Facial Plastic Surgery最新文献

{"title":"Neck Contouring Prejuvenation Techniques.","authors":"Emily Reynolds, Thuy-Van T Ho","doi":"10.1055/a-2898-6733","DOIUrl":"10.1055/a-2898-6733","url":null,"abstract":"<p><strong>Aim and background: </strong>This study discusses neck contouring prejuvenation techniques, focusing primarily on neck lift and submental liposuction to optimize neck definition.</p><p><strong>Historical aspects: </strong>Traditional neck rejuvenation has relied on platysmaplasty, fat excision, and skin resuspension for addressing the aging neck. With growing demand for early neck rejuvenation, surgical approaches focused more on definitive sculpting including submental liposuction and deep neck lift have become increasingly popular.</p><p><strong>Anatomy: </strong>The neck consists of multiple layers and structures, including skin, subcutaneous fat, platysma muscle, and submandibular glands.</p><p><strong>Patient selection: </strong>Ideal candidates for prejuvenation surgical neck contouring procedures are patients aged 20 to 40 with early signs of submental fullness or a soft jawline with otherwise good skin elasticity.</p><p><strong>Techniques: </strong>The senior author performs deep neck lift surgery using a small submental crease incision and sculpts prominent subplatysmal fat, anterior digastric muscle, and submandibular glands down to the level of the mandible.</p><p><strong>Postoperative care: </strong>Following neck lift surgery, patients are instructed to follow a bland diet for 1 week and activity restriction for 2 weeks, as well as appropriate wound care for the incisions.</p><p><strong>Conclusion and clinical relevance: </strong>Neck lift and submental liposuction remain the cornerstones of effective surgical neck contouring procedures for younger adults.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"631-639"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301428","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":"Techniques and Technology in Prejuvenation.","authors":"Jason D Bloom","doi":"10.1055/a-2875-0435","DOIUrl":"10.1055/a-2875-0435","url":null,"abstract":"","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"555"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147928049","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":"Periocular Rejuvenation with PRF Gel.","authors":"Sayeh Rahbari, Leo Ohandjanians, Angela Cong, Michael Oca, Amit Kochhar, Abdul K Nassimizadeh, Kian Karimi","doi":"10.1055/a-2849-8705","DOIUrl":"10.1055/a-2849-8705","url":null,"abstract":"<p><strong>Aim and background: </strong>Age-related changes in the periorbital region contribute to tear trough deepening and infraorbital hollowing, which create a fatigued appearance.</p><p><strong>Historical aspect: </strong>Platelet concentrates have been used for many years for their regenerative capabilities. Platelet-rich fibrin (PRF) Gel has recently been introduced as a natural alternative to hyaluronic acid (HA) fillers for periorbital rejuvenation.</p><p><strong>Anatomy: </strong>The main cause for periorbital hollowness is volume loss in the fat pads, most specifically the sub-orbicularis oculi fat (SOOF).</p><p><strong>Patient selection: </strong>PRF Gel is well-suited for patients seeking a conservative approach, especially those with prior HA-related complications or compromised lymphatic drainage.</p><p><strong>Techniques: </strong>PRF Gel is created by combining denatured albumin (2,600 rpm, 7 minutes) with liquid PRF (1,100 rpm, 5 minutes) in a 3.5:1.5 cc ratio to form an injectable gel.</p><p><strong>Postoperative care: </strong>Treatment requires minimal downtime and fewer restrictions compared to HA fillers.</p><p><strong>Current and future development: </strong>Prospective observations show progressive volume improvement with repeated treatments. Refinement of centrifugation and protocols may further enhance clinical outcomes.</p><p><strong>Conclusion and clinical relevance: </strong>PRF Gel offers a new and autologous treatment to patients who are seeking a more conservative and natural approach to under-eye rejuvenation.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"591-596"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697581","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 Role of Hyperbaric Oxygen Therapy in Enhancing Skin Regeneration and Aesthetic Outcomes: A Literature Review.","authors":"Mashael AlKandery, Daniel Ben Ner, Alwyn R D'Souza","doi":"10.1055/a-2889-6949","DOIUrl":"10.1055/a-2889-6949","url":null,"abstract":"<p><strong>Introduction: </strong>Hyperbaric oxygen therapy (HBOT) involves the administration of 100% oxygen at pressures greater than atmospheric pressure, leading to increased tissue oxygenation and enhanced wound healing. Its role in surgical practice has expanded due to its potential to improve tissue viability and manage a myriad of complications.</p><p><strong>Objective and hypothesis: </strong>To evaluate the clinical indications, therapeutic benefits, and treatment protocols of HBOT in facial plastic and aesthetic surgery.</p><p><strong>Study design: </strong>Literature review.</p><p><strong>Methods: </strong>A literature search of electronic databases including PubMed, the Cochrane Library, and Google Scholar was performed to identify studies evaluating HBOT in facial plastic surgery, including its use in rhytidectomy, rhinoplasty, vascular ischemia following dermal filler injections, and keloid management.</p><p><strong>Conclusion: </strong>HBOT serves as a valuable adjunct, improving tissue oxygenation, promoting wound healing, and potentially reducing complications. Early utilization may enhance surgical outcomes and recovery.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"579-583"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204723","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 Rejuvenation Options in the Youthful Population.","authors":"Allison Altman, Jordan Higgs, Julie Shtraks","doi":"10.1055/a-2895-2203","DOIUrl":"10.1055/a-2895-2203","url":null,"abstract":"<p><strong>Aim and background: </strong>The lips play a critical role in the perception of youth, beauty, and facial harmony. This review examines lip enhancement techniques in the youthful population, emphasizing anatomy, aesthetic considerations, and both surgical and nonsurgical modalities.</p><p><strong>Anatomy: </strong>The lips consist of the upper and lower cutaneous and vermilion lip, encircled by the orbicularis oris muscle and supplied by the superior and inferior labial arteries.</p><p><strong>Techniques: </strong>Lip enhancement can be achieved with neuromodulators, hyaluronic acid fillers, and surgical techniques. Botulinum toxin creates subtle lip eversion, while hyaluronic acid fillers provide volume and definition. Surgical lip lift procedures shorten the cutaneous upper lip, evert the red lip, and increase maxillary incisor show, improving overall lip proportion.</p><p><strong>Conclusion and clinical relevance: </strong>Successful lip enhancement relies on thoughtful patient selection and an understanding of lip anatomy and aesthetic proportions. Both nonsurgical and surgical treatments can provide natural and harmonious results.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"622-630"},"PeriodicalIF":1.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148283528","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":"Autologous Biofiller in Aesthetic and Regenerative Medicine: A Systematic Review.","authors":"Hanna D'Souza, Mashael AlKandery, Rishi Mandavia","doi":"10.1055/a-2962-4787","DOIUrl":"10.1055/a-2962-4787","url":null,"abstract":"<p><strong>Introduction: </strong>Autologous biofillers are emerging blood-derived regenerative treatments for soft tissue augmentation and regeneration. Despite increasing use, there is limited consensus regarding their definition, preparation, mechanisms, indications, efficacy, longevity, and safety.</p><p><strong>Objectives and hypothesis: </strong>To systematically review the literature, providing an evidence-based overview of biofillers and informing clinical practice. We hypothesize that blood-derived biofillers are a safe and effective regenerative treatment for facial soft tissue augmentation.</p><p><strong>Study design: </strong>A systematic review of the literature.</p><p><strong>Methods: </strong>Studies evaluating autologous blood-derived biofillers for facial soft tissue augmentation were included. Data on definition, preparation, indications, outcomes, longevity, and safety were synthesized narratively.</p><p><strong>Results: </strong>Twenty studies were included. Biofillers were primarily used for facial rejuvenation, infraorbital restoration, wrinkle reduction, and skin improvement. Clinical outcomes and patient satisfaction were favorable, while adverse events were predominantly mild and transient. Heterogeneity in terminology, preparation, and outcome reporting precluded meta-analysis.</p><p><strong>Conclusion: </strong>Autologous biofillers are promising, with encouraging clinical outcomes and a favorable safety profile, but further studies are required to define their role in aesthetic practice.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001546","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":"Contemporary Rhinoplasty: A Global Perspective.","authors":"Chew Lip Ng","doi":"10.1055/a-2958-1054","DOIUrl":"https://doi.org/10.1055/a-2958-1054","url":null,"abstract":"","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024257","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":"Efficacy of hyaluronidase in treating calcium hydroxylapatite-induced arterial occlusion: an experimental study using the leporine auricular artery as a model.","authors":"Christopher Rowland Payne, Svetlana Larkina, O Seletska, Nina Oliynik, Marianna Lytvynenko, Liliana Sytnyk","doi":"10.1055/a-2905-6767","DOIUrl":"https://doi.org/10.1055/a-2905-6767","url":null,"abstract":"<p><strong>Introduction: </strong>Hyaluronidase \"melts\" hyaluronic acid (HA); no such antidote exists for calcium hydroxylapatite (CaHA). Experimental evidence demonstrating efficacy of hyaluronidase in treating arterial compromise due to CaHA is lacking. Nevertheless, its use is mentioned in papers describing the management of vascular occlusion due to CaHA. Objectives & hypotheses. To investigate the efficacy of hyaluronidase as a treatment for CaHA-induced arterial occlusion using the leporine auricular artery as a model.</p><p><strong>Study design: </strong>A prospective case control series.</p><p><strong>Methods: </strong>Six Oryctolagi cuniculi were divided into two groups of three, Groups 1 and 2. Right auricular blood flow was examined by Doppler in all six. In all six, the right auricular artery was then occluded by injection of CaHA. Occlusion was confirmed by Doppler. On Day 0, Group 1 received injection of hyaluronidase, Group 2 did not. In each group, one occluded ear was biopsied on Day 1 and another on Day 4. On Day 7, the third occluded ear in each group was examined by Doppler and then biopsied.</p><p><strong>Results: </strong>Doppler demonstrated that, without hyaluronidase blood flow rate at Day 7 was only 10% of the pre-occlusion flow rate, whereas with hyaluronidase blood flow rate at Day 7 was considerably recovered at 58% of the pre-occlusion rate. Histology revealed a similar story: without hyaluronidase at Day 7 the arterial wall anatomy was largely destroyed, whereas with hyaluronidase the arterial wall anatomy was largely conserved.</p><p><strong>Conclusions: </strong>Hyaluronidase improves tissue viability after arterial occlusion by CaHA. This finding has important implications for patient care.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988786","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":"Preoperative Visual Field Patterns Associated with Selection for Concurrent Eyelid and Brow Ptosis Repair.","authors":"Eli Stein, Ilexa Schechter, Celestine H Gregerson, Kevin Heinze, Kyle Godfrey, Gary J Lelli, Anthony P Sclafani","doi":"10.1055/a-2949-3531","DOIUrl":"10.1055/a-2949-3531","url":null,"abstract":"<p><strong>Introduction: </strong>Determining when to perform combined eyelid and brow surgery for functional deficits remains subjective, despite measurable visual field (VF) impairment in affected patients.</p><p><strong>Objectives: </strong>We sought to identify VF patterns associated with selection for combined eyelid-brow surgery.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Methods: </strong>Patients with preoperative Humphrey Visual Field testing undergoing isolated eyelid surgery or combined eyelid-brow surgery for VF deficits were matched 1:2 by demographic and surgical characteristics. VF patterns were analyzed using generalized estimating equations.</p><p><strong>Results: </strong>Among 171 patients, the mid-temporal VF zone was the only independent predictor of combined-repair selection on multivariable analysis (OR = 1.38 per dot missed, 95% CI: 1.06-1.81, <i>p</i> = 0.018). Combined repair was also independently associated with lower odds of need for revision surgery (OR = 0.31, 95% CI: 0.10-0.97, <i>p</i> = 0.044).</p><p><strong>Conclusion: </strong>The mid-temporal VF may serve as a marker of brow-related visual obstruction, helping guide selection for combined eyelid-brow surgery in functional blepharoptosis.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891461","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":"Looking to the Future: How Will Personalised Medicine Impact Facial Plastic Surgery.","authors":"Alexander Scott North, Anil Joshi","doi":"10.1055/a-2946-5685","DOIUrl":"https://doi.org/10.1055/a-2946-5685","url":null,"abstract":"<p><strong>Aims and backgrounds: </strong>The objectives of this study are to examine the emerging role of personalized medicine in facial plastic surgery and to consider how biologically, anatomically, and psychologically tailored approaches may refine both aesthetic and reconstructive care.</p><p><strong>Historical aspects: </strong>Facial plastic surgery has traditionally relied on anatomical principles, surgical expertise, and population-based evidence. Personalized medicine represents a shift toward more individualized care by incorporating patient-specific biological and phenotypic variation into clinical decision-making.</p><p><strong>Anatomy: </strong>Facial plastic surgery is uniquely dependent on subtle anatomical variation, soft tissue characteristics, wound healing behavior, and age-related change. These factors differ considerably between individuals and have a direct impact on both surgical planning and outcomes.</p><p><strong>Technology: </strong>Advances in genomics, pharmacogenomics, artificial intelligence, tissue engineering, and three-dimensional modelling are expanding the scope of personalized care. These technologies may improve prediction of healing, treatment response, complication risk, and reconstructive requirements.</p><p><strong>Patient selection: </strong>Personalized medicine may support more accurate patient selection by identifying those at increased risk of adverse scarring, variable response to injectables or pharmacotherapy, or differential reconstructive needs, thereby improving counselling and expectation management.</p><p><strong>Techniques: </strong>Potential applications include tailored incision planning, individualized facial rejuvenation strategies, personalized perioperative pharmacological regimens, and patient-specific reconstructive scaffolds, grafts, and implants.</p><p><strong>Postoperative care: </strong>Postoperative management may also become more individualized through better prediction of inflammatory response, scar formation, analgesic requirements, and recovery trajectory, allowing more precise surveillance and adjunctive treatment.</p><p><strong>Current and future development: </strong>Although many applications remain investigational, continued progress in regenerative medicine, molecular profiling, and predictive analytics is likely to accelerate clinical translation. Ethical challenges relating to privacy, bias, and equitable access must, however, remain central.</p><p><strong>Conclusion and clinical relevance: </strong>Personalized medicine has the potential to enhance precision, safety, and patient-centered care in facial plastic surgery. Its future value will depend on thoughtful integration into practice as an adjunct to, rather than a replacement for, surgical judgement and aesthetic insight.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148967352","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}