Facial Plastic Surgery最新文献_第2页

The Role of Botulinum Toxin A Neuromodulator in the Management of Synkinesis in Facial Palsy. A 型肉毒毒素神经调节剂在面瘫同步运动治疗中的作用。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-07-22 DOI: 10.1055/a-2370-2426

Asalet Yener, Vikas Acharya, Peter Andrews, Catherine Meller, Eamon Shamil

引用次数: 0

Twelve Steps to Optimize Scar Outcomes in External Rhinoplasty. 优化外鼻整形术疤痕效果的十二个步骤。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-05-02 DOI: 10.1055/a-2318-0866

Germán A Soto-Galindo, Meshari Saghir, Fazil Apaydin

{"title":"Twelve Steps to Optimize Scar Outcomes in External Rhinoplasty.","authors":"Germán A Soto-Galindo, Meshari Saghir, Fazil Apaydin","doi":"10.1055/a-2318-0866","DOIUrl":"10.1055/a-2318-0866","url":null,"abstract":"A well-healed scar extends beyond a mere superficial concern, reflecting the precision and care underlying the surgery. This study addresses the lack of recent literature on the complete closure technique for external rhinoplasty scars, emphasizing its potential impact on patient satisfaction and overall aesthetic quality. The main purpose of this article was to introduce and assess the efficacy of a novel closing suture technique for external rhinoplasty and emphasize on 12 specific steps for wound closure. A cohort of 104 patients who underwent external rhinoplasty utilizing the proposed closing suture technique were evaluated. Standardized photographic documentation and scar assessment were performed using the Vancouver-Manchester scale, considering notching, skin level differences, pigmentation, and overall appearance. The surgical approach involved a combination of vertical mattress and interrupted simple sutures, creating an effective closure framework. Analysis revealed an absence of poor scars, with 83.6% classified as good. Note that 65.5% of the good scars achieved a perfect 6-point score. While one moderate scar scored 3 points, the majority demonstrated optimal outcomes. Clinical photographs further illustrated the technique's success, showcasing imperceptible scars and reinforcing the efficacy of the complete closure approach. Our study introduces and assesses the efficacy of the complete closure technique for external rhinoplasty scars. The approach consistently yields positive outcomes, with an emphasis on almost imperceptible scars. While not achieving a 100% imperceptible scar rate, this study underscores the need for ongoing research to refine techniques and enhance patient satisfaction in external rhinoplasty. The proposed technique contributes significantly to scar management practices and encourages further exploration within the evolving landscape of rhinoplasty.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"313-318"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852883","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

Open Neck Lift: Surgical Technique and A Clinical Classification for Cervical Rejuvenation. 开放式颈部提升术：颈部年轻化的手术技术和临床分类。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-07-22 DOI: 10.1055/s-0044-1788325

Muhammad Adil Abbas Khan, Yangmyung Ma, Dallan Dargan, Noemi Kelemen, Dujanah Bhatti, Armaan Riaz, Muhammad Riaz

{"title":"Open Neck Lift: Surgical Technique and A Clinical Classification for Cervical Rejuvenation.","authors":"Muhammad Adil Abbas Khan, Yangmyung Ma, Dallan Dargan, Noemi Kelemen, Dujanah Bhatti, Armaan Riaz, Muhammad Riaz","doi":"10.1055/s-0044-1788325","DOIUrl":"10.1055/s-0044-1788325","url":null,"abstract":"Careful evaluation of the neck and its relationship to the lower third of the face is fundamental to provide appropriate recommendations for procedures. The authors propose a modified Baker \"clinical\" classification as a more reliable and reproducible evaluative basis for the treatment of the aging neck. A total of 450 patients underwent procedures for cervical rejuvenation between December 2012 and December 2022 by the senior author. These included 9 cases of neck liposuction, 6 isolated neck lifts, 15 minimal access cranial suspension face lifts, 94 face lifts with open neck lifts, and 326 extended R-face and neck lifts. The male-to-female ratio was 1:20. The mean patient age was 59.1 years and the mean follow-up was 14 months (range 11.5-20 months). From the data, a modified Baker clinical classification for the aging neck was formulated along with recommendations for possible solutions. Ninety-four percent of the patients expressed high satisfaction on the Owsley Facelift Satisfaction Survey at 1-year follow-up. The complication rate was 1.78% (8 patients), including 1 hematoma, 1 skin edge necrosis (1 cm), 1 slow healing site (postauricular), 3 limited postauricular/earlobe scar revisions, and 2 mild contour irregularities. Cervical rejuvenation can be achieved by a spectrum of interventions and approaches. A comprehensive preoperative assessment and a clinical neck lift classification are the keys to selecting the correct surgical technique for achieving reliable and consistent results. The authors propose a pragmatic approach for both isolated and integrated neck lift procedures with excellent aesthetic outcomes and minimal complications.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"371-376"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141747848","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

Rhinoplasty Health Inventory and Nasal Outcomes (RHINO) Scale: Translation, Cross-Cultural Adaptation and Validation for Hebrew-Speaking Patients. 鼻整形健康量表和鼻腔结果量表（RHINO）：针对希伯来语患者的翻译、跨文化适应和验证。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-04-01 DOI: 10.1055/a-2297-4494

Netanel Eisenbach, Matti Mizrachi, Amiel A Dror, Rania Faris, Tali Jane Ohayon, Ohad Ronen, Eyal Sela

{"title":"Rhinoplasty Health Inventory and Nasal Outcomes (RHINO) Scale: Translation, Cross-Cultural Adaptation and Validation for Hebrew-Speaking Patients.","authors":"Netanel Eisenbach, Matti Mizrachi, Amiel A Dror, Rania Faris, Tali Jane Ohayon, Ohad Ronen, Eyal Sela","doi":"10.1055/a-2297-4494","DOIUrl":"10.1055/a-2297-4494","url":null,"abstract":"Patient-reported outcomes questionnaires are accepted measurement tools to evaluate procedures results. The Rhinoplasty Health Inventory and Nasal Outcomes (RHINO) scale is an English-language validated and reliable quality-of-life instrument that evaluates both functional and aesthetic outcomes after rhinoplasty, and is not available in Hebrew. We followed the forward-and-back-translation method, defined by the European Organization for Research and Treatment of Cancer. Translation of the RHINO scale and merging it into one version were performed, following back-translation and validation on native Hebrew-speaking patients who underwent rhinoplasty and control healthy group. Lastly, we review and analyzed the results. The translated questionnaire had high reliability measures, demonstrating homogeneity (α value 0.800 in the rhinoplasty group and 0.896 in the control group), test-retest reproducibility with no significant difference (p = 0.5), and high agreement scores represented by the Bland-Altman plot (95% limits of agreement ranged from 8.78 to 9.80). Validity demonstrated by significant differences between the two study groups' mean questionnaire scores (p < 0.001 for rhinoplasty vs. controls, p < 0.001 for preoperative vs. postoperative, and p = 0.002 for postoperative vs. control group) and also between the aesthetic scores and functional scores of the rhinoplasty group before and after the surgery (p < 0.001). There were no reported understanding problems. The Hebrew version of the RHINO scale is a reliable and valid tool for pre- and post-rhinoplasty surgery outcomes measuring among Hebrew-speaking patients, and can improve coordination of expectations, follow-up, and quantify subjective evaluation of the surgery. Level of evidence: IV.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"277-285"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140335324","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

Current Treatments and Future Directions for Facial Paralysis. 面瘫的当前治疗方法和未来发展方向。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-07-02 DOI: 10.1055/a-2358-9401

Jonathan Leckenby, Keith Sweitzer, Timothy Olsen, Danielle Mayorga-Young, David Milek, Adriaan Grobbelaar

引用次数: 0

Effect of Facial Feminization Surgery (FFS) on Eyelid Anatomic Features. 面部女性化手术（FFS）对眼睑解剖特征的影响。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-04-27 DOI: 10.1055/a-2315-7612

Hanna N Luong, Alice S Liu, Basel A Sharaf, Uldis Bite, Lilly H Wagner

{"title":"Effect of Facial Feminization Surgery (FFS) on Eyelid Anatomic Features.","authors":"Hanna N Luong, Alice S Liu, Basel A Sharaf, Uldis Bite, Lilly H Wagner","doi":"10.1055/a-2315-7612","DOIUrl":"10.1055/a-2315-7612","url":null,"abstract":"Facial feminization surgery (FFS) improves gender dysphoria. The brows and eyes are crucial in perceived gender, yet brow and eyelid surgeries are relatively underutilized. This study aimed to determine rates of brow and eyelid surgeries as part of FFS and characterize pre- and postoperative periocular features. We conducted a retrospective review to identify all patients with the diagnosis of gender dysphoria who underwent FFS at a single academic institution from 2019 to 2022. Thirty-four patients comprising 38 surgical cases were included. Twelve (35%) eyelid surgeries and 27 (79%) brow lifts were performed. Baseline eyelid measurements did not differ between brow lift and nonbrow lift cases. Those undergoing brow lift and eyelid surgery were older in age (p = 0.022), had a higher rate of negative canthal tilt (p = 0.050), and smaller baseline margin-reflex distance 1 (p = 0.014) than patients who had brow lift alone. Brow lift increased tarsal platform show (p ≤ 0.001) and lash-to-brow distance (p ≤ 0.001), and upper blepharoplasty increased tarsal platform show (p = 0.01). Rates of brow lift are high at our institution, and patients are appropriately selected for eyelid surgery in FFS. Brow lift and upper blepharoplasty can feminize anatomical features when using standards described for cisgender cohorts. The impact of periocular features on gender perception in transgender patients warrants further study.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"307-312"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140863828","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

Role of Membranous Septum in the Alar-Columellar Relationship: Strategies in Closed-Approach Rhinoplasty. 膜状鼻中隔在鼻翼与鼻小柱关系中的作用：闭合式鼻整形术的策略。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-06-01 Epub Date: 2024-06-04 DOI: 10.1055/a-2338-0701

Ayhan Işık Erdal, Bilge Kaan İsmail, Serhat Şibar

{"title":"Role of Membranous Septum in the Alar-Columellar Relationship: Strategies in Closed-Approach Rhinoplasty.","authors":"Ayhan Işık Erdal, Bilge Kaan İsmail, Serhat Şibar","doi":"10.1055/a-2338-0701","DOIUrl":"10.1055/a-2338-0701","url":null,"abstract":"A normal alar-columellar relationship is crucial for lower third finesse in rhinoplasty. Hanging columella is a common complaint in the alar-columellar relationship and membranous septum excision is frequently recommended for its correction. This paper focuses on the role of the membranous septum in achieving a normal alar-columellar relationship. It was aimed to present an algorithm that could be used for aberrancies in the alar-columellar relationship.Ninety-seven patients who underwent closed-approach rhinoplasty between January and December 2022 were included in this retrospective study. Routine tip plasty maneuvers were performed on all patients. Membrane septum excision was not performed in any of the cases. Standardized preoperative and postoperative 12-month lateral view photographs were scanned for hanging or retracted columella.Hanging columella was observed in seven patients preoperatively (n = 97). No hanging or retracted columella was observed postoperatively.Hanging columella can be successfully corrected with alternative surgical maneuvers without excision of the membranous septum in closed-approach rhinoplasty in appropriate cases. Complete preservation of the membranous septum does not cause hanging columella in the postoperative period.","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"347-351"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141247681","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

Reduction Rhinoplasty's Bad Wrap-Is it Time to Forgive and Forget?... Or at Least Get a Rebrand? 缩小鼻整形术的糟糕包裹——是时候原谅和忘记了吗？或者至少换一个品牌？

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-05-27 DOI: 10.1055/a-2611-1519

Emily C Deane, Oren Friedman

{"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":"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.","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}

引用次数: 0

Modified Buccal Fat Pad Reduction as a Component of Perioral Mound Rejuvenation - "The Mouth Pouch". 改良的颊脂肪垫减少作为口腔周围丘年轻化的组成部分-“口腔袋”。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-05-27 DOI: 10.1055/a-2622-2896

Benjamin Patrick Caughlin, Brittany T Abud

{"title":"Modified Buccal Fat Pad Reduction as a Component of Perioral Mound Rejuvenation - \"The Mouth Pouch\".","authors":"Benjamin Patrick Caughlin, Brittany T Abud","doi":"10.1055/a-2622-2896","DOIUrl":"https://doi.org/10.1055/a-2622-2896","url":null,"abstract":"Aims and background: To evaluate the effectiveness of a comprehensive surgical approach addressing perioral mounds- the \"mouth pouch\"-through modified buccal fat pad sculpting, targeted mucosal and muscle resection, and focal skin tightening for enhanced lower facial contouring.Historical aspects: Conventional techniques often fall short in resolving contour irregularities in the perioral region due to intricate anatomy and high functional mobility.Anatomy: The perioral area includes a complex interplay of superficial and deep fat compartments, musculature, vasculature, and nerves. Aging-related atrophy of superficial fat and pseudoherniation of buccal fat contribute to soft tissue compartmentalization and visible mounding.Technology: Radiofrequency-assisted dermal tightening is combined with intraoral fat sculpting to promote further definition.Patient selection: Ideal candidates have distinct perioral mounds, robust buccal fat pads, thickened oral mucosa, and visible lines of parakeratosis.Techniques: A seven-step intraoral technique under local anesthesia includes mucosal resection, buccinator stripping, buccal fat pad sculpting, and radiofrequency treatment.Postoperative care: Dual compression with intraoral packing and external head wrap minimizes hematoma and infection risk. Current and Future Developments: Combining bony augmentation (e.g., chin implants) with soft tissue contouring yields comprehensive lower face rejuvenation.Conclusions and clinical relevance: This technique for treating perioral mounds, in carefully selected patients, provides a reproducible, safe method for lower facial contour enhancement.","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":"144157558","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

An Algorithmic Approach to Lower Eyelid Malpositions. 下眼睑错位的一种算法。

IF 1.1 4区医学

Facial Plastic Surgery Pub Date : 2025-05-27 DOI: 10.1055/a-2595-3381

G Seethapathy, Tejaswi Pagadala, T Premalatha

{"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":"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.","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}

引用次数: 0