Facial Plastic Surgery最新文献

{"title":"Structural Approach to Revision Rhinoplasty.","authors":"Ziad Katrib","doi":"10.1055/a-2622-3206","DOIUrl":"https://doi.org/10.1055/a-2622-3206","url":null,"abstract":"<p><p>Aims and Backgrounds: To explain a very clear and concise, systematic approach to revision rhinoplasty from the preoperative visit, to the operation, and finally to the post operative course.</p><p><strong>Anatomy: </strong>All pertinent anatomy is discussed both in the preoperative examination, and in the technical details describe in the operation. Images accompany all key maneuvers for further clarification. Pre Operative Analysis: We discuss the key physical examination findings, functional analysis, and standardized photography of the patient prior to the operation.</p><p><strong>Techniques: </strong>We describe the key foundational techniques utilized from start to finish to design and construct the most stable, functional, and aesthetic nose possible in a revision rhinoplasty. We discuss anesthesia, as well as intraoperative splints and dressings. Post Operative Care: We review all post op care given to our patients, as well as the reasoning behind these instructions.</p><p><strong>Conclusion: </strong>We provide an easy to follow, step by step logical approach to revision rhinoplasty. Despite the nearly endless combination of possible findings once in the operation, by following these guiding principles the operation can be completed in a consistent, efficient, and thorough manner.</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":"144157563","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 The term \"ethnic patients\" has been replaced by \"mixed race patients\" reflecting today's interracial mixing, globalization, and massive migrations.\"Hybrid rhinoplasty\" combines two different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":"Nonsurgical Chin and Prejowl Modification.","authors":"Lauren E Melley, Allison Altman, Jason D Bloom","doi":"10.1055/a-2600-6759","DOIUrl":"https://doi.org/10.1055/a-2600-6759","url":null,"abstract":"<p><p>The chin and prejowl areas play a critical role in the perception of facial harmony. This paper explores nonsurgical approaches for chin and prejowl rejuvenation, emphasizing anatomy, aesthetic concerns, and the plethora of available treatment modalities.Bony landmarks such as the pogonion, menton, and mental protuberance define the chin, while muscles like the mentalis, depressor anguli oris (DAO), and depressor labii inferioris (DLI) influence facial expression and rhytid development. Aging induces volume loss, tissue laxity, and bony absorption, leading to the formation of the prejowl sulcus and reduced jawline definition.Injectable fillers and biostimulators such as hyaluronic acid, calcium hydroxylapatite, and poly-L-lactic acid address volume loss, enhance contours, correct chin underprojection, and fill both deep and superficial rhytids. Neuromodulators like botulinum toxin reduce muscle hyperactivity to smooth dynamic wrinkles. Energy-based modalities, including radiofrequency, ultrasound, and laser, offer options for skin tightening, fat reduction, and improving skin texture.The paper highlights the benefits and limitations of nonsurgical techniques available to treat the chin and prejowl, emphasizing the need for anatomical precision to optimize safety and efficacy. Although nonsurgical treatments cannot replace surgical interventions, they often provide effective, temporary solutions for patients seeking low-downtime alternatives.</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":"144101588","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":"Evaluation and Treatment Planning to Maximize Perioral, Submental, and Neck Aesthetics.","authors":"Cheng Ma, Aniruddha Parikh, Jessyka G Lighthall","doi":"10.1055/a-2597-6850","DOIUrl":"10.1055/a-2597-6850","url":null,"abstract":"<p><p>Aesthetic rejuvenation of the perioral, submental, and neck regions is a complex topic with multiple different treatment approaches. Aging changes in the skin, muscles, fat and soft tissue, and bones are driven by multiple internal and external factors. To obtain the best cosmetic outcome, a deep understanding of the perioral, submental, and neck region and proper patient evaluation are necessary. Here, we discuss the process of evaluating patients and planning treatment for perioral, submental, and neck rejuvenation.Patients presenting for evaluation of perioral, submental, and neck aging may have multiple aesthetic complaints. The approach to evaluating patients should be comprehensive and consistent. This involves careful history taking and consideration of medical co-morbidities, a thorough evaluation of the skin, tone, dynamic movement, and soft-tissue distribution of each subunit, and individualized pretreatment counseling to discuss risks and set expectations.An individualized plan may consist of either nonsurgical, surgical or a combination of approaches. Nonsurgical approaches excel at addressing aging skin, volume deficits, and overactivation of facial musculature. Surgical approaches address more severe manifestations of skin aging, uneven volume distribution, loss of contour in the jaw and neck, and bony deformities.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143987983","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":"Considerations for maximizing perioral aesthetics in gender affirming surgery.","authors":"Torin Thielhelm, Katherine Liu, Maria Mavrommatis, Joshua D Rosenberg","doi":"10.1055/a-2605-7963","DOIUrl":"https://doi.org/10.1055/a-2605-7963","url":null,"abstract":"<p><p>Not prAims and Background: Perioral aesthetics are a critical component of facial gender-affirming surgery (FGAS). The goal of this paper is to review the philosophy, techniques and evidence supporting perioral aesthetics in FGAS with specific attention to the lips, chin, and submentum.</p><p><strong>Anatomy: </strong>Masculine appearance is typically associated with greater upper lip height, labial volume, and mouth width, while female appearance exhibits increased upper incisor show with a softer, tapered chin shape. The masculine chin is wider and taller with greater anterior projection, while the feminine chin is typically more narrowed. The contour of the submentum is impacted by skeletal and soft tissue differences, with males displaying a more angular profile.</p><p><strong>Techniques: </strong>Techniques for lip feminization include the subnasal lip lift and various injectables for altering lip contour. For chin contouring, several genioplasty techniques exist, including the T-genioplasty. These procedures may utilize virtual surgical planning (VSP). Submental liposuction and platysmaplasty can refine the submental area to highlight underlying osseous structures. Augmentation of the mandible, typically using implants, can be utilized for masculinization of the perioral region.</p><p><strong>Conclusions and clinical relevance: </strong>Careful attention to the lips, chin, and submentum can help achieve desired outcomes in both facial feminization and masculinization. A comprehensive understanding of perioral anatomy and an individualized technique selection are vital for achieving optimal FGAS outcomes. ovided.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063141","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}