chai
Background Injecting botulinum toxin into the submandibular glands (SMG) can treat drooling symptoms in neurological diseases and improve the aesthetics of SMG hypertrophy and ptotic SMG. Objectives This study defined the size and position of the SMG using high-frequency ultrasound and performed statistical analysis to improve the treatment safety and accuracy of botulinum toxin injection therapy.
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Comparison of Hyaluronidase-Mediated Degradation Kinetics of Commercially Available Hyaluronic Acid Fillers In Vitro Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-15 Jimmy Faivre, Kevin Wu, Mélanie Gallet, Julia Sparrow, François Bourdon, Conor J Gallagher
Background Hyaluronic acid (HA)-based fillers are degradable with hyaluronidase, which allows for better management of adverse effects and reversal of suboptimal treatment outcomes. Objectives To compare the enzymatic degradation kinetics of 16 commercially available HA-based fillers, representing 6 manufacturing technologies. Methods In this nonclinical study, a recently developed in vitro multidose
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A Structured Approach for Treating Calcium Hydroxylapatite Focal Accumulations Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-14 Alec D McCarthy, Jani van Loghem, Keith A Martinez II, Shino Bay Aguilera, David Funt
Background Radiesse, a widely used calcium hydroxylapatite (CaHA) dermal filler, has shown effectiveness in soft tissue augmentation and regeneration. As with all dermal fillers, the potential for nodules may arise. Understanding the pathogenesis of these nodules and exploring effective treatment methodologies are crucial for optimizing patient outcomes. Objectives A literature search was carried out
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Randomized, Single-Blind, Comparative Study of Remimazolam Besylate Vs Propofol for Facial Plastic Surgery Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-10 Yunping Huang, Di Zheng, Kai Xu, Jun Li, Yimei Gu, Zhiwei Yin, Junli Pan, Jian Shen, Xiaoyun Lu, Feifei Zhong, Yanfen Qiu
Background Use of local anesthesia, conscious sedation with a combination of a sedative and anesthetic drug during surgical procedure is an approach designed to avoid intubation and which produces less adverse events compared to general anesthesia. In the present study, a comparison was made between the efficacy and safety of remimazolam besylate and propofol for facial plastic surgery. Objectives
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Symptom Improvement After Explantation With No Capsulectomy for Systemic Symptoms Associated With Breast Implants Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-10 Caroline Glicksman, Patricia McGuire, Sarah Ferenz, Melinda Haws, Marisa Lawrence, Summer Black, Kate Faasse
Background The previously published Aesthetic Foundation (ASERF) biospecimen study documented systemic symptom improvement after implant removal regardless of the type of capsulectomy performed. A limitation of that study was that all subjects had at least some capsule removed for biospecimen analysis of heavy metals, microbes, and capsule histology. Objectives Systemic symptoms associated with breast
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The Effect of 3D-Printed Sequential Dual Drug-Releasing Patch on the Capsule Formation Around the Silicone Implant in a Rat Model Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-08 Hyung Bae Kim, Yeonggwon Jo, Soo Hyun Woo, Se Young Han, Sun Hyeok Lee, Young-Tae Chang, Ju Young Park, Jinah Jang, Hyun Ho Han
Background Implant-based breast reconstruction is associated with increased risk of early infection and late-stage capsular contracture. Objectives We evaluated the feasibility of a dual drug-releasing patch that enabled the controlled delivery of antibiotics and immunosuppressants in a temporally and spatially appropriate manner to the implant site. Methods The efficacy of a dual drug-releasing patch
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Lower Gluteal Liposuction Combined With Upper Gluteal and Infragluteal Region Fat Transplantation: A Novel Concept to Improve Gluteal Ptosis Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-06 Mingzi Yang, Jiyang Li, Weiwei Dong, Qianwen Lv, Yue Qi, Xuefeng Han, Zuoliang Qi, Gui-e Ma, Yunpeng Gu
Background Gluteal ptosis results in a severe disturbance of gluteal aesthetics. Currently, satisfactory procedures for improving gluteal ptosis are lacking. Objectives To improve gluteal ptosis, the authors propose a novel concept of combined liposuction of the lower gluteal region and fat grafting to the upper gluteal and infragluteal regions, and verify its efficacy and safety. Methods Patients
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From Tip of Brush to Tip of Knife: The Relationship Between Post-Mastectomy Breast Reconstruction and the Classical Arts Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-06 Kasey Leigh Wood Matabele, Zeeda H Nkana, Allison J Seitz, Armin Edalatpour, Ashish Y Mahajan, Samuel O Poore
Breast reconstruction is highly complex, requiring navigation of not only clinical and operative realities, but of patient expectations as well. The authors sought to identify historical art pieces that exhibit breast asymmetries and deformities for comparison with photos of breast reconstruction patients seen at the clinic of the senior author to demonstrate that achievement of perfect breast cosmesis
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Secondary Bilateral Cleft Rhinoplasty: Achieving an Aesthetic Result Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-05 Takafumi Saito, Chi-Chin Lo, Junior Chun-Yu Tu, Yoshitsugu Hattori, Pang-Yun Chou, Lun-Jou Lo
Background Secondary rhinoplasty in patients with bilateral cleft lip poses ongoing challenges and requires a reliable method for achieving optimal outcomes. Objectives The purpose of this study was to establish a safe and effective method for secondary bilateral cleft rhinoplasty. Methods A consecutive series of 92 skeletally matured patients with bilateral cleft lip and nasal deformity were included
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Utility and Comparative Performance of Current Artificial Intelligence Large Language Models as Postoperative Medical Support Chatbots in Aesthetic Surgery Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-02 Jad Abi-Rafeh, Nader Henry, Hong Hao Xu, Brian Bassiri-Tehrani, Adel Arezki, Roy Kazan, Mirko S Gilardino, Foad Nahai
Background Large Language Models (LLMs) have revolutionized the way plastic surgeons and their patients may access and leverage artificial Intelligence (AI). Objectives The present study aims to comparatively assess the performance of two current publically-available and patient-accessible LLMs in the potential application of AI as postoperative medical support chatbots in an aesthetic surgeon’s practice
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Breast Implants and the Risk of Squamous Cell Carcinoma of the Breast: A Systematic Literature Review and Epidemiologic Study Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-02 Fabio Santanelli di Pompeo, Guido Firmani, Emilia Stanzani, Mark W Clemens, Demosthenes Panagiotakos, Michail Sorotos
Squamous cell carcinoma may arise primarily from the breast parenchyma (PSCCB) or from the periprosthetic capsule in patients with breast implants (BIA-SCC). A systematic literature review was performed to identify all PSCCB and BIA-SCC cases, and estimate prevalence, incidence rate (IR) and risk. Using predefined keywords, studies since no time limit up to November 2023 were searched on PubMed, Web
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What are the Factors that Induce Paradoxical Hypertrichosis After Laser Hair Removal? Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-01 Yoshikazu Inoue, Hiroshi Nishioka, Maki Inukai, Yusuke Shimizu, Masato Kimura, Hirotaka Akita, Takayuki Okumoto
Background Laser hair removal (LHR) is one of the most requested cosmetic procedures worldwide. A rare side effect is the appearance of excess hair around previously treated areas, known as paradoxical hypertrichosis. Objectives The aim of this study was to retrospectively identify the cause of this side effect. Methods This study included all patients who underwent LHR at our center between November
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Exploring Super-Selective Intra-Arterial Thrombolysis for Autologous Fat Injection–Induced Vision Loss Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-01 Qian Wu, Guiwen Zhou, Xiao Xu, Bing Liu, Qiang Fu, Jie Zhang, Peixuan Zhang, Ruiqi Bai, Fanting Meng, Minliang Chen
Background Intra-vascular injection represents the most severe complication in fat transplantation procedures. Currently, the prognosis for patients who suffer from blindness due to fat transplantation-induced ocular vascular occlusion is far from optimistic. Objectives Exploring and evaluating the efficacy and safety of arterial thrombolysis in the treatment of ocular vascular occlusion caused by
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Technical Refinements and Outcomes Assessment in Prepectoral Pocket Conversion After Postmastectomy Radiotherapy Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-01 Domenico Pagliara, Corrado Rubino, Federica Grieco, Nicola Pili, Pietro Luciano Serra, Laurenza Schiavone, Melba Lattanzi, Rino Aldo Montella, Pierluigi Maria Rinaldi, Diego Ribuffo, Giorgio De Santis, Marzia Salgarello
Background Several studies show how submuscular breast reconstruction is linked to animation deformity, shoulder disfunction and increased postoperative chest pain, when compared to prepectoral breast reconstruction. In solving all these life-impairing side effects, prepectoral implant pocket conversion has shown encouraging results. Objectives The aim of our study is to propose a refinement of the
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Opioid Usage Following Oculoplastic Procedures Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-02-01 Frank Mei, Victoria Garfinkel, Matthew Petroll, Ronald Mancini
Background With the rising toll of the opioid crisis, oculoplastic surgeons have been looking at methods to decrease opioid prescription. Objectives To identify factors that correlate with opioid usage after oculoplastic surgery. Methods This is a prospective study conducted at University of Texas Southwestern. All patients that undergo an oculoplastic procedure were eligible for inclusion. Patients
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Preventing Bacterial Contamination of Breast Implants Using Infection Mitigation Techniques: An In Vitro Study Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-30 Oliver Chow, Helen Hu, Sepehr Lajevardi, Anand K Deva, Richard Atkinson
Background Bacterial contamination of implants has been linked to the formation of biofilm and subsequent infection, capsular contracture and Breast Implant Associated Anaplastic Large Cell Lymphoma. Reducing contamination during implant insertion should therefore reduce biofilm formation disease sequelae. Objectives Compare levels of contamination between preventative techniques. Methods A model to
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Post-mastectomy Breast Reconstruction Using Gas vs Saline Tissue Expanders: Does the Fill Type Matter? Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-29 Arman J Fijany, Sara C Chaker, Cole A Holan, Ya-Ching Hung, Lisandro Montorfano, Ronnie N Mubang, Sofia E Olsson, Anthony E Bishay, Aparna Vijayasekaran, Jorys Martinez-Jorge, Elizabeth D Slater, William C Lineaweaver
The most common reconstruction technique following mastectomy is a two-stage technique that involves tissue expansion followed by definitive implant-based reconstruction (IBR). Tissue expanders (TEs) have classically used saline for initial fill; however, TEs with an initial gas fill (GTE) – including the CO2-based AeroForm TE and TEs initially filled with atmospheric air – have been increasingly used
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Correction of Lying Ear and Aesthetic Modification of Helix and Ear Lobule with Hyaluronic Acid Filler Injection: Experience in Chinese Patients Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-25 Yiming Li, Weiwei Dong, Lingmei Zhang, Ying Yang, Yang Song, Ning Shi, Shiyi Li, Mohd Firdaus Bin Mohd Hayati, Sophia Heng Si Ling, Yujun Tang
Background Large and long ears are regarded as symbols of wealth and health in eastern Asian culture, patients with lying ears wish their ears to be more exposed and prominent. Surgeries correcting lying ears have been documented. Objectives We report correction of lying ears and aesthetic modification of helix and ear lobule with HA injections. Methods We performed HA injections at auriculocephalic
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Pedicle Selection and Design in Reduction Mammaplasty: The Role of Preoperative Fluorescence Imaging Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-25 Yan Lin, Haoran Li, Zhengyao Li, Lin Chen, Wenshan Xing, Xiaoyu Zhang, Dali Mu
Background Breast reduction has a wide selection of pedicles but often relies on the surgeon's preference and experience. Necrosis of the nipple-areola complex (NAC) is a catastrophic complication of breast reduction surgery. Objectives To solve the above problem objectively, we applied fluorescence imaging technology to the pedicle selection and design of breast reduction surgery for the first time
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Correction of Rectus Abdominis Diastasis: A Prospective Comparative Study Between a New Suturable Polypropylene Mesh Vs Polypropylene Standard Suture Plication Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-20 Giovanni Francesco Marangi, Marco Gratteri, Luca Savani, Daniela Porso, Andrea Cimmino, Lucrezia Arcari, Fara Desiree Romano, Francesco Segreto, Carlo Mirra, Paolo Persichetti
Background Duramesh is a new suturing concept, combining the principles of meshes with the precision, flexibility and versatility of a suture, suitable also for Abdominal Rectus Diastasis correction. Objectives This prospective research aimed at comparing this mesh usage versus the polypropylene standard suture plication for Rectus Diastasis repair in terms of safety (infection, seroma, hematoma, surgical
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The Unseen Strain: Investigating the Awareness of Rhinoplasty Surgeons’ Regarding Their Spine Health Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-17 Islam Alzayadneh, Omar Hamdan, Lana Alzayadneh, Belal Al-Zu’bi, Eran Glikson, Nisreen Almusaileem, Ella Rival, Philip Solomon
Background Musculoskeletal pain is a common occupational health problem among surgeons that can affect work productivity and quality of life. Objectives Study the prevalence and causes of back pain among rhinoplasty surgeons, evaluate their routine practice, and identify unique risk factors. Furthermore, it seeks to measure functional disabilities using the Total Disability Index (TDI) questionnaire
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Patient-reported Outcomes Utilizing the Breast-Q Questionnaire After Breast Conserving Surgery With and Without Oncoplastic Breast Surgery: A Systematic Review and Meta-analysis Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-10 Adriana C Panayi, Samuel Knoedler, Leonard Knoedler, Christian Tapking, Gabriel Hundeshagen, Yannick F Diehm, Sebastian Fischer, Oliver C Thamm, Ulrich Kneser, Valentin Haug
Oncoplastic breast surgery (OBS) arose to decrease the deformity following breast conserving surgery (BCS) for breast cancer. In this meta-analysis (MA), we pool Breast-Q™ questionnaire data to compare quality of life (QOL) in breast cancer patients who received BCS alone or in combination with Level I or II oncoplastic breast surgery (BCS+OBS). All relevant databases were searched following the PRISMA
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The Aesthetic Surgery Education and Research Foundation (ASERF): A 30-Year Retrospective Analysis Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-10 Joe Gryskiewicz, Blaire V Slavin, Benjamin R Slavin, Vasudev Vivekanand Nayak, Randall G Pierrot, Susan M Taghioff, Khaled O Alameddine, Devinder Singh, Karan Chopra, Paulo G Coelho
Federal government research grants provide limited funding to plastic surgeon-scientists, with reconstructive research taking precedence over aesthetic research. The Aesthetic Surgery Education and Research Foundation (ASERF) is a nonprofit, 501(c)(3) organization that seeks to support innovative, diverse research endeavors within aesthetic surgery. A total of 130 ASERF-funded studies and 32 non-funded
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The Medial Canthus Fibrous Band's Impact on Epicanthal Fold Severity and Classification in Asians: Implications for Epicanthoplasty Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-10 Shimeng Wang, Tian Li, Haipeng Liu, Duo Zhang
Background The epicanthal fold (EF) is a semi-lunar skin fold located in the medial canthus in most Asians. The medial canthus fibrous band (MCFB) reportedly plays a critical role in EF formation. Variations in MCFB shape and size affect the severity and type of EF. Objectives We aimed to analyze MCFB variations in different types and severities of EF and explore the effect of the MCFB resection epicanthoplasty
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“I Want to Look Natural”: Development and Validation of the FACE-Q Aesthetics Natural Module Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-05 Anne F Klassen, Stefan Cano, Jasmine Mansouri, Lotte Poulsen, Charlene Rae, Manraj Kaur, Steven Dayan, Elena Tsangaris, Kathleen Armstrong, Jennifer Klok, Katherine Santosa, Andrea Pusic
Background The concept of natural after a facial aesthetic treatment represents an under-studied area. We added scales to FACE-Q Aesthetics to provide a means to measure this concept from the patient’s perspective. Objectives To develop and validate FACE-Q natural scales. Methods Concept elicitation interviews with people having minimally invasive treatments were conducted to explore the natural concept
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Topographic and Structural Anatomy of the Suspensory Ligament of the Penis: Implications for Phalloplasty Aesthet. Surg. J. (IF 2.9) Pub Date : 2024-01-03 Ursula Meredith Mariani, Moshe Fayman, Pilani Nkomozepi, Amadi Ogonda Ihunwo, Pedzisai Mazengenya
Background The suspensory ligamentous system of the penis supports the penis when erect and plays a key role during coitus. These ligaments are prone to injury during coitus and clinically they are important in penile reconstruction procedures. The origin, course, insertion, dimensions, and tissue composition of these ligaments is highly debated and not clearly elucidated. Objectives The current study
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The Ponytail Lift: 22 Years of Experience in 600 Cases of Endoscopic Deep Plane Facial Rejuvenation Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-28 Chia Chi Kao, Dominik Duscher
Background During aging, the face loses volume with progressive sagging of the soft tissues, while the neck demonstrates skin laxity and muscle banding. The treatment of facial and neck aging usually involves a traditional facelift, which can cause noticeable scarring and distortion of anatomy. Objectives Modern facelift surgery must avoid such shortcomings and still address aging in all layers of
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The Looming Future of Private Equity in Plastic Surgery Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-26 Ellen C Shaffrey, Pradeep K Attaluri, Peter J Wirth, Venkat K Rao
Private equity acquisition of independent private practices has dramatically increased in the recent decade, with a greater emphasis by private equity firms to invest in surgical specialties that practice in outpatient ambulatory centers. This trend has slowly started to creep into plastic surgery; therefore, understanding the concepts of private equity ownership in health care and its benefits and
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Implant-Based Breast Reconstruction After Nipple Sparing and Skin Sparing Mastectomy in Breast Augmented Patients: Prepectoral or Submuscular Direct-to-Implant Reconstruction? Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-24 Marzia Salgarello, Mariachiara Fabbri, Giuseppe Visconti, Barone Adesi Liliana
Background Patients with breast augmentation facing a breast cancer diagnosis pose unique challenges for both breast and plastic surgeons in terms of treatment and reconstruction. Traditional submuscular direct-to-implant (DTI) breast reconstruction is often considered the standard approach, regardless of the previous implant pocket. However, recent trends in prepectoral reconstruction provide an innovative
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Main Factors Influencing Patient Satisfaction After Primary Breast Augmentation: A Prospective Study Based on Patient-Reported Outcome Measures Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-20 Giovanni Francesco Marangi, Luca Savani, Marco Gratteri, Lucrezia Arcari, Francesco Segreto, Barbara Cagli, Annalisa Cogliandro, Raffaella Vega, Carlo Mirra, Paolo Persichetti
Background Primary breast augmentation is one of the most sought-after procedures in cosmetic surgery. It is generally related to a high degree of patient satisfaction, but it is not always obvious which factors have greater influence on patient satisfaction. Objectives The aim of this prospective study was to evaluate how anthropometric, psychological and social parameters, in association with the
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A Retrospective Analysis of Upper Arm Rejuvenation Surgery in 50 Patients Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-20 Jinglin Zhu, Fangning Zhao, Facheng Li
Background Upper arm aesthetics often suffer from aging effects like skin laxity and sagging due to collagen and elastin depletion. Fat loss, obesity, and weight fluctuations further exacerbate these issues. Existing classification systems for upper arm excess are complex and have practical limitations. Objectives To develop a more concise and clear classification of upper arm excess that can guide
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Free Dermal Fat Grafting: A Novel Technique for the Correction of Nasolabial Folds During Facelift Surgery Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-20 Jiajun Zhi, Cheng Yao, Yanyong Zhao
Background Traditional facelift surgery does not behave well in the correction of nasolabial folds, which is a common clinical problem and needed to be improved. Objectives To investigate the effect of free dermal fat grafting during facelift surgery for the treatment of nasolabial folds. Methods This prospective cohort study involved 80 patients with moderate to severe nasolabial folds and facial
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Effects of Midcheek Lift According to Dissection Plane and Range: An Anatomical Study Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-19 Hyunwoo Kyung, Yunsung Park, Sang-Ha Oh, Dong Woon Kim, Young-Joon Seo, Seung Han Song
Background Midcheek lift has been used for cosmetic or reconstructive surgery of the lower eyelid. For midcheek lift through the subciliary incision, preperiosteal and subperiosteal dissections are the most used, with good clinical outcomes. However, a comparative assessment of the effects of these two methods was not conducted. Objectives This study compared the effects of midcheek lift according
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Patient Perspectives on Intimate Relationship Outcomes After Labiaplasty: A Preliminary Qualitative Analysis Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-19 Anne Nileshni Fernando, Yukti Mehta, Christine Hamori, Jayson Oates, Gemma Sharp
The popularity of labiaplasty has increased over the last decade with patients consistently reporting high levels of satisfaction with outcomes. Specifically, patients generally experience improved sexual satisfaction, but there is very limited research on the impacts on intimate relationships more broadly, even though these experiences are often crucial to women’s lives. Thus, the aim of this study
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Developing the Aesthetic Postoperative Complication Score (APeCS) for Detecting Major Morbidity in Facial Aesthetic Surgery Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-19 Jose L Cataneo, Sydney A Mathis, Kyle Bartelt, Allison Gelfond, Rodrigo Arias-Serrato, Parit A Patel
Background Facial aesthetic surgery encompasses a variety of procedures with complication rates that are difficult to estimate due to a lack of published data. Objectives We sought to estimate major complication rates in patients undergoing facial aesthetic procedures and develop a risk assessment tool to stratify patients. Methods We utilized the Tracking Operation and Outcomes for Plastic Surgeons
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Does the Surgical Margin Affect Sexual Function Following Linear Labiaplasty Technique? Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-13 Ozan Dogan, Elif Ucar, Murat Yassa
Background How much labial tissue should be left after labiaplasty is a controversial issue. Objectives To investigate the effect of residual labium tissue on sexual functions in labiaplasty operations. Methods 150 women and their partners who underwent labiaplasty between 2019 and 2021 were included in the study. In this retrospective study, linear labiaplasty technique was applied according to the
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Defining Ideal Double Eyelids via a Morphometric Analysis in Asians Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-12 Yarong Chi, Zhujun Li, Lin Jin, Nanze Yu, Jiuzuo Huang, Xiao Long
Background Double eyelids are always considered as crucial aesthetic symbols. Despite numerous studies conducted on the attractiveness of double eyelids, there still remains a dearth of research on quantitative and morphological evaluation of ideal double eyelids. Objectives This study aimed to investigate the optimal height and morphological characteristics of ideal double eyelids. Methods Participants
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Practice Patterns and Perspectives of the Off-Label Use of GLP-1 Agonists for Cosmetic Weight Loss Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-12 Sabrina H Han, Kyle Ockerman, Heather Furnas, Patricia Mars, Audrey Klenke, Jessica Ching, Arash Momeni, Sarah Sorice-Virk
Background The off-label use of glucagon-like peptide 1 (GLP-1) agonists for cosmetic weight loss has captured the interest of the public. However, there is a paucity of published data on their utilization, implications, and management, particularly in the plastic surgery community. Objectives This study aims to explore the current practice patterns of aesthetic plastic surgeons regarding the off-label
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Silicone Particles in Capsules Around Breast Implants: An Investigation Into Currently Available Implants in North America Aesthet. Surg. J. (IF 2.9) Pub Date : 2023-12-08 Michel Alain Danino, Melvin Dziubek, Jacqueline Dalfen, Michelle Bonapace-Potvin, Louis Gaboury, Jean Philippe Giot, Romain Laurent
Background Breast implants have always been composed of a silicone elastomer envelope filled with either silicone gel or saline. Breast Implant Illness (BII) is a set of symptoms which has previously been linked to the leakage of silicone particles from the implants into the body. Objectives Our research aimed to quantify the number of silicone particles present in the capsules of breast implants available