{"title":"Lip Reduction.","authors":"Adrees A Basharmal, Thuy-Van Tina Ho","doi":"10.1055/a-2622-3141","DOIUrl":"10.1055/a-2622-3141","url":null,"abstract":"<p><p>This study discusses the surgical technique and the ideal candidates for lip reduction as well as highlights the low-risk, yet efficacious nature of this in-office procedure.Lip augmentation procedures such as hyaluronic acid fillers and lip lift surgery are the most common cosmetic lip treatments; however, lip reduction is growing in popularity.The lips are highly vascularized and sensitive tissue supplied by the superior and inferior labial arteries and innervated by the trigeminal nerve.Patients may be ideal candidates for lip reduction surgery if they possess a large upper and/or lower lip and desire decreased lip volume and projection.The senior author's surgical technique entails marking an elliptical incision along the wet-dry border, excising the mucosal tissue en bloc, and closing the wounds following the rule of halves.Patients are instructed to follow a soft diet for 1 week and activity restrictions for 2 weeks as well as to frequently apply Aquaphor or Vaseline to the wounds.Lip reduction surgery is a cosmetic procedure intended to decrease lip size and projection. Lip reduction is a safe and relatively quick in-office procedure that is associated with minimal downtime.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173118","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":"Structural Approach to Revision Rhinoplasty.","authors":"Ziad A Katrib","doi":"10.1055/a-2622-3206","DOIUrl":"10.1055/a-2622-3206","url":null,"abstract":"<p><p>To explain a very clear and concise, systematic approach to revision rhinoplasty from the preoperative visit, to the operation, and finally to the postoperative course.All pertinent anatomy is discussed both in the preoperative examination, and in the technical details describe in the operation. Images accompany all key maneuvers for further clarification.We discuss the key physical examination findings, functional analysis, and standardized photography of the patient prior to the operation.We describe the key foundational techniques utilized from start to finish to design and construct the most stable, functional, and aesthetic nose possible in a revision rhinoplasty. We discuss anesthesia, as well as intraoperative splints and dressings.We review all postoperative care given to our patients, as well as the reasoning behind these instructions.We provide an easy-to-follow, step-by-step logical approach to revision rhinoplasty. Despite the nearly endless combination of possible findings once in the operation, by following these guiding principles the operation can be completed in a consistent, efficient, and thorough manner.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157563","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":"Surgical chin reduction: Achieving a balanced result.","authors":"Madison Mehrdad, Jonathan Sykes","doi":"10.1055/a-2631-5508","DOIUrl":"https://doi.org/10.1055/a-2631-5508","url":null,"abstract":"<p><strong>Introduction: </strong>The chin plays a critical role in overall establishing facial balance and proportions. Abnormalities of chin projection, height, width and symmetry can affect perioral aesthetics, gender alignment, and aging.</p><p><strong>Evaluation: </strong>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.</p><p><strong>Technique: </strong>The technique for both horizontal and vertical chin reduction will be reviewed in addition to complications.</p><p><strong>Conclusions: </strong>The chin is a critical component to 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":"2025-06-10","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}
Jeffrey Stephen Mella, Jenna Van Beck, Peter Hilger
{"title":"Lip Augmentation with Allografts and Autografts.","authors":"Jeffrey Stephen Mella, Jenna Van Beck, Peter Hilger","doi":"10.1055/a-2624-8605","DOIUrl":"https://doi.org/10.1055/a-2624-8605","url":null,"abstract":"<p><p>a. Aims and Backgrounds Lip augmentation is a popular cosmetic procedure aimed at enhancing lip volume, symmetry, and contour, which significantly influences overall facial aesthetics. b. Historical Aspects 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 were 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 SMAS grafts, offer additional benefits including minimal immune response, high compatibility, and lasting enhancement. c. Techniques The technique is consistent across most implants which includes making verical 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. d. Conclusions 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":"2025-06-05","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}
Kenny Do, Nabih Ghani, Nathan Lloyd, Emily S Sagalow, Kurtis Young, Benjamin Tam, Sisi Tian, Harry H Ching, Jo-Lawrence Bigcas
{"title":"Cryolipolysis for Submental Fat Reduction: A Systematic Review and Meta-Analysis.","authors":"Kenny Do, Nabih Ghani, Nathan Lloyd, Emily S Sagalow, Kurtis Young, Benjamin Tam, Sisi Tian, Harry H Ching, Jo-Lawrence Bigcas","doi":"10.1055/a-2628-3831","DOIUrl":"https://doi.org/10.1055/a-2628-3831","url":null,"abstract":"<p><strong>Introduction: </strong>Submental fat can be addressed using both surgical and non-surgical techniques. Cryolipolysis is a non-invasive treatment that uses cold temperatures to trigger apoptosis in adipose tissue. Objectives & Hypotheses: This study aims to evaluate the efficacy and safety of cryolipolysis for submental fat reduction, specifically analyzing changes in submental fat thickness and volume. It is hypothesized that cryolipolysis leads to measurable improvements in submental fat among patients.</p><p><strong>Study design: </strong>This is a systematic review and meta-analysis conducted in accordance with the PRISMA reporting guidelines.</p><p><strong>Methods: </strong>A literature search was performed across PubMed, Scopus, and Web of Science from 1973 to 2025. A total of 951 articles were screened, and eight pre-post studies involving 206 patients met inclusion criteria.</p><p><strong>Results: </strong>Pooled analysis showed a mean reduction in submental fat thickness of -2.78 mm and volume of -19.57 cm³.</p><p><strong>Conclusion: </strong>Cryolipolysis significantly reduces submental fat with minimal, transient side effects.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144233655","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 EIGHTY PATIENTS.","authors":"Gisella Criollo-Lamilla, Thibault Trévidic, Alexander Imanilov, Patrick Trévidic","doi":"10.1055/a-2624-7946","DOIUrl":"https://doi.org/10.1055/a-2624-7946","url":null,"abstract":"<p><strong>Introduction: </strong>Platysma bands are caused by excessive muscular activity and a novel a three-fold approach (denervation, platysmaplasty and skin resection) was developed to minimize recurrence.</p><p><strong>Objectives: </strong>To investigate the efficacy, tolerability, and satisfaction of this new technique in a larger cohort.</p><p><strong>Study design: </strong>A total of 80 patients were included in this prospective descriptive study and followed for 1 year.</p><p><strong>Methods: </strong>Surgical platysma transection with intentional denervation was performed simultaneously with a primary rhytidectomy and recurrence, complications, and satisfaction assessed.</p><p><strong>Results: </strong>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 GAIS scores of 4.64 and 4.54, respectively.</p><p><strong>Conclusions: </strong>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":"2025-06-02","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}
Facial Plastic SurgeryPub Date : 2025-06-01Epub Date: 2024-05-02DOI: 10.1055/a-2318-1121
Emre Ilhan, Diego Arancibia-Tagle, Hüseyin Özay, José Carlos Neves
{"title":"Precision Rhinoplasty Cylindric Burrs-Sidewall Aesthetics.","authors":"Emre Ilhan, Diego Arancibia-Tagle, Hüseyin Özay, José Carlos Neves","doi":"10.1055/a-2318-1121","DOIUrl":"10.1055/a-2318-1121","url":null,"abstract":"<p><p>The development of power instruments has led to great advances in rhinoplasty. It has helped to reduce operating time, minimize damage to the surrounding soft tissues, and allow precision bony modification compared with the use of manual rasps. Burrs help ensure precise results by (i) creating a smooth transition between the lateral nasal sidewall and the face, (ii) treating bony asymmetries, and (iii) producing homogeneous upper and middle thirds that softy translate into the upper lateral cartilages. The aim of this paper is to show applications of cylindrical burrs in rhinoplasty surgery to treat the dorsal upper and middle thirds as well as lateral sidewalls of the nose, regardless of whether the dorsal preservation or structure technique is used. This approach offers a safe, fast, and precise technique that can be used in conjunction with piezo osteotomy to obtain the optimal outcomes.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"327-333"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140860430","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}
Facial Plastic SurgeryPub Date : 2025-06-01Epub Date: 2024-06-04DOI: 10.1055/a-2338-0581
Gabriela Casabona, Konstantin Frank, Rui Zeng, Sebastian Cotofana, Michael Alfertshofer, Charlotte Weinmann, Nicholas Moellhoff, Kai O Kaye
{"title":"Investigating Facial Muscle Physiology Following Soft Tissue Filler Injections-A Surface-derived Electromyographic and Skin Vector Displacement Analytic Study.","authors":"Gabriela Casabona, Konstantin Frank, Rui Zeng, Sebastian Cotofana, Michael Alfertshofer, Charlotte Weinmann, Nicholas Moellhoff, Kai O Kaye","doi":"10.1055/a-2338-0581","DOIUrl":"10.1055/a-2338-0581","url":null,"abstract":"<p><p>The use of hyaluronic acid-based soft tissue fillers has often been reported to modulate the muscle, that is, to cause myomodulation. To our knowledge, there has been so far no scientific study investigating the potential of hyaluronic acid-based soft tissue fillers to modulate or actually alter the function of facial muscles. To further assess this three-dimensional (3D) surface imaging and electromyography (EMG)-based prospective study investigated the changes of facial muscle contraction after injection of strategically placed hyaluronic acid-based soft tissue fillers to assess the actual validity of the term myomodulation. A total of 13 subjects with a mean age of 37.8 years (12 females, 1 male) were injected according to a predefined injection protocol. Surface EMG and 3D surface imaging were performed prior to the injection and 5 days after the injection. The results showed no significant change in the strength of the muscles (measured in μV) after injection of hyaluronic acid-based soft tissue fillers. However, horizontal and vertical skin displacement upon contraction of the zygomaticus major muscle changed significantly between baseline and follow-up, with a mean horizontal skin displacement increase from 3.2 to 4.1 mm. Upon contraction of the depressor anguli oris muscle, the horizontal skin displacement did not change significantly (2.15 vs. 2.05 mm), while vertical skin displacement increased significantly from 2.9 to 4.3 mm. The modification of the surrounding tissue caused an alteration of the vectorial skin displacement upon contraction of the muscle. A potential explanation could be the increased distance between the origin and insertion of the muscle due to the material deposition in the proximity of the relevant facial muscles, leading to a change of contraction vector.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"352-358"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247680","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":"The Lateral Wall of the Inferior Meatus as a New Graft Source for Rhinoplasty: Radiological Study and Surgical Technique.","authors":"Yury Rusetsky, Zhanna Mokoyan, Margarita Dutova, Anar Sadigov, Natalia Balybina, Olga Chernova","doi":"10.1055/a-2353-3380","DOIUrl":"10.1055/a-2353-3380","url":null,"abstract":"<p><p>Generally, revision rhinoplasty cases require the use of stiff grafts to restore the lost support. However, the majority of patients indicated for revision surgery present with a lack of a bony cartilaginous framework of the septum, especially after previous septoplasty. Thus, surgeons are compelled to harvest costal cartilage. At the same time, rib graft harvesting is associated with additional trauma and a risk of serious complications. Being ENT surgeons, we often resect a part of the lateral wall of the inferior nasal meatus during the extended endoscopic approach to the maxillary sinus. We supposed that this bone plate could be used as a donor site for rhinoplasty graft harvesting. The aim of our study was a radiological assessment of the feasibility and limits of using the inferior meatus lateral wall (IMLW) as a donor site for rhinoplasty bone graft.A retrospective evaluation of 100 CT scans of sinuses was conducted. Further measurements of the IMLW were performed: average length and width (28.06 ± 4.03 mm and 19.73 ± 3.08 mm, respectively), thickness (0.62 ± 0.21 mm), and average deviation from the sagittal plane (17.7 ± 9.53 degrees). According to the obtained measurements, the described donor site is appropriate for harvesting nice straight bony fragments.The IMLW bone graft was used in four revision rhinoplasty cases. There were no postoperative complications. During the long-term follow-up, patients reported significant improvement in aesthetics, function, and social aspects according to Rhinoplasty Outcome Evaluation. Thus, the described technique is an easy and safe method for bone harvesting for revision rhinoplasty. Our first experience demonstrated the convenience and stability of IMLW grafts for revision rhinoplasty during the follow-up period of up to 2 years.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"364-370"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141456121","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}
Facial Plastic SurgeryPub Date : 2025-06-01Epub Date: 2024-05-14DOI: 10.1055/a-2325-5425
Aaron L Zebolsky, Nina Gallo, Travis Clarke, Jeffery A May, Raj D Dedhia, Anas Eid
{"title":"Risk Factors for Missed Follow-up Appointments among Facial Trauma Patients.","authors":"Aaron L Zebolsky, Nina Gallo, Travis Clarke, Jeffery A May, Raj D Dedhia, Anas Eid","doi":"10.1055/a-2325-5425","DOIUrl":"10.1055/a-2325-5425","url":null,"abstract":"<p><p>A retrospective case-control study was performed to characterize the rate of missed follow-up appointments after facial trauma and identify associated risk factors.Follow-up appointments for facial trauma over a 3-month period at a single, safety net hospital were analyzed. Appointment-specific, sociodemographic, trauma, and management data were compared between cases (missed appointments) and controls (attended appointments). Univariate testing and multivariable logistic regression were employed.A total of 116 cases and 259 controls were identified, yielding a missed appointment rate of 30.9% (116/375). Missed appointments were significantly associated with initial clinic appointments compared to return visits (odds ratio [OR] 2.21 [1.38-3.54]), afternoon visits compared to morning (OR 3.14 [1.94-5.07]), lack of private health insurance (OR 2.91 [1.68-5.18]), and presence of midface fractures (OR 2.04 [1.28-3.27]). Missed appointments were negatively associated with mandible fractures (OR 0.56 [0.35-0.89]), surgical management (OR 0.48 [0.30-0.77]), and the presence of nonremovable hardware (OR 0.39 [0.23-0.64]). Upon multivariable logistic regression, missed appointments remained independently associated with afternoon visits (adjusted OR [aOR] 1.95 [1.12-3.4]), lack of private health insurance (aOR 2.73 [1.55-4.8]), and midface fractures (aOR 2.09 [1.21-3.59]).Nearly one-third of facial trauma patients missed follow-up appointments, with the greatest risk among those with afternoon appointments, lacking private health insurance, and with midface fractures.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"319-326"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140921816","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}