Facial Plastic Surgery最新文献

{"title":"The Princess and the Pea Graft-A Solid Cartilaginous Tip Graft for Noses with Thick Skin Envelope.","authors":"Chew Lip Ng, Sean B J Loh, Nevin Y M Chua, Francesco Di Pierro","doi":"10.1055/a-2764-2712","DOIUrl":"10.1055/a-2764-2712","url":null,"abstract":"<p><strong>Introduction: </strong>Thick skin-soft tissue envelope (SSTE) and weak cartilage make nasal tip definition challenging in many Asian rhinoplasty patients.</p><p><strong>Objectives & hypotheses: </strong>We aimed to assess whether the Princess and the Pea (PP) graft-a solid, conical costal cartilage tip graft-can improve tip projection and definition in thick-SSTE patients. We hypothesized that it would yield reliable aesthetic and functional results with minimal complications.</p><p><strong>Study design: </strong>Prospective clinical study with 12-month postoperative follow-up.</p><p><strong>Methods: </strong>Sixty patients of East, South, and Southeast Asian descent received a PP graft anchored to the lower lateral cartilages. Outcomes were measured using SCHNOS and a 5-point Likert satisfaction scale.</p><p><strong>Results: </strong>Mean satisfaction was 4.5/5, average SCHNOS score 0.54, and no graft-related complications occurred.</p><p><strong>Conclusion: </strong>The PP graft is a safe and effective method for enhancing nasal tip projection and definition in thick-SSTE patients.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"531-537"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145905837","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":"Evaluating AI Responses to Postoperative Questions in Mohs Reconstruction.","authors":"Areeb Shah, Luke Schwetschenau, Lisa Velez-Velez, Rohun Gupta, Kevin Chen, Collin Chen","doi":"10.1055/a-2689-2685","DOIUrl":"10.1055/a-2689-2685","url":null,"abstract":"<p><strong>Introduction: </strong>Patients frequently ask questions after Mohs facial reconstruction. AI tools, particularly large language models (LLMs), may optimize this communication.</p><p><strong>Objectives and hypotheses: </strong>We evaluated four LLMs-Claude AI, ChatGPT, Microsoft Copilot, and Google Gemini-on responses to postoperative questions, hypothesizing variation in quality, accuracy, comprehensiveness, and readability.</p><p><strong>Study design: </strong>Prospective observational study following STROBE guidelines.</p><p><strong>Methods: </strong>A total of 31 common postoperative questions were created. Each was submitted to all four LLMs using a standardized prompt. Responses were evaluated by blinded facial plastic surgeons using validated scoring tools (EQIP, Likert scales, readability formulas). IRB exemption was granted.</p><p><strong>Results: </strong>Claude AI outperformed others in quality (EQIP: 90.3), accuracy (4.55/5), and comprehensiveness (4.60/5). All LLMs exceeded the recommended 6th-grade reading level.</p><p><strong>Conclusion: </strong>LLMs show potential for supporting postoperative communication, but variation in readability and content depth highlights the continued need for physician oversight.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"440-445"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948269","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":"Preservation Concepts in Secondary Rhinoplasty: Is There Any Role?","authors":"Enrico Robotti, Gowthaman Ilambarathi, Giuseppe Cottone, Francesco Leone, Sara Robotti, Mario Alessandri Bonetti","doi":"10.1055/a-2689-1798","DOIUrl":"10.1055/a-2689-1798","url":null,"abstract":"<p><strong>Introduction: </strong>Secondary rhinoplasty presents complex challenges due to anatomical distortions, scar tissue, and multiple iatrogenic deformities.</p><p><strong>Objectives & hypotheses: </strong>Although a traditional structural approach is the time-honored benchmark against which any other technique should be measured, preservation concepts can be integrated together with structural techniques.</p><p><strong>Study design: </strong>This study is based on a retrospective review of cases.</p><p><strong>Methods: </strong>Preservation concepts applicable to secondary rhinoplasty are outlined in detail. A paradigm case highlighting the strategic application of preservation techniques is included.</p><p><strong>Results: </strong>Preservation concepts pose an evident advantage in avoiding unnecessary dissection, further destabilization, and overgrafting while maintaining native structures that can be preserved and limiting dead space. Scar tissue can be used advantageously rather than discarded. However, introducing a \"preservationist mindset\" in revision rhinoplasty needs a refined approach, mastery of diverse techniques, and a flexible operative strategy.</p><p><strong>Conclusion: </strong>Preservation concepts can lead to improved outcomes even in secondary rhinoplasty.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"428-439"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947653","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":"A Comparative Analysis of Nasal Valve Surgery Methods.","authors":"Gonçalo Caetano, Ricardo Matos, Mariana Santos, Duarte Morgado, Catarina Pinto, Inês Veloso, Raquel Robles, Rui Fonseca","doi":"10.1055/a-2775-5859","DOIUrl":"10.1055/a-2775-5859","url":null,"abstract":"<p><strong>Introduction: </strong>Internal nasal valve insufficiency is a major cause of nasal obstruction. Alar batten grafts (ABGs) are commonly used, but data on lateral crural tensioning (LCT) remain limited.</p><p><strong>Objectives and hypotheses: </strong>To compare the efficacy of ABG and LCT techniques in improving nasal airflow. Primary outcomes were nasal obstruction symptom evaluation (NOSE) score and revision surgery rate; secondary outcome was complication rate.</p><p><strong>Study design: </strong>Retrospective cohort study (PICOS).</p><p><strong>Methods: </strong>The study included 22 patients undergoing rhinoplasty for nasal valve insufficiency (2017-2023): ABG (<i>n</i> = 8) and LCT (<i>n</i> = 14). NOSE scores were obtained via telephone survey. Data were collected from clinical records.</p><p><strong>Results: </strong>Mean NOSE scores improved from 55 to 30.6 overall. ABG improved from 51.7 to 31.7, LCT from 56.7 to 30. One ABG patient required revision (12.5%), none in LCT group. Differences were not statistically significant between groups.</p><p><strong>Conclusion: </strong>LCT showed greater symptom improvement and no revisions. Further randomized trials are needed to confirm efficacy.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"545-548"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809975","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":"Lamb Head as a New Training Model for Soft Tissue and Flap Surgery on Face.","authors":"Fazil Apaydin, German Armando Soto-Galindo, Bekir Aydın, Marta Capelleras","doi":"10.1055/a-2732-5071","DOIUrl":"10.1055/a-2732-5071","url":null,"abstract":"<p><strong>Introduction: </strong>Training in facial soft tissue and flap surgery is limited by access to cadaver models and realistic simulation tools.</p><p><strong>Objectives and hypotheses: </strong>This study aimed to evaluate the lamb head as a practical and cost-effective model for facial flap planning and soft tissue closure techniques in surgical education.</p><p><strong>Study design: </strong>Prospective observational study involving two dissection courses with surgical residents. Reporting complies with STROBE (STrengthening the Reporting of OBservational studies in Epidemiology) guidelines.</p><p><strong>Methods: </strong>Two lamb heads were used for initial testing. Subsequently, two training sessions were conducted with 49 ENT and dermatology residents. Participants practiced standard flap designs using predrawn templates. Postsession feedback was collected.</p><p><strong>Results: </strong>All participants reported increased understanding and confidence. The model was rated highly for its realism and teaching value.</p><p><strong>Conclusion: </strong>The lamb head provides a realistic, accessible, and low-cost model for facial soft tissue training. It may be valuable for residency programs lacking access to cadaveric simulation.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"506-509"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145388233","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":"Unilateral Versus Bilateral Spreader Grafts to Correct Cartilaginous Deviations in Structural Rhinoplasty: A Comparative Study on the Aesthetic and Functional Outcomes.","authors":"Laura Gimeno-Torres, Jordi Calvo-Gómez, Tomàs Pérez-Carbonell, María V Roselló, Alejandro Vallejo-García, Juan C Marrero-Pérez, Jaime Marco-Algarra","doi":"10.1055/a-2750-9411","DOIUrl":"10.1055/a-2750-9411","url":null,"abstract":"<p><strong>Introduction: </strong>Spreader grafts (SG) are used in rhinoplasty to correct cartilaginous deviations. There are no studies that compare aesthetic and functional outcomes of unilateral (USG) and bilateral SG (BSG).</p><p><strong>Objectives and hypotheses: </strong>Compare whether USG or BSG is better to correct cartilaginous deviations, if there are differences in dorsal width ratio (DWR) and in patient-perceived aesthetic and functional outcomes.</p><p><strong>Methods: </strong>Retrospective study of 35 patients who underwent septorhinoplasty with USG or BSG. Deviation angle and DWR were calculated in frontal images before and 6 months postsurgery. Aesthetic and functional results were measured using nasal obstruction symptom evaluation (NOSE) and visual analog scales (VAS).</p><p><strong>Results: </strong>BSG significantly improved postoperative nasal deviation compared to USG (179.6 degrees vs. 172.9 degrees; <i>p</i> < 0.05). In minor preoperative deviations, there were no significant differences between BSG and USG (179.57 degrees vs. 177 degrees, respectively; <i>p</i> > 0.05). In major preoperative deviations, BSG provided better correction (179.62 degrees vs. 170.5 degrees; <i>p</i> < 0.05). DWR increased more with BSG compared to USG (0.12 vs. 0.04; <i>p</i> < 0.05). VAS and NOSE scores were similar in both groups.</p><p><strong>Conclusion: </strong>BSG is more effective in correcting major cartilaginous deviations, while both USG and BSG effectively correct minor deviations. Though BSG increases DWR, this does not negatively impact patient-perceived aesthetic or functional outcomes.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"524-530"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145563323","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":"How to Optimally Prepare the Patient for a Facelift Procedure.","authors":"Marta Mariani, Mariachiara Fabbri, Pietro Luciano Serra, Chiara Botti, Giovanni Botti","doi":"10.1055/a-2732-5021","DOIUrl":"10.1055/a-2732-5021","url":null,"abstract":"<p><strong>Introduction: </strong>Facelift surgery is among the most commonly performed aesthetic procedures. Achieving optimal outcomes requires careful preoperative planning, particularly in managing airway positioning and maintaining a clean surgical field from the forehead to the neck.</p><p><strong>Objectives and hypotheses: </strong>This study aims to outline standardized perioperative protocols for facelift surgery, hypothesizing that such measures improve surgical access and reduce intraoperative complications.</p><p><strong>Study design: </strong>Retrospective case series (<i>N</i> > 5) conducted by senior authors. The study adheres to STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) guidelines for observational studies.</p><p><strong>Methods: </strong>Patients undergoing facelift under general anesthesia with endotracheal intubation were reviewed. Focus was placed on tube positioning, scalp access, and hair management. No institutional review board approval was required.</p><p><strong>Results: </strong>Standardized protocols enhanced tube stability, optimized exposure, and minimized operative delays.</p><p><strong>Conclusion: </strong>Precise airway management and field preparation are essential for efficient, safe facelift surgery and should be standardized in clinical practice.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"502-505"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145437905","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":"Minimally Invasive Techniques for Nasal Valve Dysfunction: A Systematic Review and Meta-Analysis.","authors":"Guled M Jama, Filippo Cainelli, Luiza Farache Trajano, Peter J Andrews, Hesham Saleh","doi":"10.1055/a-2689-1750","DOIUrl":"10.1055/a-2689-1750","url":null,"abstract":"<p><strong>Background: </strong>Nasal valve dysfunction (NVD) is a prevalent cause of nasal obstruction, significantly impacting quality of life. In recent years, the emergence of office-based interventions has transformed the therapeutic landscape for this condition, offering patients a wider choice and less invasive options compared to traditional surgical methods, yet their comparative safety and efficacy remain to be fully established.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted in accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Four databases (PubMed, Scopus, Cochrane Library, and Ovid) were searched for original studies (2005-2025) assessing minimally invasive treatments for NVD with patient-reported outcomes. Random-effects meta-analyses evaluated changes in Nasal Obstruction Symptom Evaluation (NOSE) and Visual Analog Scale (VAS) scores.</p><p><strong>Results: </strong>Fifteen studies comprising 546 patients were included, evaluating temperature-controlled radiofrequency (TCRF), bioabsorbable implants, intranasal suturing techniques, and nasal valve stenting. TCRF yielded a weighted mean difference (WMD) in NOSE scores of -44.68 (95% confidence interval [CI]: -51.23 to -38.13; <i>p</i> < 0.001), while bioabsorbable implants achieved a WMD of -39.91 (95% CI: -48.53 to -31.29; <i>p</i> < 0.001). Intranasal suturing demonstrated a VAS WMD of -4.36 (95% CI: -4.88 to -3.84; <i>p</i> < 0.001). All interventions surpassed minimal clinically important differences, with adverse events being relatively mild and transient. Improvements were sustained across all modalities over a follow-up period of 3 to 48 months (<i>I</i> ² = 63.9-89.7%).</p><p><strong>Conclusion: </strong>Minimally invasive techniques for NVD demonstrate statistically and clinically significant and durable symptom relief with favorable safety profiles. These interventions may offer viable alternatives to traditional surgical approaches, particularly in select patients seeking reduced morbidity and procedural complexity. Future research should prioritize randomized comparisons and standardized outcome metrics.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"421-427"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948185","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":"Costal Cartilage Calcification in a Caucasian Population: Machine Learning Recommendations for Chest CT-guided Rhinoplasty Planning.","authors":"Victor S van Dam, Diako Berzenji, Aaike S van den Berg, Floris V W J van Zijl, Andries P Nagtegaal, Bernd Kremer, Frank R Datema","doi":"10.1055/a-2731-5948","DOIUrl":"10.1055/a-2731-5948","url":null,"abstract":"<p><strong>Introduction: </strong>Autologous costal cartilage calcification (CCC) can impact the course and long-term results of rhinoplasty. Preoperative information about the presence, severity, and pattern of CCC helps to assess donor site suitability and rhinoplasty planning.</p><p><strong>Objective: </strong>To use machine learning to identify a sex-specific age threshold beyond which a preoperative chest CT is likely to reveal CCC relevant for rhinoplasty planning.</p><p><strong>Study design: </strong>Cross-sectional retrospective study of 662 Caucasian adults.</p><p><strong>Methods: </strong>Prevalence, severity, and patterns of CCC in ribs five to eight were assessed by three independent reviewers. A machine learning algorithm was used to predict the age threshold beyond which a chest CT scan is beneficial to rhinoplasty planning.</p><p><strong>Results: </strong>The prevalence of CCC in Caucasian adults was 89.6%. Nearly all individuals over the age of 50 exhibited some form of CCC. In young females CCC was more severe and prevalent in the central core of ribs five to eight compared with age-matched males.</p><p><strong>Conclusion: </strong>A chest CT is recommended in females over 23 years and males over 40 years. No data-driven recommendations regarding an upper age limit for costal cartilage use could be determined from the data.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"496-501"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13364260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145376726","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}

{"title":"The Evolving Standards for Facial Plastic Photography in the Age of Social Media.","authors":"Kiran Abraham-Aggarwal, John Wilson Iv, Andrew B Yang, John L Frodel","doi":"10.1055/a-2718-3825","DOIUrl":"10.1055/a-2718-3825","url":null,"abstract":"<p><strong>Introduction: </strong>Standardized photography is foundational in facial plastic surgery (FPS) for accurate documentation of outcomes. The increased use of smartphones and social media introduces challenges such as variable lighting, filters, and digital manipulation that can distort results.</p><p><strong>Objectives & hypotheses: </strong>To examine current FPS photography standards and propose updated guidelines that address the influence of digital platforms. We hypothesize that modern adaptations are required to ensure accuracy and patient trust.</p><p><strong>Study design: </strong>Perspective on FPS photography standards in the age of social media.</p><p><strong>Methods: </strong>We reviewed published recommendations, historical practices, and recent studies on perioperative FPS photography, including the impact of smartphone technology and social media on standardization.</p><p><strong>Results: </strong>Findings highlight that smartphone photography and social media images often introduce bias through inconsistent angles, lighting, and digital enhancements.</p><p><strong>Conclusion: </strong>Revised photographic guidelines that integrate digital-era considerations are necessary to maintain accuracy, transparency, and ethical standards in FPS.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"491-495"},"PeriodicalIF":1.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145250521","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}