Facial Plastic SurgeryPub Date : 2025-08-01Epub Date: 2024-09-12DOI: 10.1055/s-0044-1790605
Abraham Zavala, Lucio Santos
{"title":"Comment on: Rethinking Oncologic Facial Nerve Reconstruction in the Acute Phase through Classification of the Level of Injury.","authors":"Abraham Zavala, Lucio Santos","doi":"10.1055/s-0044-1790605","DOIUrl":"10.1055/s-0044-1790605","url":null,"abstract":"","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"553"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282634","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 Understanding of Facial Nerve Anatomy and Arborization in the Indian Population: Implications for Surgical Procedures.","authors":"Sneha Gulati, Satyaswarup Tripathy, Tulika Gupta, Sunil Gaba, Devi Prasad Mohapatra","doi":"10.1055/s-0044-1791691","DOIUrl":"10.1055/s-0044-1791691","url":null,"abstract":"<p><p>The anatomy and arborization patterns of the extraparotid facial nerve show considerable variation among different populations, impacting surgical approaches in plastic, head and neck, and ENT surgeries. This study focuses on the Indian population to provide a detailed understanding of these variations, specifically highlighting the Davis type IV arborization pattern's prevalence and its clinical relevance. We conducted a comprehensive dissection of 16 formalin-preserved Indian cadaveric hemifaces. The study meticulously mapped the facial nerve trunk (FNT), its furcation points, and branches. Key anatomical landmarks for locating these nerve structures were identified, including the tip of the mastoid process, the angle of the mandible, and a novel line between the lateral palpebral fissure and otobasion superioris. The most common arborization pattern observed was Davis type IV (31.3%). The study provided precise measurements for locating the FNT and its branches, using identifiable landmarks. These findings facilitate more accurate surgical planning, crucial for procedures involving nerve repair or grafting. This research offers vital insights into the facial nerve anatomy specific to the Indian population, with significant implications for surgical precision and patient outcomes. By establishing reliable anatomical landmarks and elucidating the predominant arborization pattern, the study enhances the understanding of facial nerve behavior during surgical interventions, particularly in the context of facial paralysis treatment and reconstructive surgeries. Due to the small sample size, however, this study only acts as a pilot for further research.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"491-502"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461433","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":"Turkish Translation and Validation of the Expectations of Aesthetic Rhinoplasty Scale.","authors":"Agah Yeniceri, Nagihan Gulhan Yasar, Burak Hazır, Melih Cayonu","doi":"10.1055/a-2448-0503","DOIUrl":"10.1055/a-2448-0503","url":null,"abstract":"<p><p>The aim of this study was to translate, validate, and culturally adapt the original English version of the Expectations of Aesthetic Rhinoplasty Scale (EARS) into Turkish for use in Turkish-speaking communities. Fifty-one patients who wanted to undergo primary rhinoplasty and were literate in Turkish were included in the study. The control group consisted of 81 healthy volunteers who did not require rhinoplasty. A Turkish version of the EARS (EARS-T) was created. The participants completed the EARS-T questionnaire twice, 4-week apart. The internal consistency of the scale (Cronbach's α), the test-retest reliability (intraclass correlation coefficient [ICC]), and differences between the patient and control groups (Pearson's chi-square test) were analyzed. A statistically significant difference was found between the age and gender of the patient and control groups (<i>p</i> = 0.001 and 0.001, respectively). Univariate analysis showed that this significant difference did not affect the study results (age: <i>p</i> = 0.2; gender: <i>p</i> = 0.12). In addition, a statistically significant difference was found between the scale scores of the control and rhinoplasty groups (all <i>p</i> < 0.05). The EARS-T had good internal consistency, with high Cronbach's α scores ranging between 0.74 and 0.87. Test-retest reliability was demonstrated by high ICC scores ranging from 0.71 to 0.87. Our study revealed that the EARS-T has good internal consistency, reliability, and validity. Therefore, it can be used to assess the expectations of aesthetic rhinoplasty patients in preoperative consultation practice and in clinical studies related to rhinoplasty.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"547-552"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497730","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 : 2025-08-01Epub Date: 2024-09-23DOI: 10.1055/a-2419-9961
Tiffanie-Marie Borg, Jennifer Mackay
{"title":"Ethnic Considerations When Planning Lip Augmentation.","authors":"Tiffanie-Marie Borg, Jennifer Mackay","doi":"10.1055/a-2419-9961","DOIUrl":"10.1055/a-2419-9961","url":null,"abstract":"<p><p>Ideal standards of beauty including preferred lip characteristics vary between ethnicities. Although plump, well-defined lips are globally associated with youth, variation exists with regard to the perceived ideal lip volume and proportions between ethnicities. Proportions that may be assessed when planning lip augmentation include the upper-to-lower lip ratio, philtrum length, upper and lower vermilion heights, the ratio between the philtrum height and that of the upper vermilion, and the lip height-to-lip width ratio.It is important that accurate assessments of patients are made pre- and postaugmentation. However, many aesthetic assessment tools are based on Caucasian models with limited use in other ethnicities. We present a review of the ideal lip characteristics and assessment techniques accounting for ethnicity, with a view to providing practitioners an evidence-based approach to lip assessment and treatment planning for patients of all backgrounds.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"503-509"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142307459","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 : 2025-08-01Epub Date: 2024-08-08DOI: 10.1055/a-2382-8028
Priscilla Parmar, Heide Mills, Hesham Saleh
{"title":"Patient Selection, Outcome, and Unhappy Patients in Rhinoplasty.","authors":"Priscilla Parmar, Heide Mills, Hesham Saleh","doi":"10.1055/a-2382-8028","DOIUrl":"10.1055/a-2382-8028","url":null,"abstract":"<p><p>This article discusses the process of patient selection for rhinoplasties and the many different psychological aspects that come into play. It is important to identify the warning signs and apply a multidisciplinary approach to the surgeons practice, in collaboration with specialist rhinoplasty psychologists. Patients' motivations and surgeon factors are also discussed, as this can lead to unhappy and unsatisfactory postoperative outcomes. Potential reasons for adverse outcomes throughout the pre- and postoperative periods are also described. Finally, a brief guide is provided to reduce the risks of an unhappy patient.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"420-424"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906369","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 : 2025-08-01Epub Date: 2024-10-15DOI: 10.1055/s-0044-1791690
Janos Cambiaso-Daniel, Salvatore Giordano, Benedetta Agnelli, Ludovico La Bella, Alessandro Gualdi
{"title":"Neck Lift to Treat Platysma Bands and Defining Cervical Angle: A Systematic Review and Pooled Analysis.","authors":"Janos Cambiaso-Daniel, Salvatore Giordano, Benedetta Agnelli, Ludovico La Bella, Alessandro Gualdi","doi":"10.1055/s-0044-1791690","DOIUrl":"10.1055/s-0044-1791690","url":null,"abstract":"<p><p>Many surgical techniques have been proposed to address the submental-cervical angle in neck lift. Despite the several advances, obstacles persist when dealing with platysma bands and redefinition of the obtuse cervical angle. The aim of this study was to quantify platysma bands recurrence, any neurovascular damage, and other complications following neck lift procedures involving platysma muscle. After the approval and registration on the International Prospective Register of Systematic Reviews (PROSPERO), the systematic review was performed in accordance with the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A series of specific keywords and predefined MeSH terms were utilized in different search engines (Medline, PubMed, Google Scholar, and the Cochrane library databases). Primary outcome was the recurrence of platysma bands; secondary outcomes included any postoperative complications, including any nerve damage. Pooled analysis was performed using a random effects model. Twelve articles, encompassing 2,106 patients, were relevant to this issue and included data on neck lift surgery with any platysma transection outcomes. Twenty-six patients had a recurrence of platysma bands during the follow-up, with a pooled rate of 1.4%. The pooled overall nerve damage rate was 0.9%. At the reported follow-up, the pooled hematoma percentage was 1.8%, and the pooled sialoma rate was 0.3%. Even less common complications were long-lasting edema, dehiscence of the submental suspension, and skin necrosis. Cervicomental angle redefinition remains a controversial and complicated procedure, which can be approached with different maneuvers. However, more long-term outcome reports as well as standardized complication outcomes are warranted in order to compare different and new techniques. LEVEL OF EVIDENCE: III.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"482-490"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142461434","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}
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":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trial, Error, and Expertise: My Evolution Through Structural and Preservation Rhinoplasty Techniques.","authors":"Barış Çakır, Erhan Coşkun","doi":"10.1055/a-2622-3114","DOIUrl":"10.1055/a-2622-3114","url":null,"abstract":"<p><p>Rhinoplasty continues to evolve, with small technical refinements yielding significant aesthetic and functional gains. This article reflects on nearly two decades of surgical experience, focusing on the balance between structural support and anatomical preservation.The study aims to evaluate the effectiveness of combining preservation and structural techniques in closed rhinoplasty. It is hypothesized that this hybrid approach enhances surgical consistency and long-term outcomes.A retrospective, experience-based review of a single surgeon's rhinoplasty evolution is presented, highlighting technical transitions and refinements over time.Key refinements include Pitanguy ligament preservation, controlled mucosal resection, scroll area preservation, dual-plane dissection, rim flap techniques, subdomal grafting, and wide subperiosteal dissection. Open and closed approaches were selected based on anatomical features and case complexity.The adoption of preservation principles in closed rhinoplasty led to improved tip definition, supratip contour control, and dorsal stability. Wide dissection techniques enhanced skin redraping and minimized postoperative complications. Combining structural support with anatomical preservation yielded more predictable outcomes in primary cases.Closed rhinoplasty techniques that integrate both preservation and structural strategies offer a reproducible and refined surgical result. Continuous evaluation and adjustment of technical details are key to optimizing long-term functional and aesthetic success.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474408","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}
J Carlos Martins Neves, Jefferson Rijo, Halana Filgueiras, Edgar Kaminskyi, Fernando Nakamura, Froilan Heriberto Paez, Jose Ramon Garcia-Barrocal
{"title":"The Fusion Sling Hook Suspension as a powerful tool in tip support - Surgical Considerations.","authors":"J Carlos Martins Neves, Jefferson Rijo, Halana Filgueiras, Edgar Kaminskyi, Fernando Nakamura, Froilan Heriberto Paez, Jose Ramon Garcia-Barrocal","doi":"10.1055/a-2656-7021","DOIUrl":"https://doi.org/10.1055/a-2656-7021","url":null,"abstract":"<p><p>Introduction 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. Objectives & hypotheses This article evaluates the fusion sling hook suspension technique for tip support in rhinoplasties. Study design Prospective observational case series. Methods 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 utilised the Fusion Sling Hook Suspension technique. Data were reported in accordance with the STROBE guidelines. Results The stability provided by the Fusion Sling Hook Manoeuvre 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 4 (0.7%) required revision surgery. Conclusion 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. KEYWORDS: Fusion sling, Tip support, Pitanguy flap, Nasal tip, Preservation Rhinoplasty ACKNOWLEDGEMENTS: Artificial intelligence (AI)-based tools were used solely to assist with English language editing and did not contribute to the conceptual or substantive content of the manuscript.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-07-16","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}
{"title":"Surgical Chin Reduction: Achieving a Balanced Result.","authors":"Jonathan Sykes, Madison Mehrdad","doi":"10.1055/a-2631-5508","DOIUrl":"10.1055/a-2631-5508","url":null,"abstract":"<p><p>The chin plays a critical role in establishing facial balance and proportions. Abnormalities of chin projection, height, width, and symmetry can affect perioral aesthetics, gender alignment, and aging.Patients who present for aesthetic perioral enhancement should have a complete evaluation of the perioral bony anatomy. Chin excess may occur in the horizontal, vertical, and transverse dimensions. Surgical chin contouring may require both deprojection and shortening.The technique for both horizontal and vertical chin reduction will be reviewed in addition to complications.The chin is a critical component of facial harmony and should be evaluated and addressed during aesthetic enhancement and rejuvenation.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265791","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}