{"title":"Surgical Chin Reduction: Achieving a Balanced Result.","authors":"Jonathan Sykes, Madison Mehrdad","doi":"10.1055/a-2631-5508","DOIUrl":"10.1055/a-2631-5508","url":null,"abstract":"<p><p>The chin plays a critical role in establishing facial balance and proportions. Abnormalities of chin projection, height, width, and symmetry can affect perioral aesthetics, gender alignment, and aging.Patients who present for aesthetic perioral enhancement should have a complete evaluation of the perioral bony anatomy. Chin excess may occur in the horizontal, vertical, and transverse dimensions. Surgical chin contouring may require both deprojection and shortening.The technique for both horizontal and vertical chin reduction will be reviewed in addition to complications.The chin is a critical component of facial harmony and should be evaluated and addressed during aesthetic enhancement and rejuvenation.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aesthetic Management of the Lips, Chin and Submentum.","authors":"Jessyka G Lighthall, Jason D Bloom","doi":"10.1055/a-2635-3779","DOIUrl":"https://doi.org/10.1055/a-2635-3779","url":null,"abstract":"","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144495426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dimple Creation Surgery.","authors":"Kimberly J Lee, Raffaello M Cutri","doi":"10.1055/a-2626-9299","DOIUrl":"https://doi.org/10.1055/a-2626-9299","url":null,"abstract":"<p><p>Dimple creation surgery, or dimpleplasty, recreates the dynamic cheek indentations found in approximately 30% of faces. This review highlights current evidence and provides surgical insights for predictable, natural outcomes.Since 1962, successive refinements of the technique have focused on smaller incisions and precise dermomuscular fixation.Awareness of zygomaticus major variants, orbicularis oculi bands, Stenson's duct, and buccal branches of the facial nerve underpins safe practice.Bipolar cautery may assist with hemostasis.Healthy adults with realistic expectations benefit most. Those with keloid tendency warrant caution.A 5-mm intraoral incision, selective muscle fenestration, and dermomuscular plication produce an immediate dimple that softens with healing.Brief oral antibiotics support recovery.AI-assisted 3D smile simulation is being conducted and refined to boost dimple creation precision and predictability.With surgical precision and careful patient selection, dimpleplasty remains a low-risk procedure that can deliver high patient satisfaction.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nuances in Genioplasty.","authors":"Bailey R Minehart, Jose E Barrera","doi":"10.1055/a-2626-8646","DOIUrl":"https://doi.org/10.1055/a-2626-8646","url":null,"abstract":"<p><p>The goal of the article is to help surgeons understand the anatomy and surgical technique of alloplastic and osseous genioplasty.The article provides a brief history of cosmetic osseous genioplasty and the rise of alloplastic genioplasty after the 1950s.This study describes the vertical thirds of the face with anatomic landmarks and the zero meridian assessment for chin deficiencies.Use of virtual surgical planning for custom genioplasty advancements and hardware and the ultrasonic bone saw for bony cuts.This article also describes how to evaluate patients for genioplasty and determine if alloplastic or osseous genioplasty will result in the best patient desired outcome, including the degree of advancement desired, any change in vertical height, correction in horizontal asymmetry, or reduction of the chin.The surgical technique is described for both osseous and alloplastic genioplasty. An intraoral approach is described for osseous genioplasty, while external and intraoral is described for alloplastic.Brief discussion of postoperative care, including compressive dressings, postoperative edema, and duration of liquid diet.Improvement of custom planning with virtual surgical plans as well as development of implants with low risk of infection and extrusion.This study summarizes the anatomic importance of genioplasty with the advantages and disadvantages of osseous and alloplastic genioplasty.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
F Jeffrey Lorenz, Heather K Schopper, Scott G Walen
{"title":"The Role of Toxins and Fillers in Optimizing Perioral Rejuvenation.","authors":"F Jeffrey Lorenz, Heather K Schopper, Scott G Walen","doi":"10.1055/a-2626-9218","DOIUrl":"https://doi.org/10.1055/a-2626-9218","url":null,"abstract":"<p><p>Neurotoxins and fillers have become increasingly popular for restoring age-related changes in the perioral region. This review examines their roles in optimizing perioral rejuvenation.The perioral region composes the lower third and middle three-fifths of the face. It includes the lips, surrounding perioral skin, chin, muscles of facial expression, maxilla, and mandible. Changes in the perioral region are significant contributors to the visible signs of aging.Ideal candidates for perioral rejuvenation with toxin and filler are individuals experiencing age-related rhytids or volume loss who are interested in minimally invasive, nonsurgical interventions.Neurotoxins like Botox, Xeomin, Dysport, Jeuveau, and Daxxify are used to relax muscles that contribute to rhytids. Common treatment areas and techniques include perioral rhytids, lip flip, oral commissure elevation, dimpled chin, and gummy smile. Dermal fillers such as hyaluronic acid, calcium hydroxyapatite, and poly-L-lactic acid restore volume in areas like the nasolabial folds, lips, marionette lines, chin, prejowl sulcus, and perioral rhytids.Neurotoxins and dermal fillers offer effective, minimally invasive solutions for perioral rejuvenation. With an understanding of underlying anatomy, proper patient selection, and precise injection techniques, facial plastic surgeons can achieve natural, youthful results with minimal downtime.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Lip Augmentation with Autografts and Allografts.","authors":"Jeffrey Mella, Jenna Van Beck, Peter Hilger","doi":"10.1055/a-2624-8605","DOIUrl":"10.1055/a-2624-8605","url":null,"abstract":"<p><p>Lip augmentation is a popular cosmetic procedure aimed at enhancing lip volume, symmetry, and contour, which significantly influences overall facial aesthetics.Historically, lip enhancement dates back centuries, with various cultures emphasizing the allure of fuller lips. Lip Augmentation with alloplastic implants like silicone and Gore-Tex was favored for a time for their versatility and consistency, but modern practice has increasingly favored biologically derived implants due to their natural integration, reduced complications, and desirable texture. Autologous tissues, such as superficial muscular aponeurotic system grafts, offer additional benefits including minimal immune response, high compatibility, and lasting enhancement.The technique is consistent across most implants which includes making vertical stab incisions just medial to the oral commissure, dissecting in an intramuscular plane within the orbicularis marginalis just under the white roll, and then tunneling the implant to the other side with a tendon passer. The lips are stretched to incorporate the implant and inspected for irregularities prior to closing the incisions.Augmentation with implants offers the appeal of a more permanent augmentation minimizing the need for repeated interventions. Successful lip augmentation enhances lip volume and contour while preserving facial aesthetic harmony and respecting the dynamic anatomical function of the lips.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trial, Error, and Expertise: My Evolution Through Structural and Preservation Rhinoplasty Techniques.","authors":"Baris Cakir","doi":"10.1055/a-2622-3114","DOIUrl":"https://doi.org/10.1055/a-2622-3114","url":null,"abstract":"<p><p>Rhinoplasty is a continuously evolving field, where meticulous surgical technique significantly impacts outcomes. This article reviews the author's experiences, explores remaining questions, and presents refinements aimed at improving consistency and predictability in rhinoplasty results. The author's rhinoplasty practice began with open structure techniques in 2004, transitioning to closed rhinoplasty with preservation principles over the past decade. Technical refinements have shaped modern approaches, emphasizing both dorsal reconstruction and preservation. Key anatomical considerations include the Pitanguy ligament, the WASA (junction of upper lateral cartilages' caudal border and anterior septal angle), and septal mucosa. Understanding these structures is critical for achieving predictable aesthetic and functional results. Patients with wide, asymmetric, or high-arched dorsums may benefit from structured techniques, while those with moderate hump dorsums and deviations are better suited for preservation approaches. Key technical refinements include controlled mucosal resection, careful selection of intercartilaginous incisions, and optimized tip suturing strategies. The adoption of subareolar dissection for tip surgery and the combination of subdomal grafts with neo-interdomal ligament sutures have enhanced outcomes. The evolution of rhinoplasty techniques, incorporating both structural and preservation elements, allows for more predictable and refined results. Ongoing refinements in dissection methods, suturing techniques, and mucosal management continue to shape the future of rhinoplasty, emphasizing a balance between function and aesthetics.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Simplified Algorithm for Corner Lip Lifting.","authors":"Benjamin Talei, Arman Danielian","doi":"10.1055/a-2626-9347","DOIUrl":"10.1055/a-2626-9347","url":null,"abstract":"<p><p>This study presents a simplified guideline for corner lip lifting (cheiloplasty), a procedure aimed at enhancing the lateral lip's appearance by addressing vermilion deficiency, philtral hooding, and angular depression.Despite the evolution of cosmetic cheiloplasty, with numerous techniques developed to enhance lip aesthetics, tailoring the procedure to individual patients and selecting suitable candidates remain significant challenges for surgeons.Utilizing detailed anatomical mapping based on relaxed skin tension lines and the Diagonal (\"D\") line, we outline precise surgical techniques to optimize vermilion exposure, elevate the chelion, and improve facial character.Key considerations include dental influences and aging-related ptosis, with specific endpoints and pitfalls highlighted to ensure reproducible outcomes.We introduce three types of corner lip lifts-1, 2a, and 2b-designed to treat varying degrees of lateral lip deficiencies in both younger and older patients, either alone or in combination with subnasal lip lifts using the Cupid Lift® algorithm.Sutures are removed at days 3 and 5, and incisions are lasered with a low-energy CO<sub>2</sub> at 6 and 12 weeks.Our findings demonstrate that these procedures effectively restore lateral lip aesthetics, balance stomion and chelion positions, and ameliorate aging-related changes, offering a versatile approach for practitioners. This work advances cosmetic surgery by providing a streamlined framework for corner lip lifting, enhancing patient outcomes in facial rejuvenation and aesthetic harmony.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144336445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gisella Criollo-Lamilla, Thibault Trévidic, Alexander Imanilov, Patrick Trévidic
{"title":"Denervation Neck Lift: An Updated Rhytidectomy Technique and Prospective Follow-Up of 80 Patients.","authors":"Gisella Criollo-Lamilla, Thibault Trévidic, Alexander Imanilov, Patrick Trévidic","doi":"10.1055/a-2624-7946","DOIUrl":"10.1055/a-2624-7946","url":null,"abstract":"<p><p>Platysma bands are caused by excessive muscular activity and a novel threefold approach (denervation, platysmaplasty, and skin resection) was developed to minimize recurrence.To investigate the efficacy, tolerability, and satisfaction of this new technique in a larger cohort.A total of 80 patients were included in this prospective descriptive study and followed for 1 year.Surgical platysma transection with intentional denervation was performed simultaneously with a primary rhytidectomy and recurrence, complications, and satisfaction were assessed.Platysma band recurrence occurred in 10% of patients all of whom were >63 years old. There were no major postoperative complications, with a total of 35 minor complications (in 43.7% of patients). Satisfaction scores were high for both patients and the surgeon 1 year after treatment, with Global Aesthetic Improvement Scale scores of 4.64 and 4.54, respectively.This technique was effective and well tolerated, with low rates of recurrence and only minor complications.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helena Hotz Arroyo Ramos, Fernando Nakamura, Rebeca Silva Chiabai Loureiro, Julia Kozelinski, Leila Freire, Dean M Toriumi
{"title":"The Footplates Reposition Technique for Improving Tip Stability, Balancing Columellar-Labial Junction, and Upper Lip Lifting.","authors":"Helena Hotz Arroyo Ramos, Fernando Nakamura, Rebeca Silva Chiabai Loureiro, Julia Kozelinski, Leila Freire, Dean M Toriumi","doi":"10.1055/a-2624-8475","DOIUrl":"https://doi.org/10.1055/a-2624-8475","url":null,"abstract":"<p><p>The footplates of the medial crura are relevant structures that play an important role in the columella and nostril sill design. They also work as a connection between the nasal and oral muscles, as the insertion of the superficial orbicularis oris nasalis (SOON) is placed into the footplates and the continuation of the superficial muscular aponeurotic system (SMAS) is situated within the membranous septum. Moreover, the SOON is a powerful depressor of the nasal tip.Many techniques attempt to reconstruct the tip support with grafts, but footplates and their connections can play an important role.We describe a surgical technique that involves footplate release and repositioning for better sill design, improvement of tip support and stability, better balance of the columellar-labial junction (CLJ), upper lip lifting, and eversion of the vermilion.This retrospective study reviewed the medical records of 64 patients who underwent all steps described in the paper.The patients were followed up for 12 months and decreases in philtrum length were accompanied by an enhanced vermilion showing creating a more favorable balance.The footplate release and repositioning technique can be incorporated as an adjunct in rhinoplasty to provide additional tip support, facilitate nasolabial angle adjustment, and assist in upper lip repositioning.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144316263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}