Facial Plastic Surgery最新文献

Male Browlift. 男性Browlift。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-10 DOI: 10.1055/a-2709-6915

Jordan Rihani

引用次数: 0

The Phylogeny and Ontogeny of Facial SMAS. 面部SMAS的系统发育与个体发育。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-08 DOI: 10.1055/a-2718-3928

Gautham Ullas, Ullas Raghavan

{"title":"The Phylogeny and Ontogeny of Facial SMAS.","authors":"Gautham Ullas, Ullas Raghavan","doi":"10.1055/a-2718-3928","DOIUrl":"https://doi.org/10.1055/a-2718-3928","url":null,"abstract":"The superficial musculoaponeurotic system, a complex and intricate network of fibromuscular tissue, is a fundamental element of the facial anatomy, integral to the dynamic function and aesthetic appearance of the human face. Even though the anatomy of SMAS is widely studied, no explanations are given for the presence of fascial part of SMAS of the face and why there is variations in its attachment to deeper tissue, is there two layers of SMAS and why are the branches of the facial nerve seen with first arch structures. We are proposing a hypothesis to explain the anatomical variations seen in the SMAS anatomy of the face noticed during a deep plane face lift.Method: A comprehensive review of the available literature on the phylogeny and ontogeny of the facial SMAS was conducted. Many scientific papers are available on the phylogeny and ontogeny of the face and facial SMAS. Many contradictory findings have been published as well. We have accepted the commonest acceptable views to make our hypothesis.Result: The current understanding of the facial SMAS is that it arises from the primordial panniculus carnosus, a primitive muscle layer found in many lower vertebrates. We found contributions from platysma myoides, platysma cervicalis and sphincter colli profundus. Of these, the latter two atrophied and is represented by fascia. The relation of SMAS to deeper tissue varies, depending on whether it is deeper to platysma cervicale or platysma myoides. Available literature on the embryology of facial nerve explains why the facial nerve branches are found among 1st arch structures and the soft tissue connections maintained by branches of facial nerve with SMAS.Conclusions: The phylogeny and ontogeny of facial SMAS is a complex process and is responsible for the observed anatomical variations and inconsistencies in its relations to surrounding fascial planes and facial nerve branches.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250555","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}

引用次数: 0

Ethnic and Cultural Considerations in Male Rejuvenation. 男性年轻化中的民族文化考量。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-08 DOI: 10.1055/a-2718-4087

Ethan Moritz, Jamil Asaria

{"title":"Ethnic and Cultural Considerations in Male Rejuvenation.","authors":"Ethan Moritz, Jamil Asaria","doi":"10.1055/a-2718-4087","DOIUrl":"https://doi.org/10.1055/a-2718-4087","url":null,"abstract":"Aims and Backgrounds A patient's ethnicity and culture need to be considered prior to male facial rejuvenation. Here, we describe the most important factors across ethnicities that affect the analysis, treatment and postoperative considerations of commonly performed procedures. Anatomy There are some traits commonly associated with certain ethnicities that differ from each other. These span skeletal structure, skin characteristics, predisposition to poor scarring, periorbital and nasal anatomy and hair qualities. Techniques As they pertain to the described differences in traits, certain variations exist within procedures to accommodate non-Caucasian patients. This is to make results more natural, fitting to a patient's ethnicity and goals and to account for differences in postoperative healing. Conclusions and Clinical Relevance An integral part of every patient encounter is to listen to the patient's perspective and goals prior to developing a treatment plan. Their facial analysis should subsequently be performed in the context of their ethnicity. The management of non-Caucasian facial rejuvenation patients should not be taught as a variation of the norm but rather as unique considerations to modify known surgical techniques for each individual ethnicity and culture. Training needs to emphasize and popularize these differences.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250568","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}

引用次数: 0

The Evolving Standards for Facial Plastic Photography in the Age of Social Media. 社交媒体时代面部整形摄影标准的演变

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-08 DOI: 10.1055/a-2718-3825

Kiran Abraham-Aggarwal, John Wilson, Andrew B Yang, John L Frodel

{"title":"The Evolving Standards for Facial Plastic Photography in the Age of Social Media.","authors":"Kiran Abraham-Aggarwal, John Wilson, Andrew B Yang, John L Frodel","doi":"10.1055/a-2718-3825","DOIUrl":"https://doi.org/10.1055/a-2718-3825","url":null,"abstract":"Introduction: Standardized photography is foundational in facial plastic surgery for accurate documentation of outcomes. The increased use of smartphones and social media introduces challenges such as variable lighting, filters, and digital manipulation that can distort results. Objectives & Hypotheses: To examine current FPS photography standards and propose updated guidelines that address the influence of digital platforms. We hypothesize that modern adaptations are required to ensure accuracy and patient trust.Study design: Perspective on FPS photography standards in the age of social media.Methods: We reviewed published recommendations, historical practices, and recent studies on perioperative FPS photography, including the impact of smartphone technology and social media on standardization.Results: Findings highlight that smartphone photography and social media images often introduce bias through inconsistent angles, lighting, and digital enhancements.Conclusions: Revised photographic guidelines that integrate digital-era considerations are necessary to maintain accuracy, transparency, and ethical standards in FPS.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250521","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}

引用次数: 0

Perceived Age Reduction After Rhytidoplasty: A Randomized Clinical Trial Comparing Three Surgical Techniques Using Human and AI Assessment. 皱缩成形术后感知年龄降低：一项随机临床试验，比较三种手术技术使用人类和人工智能评估。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-08 DOI: 10.1055/a-2718-4008

Vinicius Santos Baptista, Matheus Galvão Valadares Bertolini Mussalem, Lydia Masako Ferreira, José da Conceição Carvalho Junior

{"title":"Perceived Age Reduction After Rhytidoplasty: A Randomized Clinical Trial Comparing Three Surgical Techniques Using Human and AI Assessment.","authors":"Vinicius Santos Baptista, Matheus Galvão Valadares Bertolini Mussalem, Lydia Masako Ferreira, José da Conceição Carvalho Junior","doi":"10.1055/a-2718-4008","DOIUrl":"https://doi.org/10.1055/a-2718-4008","url":null,"abstract":"Introduction: Perceived age is an objective surrogate for facial rejuvenation, but comparative evidence across facelift techniques using human and AI raters is limited.Objectives& Hypotheses: This trial assessed whether facelift techniques differ in rejuvenation effect and whether AI estimates align with human evaluations.Study design: Randomized clinical trial.Methods: Thirty women (45-65 years) underwent rhytidectomy by Deep Plane, High SMAS, or Plication (n=10 each). Standardized photographs were rated by 200 laypersons (9,000 evaluations) and three AI models (180 evaluations). Primary outcome was change in perceived age (Δ age); secondary analyses included technique comparison, AI accuracy, rater bias, and human-AI correlation.Results: All techniques significantly reduced perceived age, with no statistical difference between groups. Amazon Rekognition and HowOldDoYouLook were more accurate.Human-AI correlation was moderate (r=0.41, p=0.020). Raters under 30 underestimated age (p<0.001).Conclusions: Human and AI evaluations showed no technique differences, with AI estimates resembling human assessments.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250503","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}

引用次数: 0

Direct Neck Lift in Men. 男士直接领饰。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-07 DOI: 10.1055/a-2708-5392

Parker A Velargo, John C Holtrop, Bill D Aukerman, Vidhur R Sohini

{"title":"Direct Neck Lift in Men.","authors":"Parker A Velargo, John C Holtrop, Bill D Aukerman, Vidhur R Sohini","doi":"10.1055/a-2708-5392","DOIUrl":"10.1055/a-2708-5392","url":null,"abstract":"Direct submentoplasty remains a valuable alternative to rhytidectomy in male patients, addressing cervical laxity and fullness while avoiding feminization, periauricular scars, and prolonged recovery associated with traditional rhytidectomy.Since the early 20th century, submental skin excision has undergone refinement, progressing from horizontal ellipses to advanced configurations such as the Grecian urn pattern. These modifications aim to optimize scar camouflage while correcting horizontal and vertical redundancy.Key anatomic contributors to cervical aging include skin and platysmal laxity, supra- and subplatysmal fat, anterior belly of the digastric hypertrophy, ptotic submandibular glands, and a low-lying hyoid. Comprehensive preoperative analysis is required to address these factors.For patients presenting with submental fullness accompanied by good skin elasticity and minimal skin laxity, an isolated deep structural neck lift without skin excision may be sufficient. Optimal candidates for direct cervicoplasty (skin excision) demonstrate submental laxity limited to above the thyroid cartilage, minimal jowling, and acceptance of an anterior cervical scar.The isolated deep structural neck lift addresses the platysma and its underlying structures without the need for skin excision. A direct cervicoplasty with skin excision affords wide exposure for addressing the skin, platysma, and the subplatysmal anatomy. Skin excision patterns are varied and tailored to the patient's needs.Scar modulation strategies, drain management, lymphatic assistance with positioning/massage, and salivary flow management are key to a hastened recovery.Direct submentoplasty remains an essential tool in the aging male patient, offering reproducible results in appropriately selected patients who are willing to accept its limitations.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137024","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}

引用次数: 0

Energy based options for male facial rejuvenation. 基于能量的男性面部年轻化选择。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-06 DOI: 10.1055/a-2716-2121

Rishi Mandavia, Elizabeth Sahonta, Sepi Shahidi, Tatiana Mandavia

引用次数: 0

Effect of Facial Fillers on Post-rhinoplasty edema: A Hypothesis Based on Literature Review. 面部填充物对鼻整形术后水肿的影响--基于文献综述的假设。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-01 Epub Date: 2024-11-12 DOI: 10.1055/a-2466-1407

Salwa Al Maamari, Géraldine Vansteelant, Shirrushtii Appan, Alwyn D'Souza

{"title":"Effect of Facial Fillers on Post-rhinoplasty edema: A Hypothesis Based on Literature Review.","authors":"Salwa Al Maamari, Géraldine Vansteelant, Shirrushtii Appan, Alwyn D'Souza","doi":"10.1055/a-2466-1407","DOIUrl":"10.1055/a-2466-1407","url":null,"abstract":"The quest to achieve younger and media-driven facial aesthetics has resulted in an exponential increase in the use of facial fillers. Inevitably, this has meant that it is now commonplace for facial plastic surgeons to have patients with fillers in the face. In the senior author's experience (A.R.D.), it was observed that patients with facial fillers experienced persistent edema post-rhinoplasty. It was, therefore, hypothesized that this prolonged edema may be related to fillers affecting the lymphatic drainage impacting postoperative edema following facial surgery.This article aims to gather evidence from wider literature to support the hypothesis that fillers do indeed compromise lymphatic drainage. A narrative literature review was performed using selective articles on fillers and post-rhinoplasty edema. A methodological analysis was then followed to develop a standard theory characterized through the discussion.It is theorized that due to their hydrophilic characteristics, hardness, volume, and backflow phenomena, hyaluronic acid fillers can lead to prolonged edema. In addition, they can either directly block or indirectly exert pressure on the lymphatic pathways and hinder drainage.The research findings support the hypothesis that facial fillers impact postoperative facial edema. Further research is required to objectively measure the effect of fillers on facial lymphatic drainage.The level of evidence is IV.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"689-694"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142616817","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}

引用次数: 0

Surgical Chin Reduction: Achieving a Balanced Result. 手术减下巴：达到一个平衡的结果。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-01 Epub Date: 2025-06-10 DOI: 10.1055/a-2631-5508

Jonathan Sykes, Madison Mehrdad

引用次数: 0

A Simplified Algorithm for Corner Lip Lifting. 一种角唇提升的简化算法。

IF 1.4 4区医学

Facial Plastic Surgery Pub Date : 2025-10-01 Epub Date: 2025-06-20 DOI: 10.1055/a-2626-9347

Benjamin Talei, Arman Danielian

{"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":"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 CO2 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.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"632-636"},"PeriodicalIF":1.4,"publicationDate":"2025-10-01","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}

引用次数: 0