Facial Plastic SurgeryPub Date : 2026-04-01Epub Date: 2025-09-29DOI: 10.1055/a-2709-6915
Jordan Rihani
{"title":"Male Browlift.","authors":"Jordan Rihani","doi":"10.1055/a-2709-6915","DOIUrl":"10.1055/a-2709-6915","url":null,"abstract":"<p><p>This article reviews surgical techniques and considerations in the male browlift. Proper understanding of the subtle, gender specific details of browlifting procedures allows for optimal correction in men.Throughout the evolution of various browlifting techniques, certain ones have stood out for their ability to correct brow ptosis in various patients. Browlift techniques, including temporal, endoscopic, pretrichial, direct, and midforehead, are reviewed. Discussion of these techniques begins with a review of our brow rating scale, common considerations, and bilaminar browlift concepts. Additionally, adjunct procedures are discussed for optimization of browlift results.Mastery of male browlifting begins with an objective assessment of the brow, allowing proper technique selection for natural and masculine results.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"207-212"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191577","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 : 2026-04-01Epub Date: 2025-10-06DOI: 10.1055/a-2716-2121
Rishi Mandavia, Elizabeth Sahonta, Sepideh Shahidi, Tatiana Mandavia
{"title":"Energy-based Options for Male Facial Rejuvenation.","authors":"Rishi Mandavia, Elizabeth Sahonta, Sepideh Shahidi, Tatiana Mandavia","doi":"10.1055/a-2716-2121","DOIUrl":"10.1055/a-2716-2121","url":null,"abstract":"<p><p>In recent years, the advancements of minimally invasive, energy-based facial treatments have been followed by an increase in male patient's demand. This article presents a review of current energy-based devices for male facial rejuvenation, aiming to inform clinicians on evidence-based treatment options.A search of the scientific literature in the PubMed database from inception to June 2025 was conducted. Articles were included if they discussed energy-based options for male facial rejuvenation. Out of 70 articles screened, 23 met the inclusion criteria. In included articles, 18 energy-based options used for male facial rejuvenation were reported.This review provides an overview of the wide array of energy-based devices available for male facial rejuvenation. The literature suggests that these technologies can be effectively and safely used to tighten skin, improve contouring while reducing adiposity, enhance skin quality and tone, and manage cosmetic vascular lesions.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"219-224"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238321","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 : 2026-04-01Epub Date: 2025-08-05DOI: 10.1055/a-2663-7741
Raina K Patel, Phillip Loan, Gabriela Cendejas, Maheen F Akhter, David Perrault, Rahim S Nazerali, Rohit K Khosla
{"title":"Assessing the Safety and Efficacy of Pediatric Nasal Surgery: A Systematic Review and Meta-Analysis.","authors":"Raina K Patel, Phillip Loan, Gabriela Cendejas, Maheen F Akhter, David Perrault, Rahim S Nazerali, Rohit K Khosla","doi":"10.1055/a-2663-7741","DOIUrl":"10.1055/a-2663-7741","url":null,"abstract":"<p><p>Pediatric nasal surgery has been controversial due to concerns about facial growth during adolescence. There is limited data on patient outcomes and no clear guidelines on the optimal age for surgery.To evaluate the safety, complication, and revision rates of nasal surgery in children.Systematic review and meta-analysis of septoplasty, rhinoplasty, and septorhinoplasty studies from 1994 to 2024, following Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines.Studies on primary nasal septal surgery in children (ages: 0-18) were included. Data was analyzed using ANOVA and chi-squared testing.Twenty-three studies with 27,840 patients were included. Septoplasty had the highest age at surgery and low complication and revision rates. Septorhinoplasty had the youngest age at surgery, and high complication and revision rates. Rhinoplasty had high complications but low revision rates.Pediatric septoplasty has low complication and revision rates. Further studies are needed to determine the optimal age for each procedure.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"282-289"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788576","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 : 2026-04-01Epub Date: 2025-09-17DOI: 10.1055/a-2695-3785
Michael T Somenek
{"title":"Short Scar Male Neck Lift: A Minimally Invasive Option for Neck Contouring.","authors":"Michael T Somenek","doi":"10.1055/a-2695-3785","DOIUrl":"10.1055/a-2695-3785","url":null,"abstract":"<p><p>While facelift literature has largely focused on female patients, recent research highlights unique anatomical and psychosocial considerations in male facial rejuvenation. The short scar neck lift is explored to present the indications, technique, and outcomes as an alternative to the deep plane facelift in selected male patients.The short scar neck lift employs limited periauricular incisions to address submental fullness, platysmal banding, and mild-to-moderate cervical skin laxity. Ideal candidates demonstrate localized cervical and mandibular aging without significant midface descent. The procedure may be combined with submental liposuction, platysmaplasty, and energy-based devices to enhance skin contraction.In appropriately selected patients, the short scar neck lift achieves meaningful improvement in cervicomental angle definition with reduced operative time, morbidity, and recovery compared with deep plane facelifts. The short scar neck lift is a versatile, lower-morbidity alternative for male patients with localized cervical aging. Its targeted approach, adaptability, and favorable recovery profile make it a valuable addition to the male facial rejuvenation surgical algorithm.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"193-197"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080081","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 : 2026-04-01Epub Date: 2025-10-08DOI: 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":"10.1055/a-2718-4087","url":null,"abstract":"<p><p>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.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.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.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.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"236-240"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","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}
Facial Plastic SurgeryPub Date : 2026-04-01Epub Date: 2025-09-24DOI: 10.1055/a-2708-5392
Parker A Velargo, John C Holtrop, William D Aukerman, Vidhur R Sohini
{"title":"Direct Neck Lift in Men.","authors":"Parker A Velargo, John C Holtrop, William D Aukerman, Vidhur R Sohini","doi":"10.1055/a-2708-5392","DOIUrl":"10.1055/a-2708-5392","url":null,"abstract":"<p><p>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.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"198-206"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","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}
Facial Plastic SurgeryPub Date : 2026-04-01Epub Date: 2025-08-06DOI: 10.1055/a-2677-3562
Toni D Pikoos, Ben G Buchanan
{"title":"Masculinity and Self-Perception: The Emotional Drivers of Male Aesthetics.","authors":"Toni D Pikoos, Ben G Buchanan","doi":"10.1055/a-2677-3562","DOIUrl":"10.1055/a-2677-3562","url":null,"abstract":"<p><p>Men comprise up to 16% of aesthetic patients; however, the unique motivations and experiences of male patients remain understudied. We aimed to synthesize evidence on social, emotional, and psychopathological drivers of male interest in aesthetic procedures and outline clinical implications for aesthetic practitioners.Changing expressions of masculinity, media, and technology, as well as social, romantic, and professional influences, were explored. Research regarding psychopathology and body dysmorphic disorder (BDD) in male aesthetic patients was reviewed.Modern, fluid notions of masculinity have normalized aesthetic interventions among male patients. However, men experience ongoing stigma as a barrier to accessing treatment. Men display similar motivations to women, but report professional drivers more frequently. Mental health concerns and BDD prevalence rates are inconsistently reported among male aesthetic patients, but are likely to predispose males to more challenging treatment experiences. Clinical implications and recommendations for working with male patients are discussed.As men continue to undertake cosmetic procedures more frequently, practitioners should take care to adapt their approaches to the unique preferences of male patients. This includes shifts in language, advertising, consultation, and treatment planning to overcome stigma and barriers to access, while prioritizing safe, ethical care.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"170-175"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793877","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 : 2026-04-01Epub Date: 2025-07-16DOI: 10.1055/a-2656-6413
Annakan Navaratnam, Nonpawith Phoommanee, Vikas Acharya, Alfonso Luca Pendolino, Terence S Leung, Peter J Andrews
{"title":"Can a Rule-Based Expert System Diagnose Nasal Obstruction from Nasoendoscopy Videos?","authors":"Annakan Navaratnam, Nonpawith Phoommanee, Vikas Acharya, Alfonso Luca Pendolino, Terence S Leung, Peter J Andrews","doi":"10.1055/a-2656-6413","DOIUrl":"10.1055/a-2656-6413","url":null,"abstract":"<p><p>Nasal obstruction has multiple causes requiring specialist endoscopy for diagnosis. A rule-based expert system (RB-ES), which applies five \"if-then\" rules based on nasal features, may help replicate ENT decision-making in settings with limited access.This study evaluated RB-ES in diagnosing allergic rhinitis, chronic rhinosinusitis with (CRSwNP) and without (CRSsNP) nasal polyps, and deviated nasal septum. Primary outcomes were sensitivity and specificity; the secondary outcome was agreement with ENT specialists.Prospective cohort study.Seventy-one participants (65 patients, 6 controls) underwent pre- and postdecongestion endoscopy. Four ENT specialists provided diagnoses. RB-ES performance was compared against confirmed clinical diagnoses.RB-ES showed no detectable significant sensitivity differences from ENT specialists (all <i>p</i> > 0.05). Sensitivity was highest for CRSwNP; specificity remained high overall.RB-ES matched specialist performance in CRSwNP diagnosis. Dataset expansion and artificial intelligence integration are recommended for further validation.II.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"261-269"},"PeriodicalIF":1.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Facial Plastic SurgeryPub Date : 2026-04-01Epub Date: 2025-07-16DOI: 10.1055/a-2656-7021
José Carlos Neves, Jefferson Rijo-Cedeño, Halana Filgueiras, Edgar Kaminskyi, Fernando Nakamura, Froilan Paez, José Ramón García-Berrocal
{"title":"The Fusion Sling Hook Suspension as a Powerful Tool in Tip Support: Surgical Considerations.","authors":"José Carlos Neves, Jefferson Rijo-Cedeño, Halana Filgueiras, Edgar Kaminskyi, Fernando Nakamura, Froilan Paez, José Ramón García-Berrocal","doi":"10.1055/a-2656-7021","DOIUrl":"10.1055/a-2656-7021","url":null,"abstract":"<p><p>Tip support in rhinoplasty is one of the main concerns during surgery. The reconstruction of the natural mechanisms of the tip for stabilization has become an increasingly fascinating and critical area of study.This article evaluates the fusion sling hook suspension technique for tip support in rhinoplasties.Prospective observational case series.A prospective analysis of 643 consecutive primary rhinoplasties performed between January 2020 and December 2024 was conducted, during which a careful dissection of the fusion sling anatomy was performed. Of these, 557 cases utilized the fusion sling hook suspension technique. Data were reported in accordance with the STROBE guidelines.The stability provided by the fusion sling hook maneuver proved to be highly effective and durable throughout the observation period. Seven patients (1.3%) who underwent the fusion sling hook suspension demonstrated some degree of loss of tip projection or rotation, among whom four (0.7%) required revision surgery.The fusion sling flap offers stability, biomechanical logic, and anatomical continuity to the tip. Its strategic use can reduce the need for grafting or decrease the mechanical load placed on grafts, prevent late failures, and ultimately offer surgeons a more precise and versatile tool for long-lasting, natural tip projection.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"270-281"},"PeriodicalIF":1.4,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144648939","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}