Facial Plastic Surgery最新文献

{"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><p>Secondary rhinoplasty presents complex challenges due to anatomical distortions, scar tissue, and multiple iatrogenic deformities.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.This study is based on a retrospective review of cases.Preservation concepts applicable to secondary rhinoplasty are outlined in detail. A paradigm case highlighting the strategic application of preservation techniques is included.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.Preservation concepts can lead to improved outcomes even in secondary rhinoplasty.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-02","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":"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":"https://doi.org/10.1055/a-2689-1750","url":null,"abstract":"<p><p>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.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.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%).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":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-02","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":"Effectiveness of Stellate Excision in Reducing Keloid Recurrence and Improving Aesthetic Outcomes in the Upper Third of the Ear.","authors":"Francesco Di Pierro, Sean Bo Jie Loh, Nevin Yi Meng Chua, Ayman Alwyn D'Souza, Chew Lip Ng","doi":"10.1055/a-2689-1591","DOIUrl":"https://doi.org/10.1055/a-2689-1591","url":null,"abstract":"<p><p>Auricular keloids, particularly in the upper third of the ear, often recur after treatment and can cause aesthetic and functional deformities. This study assesses the effectiveness of stellate excision in reducing recurrence and improving cosmetic outcomes.Stellate excisions evolved from 19th-century wedge excisions, refined by 1960s otoplasty techniques to preserve ear shape and prevent deformities. Traditional skin flap techniques frequently show high recurrence rates and can compromise auricular contour, leading to unsatisfactory results.The ear, and specifically the upper third, is a challenging site for keloids due to its characteristic anatomy and susceptibility to mechanical stress during healing.Stellate excision allows for precise resection of keloids with back cuts and wedge extension to preserve ear shape and reduce tension.Forty adult patients with upper third keloids were retrospectively studied. All underwent stellate excision and standardized steroid injection follow-up.Complete excision with cartilage wedge resection, local flap closure, and layered suturing was performed under local anesthesia.Triamcinolone injections were administered at 2, 4, and 8 weeks postoperatively; follow-up continued for 24 months.Stellate excision showed a 95% success rate; future studies should assess broader anatomical applicability.Stellate excision is a reliable and cosmetically favorable method for managing upper third ear keloids, with a low recurrence rate.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144948252","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":"Skincare Regimens for Men: Medical-Grade Solutions.","authors":"Melanie D Palm, Sam Fathizadeh, Deirdre Hooper","doi":"10.1055/a-2680-4309","DOIUrl":"https://doi.org/10.1055/a-2680-4309","url":null,"abstract":"<p><p>Despite growing awareness of skin health, male patients remain less likely to engage in daily skincare or pursue cosmetic dermatologic care. This review provides an evidence-based framework for understanding male-specific skin biology, behavior, and treatment strategies to improve outcomes and adoption.Male skin is thicker, oilier, more acidic, and contains denser terminal hairs and collagen than female skin. It has increased transepidermal water loss, a more robust vascular supply, and higher androgen-driven glandular activity, all of which influence barrier integrity, aging, and treatment response.Successful engagement of male patients requires understanding their goals, lifestyle, and psychological drivers. Men prefer performance-focused language, streamlined routines, and clear functional benefits.Tailored regimens emphasizing minimal steps, multifunctional products, and tolerable formulations are key. Interventions must account for unique features such as thicker dermis and distinct patterns of aging and facial musculature.Emerging therapies such as exosome-based products, male-focused marketing, and gender-specific formulation advances support increased adoption and efficacy.Dermatologists must consider the biologic and behavioral distinctions of male skin to enhance prevention, adherence, and treatment outcomes. Sex-specific strategies can improve long-term skin health and aesthetics.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144947950","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":"Masculinity and Self-Perception: The Emotional Drivers of Male Aesthetics.","authors":"Toni D Pikoos, Ben G Buchanan","doi":"10.1055/a-2677-3562","DOIUrl":"10.1055/a-2677-3562","url":null,"abstract":"<p><p>Men comprise up to 16% of aesthetic patients; however, the unique motivations and experiences of male patients remain understudied. We aimed to synthesize evidence on social, emotional, and psychopathological drivers of male interest in aesthetic procedures and outline clinical implications for aesthetic practitioners.Changing expressions of masculinity, media, and technology, as well as social, romantic, and professional influences, were explored. Research regarding psychopathology and body dysmorphic disorder (BDD) in male aesthetic patients was reviewed.Modern, fluid notions of masculinity have normalized aesthetic interventions among male patients. However, men experience ongoing stigma as a barrier to accessing treatment. Men display similar motivations to women, but report professional drivers more frequently. Mental health concerns and BDD prevalence rates are inconsistently reported among male aesthetic patients, but are likely to predispose males to more challenging treatment experiences. Clinical implications and recommendations for working with male patients are discussed.As men continue to undertake cosmetic procedures more frequently, practitioners should take care to adapt their approaches to the unique preferences of male patients. This includes shifts in language, advertising, consultation, and treatment planning to overcome stigma and barriers to access, while prioritizing safe, ethical care.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144793877","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 Application of a New Porous High-Density Polyethylene Exogenous Scaffold in Nose Tip Shaping for East Asians.","authors":"Jing Liu, Xueyong Meng, Jia Liu, Tinggang Chu, Jun Zhang, Zhibing Ma, Jinlong Huang","doi":"10.1055/a-2675-5291","DOIUrl":"10.1055/a-2675-5291","url":null,"abstract":"<p><p>This study aimed to explore the clinical application value of a new porous high-density polyethylene (PHDPE, Supor) exogenous scaffold in nasal tip shaping for East Asians.We conducted a retrospective analysis of patients who underwent rhinoplasty involving the new nasal framework implantation at our institution from July 2020 to June 2024. Photographic measurement was used to obtain nasal-facial parameters, including nasal bridge length index, nasolabial angle, nasal tip projection, and the ratio of nasal tip width to nasal width, which served as objective indicators for nasal aesthetic evaluation. A rhinoplasty questionnaire was designed for patients to subjectively rate their nasal appearance, providing subjective indicators. The Nasal Obstruction Symptom Evaluation (NOSE) scale was utilized to assess nasal ventilation status, with the NOSE score as an indicator for nasal functional evaluation. Pre- and postoperative differences in nasal-facial parameters, self-rated nasal appearance, and NOSE scores were analyzed. The incidence of complications and patient satisfaction with surgical outcomes were also recorded. A total of 36 female Han Chinese patients with a mean age of 29 ± 4 years were included, with an average follow-up of 13 ± 4 months. Results showed that Nasal-facial parameters significantly improved postoperatively. The preoperative nasolabial angle was 102.9 ± 4.8 degrees, and the postoperative angle was 96.1 ± 2.8 degrees, with a significant decrease of 6.9 ± 2.2 degrees (<i>p</i> < 0.01). Only one patient developed a postoperative infection, while no other complications such as rejection, deformation, or implant extrusion were observed.In nasal tip plastic surgery for East Asians, the application of new PHDPE exogenous scaffolds yielded favorable surgical outcomes with low complication rates.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144783897","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 Fusion Sling Hook Suspension as a Powerful Tool in Tip Support: Surgical Considerations.","authors":"José Carlos Neves, Jefferson Rijo-Cedeño, Halana Filgueiras, Edgar Kaminskyi, Fernando Nakamura, Froilan Paez, José Ramón García-Berrocal","doi":"10.1055/a-2656-7021","DOIUrl":"10.1055/a-2656-7021","url":null,"abstract":"<p><p>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.This article evaluates the fusion sling hook suspension technique for tip support in rhinoplasties.Prospective observational case series.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 utilized the fusion sling hook suspension technique. Data were reported in accordance with the STROBE guidelines.The stability provided by the fusion sling hook maneuver 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 four (0.7%) required revision surgery.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.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-07","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":"Assessing the Safety and Efficacy of Pediatric Nasal Surgery: A Systematic Review and Meta-Analysis.","authors":"Raina K Patel, Phillip Loan, Gabriela Cendejas, Maheen F Akhter, David Perrault, Rahim S Nazerali, Rohit K Khosla","doi":"10.1055/a-2663-7741","DOIUrl":"10.1055/a-2663-7741","url":null,"abstract":"<p><p>Pediatric nasal surgery has been controversial due to concerns about facial growth during adolescence. There is limited data on patient outcomes and no clear guidelines on the optimal age for surgery.To evaluate the safety, complication, and revision rates of nasal surgery in children.Systematic review and meta-analysis of septoplasty, rhinoplasty, and septorhinoplasty studies from 1994 to 2024, following Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines.Studies on primary nasal septal surgery in children (ages: 0-18) were included. Data was analyzed using ANOVA and chi-squared testing.Twenty-three studies with 27,840 patients were included. Septoplasty had the highest age at surgery and low complication and revision rates. Septorhinoplasty had the youngest age at surgery, and high complication and revision rates. Rhinoplasty had high complications but low revision rates.Pediatric septoplasty has low complication and revision rates. Further studies are needed to determine the optimal age for each procedure.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788576","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":"First Clinical Experiences with Microfocused Ultrasound in Infraorbital Rejuvenation: A Clinically and Scientifically Grounded Perspective.","authors":"Wolfram Heitzmann, Jennifer Lynn Schiefer, Laura Lanckohr, Diana Visnovska, Alexandra Schulz","doi":"10.1055/a-2666-5719","DOIUrl":"https://doi.org/10.1055/a-2666-5719","url":null,"abstract":"<p><p>The infraorbital region is challenging to treat due to complex anatomy and issues like skin laxity, malar edema, and malar mounds. This study evaluates micro focused ultrasound with visualization (MFU-V) as a non-invasive treatment for infraorbital rejuvenation, hypothesizing improved skin tightening and contouring.A case series with anatomical analysis and literature review.Five female patients (aged 42-54) with mild-to-moderate skin laxity underwent MFU-V treatment using 1.5, 3.0, and 4.5 mm transducers. Standardized photos and assessment scales (Merz Infraorbital Hollow Scale, GAIS) were used at baseline and 6 months.MFU-V led to visible improvements in periorbital skin tightening and reduction of malar mounds, especially in more pronounced cases. No adverse effects occurred.MFU-V is a safe, effective, and non-invasive option for periorbital rejuvenation. It may serve as an alternative to surgical treatment for infraorbital skin laxity and malar deformities. Larger studies are needed to confirm efficacy.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144788577","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":"Rhytidectomy Incision Techniques and Scar Outcomes: A Scoping Review.","authors":"Katherine Y Liu, David W Chou, Hannah Verma, Gavneet Sehgal, Jill K Gregory, Sunder Gidumal, Solomon Husain, Theda C Kontis, Manoj T Abraham","doi":"10.1055/a-2404-1995","DOIUrl":"10.1055/a-2404-1995","url":null,"abstract":"<p><p>Although scar outcomes in rhytidectomy are crucial to patients and surgeons alike, there is a lack of consensus on incision techniques for optimizing rhytidectomy scars. A comprehensive scoping review of the literature was performed on rhytidectomy incision techniques and associated scar outcomes.The PRISMA protocol was utilized to conduct a scoping review of the literature through MEDLINE, EMBASE, and Science Citation Index databases to identify articles discussing rhytidectomy incision techniques and scar outcomes.A total of 49 studies were included in this scoping review. Four themes were identified related to rhytidectomy scars within these studies: temporal incision placement, tragal incision placement, lobule management, and postauricular incision design. Techniques within each theme were described and reported scar outcomes summarized.There are many approaches to rhytidectomy incisions described in the literature, with reportedly low rates of scar complications for each of the techniques described. It cannot be elucidated which techniques are superior due to the heterogeneity of outcomes reported in the literature with significant variability in outcome measures, study design, and follow-up time. Future studies should focus on utilizing a standardized rating system to aid in objective determination of the superiority of one technique versus another. LEVEL OF EVIDENCE:: Level I.</p>","PeriodicalId":12195,"journal":{"name":"Facial Plastic Surgery","volume":" ","pages":"451-464"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142079763","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}