Facial Plastic Surgery最新文献

{"title":"Blepharoplasty Revision Technique for Disappearing Double Eyelid Line: A Biomimetic Approach for Establishing Skin and Pretarsal Fascia Connection.","authors":"Mingyu Zhao, Tailing Wang, Chong Zou","doi":"10.1055/a-2611-1471","DOIUrl":"10.1055/a-2611-1471","url":null,"abstract":"<p><p>Double eyelid surgery has associated complications including fold disappearance over time.To assess a novel surgical method for double eyelid revision.Retrospective study.We analyzed data from 60 patients with disappearing double eyelid folds. The procedure involved suturing the pretarsal fascia, orbicularis oculi muscle, and dermis at the lower incision edge. Aesthetic outcomes and patient satisfaction were assessed during postoperative follow-up.All patients had satisfactory results with no double eyelid crease disappearance during the follow-up period. The eyelid morphology was satisfactory in 59 cases and moderately satisfactory in one case. Patient satisfaction was 98.3%. Crease disappearance was not observed during the follow-up.This study discusses a novel surgical method for stable double eyelid morphology with more secure internal fixation and low fold disappearance risk. Moreover, dynamic force transmission leads to more stability with less noticeable incision scars.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186880","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":"Reduction Rhinoplasty's Bad Wrap-Is it Time to Forgive and Forget?... Or at Least Get a Rebrand?","authors":"Emily C Deane, Oren Friedman","doi":"10.1055/a-2611-1519","DOIUrl":"https://doi.org/10.1055/a-2611-1519","url":null,"abstract":"<p><p>Destigmatizing reduction rhinoplasty in a structural preservation era.Transition from the classic Joseph rhinoplasty to modern emphasis on structural preservation has imparted negative connotations to the term reduction.Anatomic features that predispose patients to functional compromise must be recognized and addressed in all approaches to ensure successful surgical outcomes.Piezo ultrasonic instruments provide a safe and precise way to reduce the bony framework and can be applied to all styles of rhinoplasty.Patients with no concomitant functional issues, reasonable and conservative cosmetic expectations, and strong cartilage framework, who are managed by a thoughtful surgeon can expect excellent results regardless of the approach.Reduction rhinoplasty techniques are some of the most enduring in rhinoplasty and safe limits are described.Patients should be followed for functional and/or quality of life performance.Precision recommendations regarding thresholds for resection and grafting, as well as standardized preoperative evaluation methods are required.Rhinoplasty techniques exist in a continuum as do features of the nose. A one-style-fits-all approach is not appropriate and leads to avoidable postoperative failures and revision surgery. Reduction rhinoplasty may not be the \"buzz\" but it still has a place in contemporary conservative cosmetic surgery.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157508","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":"An Algorithmic Approach to Lower Eyelid Malpositions.","authors":"G Seethapathy, Tejaswi Pagadala, T Premalatha","doi":"10.1055/a-2595-3381","DOIUrl":"https://doi.org/10.1055/a-2595-3381","url":null,"abstract":"<p><p>Involutional lower eyelid malpositions, such as ectropion and entropion, are frequently encountered in oculoplastic clinics, particularly among elderly patients. These conditions result from age-related weakening of the eyelid structures, leading to eyelid eversion (ectropion) or inversion (entropion). Similarly, lagophthalmos, often caused by facial nerve dysfunction or mechanical factors, presents with incomplete eyelid closure. Aim of this article is to propose a clinical grading and a grade based management algorithm for lower eyelid malpositions.Patients with ectropion may experience tearing, irritation, and conjunctival exposure, while those with entropion often present with foreign body sensation, redness, and corneal damage. Lagophthalmos typically manifests as dryness, exposure keratopathy, and nocturnal eye discomfort.This article proposes a structured, graded algorithm to guide the management of these conditions, offering a systematic, stepwise approach tailored to the severity of eyelid malposition.The algorithms are designed to simplify clinical decision-making by categorizing ectropion, entropion, and lagophthalmos into distinct grades, each with corresponding treatment options. These include both conventional surgical techniques and innovative approaches, allowing for individualized care that addresses both functional and aesthetic concerns.The goal of this graded approach is to optimize patient outcomes, reduce recurrence, and enhance the precision of surgical interventions.By providing a comprehensive framework for managing these complex eyelid disorders, this algorithm serves as an essential tool for ophthalmologists in clinical practice.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144157553","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":"Hybrid Rhinoplasty in Mixed Race Patients: A Mix and Match Philosophy.","authors":"Roxana Cobo, Christie Mendoza, Jorge Espinosa, Nicolás Heredia, Juan Ochoa, Fabián Henao","doi":"10.1055/a-2597-6541","DOIUrl":"10.1055/a-2597-6541","url":null,"abstract":"<p><p>Rhinoplasty remains a leading facial plastic procedure globally. The term \"ethnic patients\" has been replaced by \"mixed race patients\" reflecting today's interracial mixing, globalization, and massive migrations.\"Hybrid rhinoplasty\" combines two different philosophies: dorsal preservation and structural techniques to achieve optimal surgical results. Selection is dependent on anatomical findings for each patient.Mixed-race primary rhinoplasty patients with V- or S-shaped humps measuring less than 3 mm were included. Patients with important dorsal abnormalities humps greater than 3 mm, or platyrrhine noses were excluded.The different surface dorsal preservation and structural nasal tip procedures are explained in detail. A selection criteria for the dorsal surface techniques is presented.A total of 143 patients between January 2020 and February 2024, who had at least 1 year of follow-up were included. 85.2% were female and 17.48% were male. Surface preservation techniques comprised 56.6% cartilage modification techniques and 43.3% cartilaginous push-down techniques. Structural techniques were used for all nasal tips. The complication rate was very low, with no documented revisions.A hybrid mix-and-match philosophy has extended the application and utility of these concepts, improved outcomes, and minimized re-interventions and complications.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987992","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":"Neuroplasticity and Rhinoplasty: Bridging Neuroscience and Aesthetic Surgery.","authors":"Marta Capelleras, Fernando Ruiz Esteve, Gustavo A Suárez, Marc Cruellas","doi":"10.1055/a-2604-7666","DOIUrl":"10.1055/a-2604-7666","url":null,"abstract":"<p><p>Neuroplasticity, the brain's ability to reorganize its structure and function, plays a pivotal role in adapting to anatomical changes introduced by surgical interventions such as rhinoplasty. This review explores the interplay between functional and aesthetic outcomes of rhinoplasty and their implications on cognitive and emotional processes. Key findings highlight the involvement of specialized neural circuits, including the fusiform face area, somatosensory cortex, and mirror neuron systems, in adapting to altered facial features. Furthermore, the importance of preoperative expectations, emotional resilience, and breathing patterns in optimizing postoperative outcomes is emphasized. By integrating neuroscience with clinical insights, this paper underscores the transformative potential of rhinoplasty as both a physical and psychological intervention, fostering a holistic approach to patient care.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004732","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":"Asian Augmentation Rhinoplasty.","authors":"John W Frederick, Donald B Yoo","doi":"10.1055/a-2595-5275","DOIUrl":"https://doi.org/10.1055/a-2595-5275","url":null,"abstract":"<p><p>Asian augmentation rhinoplasty has seen marked transitions in both its technical and aesthetic aspects over time, to address the distinct anatomical needs of Asian patients while aligning with their individual standards of beauty. This study provides an in-depth exploration of the evolution of augmentation rhinoplasty techniques to enhance nasal projection and overall facial harmony in a population characterized by unique nasal anatomy-typically featuring a lower nasal dorsum, limited septal cartilage, and thicker soft tissue coverage.A review of augmentation techniques is provided with an emphasis on diced cartilage fascial grafting.It is critical to understand the unique anatomy of the Asian rhinoplasty patient-typically featuring a lower nasal dorsum, limited septal cartilage, and thicker soft tissue coverage.Patient selection is critical in any facial plastic surgery. Preoperative assessment is key in identifying ideal candidates with appropriate goals.This study will explore general considerations for Asian augmentation rhinoplasty, along with a review of the commonly used augmentation techniques. Emphasis will be placed on the surgical approaches utilizing autologous grafting techniques such as costal cartilage and diced cartilage fascia, as the authors feel autologous grafts have generally shown to provide superior results, safety, and permanence when compared with alloplastic implants.We hope to stress the individualized approach in Asian augmentation rhinoplasty, where the choice of technique is determined by patient-specific factors such as skin quality, anatomical structure, and desired aesthetic outcome. With appropriate preoperative planning, advanced surgical techniques, and attentive postoperative care, surgeons can achieve natural, lasting results with augmentation Asian rhinoplasty that improves nasal aesthetics but also enhances overall facial harmony.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101584","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":"Comparison of the Effects of Conventional and Ultrasonic Bone Cutting in Septorhinoplasty Surgery on Intraocular Pressure in the Postoperative Period.","authors":"Ercan Atasoy, Burak Kaan İnan, İbrahim Sayın, Kamil Hakan Kaya","doi":"10.1055/a-2588-9688","DOIUrl":"10.1055/a-2588-9688","url":null,"abstract":"<p><p>Septorhinoplasty is a complex facial surgery that involves osteotomy, a procedure that can lead to complications such as postoperative edema, ecchymosis, and potential changes in intraocular pressure (IOP). However, there is limited research on how different osteotomy techniques, such as conventional osteotomy versus ultrasonic bone cutting, affect IOP.This study aimed to compare the effects of conventional osteotomy and ultrasonic bone cutting on IOP in patients undergoing septorhinoplasty. We hypothesized that ultrasonic osteotomy would result in less change in IOP compared to conventional osteotomy.Prospective, double-blind, randomized, controlled study conducted at a tertiary referral hospital in Turkey. The study adhered to the CONSORT guidelines for randomized trials.Sixty patients undergoing septorhinoplasty were randomly assigned to either the conventional osteotomy group or the ultrasonic osteotomy group. IOP was measured preoperatively, on postoperative day 1, and on postoperative day 7 using noncontact tonometry. Statistical analyses were performed using SPSS version 25.0 with repeated measures analysis.No significant difference in IOP was observed between groups on postoperative day 7. However, the conventional osteotomy group showed a significant increase in IOP on postoperative day 1 (<i>p</i> < 0.001), with a subsequent decrease by day 7. The ultrasonic osteotomy group showed no significant IOP change.Ultrasonic bone cutting for osteotomy in septorhinoplasty results in more stable IOP compared to conventional osteotomy, making it potentially safer for patients at risk of glaucoma. Further studies with longer follow-ups are required to confirm these findings.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143984761","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 Functional and Aesthetic Results of Fibrin Glue, Platelet-Rich Plasma (PRP), and Warm Blood as a Scaffold for Diced Cartilage in Saddle Nose Deformity: A Descriptive Study.","authors":"Amr Nabil Rabie, Talat Ali El Samny, Anas Mohammad Askoura, Mohamed Salah Desouky, Ahmed Mohamed Kamel Abdel Aty","doi":"10.1055/a-2597-6450","DOIUrl":"10.1055/a-2597-6450","url":null,"abstract":"<p><p>Irregularities on the nasal dorsum post rhinoplasty remain a prevalent concern for both surgeons and patients. Various techniques using cartilage are used to hide the nasal dorsum, such as crushed cartilage, free diced cartilage, surgical-wrapped diced cartilage, or diced cartilage mixed with blood glue. Diced cartilage can address issues that arise with solid materials. However, it may lead to undesirable outcomes such as graft deformation and migration. It is challenging to uniformly implant the loosely linked cartilage pieces. To prevent issues, cartilage is mixed with other materials to serve as a stabilizing scaffold.This descriptive study will examine fibrin glue, platelet-rich plasma (PRP), and warm blood as stabilizing scaffolds for correcting saddle nose deformity.To compare functional and aesthetic results of the fibrin glue, PRP, and warm blood usage with diced cartilage for correction of saddle nose deformity in rhinoplasty as a descriptive study.This prospective interventional study was conducted on 30 patients with saddle nose undergoing rhinoplasty with dorsal nasal augmentation using three materials to collide the diced cartilage. All patients were divided into three groups: Study group 1 includes 10 patients who used fibrin glue. Study group 2 includes 10 patients who used PRP. Study group 3 includes 10 patients who used warm blood in Otorhinolaryngology Department, Faculty of Medicine, Ain Shams University hospitals from August 2021 till July 2023. The study was approved by an ethical committee before the start of the recruitment (FMASU M D 44/2021).Our study included 19 primary and 11 revision cases. The mean age of the patients was 31.10 years. Mean postoperative follow-up period was 12 months. There was a statistically significant improvement in rhinoplasty outcome evaluation score (ROE) and dorsal height postoperatively among the studied patients with <i>p</i>-value <0.001, with no statistical difference between the three different groups regarding postoperative resorption.One can augment the nasal dorsum significantly with diced cartilage combined with any of the three different materials, fibrin glue, PRP (PRP), or warm blood, guided by the availability of prerequisites of each material. As the warm blood can fit any patient with no required complex tools, it seems to be the best material to correct saddle nose and maintain the nasal dorsal height.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005351","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":"Differences in Gaze Patterns for Facial Areas of the Asian Human Face between Female Patients Undergoing Upper Blepharoplasty and Nonoperators: An Eye-Tracking Analysis.","authors":"Zexiong Cheng, Wenjie Xia, Jingping Shi, Chi Zhang","doi":"10.1055/a-2589-3766","DOIUrl":"10.1055/a-2589-3766","url":null,"abstract":"<p><p>Blepharoplasty's psychological effects are well-studied, but its impact on social cognition, particularly gaze behavior, remains unexplored. Understanding how cosmetic surgery alters visual attention to faces has implications for patient counseling and social interaction research.We hypothesized that postblepharoplasty patients would exhibit altered gaze patterns, specifically increased attention to eyes due to heightened self-awareness. Primary outcomes were fixation duration and time to first fixation on facial regions.Case-control study (STROBE guidelines) comparing 20 females who underwent upper blepharoplasty alone with 20 nonoperated controls.Participants viewed standardized AI-generated Asian faces while eye-tracking recorded fixation metrics. ANOVA compared groups (IRB-approved). AI was used solely for image generation.Patients after upper blepharoplasty alone showed longer eye fixation (male: <i>p</i> = 0.03; female: <i>p</i> = 0.041) and faster female eye fixation (<i>p</i> = 0.029). Male forehead fixation increased (<i>p</i> = 0.004). Other regions showed no difference.Blepharoplasty modifies visual attention, potentially reflecting postsurgical self-perception changes. Findings suggest cosmetic procedures may influence social cognition.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990010","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":"Enhanced SJ Tripod Suspension Technique: Achieving Comfort and Predictable Outcomes in Severe Nasal Fracture Treatment.","authors":"Sujai Joshi, Sidrah Mirza, Rajesh Yadav, Anbuchezian Ranganathan","doi":"10.1055/a-2593-3307","DOIUrl":"https://doi.org/10.1055/a-2593-3307","url":null,"abstract":"<p><p>Managing comminuted and complicated nasal fractures is challenging because it requires obtaining both functional and cosmetic satisfaction.This research examines patient satisfaction with the closed reduction strategy paired with the use of SJ tripod suspension and splintage technique for severe nasal fractures. Our hypothesis is that proper duration of internal and external splintage is the key to satisfying results.Case series.A total of 186 consenting individuals presenting over 10 years with severe nasal fractures underwent this technique. The average duration of splintage was 10 days. Patients assessed their satisfaction using a visual analog scale.Out of the total 186 cases, 183 cases were highly satisfied with both functional (98.91%) and cosmetic (91.39%) outcomes.The tripod suspension and splintage approach is an effective and comfortable technique for the closed reduction and splintage of comminuted and complicated nasal fractures.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143970605","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}